With the recent legalization of cannabis in Canada, there is an urgent need for information about its effects on Indigenous populations due to the impact of cannabis on the mental health of Indigenous Peoples in Canada being largely unknown. Using the guiding principles of Etuaptmumk (Two-Eyed Seeing), Sharing Circles were held to hear the needs and experiences of Indigenous People in relation to their mental health and cannabis use. From these engagements and using gender-based and distinctions-based analysis, four recommendations were developed for academic institutions, medical regulatory authorities and health and social care providers (HSCPs) to consider when caring for Indigenous People living with mental health issues. The findings point to the disconnection between recent research on medical cannabis and its availability to Indigenous People through accessible mediums, HSCPs, and the lack of cultural safety in health and social services. The four recommendations provided are helpful to both educate frontline HSCPs about the needs and experiences of Indigenous People and improve access to current information and best practices for Indigenous People who use cannabis for mental health from the regulatory and representation perspective.
{"title":"Conversations on Cannabis and Mental Health: Recommendations for Health and Social Care Providers from Indigenous 2SLGTBQQIA+ People in Canada","authors":"Marisa Blake, Jessica Webb, Lee Allison Clark, Chaneesa Ryan, Abrar Ali, Lynne Groulx","doi":"10.32799/ijih.v18i2.39270","DOIUrl":"https://doi.org/10.32799/ijih.v18i2.39270","url":null,"abstract":"With the recent legalization of cannabis in Canada, there is an urgent need for information about its effects on Indigenous populations due to the impact of cannabis on the mental health of Indigenous Peoples in Canada being largely unknown. Using the guiding principles of Etuaptmumk (Two-Eyed Seeing), Sharing Circles were held to hear the needs and experiences of Indigenous People in relation to their mental health and cannabis use. From these engagements and using gender-based and distinctions-based analysis, four recommendations were developed for academic institutions, medical regulatory authorities and health and social care providers (HSCPs) to consider when caring for Indigenous People living with mental health issues. The findings point to the disconnection between recent research on medical cannabis and its availability to Indigenous People through accessible mediums, HSCPs, and the lack of cultural safety in health and social services. The four recommendations provided are helpful to both educate frontline HSCPs about the needs and experiences of Indigenous People and improve access to current information and best practices for Indigenous People who use cannabis for mental health from the regulatory and representation perspective.","PeriodicalId":54163,"journal":{"name":"International Journal of Indigenous Health","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135207228","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}
Pub Date : 2023-09-08DOI: 10.32799/ijih.v18i2.39572
Mikaela Gabriel
Indigenous land relationships are central for Indigenous wellness, ceremonies, language, and cultural resurgence; as original caretakers of Turtle Island, the relationship with land is a profoundly spiritual one. This same relationship has also been the focus of colonial forces’ division, separation, and control, resulting in dislocation from traditional territories and ensuing impacts across all domains of Indigenous health and wellbeing. This article reviews existing literature that centralizes Indigenous land relationships, and contributes the reflections and stories of Indigenous youth that participated in this author’s dissertation study. Employing a narrative inquiry methodology with oral storytelling traditions, nine Indigenous youth and four traditional knowledge keepers were interviewed and shared their experiences on urban migrations, employment, education, and mental health. Their connections and reflections on land are included here, with key reflections, proposed connections to existing literature, and in-depth exploration that centers and promotes Indigenous land-based healing and education efforts.
{"title":"My Mother Wild","authors":"Mikaela Gabriel","doi":"10.32799/ijih.v18i2.39572","DOIUrl":"https://doi.org/10.32799/ijih.v18i2.39572","url":null,"abstract":"Indigenous land relationships are central for Indigenous wellness, ceremonies, language, and cultural resurgence; as original caretakers of Turtle Island, the relationship with land is a profoundly spiritual one. This same relationship has also been the focus of colonial forces’ division, separation, and control, resulting in dislocation from traditional territories and ensuing impacts across all domains of Indigenous health and wellbeing. This article reviews existing literature that centralizes Indigenous land relationships, and contributes the reflections and stories of Indigenous youth that participated in this author’s dissertation study. Employing a narrative inquiry methodology with oral storytelling traditions, nine Indigenous youth and four traditional knowledge keepers were interviewed and shared their experiences on urban migrations, employment, education, and mental health. Their connections and reflections on land are included here, with key reflections, proposed connections to existing literature, and in-depth exploration that centers and promotes Indigenous land-based healing and education efforts.","PeriodicalId":54163,"journal":{"name":"International Journal of Indigenous Health","volume":"2018 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136361967","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}
Pub Date : 2023-09-08DOI: 10.32799/ijih.v18i2.39431
Tracey Carr, Stephanie Witham, Anum Ali, Erin Lashta, Teddy Clark, Leonard Montgrand, Martha Morin, Robert St. Pierre, Marissa Evans, Gary Groot
In the spring of 2020, remote Indigenous communities in the far north-western region of Saskatchewan, Canada, experienced a COVID-19 outbreak that required the collaboration of local leaders, Indigenous governments, and other multi-sectoral organizations. This study shares the stories of those involved in the response and illustrates the challenges, successes, and recommendations for future emergency preparedness. A total of 22 participants were interviewed from the impacted communities, government agencies, and organizations in public health, public safety, and law enforcement between May and August of 2021. Qualitative interviews were analyzed using thematic analysis resulting in the following themes: 1) Challenges, 2) Consequences, 3) Successes, and 4) Recommendations. A final knowledge translation event was held with key stakeholders, including public health professionals and community members, to co-create final recommendations for future public health responses in remote Indigenous communities. Our findings underscored the importance of community leadership, local investment, public health preparedness, and relationship building between organizations and jurisdictions. Lessons and recommendations from these stories can be applied to future pandemic preparedness in the province.
{"title":"COVID-19 Containment in Indigenous Communities in North-West Saskatchewan: Community and Multi-Sectoral Stakeholder Perspectives","authors":"Tracey Carr, Stephanie Witham, Anum Ali, Erin Lashta, Teddy Clark, Leonard Montgrand, Martha Morin, Robert St. Pierre, Marissa Evans, Gary Groot","doi":"10.32799/ijih.v18i2.39431","DOIUrl":"https://doi.org/10.32799/ijih.v18i2.39431","url":null,"abstract":"In the spring of 2020, remote Indigenous communities in the far north-western region of Saskatchewan, Canada, experienced a COVID-19 outbreak that required the collaboration of local leaders, Indigenous governments, and other multi-sectoral organizations. This study shares the stories of those involved in the response and illustrates the challenges, successes, and recommendations for future emergency preparedness. A total of 22 participants were interviewed from the impacted communities, government agencies, and organizations in public health, public safety, and law enforcement between May and August of 2021. Qualitative interviews were analyzed using thematic analysis resulting in the following themes: 1) Challenges, 2) Consequences, 3) Successes, and 4) Recommendations. A final knowledge translation event was held with key stakeholders, including public health professionals and community members, to co-create final recommendations for future public health responses in remote Indigenous communities. Our findings underscored the importance of community leadership, local investment, public health preparedness, and relationship building between organizations and jurisdictions. Lessons and recommendations from these stories can be applied to future pandemic preparedness in the province.","PeriodicalId":54163,"journal":{"name":"International Journal of Indigenous Health","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136361751","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}
Pub Date : 2023-09-08DOI: 10.32799/ijih.v18i2.39571
Sabina Mirza
Indigenous youth who experience homelessness are faced with multilevel challenges related to family, health, service access, support, employment and education. Navigating racism, ageism and other forms of discrimination complicates the search for pathways out of homelessness, especially when attempted without systematic adult support. In this study, the educational experiences of homeless youth across the York Region of Toronto were explored in depth. The narratives shared by 11 Indigenous youth convey their perspectives on education, health and mental health, and other life contexts affected by homelessness. Analyses of their dialogues can help educators, researchers and service providers better understand their health and mental health challenges. Despite desires to continue with their educational pursuits, they are often forced to drop out of school prematurely. Their perspectives, especially about mental health and education, can raise awareness about youth homelessness in suburban areas surrounding Toronto.
{"title":"Mental Health & Educational Attainment: Learning From Indigenous Youth Who Are Homeless","authors":"Sabina Mirza","doi":"10.32799/ijih.v18i2.39571","DOIUrl":"https://doi.org/10.32799/ijih.v18i2.39571","url":null,"abstract":"Indigenous youth who experience homelessness are faced with multilevel challenges related to family, health, service access, support, employment and education. Navigating racism, ageism and other forms of discrimination complicates the search for pathways out of homelessness, especially when attempted without systematic adult support. In this study, the educational experiences of homeless youth across the York Region of Toronto were explored in depth. The narratives shared by 11 Indigenous youth convey their perspectives on education, health and mental health, and other life contexts affected by homelessness. Analyses of their dialogues can help educators, researchers and service providers better understand their health and mental health challenges. Despite desires to continue with their educational pursuits, they are often forced to drop out of school prematurely. Their perspectives, especially about mental health and education, can raise awareness about youth homelessness in suburban areas surrounding Toronto.","PeriodicalId":54163,"journal":{"name":"International Journal of Indigenous Health","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136361756","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}
Pub Date : 2023-09-08DOI: 10.32799/ijih.v18i2.39519
Rachel Thorburn, Jeffrey Ansloos, Sam McCormick, Deanna Zantingh
This work centers the voices of Indigenous young people to explore how they are defining and enacting self-determination, and how these expressions of self-determination influence the wellness of these young people and their communities. Thematic analysis was used to analyze 15 interviews with Indigenous young people about how they understood wellness in the context of their community work. Interview transcripts were analyzed to understand how young people conceptualized and enacted self-determination and its relationship to wellness, and to identify underlying connections to Indigenous self-determination theory. Results indicate that Indigenous young people define and enact self-determination through traditional healing and embracing cultural wellness practices; through sharing lived experience and meeting people where they are at; and. through community inclusion and intuitive practice. Implications for researchers, policymakers, and care providers who work with Indigenous young people are considered.
{"title":"Role of Self-Determination in Health and Wellness: A qualitative study with Indigenous youth health leaders across Canada","authors":"Rachel Thorburn, Jeffrey Ansloos, Sam McCormick, Deanna Zantingh","doi":"10.32799/ijih.v18i2.39519","DOIUrl":"https://doi.org/10.32799/ijih.v18i2.39519","url":null,"abstract":"This work centers the voices of Indigenous young people to explore how they are defining and enacting self-determination, and how these expressions of self-determination influence the wellness of these young people and their communities. Thematic analysis was used to analyze 15 interviews with Indigenous young people about how they understood wellness in the context of their community work. Interview transcripts were analyzed to understand how young people conceptualized and enacted self-determination and its relationship to wellness, and to identify underlying connections to Indigenous self-determination theory. Results indicate that Indigenous young people define and enact self-determination through traditional healing and embracing cultural wellness practices; through sharing lived experience and meeting people where they are at; and. through community inclusion and intuitive practice. Implications for researchers, policymakers, and care providers who work with Indigenous young people are considered.","PeriodicalId":54163,"journal":{"name":"International Journal of Indigenous Health","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136361490","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}
Pub Date : 2023-07-13DOI: 10.32799/ijih.v18i1.39512
Sujane Kandasamy, A. D. Davis, P. Ritvo, D. Desai, Julie Wilson, R. D. de Souza, S. Anand, G. Wahi
This is a qualitative description of the perspectives and experiences of 15 mothers from the Indigenous Birth Cohort Study as it relates to barriers and facilitators to building and sustaining healthy active living practices. Our findings illustrate six themes: 1) Systemic reinforcements of a colonial legacy; 2) Self-perceived roles as caregivers to young children; 3) Social support and family support systems; 4) Health histories (personal, family, community); 5) Locally-tailored programs and services; 6) Access to digital resources and technology. Participants also discussed solutions, which we illustrate across individual, program-level, and broader community perspectives. When suggesting or making recommendations for future interventions, programs, or new solutions, it is vital to make considerations through a lens that considers the distal (individual), intermediate (program-level), and proximal (broader community-level) barriers and facilitators for individuals with young families.
{"title":"Perspectives of nutrition and physical activity among families of an Indigenous Birth Cohort: a qualitative analysis exploring the barriers to and facilitators of healthy active living","authors":"Sujane Kandasamy, A. D. Davis, P. Ritvo, D. Desai, Julie Wilson, R. D. de Souza, S. Anand, G. Wahi","doi":"10.32799/ijih.v18i1.39512","DOIUrl":"https://doi.org/10.32799/ijih.v18i1.39512","url":null,"abstract":"This is a qualitative description of the perspectives and experiences of 15 mothers from the Indigenous Birth Cohort Study as it relates to barriers and facilitators to building and sustaining healthy active living practices. Our findings illustrate six themes: 1) Systemic reinforcements of a colonial legacy; 2) Self-perceived roles as caregivers to young children; 3) Social support and family support systems; 4) Health histories (personal, family, community); 5) Locally-tailored programs and services; 6) Access to digital resources and technology. Participants also discussed solutions, which we illustrate across individual, program-level, and broader community perspectives. When suggesting or making recommendations for future interventions, programs, or new solutions, it is vital to make considerations through a lens that considers the distal (individual), intermediate (program-level), and proximal (broader community-level) barriers and facilitators for individuals with young families.","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":"45407764","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}
Pub Date : 2023-07-13DOI: 10.32799/ijih.v18i1.39507
Carly Heck, Satya Cobos, F. Carnevale, M. Macdonald, Priscilla Pichette Polson
Many Indigenous communities view children as sacred gifts deserving of love and respect, and as the ones who will carry their collective ways of life forward. However, Indigenous young people within Canada face disproportionate challenges to their health and well-being, partly a result of ongoing colonial practices within professional services. In response to the Truth and Reconciliation Commission’s Calls to Action regarding improvements to professional education and training, our team conducted an international scoping review which identified that Indigenous pedagogy is rarely included in curricular development. We completed this scoping review’s consultation phase in two Anishinabeg communities. In this consultation, we posed the following questions: What are Anishinaabe perspectives on and experiences of child-focused professional practices? How are child-focused professionals currently prepared to work with young Anishinabeg peoples? How should they be prepared? Participants highlighted the importance of professionals learning Indigenous history and Anishinaabe culture, having field-based education, and engaging children with hands-on activities. Professionals encountered little to no Indigenous-focused content in their formal education, with most exposure occurring in continuing education settings. Our results suggest Indigenous ways of knowing can and should be honored in child-focused professional education, thereby supporting the development of effective and culturally-safe relationships between professionals and Indigenous peoples.
{"title":"Indigenous pedagogy on childhood: A consultation with the two Anishinabeg communities of Long Point First Nation and Rapid Lake, Quebec","authors":"Carly Heck, Satya Cobos, F. Carnevale, M. Macdonald, Priscilla Pichette Polson","doi":"10.32799/ijih.v18i1.39507","DOIUrl":"https://doi.org/10.32799/ijih.v18i1.39507","url":null,"abstract":"Many Indigenous communities view children as sacred gifts deserving of love and respect, and as the ones who will carry their collective ways of life forward. However, Indigenous young people within Canada face disproportionate challenges to their health and well-being, partly a result of ongoing colonial practices within professional services. In response to the Truth and Reconciliation Commission’s Calls to Action regarding improvements to professional education and training, our team conducted an international scoping review which identified that Indigenous pedagogy is rarely included in curricular development. We completed this scoping review’s consultation phase in two Anishinabeg communities. In this consultation, we posed the following questions: What are Anishinaabe perspectives on and experiences of child-focused professional practices? How are child-focused professionals currently prepared to work with young Anishinabeg peoples? How should they be prepared? Participants highlighted the importance of professionals learning Indigenous history and Anishinaabe culture, having field-based education, and engaging children with hands-on activities. Professionals encountered little to no Indigenous-focused content in their formal education, with most exposure occurring in continuing education settings. Our results suggest Indigenous ways of knowing can and should be honored in child-focused professional education, thereby supporting the development of effective and culturally-safe relationships between professionals and Indigenous peoples.","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":"44241001","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}
Pub Date : 2023-07-13DOI: 10.32799/ijih.v18i1.39520
Krista Stelkia, Anita Manshadi, Evan M. Adams, Cornelia Wieman, J. Reading
In Canada and across the globe, indicators play a fundamental role in measuring, tracking, and reporting on the overall health of the population. Mainstream population health indicators used to measure the health and well-being of First Nations peoples are constrained by the Western biomedical paradigm which focuses solely on illness and disease. These indicators are limited and fail to capture aspects of cultural, spiritual, and interconnected aspects of Indigenous health such as spirit, ceremony, and the connection to land. To advance First Nations self-determination in the healthcare system, it is essential for Indigenous narratives and knowledges to thrive in population health data and reporting. Five promising practices are shared to guide the development of First Nations health and wellness indicators and reporting: (1) be culturally relevant and centred on First Nations worldviews on health and wellness (2) must honour Indigenous knowledges and methods; (3) must involve respectful relationships & meaningful engagement with Indigenous peoples’; (4) “Nothing about us, without us”- Indigenous leadership and self-determination at all stages of indicator development; and (5) taking a strength-based approach & contextualizing indicators within historical, socio-political contexts. The co-development of indicators between the [First Nations Health Organization] and the [Office of the Executive Health Officer] in the Province of [Name of Canadian Province] are discussed as promising practices in action. Celebrating the strength and resilience of First Nations health which is required to pave a new way forward in Indigenous grounded population health.
{"title":"Weaving Promising Practices to Transform Indigenous Population Health and Wellness Reporting by Indigenizing Indicators in First Nations Health","authors":"Krista Stelkia, Anita Manshadi, Evan M. Adams, Cornelia Wieman, J. Reading","doi":"10.32799/ijih.v18i1.39520","DOIUrl":"https://doi.org/10.32799/ijih.v18i1.39520","url":null,"abstract":"In Canada and across the globe, indicators play a fundamental role in measuring, tracking, and reporting on the overall health of the population. Mainstream population health indicators used to measure the health and well-being of First Nations peoples are constrained by the Western biomedical paradigm which focuses solely on illness and disease. These indicators are limited and fail to capture aspects of cultural, spiritual, and interconnected aspects of Indigenous health such as spirit, ceremony, and the connection to land. To advance First Nations self-determination in the healthcare system, it is essential for Indigenous narratives and knowledges to thrive in population health data and reporting. Five promising practices are shared to guide the development of First Nations health and wellness indicators and reporting: (1) be culturally relevant and centred on First Nations worldviews on health and wellness (2) must honour Indigenous knowledges and methods; (3) must involve respectful relationships & meaningful engagement with Indigenous peoples’; (4) “Nothing about us, without us”- Indigenous leadership and self-determination at all stages of indicator development; and (5) taking a strength-based approach & contextualizing indicators within historical, socio-political contexts. The co-development of indicators between the [First Nations Health Organization] and the [Office of the Executive Health Officer] in the Province of [Name of Canadian Province] are discussed as promising practices in action. Celebrating the strength and resilience of First Nations health which is required to pave a new way forward in Indigenous grounded population health.","PeriodicalId":54163,"journal":{"name":"International Journal of Indigenous Health","volume":"1 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2023-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42129064","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}
Pub Date : 2023-07-13DOI: 10.32799/ijih.v18i1.39518
Miigis B. Gonzalez, Rachel I. Steinberg, Forrest Bruce, J. Ullrich, Melissa L. Walls
Language and cultural revitalization are vital in developing the self-healing capacity of Indigenous Peoples. This study emphasized the perspective of 1st language speaking Elders, our knowledge keepers and community leaders, to critically examine what it means to be well for one Indigenous Nation in the Midwest. Semi-structured interviews with Elders were administered in the Anishinaabe language by fluent second language speakers. The interviews were transcribed in Anishinaabe and translated into English with the guidance of the Elders. The Anishinaabe and English transcripts were used simultaneously in analysis. The conceptualization of wellbeing for these Elders was a complex and interrelated system grounded in spiritual connectedness and guided by Anishinaabe language and ways of life. The results broaden the perspectives available on Indigenous wellbeing and are important to consider as we study culture as healing and implement cultural-based health programs within Indigenous communities.
{"title":"Indigenous Elders' Conceptualization of Wellbeing: An Anishinaabe Worldview Perspective","authors":"Miigis B. Gonzalez, Rachel I. Steinberg, Forrest Bruce, J. Ullrich, Melissa L. Walls","doi":"10.32799/ijih.v18i1.39518","DOIUrl":"https://doi.org/10.32799/ijih.v18i1.39518","url":null,"abstract":"Language and cultural revitalization are vital in developing the self-healing capacity of Indigenous Peoples. This study emphasized the perspective of 1st language speaking Elders, our knowledge keepers and community leaders, to critically examine what it means to be well for one Indigenous Nation in the Midwest. Semi-structured interviews with Elders were administered in the Anishinaabe language by fluent second language speakers. The interviews were transcribed in Anishinaabe and translated into English with the guidance of the Elders. The Anishinaabe and English transcripts were used simultaneously in analysis. The conceptualization of wellbeing for these Elders was a complex and interrelated system grounded in spiritual connectedness and guided by Anishinaabe language and ways of life. The results broaden the perspectives available on Indigenous wellbeing and are important to consider as we study culture as healing and implement cultural-based health programs within Indigenous communities. ","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":"45800873","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}
Pub Date : 2023-07-13DOI: 10.32799/ijih.v18i1.39428
Sonja C Wicklum, Erin Cameron, Tia Black, Loretta Tuttauk, Lynden Crowshoe, Levi Frehlich, Yunqi Ji, Christina Armeniakou, K. McBrien, Jessica Zhang, R. Henderson
Objective Indigenous women experience structural barriers to wellness rooted in colonialism and related socio-political processes, making participation in physical activity and access to balanced nutrition challenging. In response, a holistic wellness program was developed in Lloydminster, Alberta, and multiple program iterations have since been completed in urban and rural (including reserve) settings in Alberta, Canada: Onion Lake Cree Nation, Lloydminster and Calgary. The program includes physical activity, nutrition education, bridging to local healthcare support and sharing circles to facilitate reflection. This article collates three years of qualitative data between programs to answer the question: “What does the program do?” Methods Between 2017 and 2019, twenty-four participants, four facilitators and three community champions completed post-program interviews. A mixed-methods, qualitative, two-part analysis was completed involving thematic analysis of transcripts followed by a structured consensus-building approach called nominal group technique (NGT). Results Collaborative analyses revealed that the program enables: 1) self-actualization through collective effort – development of knowledge, skills, beliefs, and behaviours needed to manage one’s own health, 2) improved personal wellness, and 3) access to social and cultural supports. Cultural relevancy and safety were identified as key elements of the context that supported these changes. Conclusion The wellness program for Indigenous women demonstrates positive impacts on the health and well-being of participants. Benefits naturally extend to participant families as well as to communities involved through capacity building. The environment of the program, not simply the education and resources offered within it, also contributes to this positive impact.
目标土著妇女在健康方面遇到了植根于殖民主义和相关社会政治进程的结构性障碍，这使得参与体育活动和获得均衡营养具有挑战性。作为回应，在阿尔伯塔省的Lloyadminster制定了一项全面的健康计划，此后在加拿大阿尔伯塔省（包括保护区）的城市和农村环境中完成了多次计划迭代：Onion Lake Cree Nation、Lloydminster和卡尔加里。该计划包括体育活动、营养教育、与当地医疗支持的联系以及促进反思的共享圈子。本文整理了三年来各项目之间的定性数据，以回答以下问题：“项目做什么？”方法在2017年至2019年间，24名参与者、4名主持人和3名社区冠军完成了项目后访谈。完成了一种混合方法，定性，分为两部分的分析，包括转录本的主题分析，然后是一种称为名义小组技术（NGT）的结构化共识建立方法。结果合作分析显示，该计划能够：1）通过集体努力实现自我——发展管理自身健康所需的知识、技能、信念和行为，2）改善个人健康，3）获得社会和文化支持。文化相关性和安全性被确定为支持这些变化的背景的关键因素。结论土著妇女健康计划对参与者的健康和福祉产生了积极影响。福利自然延伸到参与家庭以及通过能力建设参与的社区。该项目的环境，不仅仅是其中提供的教育和资源，也有助于产生这种积极影响。
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