This research sought to explore one southern Labrador Inuit community's intergenerational relationships, with a focus on seniors' perspectives and understandings of health and well-being. This knowledge is important for accessing and responding to social and demographic change to ensure a continued ability to provide for future generations. Our research employed a community-based participatory research (CBPR) approach and a qualitative, arts-based methodology, including photovoice. Participants in this study included six seniors and six youth from St. Lewis, Labrador, Canada, who were provided with cameras and were asked to take photographs that represent how their lived experience related to the research questions. Our findings demonstrated that strong relationships between older and younger generations, particularly within families, exist in St. Lewis. We argue that these relationships contribute positively to the overall health and well-being of the community. Little is known about how youth and seniors in Indigenous communities perceive one another and their respective roles in a contemporary context. Our research suggests that learning more about the factors that shape senior-youth interaction and communication in St. Lewis may lead to interventions that will support intergenerational contact and, hence, promote cultural continuity and increase overall well-being. The promotion of cultural continuity and well-being is of particular importance in Indigenous communities, given the disruption of culture due to colonialism and given that Indigenous communities with high levels of cultural continuity are healthier.
c cess to birth close to home, surrounded by loved ones, is taken for granted by most Canadians. The societal importance of family support during birthing has been highlighted during the severe acute respiratory syndrome and COVID-19 pandemics, despite the known and potentially fatal risks to hospital visitors, because people in labour have been one of the few patient groups exempt from visitor restrictions. 1,2 For residents living in rural areas of Canada, long-distance travel for birth is a reality that is becoming increasingly common in some regions because of closures of obstetrical services in smaller community hospitals. 3 This is only partially mitigated by the revital ization of rural midwifery practice. 4,5 Emerging evidence shows that the frequency of adverse medical events during labour and delivery for rural populations is similar for births that take place close to home and births for which people travel because of an absence of services close to home. 3,4,6 Less is known about the impacts of travel for birth on breastfeeding rates, maternal mental health and family functioning. Several studies have documented the negative impacts of birthing away from home with respect to maternal satisfaction and birth experience. [7][8][9][10] This evidence is particularly compelling for Indigenous populations for whom birthing on or near traditional territories in the presence of family and community is a long-standing practice of foundational cultural and social importance that contributes to well-being, cultural continuity and kinship. [7][8][9][10][11][12] The striking isolation, family disruption and racism experienced by Indigenous people who are forced to travel alone for RESEARCHHEALTH SERVICES
RÉSUMÉLes traitements associés au VIH ayant progressé au cours des 30 dernières années, le nombre de personnes âgées vivant avec le VIH s’est accru. Ce phénomène est particulièrement important chez les peuples autochtones du Canada, compte tenu de la surreprésentation chronique de cette population dans les diagnostics de VIH. Toutefois, peu de données sont disponibles sur l’expérience des Autochtones séropositifs plus âgés. Une approche fondée sur les forces a permis d’explorer comment les hommes autochtones plus âgés vivant avec le VIH conçoivent le vieillissement réussi. La recherche a été menée en partenariat avec le Réseau canadien autochtone sur le sida. Des hommes des Premières nations, Inuits et Métis, âgés de 43 à 63 ans et séropositifs depuis 10 à 29 ans, ont participé à des groupes de discussion et à des entrevues. Une approche analytique ouverte a été utilisée pour étudier le contenu des transcriptions. Les codes ont été développés en collaboration, par un processus inductif et itératif. Nous présentons l’analyse des points communs entre les groupes autochtones, ainsi que nos réflexions sur l’application du modèle de vieillissement réussi aux hommes autochtones plus âgés ayant le VIH.
Between 2015 and 2019, over 100 Indigenous women from six provinces and two territories have come forward to say that they were forced or coerced to undergo a sterilization procedure in Canada. Despite this, government action is lacking. Through this paper, the research team aims to collect and synthesize the recommendations that have been made in response to the recent cases of forced or coerced sterilization of Indigenous women in Canada. Through a secondary analysis of data, we outline the findings of a thematic analysis of 162 recommendations from four selected sources: (a) Tubal Ligation in the Saskatoon Health Region: The Lived Experience of Aboriginal Women, an external review by Senator Yvonne Boyer and Dr. Judith Bartlett, July 22, 2017; (b) a meeting of the Senate Committee on Human Rights, April 3, 2019; (c) meetings of the House of Commons Standing Committee on Health, June 13 and 18, 2019; and (d) a letter from Bill Casey, Member of Parliament and Chair of the House of Commons Standing Committee on Health, to three federal ministers, August 2, 2019. Seven themes emerged following the thematic analysis of the 162 recommendations: (a) Services and Supports (b)Accountability, (c) Training and Education, (d) Legislation and Policy, (e) Criminalization, (f) Data Collection, and g) Investigation. These themes represent seven areas where immediate government action is required to meaningfully and appropriately respond to the recent cases of forced or coerced sterilization of First Nations, Inuit, and Metis women in Canada.
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