Design and implementation of the Our Health Counts (OHC) methodology for First Nations, Inuit, and Metis (FNIM) health assessment and response in urban and related homelands.

IF 2.9 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Canadian Journal of Public Health-Revue Canadienne De Sante Publique Pub Date : 2024-04-15 DOI:10.17269/s41997-024-00867-9

Janet Smylie, Cheryllee Bourgeois, Marcie Snyder, Raglan Maddox, Stephanie McConkey, Michael Rotondi, Conrad Prince, Brian Dokis, Michael Hardy, Serena Joseph, Amanda Kilabuk, Jo-Ann Mattina, Monica Cyr, Genevieve Blais

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Abstract

Objectives: Methods for enumeration and population-based health assessment for First Nations, Inuit, and Metis (FNIM) living in Canadian cities are underdeveloped, with resultant gaps in essential demographic, health, and health service access information. Our Health Counts (OHC) was designed to engage FNIM peoples in urban centres in "by community, for community" population health assessment and response.

Methods: The OHC methodology was designed to advance Indigenous self-determination and FNIM data sovereignty in urban contexts through deliberate application of Indigenous principles and linked implementation strategies. Three interwoven principles (good relationships are foundational; research as gift exchange; and research as a vehicle for Indigenous community resurgence) provide the framework for linked implementation strategies which include actively building and maintaining relationships; meaningful Indigenous community guidance, leadership, and participation in all aspects of the project; transparent and equitable sharing of project resources and benefits; and technical innovations, including respondent-driven sampling, customized comprehensive health assessment surveys, and linkage to ICES data holdings to generate measures of health service use.

Results: OHC has succeeded across six urban areas in Ontario to advance Indigenous data sovereignty and health assessment capacity; recruit and engage large population-representative cohorts of FNIM living in urban and related homelands; customize comprehensive health surveys and data linkages; generate previously unavailable population-based FNIM demographic, health, and social information; and translate results into enhanced policy, programming, and practice.

Conclusion: The OHC methodology has been demonstrated as effective, culturally relevant, and scalable across diverse Ontario cities.

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设计并实施 "我们的健康至关重要"（OHC）方法，用于第一民族、因努伊特人和梅蒂斯人（FNIM）的健康评估以及城市和相关家园的应对措施。

目标：对居住在加拿大城市的原住民、因纽特人和梅蒂斯人（FNIM）进行查点和基于人口的健康评估的方法尚不完善，因此在基本的人口、健康和医疗服务获取信息方面存在差距。我们的健康计数（OHC）旨在让城市中心的原住民、因纽特人和梅蒂斯人参与 "由社区、为社区 "的人口健康评估和应对措施：我们的健康数据 "方法旨在通过慎重应用土著原则和相关的实施战略，在城市环境中推进土著自决和土著民族数据主权。三个相互交织的原则（良好的关系是基础；研究是礼物交换；研究是土著社区复兴的工具）为关联实施战略提供了框架，其中包括积极建立和维护关系；有意义的土著社区指导、领导和参与项目的各个方面；透明和公平地分享项目资源和利益；以及技术创新，包括受访者驱动的抽样、定制的综合健康评估调查，以及与 ICES 数据库的链接，以生成健康服务使用的衡量标准：OHC 在安大略省的六个城市地区取得了成功，推动了土著数据主权和健康评估能力的发展；招募并吸引了居住在城市和相关家园的大量具有人口代表性的 FNIM 群体；定制了综合健康调查和数据链接；生成了以前无法获得的基于人口的 FNIM 人口、健康和社会信息；并将结果转化为强化的政策、计划和实践：OHC 方法已被证明是有效的、与文化相关的，并可在安大略省不同城市推广。

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来源期刊

Canadian Journal of Public Health-Revue Canadienne De Sante Publique PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

6.10

自引率

4.70%

发文量

128

期刊介绍： The Canadian Journal of Public Health is dedicated to fostering excellence in public health research, scholarship, policy and practice. The aim of the Journal is to advance public health research and practice in Canada and around the world, thus contributing to the improvement of the health of populations and the reduction of health inequalities. CJPH publishes original research and scholarly articles submitted in either English or French that are relevant to population and public health. CJPH is an independent, peer-reviewed journal owned by the Canadian Public Health Association and published by Springer. Énoncé de mission La Revue canadienne de santé publique se consacre à promouvoir l’excellence dans la recherche, les travaux d’érudition, les politiques et les pratiques de santé publique. Son but est de faire progresser la recherche et les pratiques de santé publique au Canada et dans le monde, contribuant ainsi à l’amélioration de la santé des populations et à la réduction des inégalités de santé. La RCSP publie des articles savants et des travaux inédits, soumis en anglais ou en français, qui sont d’intérêt pour la santé publique et des populations. La RCSP est une revue indépendante avec comité de lecture, propriété de l’Association canadienne de santé publique et publiée par Springer.