International Journal of Indigenous Health最新文献

{"title":"Community collaboration in the face of the COVID-19 Pandemic: Examples of How Remote First Nations in Northern Ontario Managed the Pandemic","authors":"Mayhève Clara Rondeau, Keira A. Loukes, M. Robidoux","doi":"10.32799/ijih.v18i1.39503","DOIUrl":"https://doi.org/10.32799/ijih.v18i1.39503","url":null,"abstract":"At the outset of the COVID-19 pandemic, it was believed that Indigenous peoples in Canada would be disproportionately affected due to inequities across social determinants of health as a result of the ongoing processes of colonization. High levels of overcrowding, higher burden of chronic disease, reduced access to clean drinking water, healthcare, and food security in many rural and remote First Nations across northern Canada increased vulnerability to COVID-19. In the Nishnawbe Aski Region of northern Ontario, data from the Sioux Lookout First Nations Health Authority indicates that First Nations communities were able to limit COVID -19 infection and had an overall fatality rate that was lower than the general Canadian population. The focus of this research was to analyze public health data, media reports, and research to determine how the pandemic impacted First Nations throughout northern Ontario. The research highlights that as a direct result of rapid and strength-based responses, First Nations in Northern Ontario have managed the pandemic with limited serious illness, hospitalizations, and fatalities.","PeriodicalId":54163,"journal":{"name":"International Journal of Indigenous Health","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2023-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44613014","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}

{"title":"Contemplating Place in Nursing: Ontological Understandings","authors":"Erica Samms Hurley, Keith King, M. Jackson, V. Caine","doi":"10.32799/ijih.v18i1.39511","DOIUrl":"https://doi.org/10.32799/ijih.v18i1.39511","url":null,"abstract":"How a nurse understands and integrates their understanding of place is important to nursing practice. In this paper we explore the concept of place in relation to our varied backgrounds and with the understanding and idea that the concept of place differs from one person to another depending upon their experiences. By purposefully coming together to talk about place and its intersection between our common circumstances, interests and beliefs we share and discuss the realm of place as home, relationship(s), and holding memories. Each of our unique and distinct identities, such as being Mi’kmaw, Métis, Jewish, and a Newcomer to Canada, brought varied perspectives of how place is integrated into our lives and our work as nurses. When we pay close attention, we can begin to understand that nursing research, practice and education is entwined with place and through this with spirit, and healing, having implications for health and wellbeing.","PeriodicalId":54163,"journal":{"name":"International Journal of Indigenous Health","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2023-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46049907","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}

{"title":"It’s more than just physical: Experiences of pain and pain management among Māori with cancer and their whānau.","authors":"V. Signal, Rhiannon J Jones, Cheryl Davies, J. Stairmand, Moira Smith, Jonathan L. Adler, J. Gurney","doi":"10.32799/ijih.v18i1.39255","DOIUrl":"https://doi.org/10.32799/ijih.v18i1.39255","url":null,"abstract":"This study investigated the experiences of pain and pain management among Māori with cancer in Aotearoa New Zealand. Using a qualitative study design underpinned by kaupapa Māori research principles, focus group hui and interviews were held with Māori with cancer and their whānau (n=24). We identified themes relating to holistic experiences of pain and pain management, the importance of appropriate support and good communication, and intertwined cancer and pain journeys that impact holistically on Māori with cancer and their whānau. We argue that Aotearoa’s health care system must expand the scope of what pain and pain management means in the context of cancer and act accordingly by adequately supporting Te Ao Māori-centred approaches. The health care system must also heed the call for culturally responsive pain management for Māori, which is especially important when caring for whānau with a disease where pain - both physical and non-physical - is a common and significant symptom.","PeriodicalId":54163,"journal":{"name":"International Journal of Indigenous Health","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2023-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48417284","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}

{"title":"Establishing Core Content for Culturally Grounded Harm Reduction Intervention for Urban Indigenous After-School Youth in the Pacific Northwest","authors":"Matt Ignacio, Sarah Sense-Wilson, Daniel L. Lucero, Quinton Antone, Tony Locklear, Rana Crowder, Jane J. Lee, Amelia R. Gavin, Michael Spencer","doi":"10.32799/ijih.v18i1.39510","DOIUrl":"https://doi.org/10.32799/ijih.v18i1.39510","url":null,"abstract":"Indigenous adults (18 years or older) including parents, staff, and volunteers of an urban Indigenous youth after-school program participated in individual interviews (n = 10) as part of a community-based participatory research (CBPR) Indigenous harm reduction study to identify alcohol and other drug (AOD) content to include in prevention programming for youth participants. Adult findings were organized using a risk environment framework to identify culturally relevant social, physical, policy, and economic AOD risk factors for youth. We report where adult findings intersect with previously described youth results to establish a list of core content (i.e., culturally relevant AOD prevention activities and discussion topics) to guide program implementation. Core content includes intergenerational Indigenous perspectives (i.e., youth, adult, and elder) to reflect Indigenous cultural lifeways and values of protecting future generations. Findings may be highly relevant to other Indigenous after-school groups or others who wish to develop harm reduction prevention programming for urban Indigenous youth in the Pacific Northwest or beyond.","PeriodicalId":54163,"journal":{"name":"International Journal of Indigenous Health","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2023-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45413798","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}

{"title":"Indigenous initiative for the start-up of health services in urban areas: The Holistic Strategy Project","authors":"A. Leclerc","doi":"10.32799/ijih.v17i2.36734","DOIUrl":"https://doi.org/10.32799/ijih.v17i2.36734","url":null,"abstract":"Background: The report of the Public Inquiry Commission on relations between Indigenous Peoples and certain public services in Québec (2019) reported problems in accessing health and social services, specifically in urban areas. In order to better serve their members, the Centre d’amitié autochtone de Trois-Rivières (CAATR) launched the Holistic Health Strategy Project. The objectives were: 1) to assess the needs of CAATR members and of the partners in health and social services, and 2) to create a directory of resources intended for the Indigenous people in the region. Methods: An assessment of health and services needs was completed through consultation with members of the community. A literature review was carried out to draw a portrait of the health and social care services and models intended for Indigenous people. Results: A total of 25 participants took part in the consultation. Better access to services (e.g., transport and daycare) and a need for liaison with non-native institutions (e.g., interpreters in hospitals and liaison officers with schools) are expressed. A directory of resources intended for Aboriginals has been created, bringing together more than 20 services and organizations. Conclusion: The results of the Holistic Health Strategy Project highlight the health needs and health particularities of Indigenous people living in urban areas. Measures adapted to the realities of Aboriginal people in urban areas must support and facilitate their access to services.","PeriodicalId":54163,"journal":{"name":"International Journal of Indigenous Health","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2022-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48115971","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}

{"title":"Indigenous Strength: Braiding Culture, Ceremony and Community as a response to the COVID-19 Pandemic","authors":"Autumn Watson, Eva Purkey, C. Davison, Minnie Fu, Dionne Nolan, D. Mitchell, Jennifer Kehoe, Sheldon Traviss, I. Bayoumi","doi":"10.32799/ijih.v17i1.36716","DOIUrl":"https://doi.org/10.32799/ijih.v17i1.36716","url":null,"abstract":"Purpose: The COVID-19 pandemic has impacted the physical, mental, emotional and spiritual health of urban Indigenous Peoples. We sought to examine innovations and changes in service delivery by Indigenous service providers in the community who are addressing community needs based on an Indigenous worldview. \u0000Basic Procedures: The research was a collaboration between an academic team, an Indigenous research associate, and an Indigenous oversight committee. Fifteen in-depth interviews were conducted with Indigenous service organizations, non-Indigenous organizations with Indigenous programming, Indigenous volunteer-based organizations and Indigenous volunteers. Participants were recruited based on having mandates that focussed on mental and emotional wellbeing, education, chronic health conditions, women and children and Indigenous cultural needs. \u0000Major Findings: Health inequities for urban Indigenous Peoples were compounded during the pandemic. The lack of local infrastructure contributed to increased volunteerism to deliver and improve access to services. Service interruptions and access barriers triggered innovative programming and a strengths-based response with activities embedded on the land, braided with language, ceremony and culture. Unmet community service needs and capacity development priorities were identified. \u0000Conclusions: Access to land, infrastructure and cultural programming is key to wholistic health for the urban Indigenous community. Despite continued inequities, the urban-based Indigenous response exemplifies the strengths-based approaches that helped to address pandemic impacts and demonstrated how Indigenous ways of knowing build strength and foster innovative program adaptations based on culture, ceremony and creating space for community.","PeriodicalId":54163,"journal":{"name":"International Journal of Indigenous Health","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2022-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43485664","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}

{"title":"Widening the Circle of Care","authors":"Chad Hammond, Roanne Thomas, Candida Rice","doi":"10.32799/ijih.v17i2.36513","DOIUrl":"https://doi.org/10.32799/ijih.v17i2.36513","url":null,"abstract":"Caregiving has various connotations within diverse social and cultural settings. Within First Nations communities, caregiving may be understood as a central practice of reclaiming cultural identity and teachings from colonial systems of healthcare. Our community-based participatory research project explored the experiences, needs, and strengths of caregivers within the Mohawk Nation of Kahnawake in what is currently called Canada. Through a partnership with a local cancer support group and a local hospital, we recruited six caregivers to create digital stories of caring for others living with cancer in the community. We then screened and discussed the significance of the digital stories with community members at a world café event. The resulting themes of caregiving emerged from community responses: (1) gifts and teachings, (2) being there, being present, and (3) circle(s) of care. We discuss these themes and the community’s recommendations for strengthening and sustaining community-based caregiving in Kahnawake.","PeriodicalId":54163,"journal":{"name":"International Journal of Indigenous Health","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2022-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47994713","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}

{"title":"Implementing Indigenous Youth Peer Mentorship: Insights from the By Youth For Youth Project","authors":"J. Lund, C. Mushquash, Hugette Carty, Tina Bobinski, Sidney Lichtenstein, M. Daley, S. Kidd","doi":"10.32799/ijih.v17i2.36491","DOIUrl":"https://doi.org/10.32799/ijih.v17i2.36491","url":null,"abstract":"Indigenous youth are disproportionately represented among youth experiencing homelessness in Canada and are at an increased risk for mental health and substance use problems compared to non-Indigenous youth experiencing homelessness. Research is needed that considers how best to support Indigenous youth in acquiring and maintaining stable housing. Indigenous youth peer mentorship is one possible mechanism that warrants consideration, as Indigenous youth who have previously been homeless can share experience with the barriers that other youth encounter as well as skills that may be well-suited to facilitate hope and understanding to other homeless youth. In the present study, we examined the process by which Indigenous peer mentors engage in a peer-driven project designed to support other Indigenous youth experiencing homelessness in Northwestern Ontario. This process was documented through qualitative interviews with three peer mentors and three staff, as well as ethnographic fieldnotes. Thematic analyses revealed that peer mentorship positions appear to be useful for the Indigenous youth who engage in them, as these positions provide them with a paid avenue to engage in advocacy and support others with similar experiences as them, while simultaneously increasing their cultural connectedness, confidence, self-esteem, self-awareness, and ability to advocate for their own needs. The present study also yielded important considerations for organizations implementing Indigenous youth peer mentorship positions, including offering training and providing opportunities for cultural engagement, avoiding tokenism, being cognizant of possible dual-relationships, and supporting peer mentors who may be grappling with personal difficulties outside of their roles.","PeriodicalId":54163,"journal":{"name":"International Journal of Indigenous Health","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2022-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45220906","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}

{"title":"Content Analysis Informing the Development of Adapted Harm Reduction Talking Circles (HaRTC) with Urban American Indians and Alaska Natives Experiencing Alcohol Use Disorder","authors":"L. Nelson, Annette Squetemkin-Anquoe, Tatiana Ubay, Victorio L. King, Emily M Taylor, Karissa Masciel, Lovella Black Bear, Shawn Buffalomeat, Xia Duffing-Romero, Celina Mahinalani-Garza, Seema L. Clifasefi, S. Collins","doi":"10.32799/ijih.v17i2.36677","DOIUrl":"https://doi.org/10.32799/ijih.v17i2.36677","url":null,"abstract":"Prior studies with Native populations have highlighted concerns about the cultural acceptability of highly directive, Eurocentric approaches, such as cognitive behavioral therapy and 12-step programs in treating alcohol use disorder (AUD). When asked in a prior qualitative study how they would redesign AUD treatment, urban American Indian and Alaska Native (AI/AN) participants reported wanting more low-barrier, harm-reduction treatment options, Native treatment providers, and culturally relevant practices. Talking Circles, which are gatherings where people share what is on their hearts, were the most requested Native cultural practice. After developing and piloting its initial iteration, researchers, community members, and traditional health professionals collaborated on the present qualitative research study to further refine an adapted Harm Reduction Talking Circle (HaRTC) protocol to address AUD with urban AI/ANs. This study features a conventional content analysis of 31 patient interviews, 6 key informant interviews with management and traditional health professionals, and 5 staff and provider focus groups to inform the development of the HaRTC. Specifically, this study describes staff, management, traditional health professionals, provider, and patient participants’ a) perspectives on HaRTC, including potential benefits, risks and mitigating factors, b) preferred traditional medicines and practices, c) preferred approaches/Circle Facilitator stance for engagement and facilitation, and d) HaRTC logistics (e.g., timing, frequency). Analyses indicated a central tendency preference for 8, weekly HaRTC sessions. Although participants expressed concerns about the potential inclusion of intoxicated people in HaRTC sessions, a large majority of staff, management and patient participants felt it was important to have HaRTC be as inclusive and accepting of community members as possible. Participants provided suggestions for how to structure facilitation of the HaRTC and mitigate risks of intoxication and patient escalation. Participants preferred an approach that is acceptance-based, respects individuals’ autonomy and culture, and creates a safe space for recovery. Most participants felt the specific traditions and medicines applied in the HaRTC should be maximally inclusive to honor the diversity of tribal affiliations and backgrounds represented among urban AI/ANs. In conclusion, participants largely supported an integration of harm-reduction principles and the North American Indigenous tradition of the Talking Circle to provide a compassionate, culturally appropriate healing practice to a larger spectrum of AI/ANs with AUD. Future research is planned to test the efficacy of this community-informed approach.","PeriodicalId":54163,"journal":{"name":"International Journal of Indigenous Health","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2022-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44767793","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}

{"title":"A Qualitative Study on the Perspectives of Young Adults in Iqaluit on School-based Sexual Health Education","authors":"Sidney Horlick","doi":"10.32799/ijih.v17i2.36363","DOIUrl":"https://doi.org/10.32799/ijih.v17i2.36363","url":null,"abstract":"Introduction:  Historical traumas led to the alteration of traditional education pathways, including education on sexual and reproductive health and healthy relationships. Parents no longer are the sole or majority source of information on these topics for youth; the education system and medical professionals have largely replaced parents to this regard. However, for many Inuit youth, parents largely remain the preferred source for this information. \u0000Methods: This narrative research study explores young people’s perspectives on the topic of sexual health education. Six sharing circles were conducted on six separate occasions in [community]. 12 youth aged 18 to 22 years participated, which included men (n=3), women (n=8), and non-binary persons (n=1). Four participants identified as LGBTQ+. \u0000Results: Sexual health education youth received was perceived to lack information they want and need to live sexually health lives. Peer networks were deemed a positive influence, however at times exerted pressure on youth to participate in sexual activities for which they were not ready. Parents were rarely a source of sexual health information, though youth overwhelmingly desired conversations on sexual health topics with their parents. \u0000Conclusion: Results show there is a need to implement community-based resources to address sexual education within Nunavut communities, and to educate parents on how to communicate sexual health information to their adolescent children. The development of a resource for adults could decrease the gap between youth and existing sexual health information including accessing support from family.","PeriodicalId":54163,"journal":{"name":"International Journal of Indigenous Health","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2022-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45118557","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}