Understanding Social Determinants of First Nations Health Using a Four-Domain Model of Health and Wellness Based on the Medicine Wheel: Findings from a Community Survey in One First Nation
We examined the explanatory roles of social determinants of health (SDOH) for First Nations people using a four-domain model of health and wellness based on the Medicine Wheel (i.e., physical, mental, emotional, and spiritual health), including colonial-linked stressors (i.e., historical trauma, chi...
Published in: | International Journal of Environmental Research and Public Health |
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Online Access: | https://doi.org/10.3390/ijerph19052836 https://doaj.org/article/ecb8d18c5a854115acdf9ca8d343fef3 |
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ftdoajarticles:oai:doaj.org/article:ecb8d18c5a854115acdf9ca8d343fef3 2023-05-15T16:15:25+02:00 Understanding Social Determinants of First Nations Health Using a Four-Domain Model of Health and Wellness Based on the Medicine Wheel: Findings from a Community Survey in One First Nation Bryan Tanner Sara Plain Tracey George Julie George Christopher J. Mushquash Sharon Bernards Melody Morton Ninomiya Samantha Wells 2022-02-01T00:00:00Z https://doi.org/10.3390/ijerph19052836 https://doaj.org/article/ecb8d18c5a854115acdf9ca8d343fef3 EN eng MDPI AG https://www.mdpi.com/1660-4601/19/5/2836 https://doaj.org/toc/1661-7827 https://doaj.org/toc/1660-4601 doi:10.3390/ijerph19052836 1660-4601 1661-7827 https://doaj.org/article/ecb8d18c5a854115acdf9ca8d343fef3 International Journal of Environmental Research and Public Health, Vol 19, Iss 2836, p 2836 (2022) First Nations colonialism resilience epidemiology discrimination Medicine Wheel Medicine R article 2022 ftdoajarticles https://doi.org/10.3390/ijerph19052836 2022-12-31T15:43:47Z We examined the explanatory roles of social determinants of health (SDOH) for First Nations people using a four-domain model of health and wellness based on the Medicine Wheel (i.e., physical, mental, emotional, and spiritual health), including colonial-linked stressors (i.e., historical trauma, childhood adversities, racial discrimination) and cultural resilience factors (i.e., cultural strengths, traditional healing practices, social support). Data were collected in partnership with a First Nation in Ontario, Canada in 2013 through a community survey ( n = 194). For each outcome (physical, mental, emotional, and spiritual health), a modified Poisson regression model estimated prevalence ratios for the SDOH, adjusting for age, sex, education, and marital status. Negative associations were found for historical trauma with physical, mental, emotional, and spiritual health; for childhood adversities with mental health; and for racial discrimination with physical, mental, and emotional health. Positive associations were found for cultural strengths with physical, mental, and emotional health and for social support with physical, mental, emotional, and spiritual health. We observed negative associations between use of traditional healing practices and mental and emotional health. Our findings suggest that these SDOH may play important roles in relation to wellness through associations with the domains of health modelled by the Medicine Wheel. Article in Journal/Newspaper First Nations Directory of Open Access Journals: DOAJ Articles Canada International Journal of Environmental Research and Public Health 19 5 2836 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
First Nations colonialism resilience epidemiology discrimination Medicine Wheel Medicine R |
spellingShingle |
First Nations colonialism resilience epidemiology discrimination Medicine Wheel Medicine R Bryan Tanner Sara Plain Tracey George Julie George Christopher J. Mushquash Sharon Bernards Melody Morton Ninomiya Samantha Wells Understanding Social Determinants of First Nations Health Using a Four-Domain Model of Health and Wellness Based on the Medicine Wheel: Findings from a Community Survey in One First Nation |
topic_facet |
First Nations colonialism resilience epidemiology discrimination Medicine Wheel Medicine R |
description |
We examined the explanatory roles of social determinants of health (SDOH) for First Nations people using a four-domain model of health and wellness based on the Medicine Wheel (i.e., physical, mental, emotional, and spiritual health), including colonial-linked stressors (i.e., historical trauma, childhood adversities, racial discrimination) and cultural resilience factors (i.e., cultural strengths, traditional healing practices, social support). Data were collected in partnership with a First Nation in Ontario, Canada in 2013 through a community survey ( n = 194). For each outcome (physical, mental, emotional, and spiritual health), a modified Poisson regression model estimated prevalence ratios for the SDOH, adjusting for age, sex, education, and marital status. Negative associations were found for historical trauma with physical, mental, emotional, and spiritual health; for childhood adversities with mental health; and for racial discrimination with physical, mental, and emotional health. Positive associations were found for cultural strengths with physical, mental, and emotional health and for social support with physical, mental, emotional, and spiritual health. We observed negative associations between use of traditional healing practices and mental and emotional health. Our findings suggest that these SDOH may play important roles in relation to wellness through associations with the domains of health modelled by the Medicine Wheel. |
format |
Article in Journal/Newspaper |
author |
Bryan Tanner Sara Plain Tracey George Julie George Christopher J. Mushquash Sharon Bernards Melody Morton Ninomiya Samantha Wells |
author_facet |
Bryan Tanner Sara Plain Tracey George Julie George Christopher J. Mushquash Sharon Bernards Melody Morton Ninomiya Samantha Wells |
author_sort |
Bryan Tanner |
title |
Understanding Social Determinants of First Nations Health Using a Four-Domain Model of Health and Wellness Based on the Medicine Wheel: Findings from a Community Survey in One First Nation |
title_short |
Understanding Social Determinants of First Nations Health Using a Four-Domain Model of Health and Wellness Based on the Medicine Wheel: Findings from a Community Survey in One First Nation |
title_full |
Understanding Social Determinants of First Nations Health Using a Four-Domain Model of Health and Wellness Based on the Medicine Wheel: Findings from a Community Survey in One First Nation |
title_fullStr |
Understanding Social Determinants of First Nations Health Using a Four-Domain Model of Health and Wellness Based on the Medicine Wheel: Findings from a Community Survey in One First Nation |
title_full_unstemmed |
Understanding Social Determinants of First Nations Health Using a Four-Domain Model of Health and Wellness Based on the Medicine Wheel: Findings from a Community Survey in One First Nation |
title_sort |
understanding social determinants of first nations health using a four-domain model of health and wellness based on the medicine wheel: findings from a community survey in one first nation |
publisher |
MDPI AG |
publishDate |
2022 |
url |
https://doi.org/10.3390/ijerph19052836 https://doaj.org/article/ecb8d18c5a854115acdf9ca8d343fef3 |
geographic |
Canada |
geographic_facet |
Canada |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
International Journal of Environmental Research and Public Health, Vol 19, Iss 2836, p 2836 (2022) |
op_relation |
https://www.mdpi.com/1660-4601/19/5/2836 https://doaj.org/toc/1661-7827 https://doaj.org/toc/1660-4601 doi:10.3390/ijerph19052836 1660-4601 1661-7827 https://doaj.org/article/ecb8d18c5a854115acdf9ca8d343fef3 |
op_doi |
https://doi.org/10.3390/ijerph19052836 |
container_title |
International Journal of Environmental Research and Public Health |
container_volume |
19 |
container_issue |
5 |
container_start_page |
2836 |
_version_ |
1766001161025880064 |