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International Indigenous Policy Journal最新文献

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DIFFICULTY ACCESSING SUBSTANCE USE TREATMENT AMONG INDIGENOUS PEOPLE IN A CANADIAN INNER CITY SETTING. 加拿大内城环境中土著居民难以获得药物使用治疗。
IF 0.6
International Indigenous Policy Journal Pub Date : 2026-03-31 DOI: 10.18584/iipj.2026.16.3.19234
Tristan Jeffery, Kanna Haysahi, Kora DeBeck, JinCheol Choi, Delilah Gregg, M J Milloy, Thomas Kerr
{"title":"DIFFICULTY ACCESSING SUBSTANCE USE TREATMENT AMONG INDIGENOUS PEOPLE IN A CANADIAN INNER CITY SETTING.","authors":"Tristan Jeffery, Kanna Haysahi, Kora DeBeck, JinCheol Choi, Delilah Gregg, M J Milloy, Thomas Kerr","doi":"10.18584/iipj.2026.16.3.19234","DOIUrl":"10.18584/iipj.2026.16.3.19234","url":null,"abstract":"<p><strong>Objectives: </strong>Indigenous people in Canada continue to suffer from higher rates of opioid overdose death than non-Indigenous groups. Although substance use treatment remains a key strategy in the context of the overdose crisis, the barriers to timely substance use treatment access among Indigenous people have not been well-characterized. This study aims to identify factors affecting treatment access for Indigenous residents in Vancouver, BC.</p><p><strong>Methods: </strong>Data was derived from three prospective cohort studies of people who use drugs in Vancouver. Generalized estimating equations (GEE) were used to identify barriers to substance use treatment access among Indigenous people from June 2015 to May 2022.</p><p><strong>Results: </strong>This study included 784 Indigenous people who use drugs (median age 37.74, 48.41% who self-identified as women). At baseline, 55 (7.0%) participants reported difficulty accessing substance use treatment, increasing to 128 (16.33%) participants during follow-up. In multivariate analyses, homelessness ([AOR]: 1.63, 95% confidence interval [Cl]: 1.08 - 2.47), sex work (AOR: 1.66, 95% CI: 1.12 - 2.47), and experiencing violence (AOR: 1.87, 95% CI: 1.25 - 2.81) were positively associated with difficulty accessing treatment. In sub-analyses, participants primarily found detox programs and treatment centers to be most inaccessible, with the primary barrier being long waitlists.</p><p><strong>Discussion: </strong>The study revealed that a small, but significant, proportion of Indigenous participants, including those possessing marker of overdose risk, struggled to access treatment. These results highlight the need for specialized approaches to enhance access to culturally sensitive substance use treatment and trauma support for Indigenous individuals.</p>","PeriodicalId":13707,"journal":{"name":"International Indigenous Policy Journal","volume":"16 3","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13529316/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148864826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Lost in Translation: Overcoming Distinctions in Worldviews in Environmental Impact Assessments in Canada and Russia 迷失在翻译中:克服加拿大和俄罗斯环境影响评估中世界观的差异
International Indigenous Policy Journal Pub Date : 2023-08-30 DOI: 10.18584/iipj.2023.14.2.14942
Evgeniia Sidorova, Jenanne Ferguson
{"title":"Lost in Translation: Overcoming Distinctions in Worldviews in Environmental Impact Assessments in Canada and Russia","authors":"Evgeniia Sidorova, Jenanne Ferguson","doi":"10.18584/iipj.2023.14.2.14942","DOIUrl":"https://doi.org/10.18584/iipj.2023.14.2.14942","url":null,"abstract":"How would the usage of Indigenous languages contribute to overcoming the epistemological gap between Traditional Ecological Knowledge and Environmental Impact Assessments? This article examines incommensurabilities that arise in Sakha-Russian and Cree-English translations of EIA through the translations of the most common words in samples. Without being embedded in Indigenous languages, TEK and other knowledges are easily decontextualized, and results in the loss of layers of meaning. This study adopted a linguistic anthropological approach to language combined with content analysis and guided by a poststructuralist mode of analysis. We argue policies around EIA/EAs must be shifted to center Indigenous languages as the source of TEK and ensure that there is space for these languages to be used in the consultation processes.","PeriodicalId":13707,"journal":{"name":"International Indigenous Policy Journal","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136143596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Book Review: Global Indigenous Health: Reconciling the Past, Engaging the Present, Animating the Future 书评:全球土著健康:调和过去，参与现在，激发未来
IF 1.3
International Indigenous Policy Journal Pub Date : 2022-09-01 DOI: 10.18584/iipj.2021.12.1.9341
K. Song
{"title":"Book Review: Global Indigenous Health: Reconciling the Past, Engaging the Present, Animating the Future","authors":"K. Song","doi":"10.18584/iipj.2021.12.1.9341","DOIUrl":"https://doi.org/10.18584/iipj.2021.12.1.9341","url":null,"abstract":"Literature about Indigenous health has dramatically increased over the past few years, which has made it difficult to stay current—this is a good thing. This uptick indicates that this work is getting attention it deserves. However, every so often a collection comes along that provides an essential overview of the work being done, and Global Indigenous Health: Reconciling the Past, Engaging the Present, Animating the Future is one such book. It examines the impacts and effects of health determinants on Indigenous Peoples from across the globe, including Micronesia, Alaska, and Canada.  ","PeriodicalId":13707,"journal":{"name":"International Indigenous Policy Journal","volume":"18 1","pages":"470 - 471"},"PeriodicalIF":1.3,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67529783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Diagnosis and treatment of COVID-19 in intensive care units]. [重症监护室中 COVID-19 的诊断和治疗]。
IF 1.3
International Indigenous Policy Journal Pub Date : 2022-04-01 Epub Date: 2022-03-28 DOI: 10.1007/s00063-022-00909-5
Wolfgang Hoepler, Marianna Traugott, Alexander Zoufaly, Martina Schatzl, Julian Hind, Christoph Wenisch, Stephanie Neuhold
{"title":"[Diagnosis and treatment of COVID-19 in intensive care units].","authors":"Wolfgang Hoepler, Marianna Traugott, Alexander Zoufaly, Martina Schatzl, Julian Hind, Christoph Wenisch, Stephanie Neuhold","doi":"10.1007/s00063-022-00909-5","DOIUrl":"10.1007/s00063-022-00909-5","url":null,"abstract":"<p><p>Treatment of coronavirus disease 2019 (COVID-19) is particularly challenging due to the rapid scientific advances and the often significant hypoxemia. Use of high-flow oxygen, noninvasive mask ventilation, and the technique of awake proning can sometimes avoid the need for intubation. Mechanical ventilation follows the principles of ventilation for acute respiratory distress syndrome (ARDS; lung protective ventilation) and is generally supplemented by consequent positioning therapy (with at least 16 h in prone position in multiple cycles). Antiviral therapy options such as remdesivir usually come too late for patients with COVID-19 in the ICU, the only exception being the administration of monoclonal antibodies for patients without seroconversion. The value of immunomodulatory therapy such as dexamethasone is undisputed. Interleukin‑6 antagonists, on the other hand, are rather problematic for ICU patients, and for Janus kinase inhibitors, data and experience are still insufficient in this context.</p>","PeriodicalId":13707,"journal":{"name":"International Indigenous Policy Journal","volume":"6 1","pages":"177-186"},"PeriodicalIF":1.3,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8959071/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89645099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Indigenous Trauma Intervention Research in Canada: A Narrative Literature Review 加拿大本土创伤干预研究：叙事文献综述
IF 1.3
International Indigenous Policy Journal Pub Date : 2021-07-26 DOI: 10.18584/IIPJ.2021.12.2.10936
Sarah Panofsky, M. Buchanan, R. John, A. Goodwill
{"title":"Indigenous Trauma Intervention Research in Canada: A Narrative Literature Review","authors":"Sarah Panofsky, M. Buchanan, R. John, A. Goodwill","doi":"10.18584/IIPJ.2021.12.2.10936","DOIUrl":"https://doi.org/10.18584/IIPJ.2021.12.2.10936","url":null,"abstract":"Contemporary Indigenous mental health research is beginning to address colonization, contextualizing Indigenous health within a history of colonial relationships and inadequate mental health responses. In practice, however, dominant counselling models for mental health in Canada have neglected Indigenous perspectives and there is a paucity of research regarding interventions that address psychological trauma with Indigenous populations. We identified 11 Canadian studies that employed culturally appropriate trauma interventions within Indigenous communities. We discuss the findings in relation to the study participants, outcomes reported, and research design. Recommendations are provided to address the need for evidence-based trauma interventions that have efficacy for Indigenous people in Canada to address Indigenous historical trauma.","PeriodicalId":13707,"journal":{"name":"International Indigenous Policy Journal","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2021-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49590472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Combining First Nations Research Methods with a World Health Organization Guide to Understand Low Childhood Immunisation Coverage in Children in Tamworth, Australia 结合原住民研究方法和世界卫生组织指南，了解澳大利亚塔姆沃思儿童的低儿童免疫覆盖率
IF 1.3
International Indigenous Policy Journal Pub Date : 2021-07-20 DOI: 10.18584/iipj.2021.12.2.10959
Susan Thomas, Natalie Allan, Paula Taylor, Carla McGrady, K. Bolsewicz, Fakhrul M Islam, P. Cashman, D. Durrheim, Amy Creighton
{"title":"Combining First Nations Research Methods with a World Health Organization Guide to Understand Low Childhood Immunisation Coverage in Children in Tamworth, Australia","authors":"Susan Thomas, Natalie Allan, Paula Taylor, Carla McGrady, K. Bolsewicz, Fakhrul M Islam, P. Cashman, D. Durrheim, Amy Creighton","doi":"10.18584/iipj.2021.12.2.10959","DOIUrl":"https://doi.org/10.18584/iipj.2021.12.2.10959","url":null,"abstract":"In Australia, we used the World Health Organization’s Tailoring Immunization Programmes to identify areas of low immunisation coverage in First Nations children. The qualitative study was led by First Nations researchers using a strength-based approach. In 2019, Tamworth had 179 (23%) children who were overdue for immunisations. Yarning sessions were conducted with 50 parents and health providers. Themes that emerged from this research included: (a) Cultural safety in immunisation services provides a supportive place for families, (b) Service access could be improved by removing physical and cost barriers, (c) Positive stories promote immunisation confidence among parents, (d) Immunisation data can be used to increase coverage rates for First Nations children. Knowledge of these factors and their impact on families helps ensure services are flexible and culturally safe.","PeriodicalId":13707,"journal":{"name":"International Indigenous Policy Journal","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2021-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48011815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Power of Connections: How a Novel Canadian Men’s Wellness Program is Improving the Health and Well-Being of Indigenous and Non-Indigenous Men 联系的力量:一个新颖的加拿大男性健康计划如何改善土著和非土著男性的健康和福祉
IF 1.3
International Indigenous Policy Journal Pub Date : 2021-06-10 DOI: 10.18584/iipj.2021.12.2.10896
Iloradanon Efimoff,Lyana Patrick,Viviane Josewski,Paul Gross,Sandy Lambert,Victoria Smye
{"title":"Power of Connections: How a Novel Canadian Men’s Wellness Program is Improving the Health and Well-Being of Indigenous and Non-Indigenous Men","authors":"Iloradanon Efimoff,Lyana Patrick,Viviane Josewski,Paul Gross,Sandy Lambert,Victoria Smye","doi":"10.18584/iipj.2021.12.2.10896","DOIUrl":"https://doi.org/10.18584/iipj.2021.12.2.10896","url":null,"abstract":"The DUDES Club is a novel men’s health and wellness organization founded in 2010 in Vancouver, BC. Since 2017, the DUDES Club has rapidly expanded in Northern BC and, with the help of a partnership with the First Nations Health Authority, has grown to include 40 sites in British Columbia and 2 sites nationally. In this study, we analyze interviews (n = 5) and 15 focus groups (n = 101) conducted as part of a program evaluation with DUDES Club members, Elders, providers, and health care professionals. We focus on men’s experiences with the DUDES Club to identify four main themes in the data: brotherhood and community, accessible health care information, disrupting colonial constructions of masculinity, and systemic and structural challenges. We conclude with policy recommendations.","PeriodicalId":13707,"journal":{"name":"International Indigenous Policy Journal","volume":"13 3","pages":"1-22"},"PeriodicalIF":1.3,"publicationDate":"2021-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138526955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mental Health Interventions for First Nation, Inuit, and Métis Peoples in Canada: A Systematic Review 加拿大原住民、因纽特人和梅蒂斯人的心理健康干预：系统综述
IF 1.3
International Indigenous Policy Journal Pub Date : 2021-05-20 DOI: 10.18584/IIPJ.2021.12.2.10820
S. Graham, Krista Stelkia, Cornelia Wieman, Evan M. Adams
{"title":"Mental Health Interventions for First Nation, Inuit, and Métis Peoples in Canada: A Systematic Review","authors":"S. Graham, Krista Stelkia, Cornelia Wieman, Evan M. Adams","doi":"10.18584/IIPJ.2021.12.2.10820","DOIUrl":"https://doi.org/10.18584/IIPJ.2021.12.2.10820","url":null,"abstract":"Higher rates of anxiety, depression, and attempted suicide are reported among First Nations, Inuit, and Métis people compared with non-Indigenous people in Canada. This systematic review summarises the key components of mental health interventions among Indigenous Peoples in Canada. We searched MEDLINE, PubMed, PsycINFO, and Web of Science between January 1,1970, and August 30, 2019. Studies needed to be an intervention addressing suicide, depression, or anxiety. There were 14 studies: 8 quantitative, 2 qualitative, and 4 mixed methods. By geographical location, 5 were urban, 5 non-urban, and 4 included multiple areas. Beneficial interventions included ceremony, being on the land, engaging in traditional food gathering, culturally grounded indoor and outdoor activities, and the sharing of Indigenous knowledge by Elders.","PeriodicalId":13707,"journal":{"name":"International Indigenous Policy Journal","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2021-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45733623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Applying Crime Prevention and Health Promotion Frameworks to the Problem of High Incarceration Rates for Aboriginal and Torres Strait Islander Populations: Lessons from a Case Study from Victoria 将预防犯罪和促进健康框架应用于土著和托雷斯海峡岛民的高监禁率问题:来自维多利亚州案例研究的经验教训
IF 1.3
International Indigenous Policy Journal Pub Date : 2021-05-14 DOI: 10.18584/IIPJ.2021.12.2.10208
Samantha Battams, Toni Delany-Crowe, Matt Fisher, L. Wright, Anthea Krieg, Dennis Mcdermott, F. Baum
{"title":"Applying Crime Prevention and Health Promotion Frameworks to the Problem of High Incarceration Rates for Aboriginal and Torres Strait Islander Populations: Lessons from a Case Study from Victoria","authors":"Samantha Battams, Toni Delany-Crowe, Matt Fisher, L. Wright, Anthea Krieg, Dennis Mcdermott, F. Baum","doi":"10.18584/IIPJ.2021.12.2.10208","DOIUrl":"https://doi.org/10.18584/IIPJ.2021.12.2.10208","url":null,"abstract":"This article examines what kinds of policy reforms are required to reduce incarceration rates of Aboriginal and Torres Strait Islander people through a case study of policy in the Australian state of Victoria. This state provides a good example of a jurisdiction with policies focused upon, and developed in partnership with, Aboriginal communities in Victoria, but which despite this has steadily increasing incarceration rates of Indigenous people. The case study consisted of a qualitative analysis of two key justice sector policies focused upon the Indigenous community in Victoria and interviews with key justice sector staff. Case study results are analysed in terms of primary, secondary, and tertiary crime prevention; the social determinants of Indigenous health; and recommended actions from the Ottawa Charter for Health Promotion. Finally, recommendations are made for future justice sector policies and approaches that may help to reduce the high levels of incarceration of Aboriginal and Torres Strait Islander people.","PeriodicalId":13707,"journal":{"name":"International Indigenous Policy Journal","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2021-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47920283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
New Discourses on Energy Transition as an Opportunity for Reconciliation? Analyzing Indigenous and Non-Indigenous Communications in Media and Policy Documents 能源转型是和解机会的新话语?分析媒体与政策文件中原住民与非原住民的沟通
IF 1.3
International Indigenous Policy Journal Pub Date : 2021-04-30 DOI: 10.18584/IIPJ.2021.12.2.8641
Carelle Mang-Benza, J. Baxter, Romayne Smith Fullerton
{"title":"New Discourses on Energy Transition as an Opportunity for Reconciliation? Analyzing Indigenous and Non-Indigenous Communications in Media and Policy Documents","authors":"Carelle Mang-Benza, J. Baxter, Romayne Smith Fullerton","doi":"10.18584/IIPJ.2021.12.2.8641","DOIUrl":"https://doi.org/10.18584/IIPJ.2021.12.2.8641","url":null,"abstract":"This article examines energy issues articulated by Indigenous and non-Indigenous people in Canada and analyzes the energy transition as a locus of reconciliation therein. Using content and discourse analysis of policy documents, white papers, and news media articles, we draw attention to reconciliation and energy discourses before and after 2015, the year that marked the release of the Truth and Reconciliation Commission of Canada (TRC) report and the Paris Agreement on climate change. We find a three-fold expansion of those discourses, which encompass issues of inclusion and exclusion, dependency, and autonomy, as well as colonial representations of Indigenous people, after 2015. We also find that non-Indigenous voices are more prominent in those conversations. We suggest that the prospects of mutual benefits could turn the energy transition into an opportunity to bring together Indigenous and non-Indigenous people in Canada. ","PeriodicalId":13707,"journal":{"name":"International Indigenous Policy Journal","volume":"12 1","pages":"1-27"},"PeriodicalIF":1.3,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46330682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
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