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 |
---|---|
Main Authors: | , , , , , , , |
Format: | Text |
Language: | English |
Published: |
Multidisciplinary Digital Publishing Institute
2022
|
Subjects: | |
Online Access: | https://doi.org/10.3390/ijerph19052836 |
id |
ftmdpi:oai:mdpi.com:/1660-4601/19/5/2836/ |
---|---|
record_format |
openpolar |
spelling |
ftmdpi:oai:mdpi.com:/1660-4601/19/5/2836/ 2023-08-20T04:06:31+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 agris 2022-02-28 application/pdf https://doi.org/10.3390/ijerph19052836 EN eng Multidisciplinary Digital Publishing Institute https://dx.doi.org/10.3390/ijerph19052836 https://creativecommons.org/licenses/by/4.0/ International Journal of Environmental Research and Public Health; Volume 19; Issue 5; Pages: 2836 First Nations colonialism resilience epidemiology discrimination Medicine Wheel Text 2022 ftmdpi https://doi.org/10.3390/ijerph19052836 2023-08-01T04:19:30Z 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. Text First Nations MDPI Open Access Publishing Canada International Journal of Environmental Research and Public Health 19 5 2836 |
institution |
Open Polar |
collection |
MDPI Open Access Publishing |
op_collection_id |
ftmdpi |
language |
English |
topic |
First Nations colonialism resilience epidemiology discrimination Medicine Wheel |
spellingShingle |
First Nations colonialism resilience epidemiology discrimination Medicine Wheel 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 |
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 |
Text |
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 |
Multidisciplinary Digital Publishing Institute |
publishDate |
2022 |
url |
https://doi.org/10.3390/ijerph19052836 |
op_coverage |
agris |
geographic |
Canada |
geographic_facet |
Canada |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
International Journal of Environmental Research and Public Health; Volume 19; Issue 5; Pages: 2836 |
op_relation |
https://dx.doi.org/10.3390/ijerph19052836 |
op_rights |
https://creativecommons.org/licenses/by/4.0/ |
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_ |
1774717654271000576 |