International Journal of Indigenous Health最新文献

{"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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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":"Volume 17 Issue 2 Editorial","authors":"S. Stewart","doi":"10.32799/ijih.v17i2.39009","DOIUrl":"https://doi.org/10.32799/ijih.v17i2.39009","url":null,"abstract":"\u0000 \u0000 \u0000As a global population, Indigenous Peoples face multiple health barriers related to poverty, access to service, literacy weaknesses, racism and discrimination, language, geography, colonization, addictions and mental health, and the intergenerational trauma of colonial assaults and aggressions. To address these problems, and to attempt to answer the above question, the IJIH seeks to provide a voice in the academic publishing world to community-driven research and re- searchers who work, as much as possible, in western colonial academic systems, based in Indigenous paradigms. \u0000 \u0000 \u0000","PeriodicalId":54163,"journal":{"name":"International Journal of Indigenous Health","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2022-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45331025","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":null,"pages":null},"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}

{"title":"Indigenous Community Praxis and Programs during COVID-19","authors":"Denica Dione Bleau, Melanie Lansall","doi":"10.32799/ijih.v17i1.36713","DOIUrl":"https://doi.org/10.32799/ijih.v17i1.36713","url":null,"abstract":"The COVID-19 Pandemic has substantially affected Indigenous communities. Deterrence of physical and mental health within Indigenous communities has been prevalent through unjust social, environmental and economic factors, due to pre-existing health conditions, unsustainable and overcrowded housing, limited health care and mental health services, and inadequate access to clean drinking water (Independent Auditor’s Report, 2021). These factors have resulted in exacerbated mental health and trauma symptoms (Arriagada, et. al., 2020). Indigenous communities have needed to adapt methods of attaining mental health and medical services, in order to maintain personal and communal wellbeing. We offer a summary of the delivery of two programs: The Medicine Keeper Wellness Program and Creative Corner Program, which were conducted in Northern Central Interior and Southern Indigenous communities by Indigenous social workers, to continue individual and community wellness. These programs navigated the barriers presented as a result of COVID-19 and the restrictions therein, to accessing social work and therapeutic services.","PeriodicalId":54163,"journal":{"name":"International Journal of Indigenous Health","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2022-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45425872","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 Microcosm of Tobacco Research: An American Indian Northern Plains Review","authors":"Nicole Redvers, Mia Wilkinson, Sarah Larson, Kalisi ‘Ulu’ave","doi":"10.32799/ijih.v17i2.37131","DOIUrl":"https://doi.org/10.32799/ijih.v17i2.37131","url":null,"abstract":"Objectives: Despite decades of continued commercial tobacco prevention and control efforts, smoking rates in Northern Plains American Indian (AI) communities within the United States continues to be remarkably high. We sought to take a microcosmic view of AI tobacco research in the Northern Plains region to identify the types of tobacco-related research that has been completed, and to critically examine whether the four areas of community importance outlined as best practice for tobacco programming in AI communities has been represented in the literature to date. \u0000Design: A systematic search of multiple databases was executed utilizing an established scoping review framework that was adapted to fit within an Indigenous worldview. A consequent title and abstract review of tobacco-related research published with AI Northern Plains communities was completed. Structured deductive content analysis was carried out on each article utilizing a matrix of analysis developed from existing literature on best practices in AI communities. \u0000Results: Of the 916 published studies identified, 50 met the inclusion criteria and were represented within five identified categorical themes: (1) commercial tobacco smoking as a risk factor, (2) commercial tobacco-related disease outcomes, (3) tobacco policy, (4) commercial tobacco smoking cessation, and (5) cultural or traditional tobacco use. The matrix analysis identified substantial variation in the number of studies carried out with community-identified best practices in place, including 22 of the 50 (44%) articles containing one or none of the four areas of importance noted as best practice. \u0000Conclusions: We identified a substantial lack of community and culturally informed tobacco-related research being carried out in the Northern Plains region. Community-based and culturally grounded efforts that consider colonization, historical trauma, and ACEs when planning research, funding mechanism, and health programming activities in the region are urgently needed to decrease commercial tobacco use and consequent health disparities.","PeriodicalId":54163,"journal":{"name":"International Journal of Indigenous Health","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2022-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43947295","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":"LAND-BASED HEALING THROUGH ADVENTURE","authors":"S. Priest","doi":"10.32799/ijih.v18i2.36754","DOIUrl":"https://doi.org/10.32799/ijih.v18i2.36754","url":null,"abstract":"Based on 40 years of living and travelling with indigenous populations around the world, the author shares the repeating patterns of common lessons learned about adventure and land-based healing.","PeriodicalId":54163,"journal":{"name":"International Journal of Indigenous Health","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2022-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44723804","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}