M5S3: DOH For Indigenous People Flashcards
Social and physical determinants of health key for indigenous people
-financial security/insecurity
-housing conditions
-water safety
-food security/insecurity
-experiences of discrimination and injustice
-loss/strength of language, culture and heritage
-connection to the land
-send-determination
-level of access to services
Social determinants affect indigenous peoples well beings (web of being)
Outside to inside
Distal determinants
-self-determination, language, culture and heritage, land resources, racism, poverty, dislocation, residential schools, social exclusion
Intermediate determinants
Health system, location, education systems, early childhood environmental stewardship, justice, social services, racism, social exclusion, community infrastructure, cultural ways
Proximal determinants
Employment, income, social support networks, person access to land, food security, education, gender, diet, smoking status, physical enviro of housing
Children, families, communities
Difference in Determinants of health across indigenous groups
-can be from unique experiences of colonization and discrimination depending on specific group and geography and culture
Ex. Some Inuit subjected to forced relocation to the high arctic as Canadian governments desire to assert ownership in these regions or encouraged to settle in certain areas while Métis often denied physical spaced for their communities
Determinants of health across different indigenous communities
Remote communities
-relay more heavily on hunting, fishing, foraging and can affect more significantly by food insecurity and high imported costs
-have limited opportunities for higher education or various occupations within community
-housing quality and quantity may also limited within remote communities
Reserve communities
-conditions of public service low quality or limited
-space for housing and community development often limited
-often formal governance that can help advocate for community needs
Urban communities
-people here can be from many different original communities and may be only certain cultural, social and language support available
-may have different access to traditional foods or land that would be more accessible in remove or reserve communities
-more opportunities for diverse education and occupational experiences
Self-determination definition
The process of choosing freely, individually or as a collective without external compulsion
Indigenous self determination
-many scholars and community members highlight self-determination as key DOh
Self-determination and autonomy has been denied or taken away from indigenous people as part of colonization
-ongoing discrimination and oppression can also restrict self-determination
-indigenous people want to exercise own judgement and understanding about what makes them healthy, their own skills in solving health and social problems”
Indigenous self-rated overall health
-highest portion removing excellent or very good health age groups 12-24 year old group
-higher portion of non-indigenous people report excellent or very good health
*refer to goodnotes
Indigenous mental health and suicidal thoughts
-women overall higher prevalence of reports, non-indigenous people have lower levels of report, and among men, Métis populations show lower prevalence of report
-men more likely to die from suicide than women who have attempted
*refer to goodnotes
Health behaviours of indigenous groups
-rate of daily smoking are highest among inuit and higher overall among indigenous verse non-indigenous people
-while inuit appear to have highest number of people in their population who heavy drink, also highest number of non-drinking people among inuit as compared to other groups as well
*refer to goodnotes
Experienced violence
-understand that the root cause of some of these patterns and the inequalities that have resulted from them
*refer to goodnotes
