Contextual factors associated with depression among Northern and Indigenous adolescents in the Northwest Territories, Canada

Logie, Carmen H.; Lys, Candice; Sokolovic, Nina; Mackay, Kayley; Donkers, Holly; Kanbari, Amanda; Pooyak, Sherri; Loppie, Charlotte

doi:10.1017/gmh.2021.21

Cited by 7 publications

(4 citation statements)

References 77 publications

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“…(70,74,81,85,87,88) Contamination was also perceived to affect animal health and the taste and texture of harvested food. (74,87) Mental health: Seventeen articles focused on mental health, and four major factors of mental health were identi ed: alcohol and substance use ( 4),(89-93) family and support networks ( 5),(94-98) gender ( 7), (91,97,(99)(100)(101)(102)(103) and seasonality (3). (97,104,105).…”

Section: Bmi: Body Massmentioning

confidence: 99%

“…(102) A study among adolescents found the odds of having a severe type of depression were twice among female cisgender, compared to LGBQ2S + and food insecure adolescents. (103) Studies found seasonal variations in mental health. Winter months (October-March) accounted for around three quarters of the total psychiatric consultation referrals for Inuit clients.…”

Section: Bmi: Body Massmentioning

confidence: 99%

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WITHDRAWN: Addressing social determinants of health is a priority for managing COVID-19 in Arctic Indigenous communities: results of a scoping review

Kolahdooz

Jang

Deck

et al. 2022

Preprint

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Background. Arctic Indigenous communities are unique, geographically remote and/or isolated, and currently among the most susceptible populations in the world to the effects of the coronavirus disease 2019 (COVID-19) pandemic. Since colonization, Indigenous communities have been particularly susceptible to infectious disease outbreaks. Methods. This study reviewed current knowledge regarding social determinants of health (SDH) and pandemics in Arctic Canada and highlighted the implications of the current COVID-19 pandemic on individuals, families, and communities in Arctic Canada.Studies published in English and French pertaining to SDH or pandemics in the Canadian Arctic were located using key search words in three databases (PubMed, Medline, and CINAHL) as well as reference tracking of relevant articles up to September 2021. Studies were categorized according to infectious disease (COVID-19, H1N1 influenza, and tuberculosis) or SDH (healthcare access, food security, mental health, socioeconomic status, cultural continuity, housing, and community infrastructure). NVivo was used to theme and sub-theme findings of selected studies.Results. One hundred studies were included in this scoping review. Two articles related to COVID-19, five to influenza, and five to TB; 27 healthcare access, 19 to food security, 17 to mental health, nine to SES, seven to cultural continuity, six to housing, and three to community infrastructure. Documented lessons learned from previous pandemics in Arctic communities provides evidence to inform public health policies and culturally safe programs for the current COVID-19 pandemic where many SDH exist as challenges for Indigenous communities. The SDH included limited healthcare access, food insecurity, mental health challenges, low socioeconomic status, limited cultural considerations in healthcare, and suboptimal housing. These findings are also relevant to Indigenous communities in other Arctic regions facing similar challenges due to the pandemic.Conclusions.: It is essential to understand how SDH underlie the health and wellbeing of Indigenous communities in the Arctic and to utilize this information to inform critical policy and practice decisions for COVID-19 prevention, management, and treatment. This review indicated that many SDH are unique to Canadian Arctic settings and pose specific challenges for the prevention and management of infectious diseases, such as COVID-19.

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Section: Bmi: Body Massmentioning

confidence: 99%

Section: Bmi: Body Massmentioning

confidence: 99%

WITHDRAWN: Addressing social determinants of health is a priority for managing COVID-19 in Arctic Indigenous communities: results of a scoping review

Kolahdooz

Jang

Deck

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…True inclusion must recognise the historical context of colonisation and its impacts on youth agency while accounting for various social dynamics, including Elder/youth and Indigenous/non-Indigenous power relations. 26 Both perpetrating and receiving IPV were associated with a higher likelihood of depression among youth in our study, which suggests a syndemic between mental health and IPV that will need to be explored in longitudinal studies to determine directionality. The correlation between highly prevalent IPV and symptoms of depression among youth in our study is consistent with the evidence of mental health hospitalisations that are almost five times higher among youths aged 15-17 in the NWT than among the general Canadian population (23.3 per 1000 people versus 4.7).…”

Section: Discussionmentioning

confidence: 71%

Prevalence, correlates and trends of intimate partner violence among Indigenous and northern youths in the Northwest Territories, Canada

Malama,

Admassu,

Logie

et al. 2024

Journal of Global Health Reports

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Background Intimate partner violence (IPV) is rising in Canada and disproportionately affects Indigenous communities in the Northwest Territories largely due to the harmful, ongoing effects of settler colonialisation. Youth are known to be at high risk for IPV, but scant evidence exists about the scale of IPV and strategies for its prevention among youth in the Northwest Territories of Canada. Methods We conducted a serial cross-sectional study that measured the prevalence, correlates and four-year violence trends among youths participating in a land- and arts-based programme in the Northwest Territories. Researchers recruited 240 youths aged 12 to 19 to participate in an Indigenous-led land- and arts-based retreat designed to promote resilience, empowerment, and relational well-being among youth. The study period was from 2018 to 2021, and each annual retreat contained a mix of new and returning participants. At each retreat, participants were asked to report, in a self-administered survey, if they had experienced or perpetrated IPV in the past 12 months. Results Youths reported a high prevalence of experiencing (62%) and perpetrating (55%) IPV. For every one-unit increase in depression severity score, participants were 30% more likely to experience IPV) and 24% more likely to perpetrate IPV. Although the prevalence of experiencing and perpetrating IPV decreased by 6% and 14%, between 2018 and 2021, this trend was not statistically significant. Conclusions The high prevalence of IPV, linked to depression among youths in our study, calls for integrated mental health and violence prevention programming with youth in the Northwest Territories. Future programmes should use a strengths-based and decolonised approach to address the underlying effects of settler colonialism on the social dynamics that sustain IPV in Northern and Indigenous communities.

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“…The Fostering Open eXpression Programme was a participatory action research project to promote the health and well-being of Northern and Indigenous youth, focusing on girls’ sexual and mental health and gender-diverse youth. This participatory programme used traditional beading and art-based methods to help teenage girls express their knowledge, opinions, and mental and sexual health questions 106 107…”

Section: Resultsmentioning

confidence: 99%

Shifting paradigm from biomedical to decolonised methods in Inuit public health research in Canada: a scoping review

et al. 2022

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BackgroundThe National Inuit Strategy on Research focuses on advancing Inuit governance in research, increasing ownership over data and building capacity. Responding to this call for Inuit self-determination in research, academic researchers should consider cultural safety in research and ways to promote Inuit-led methods.MethodsThis scoping review collated academic literature on public health research in Inuit communities in Canada between 2010 and 2022. A critical assessment of methods used in public health research in Inuit communities examined cultural safety and the use of Inuit-attuned methods. Descriptive and analytical data were summarised in tables and figures. Knowledge user engagement in the research process was analysed with thematic analysis.Results356 articles met the inclusion criteria. Much of the published research was in nutrition and mental health, and few initiatives reported translation into promotion programmes. Almost all published research was disease or deficit focused and based on a biomedical paradigm, especially in toxicology, maternal health and chronic diseases. Recent years saw an increased number of participatory studies using a decolonial lens and focusing on resilience. While some qualitative research referred to Inuit methodologies and engaged communities in the research process, most quantitative research was not culturally safe. Overall, community engagement remained in early stages of co-designing research protocols and interventions. Discussion on governance and data ownership was limited. Recent years saw emerging discussions on these issues. Knowledge user capacity-building was limited to brief training on conventional data collection methods.ConclusionsThe last decade of published public health research has not responded to the National Inuit Strategy on Research. Participatory research is gaining ground, but has not reached its full potential. A shift from biomedical to decolonised methods is slowly taking place, and public health researchers who have not yet embraced this paradigm shift should do so.

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Contextual factors associated with depression among Northern and Indigenous adolescents in the Northwest Territories, Canada

Cited by 7 publications

References 77 publications

WITHDRAWN: Addressing social determinants of health is a priority for managing COVID-19 in Arctic Indigenous communities: results of a scoping review

WITHDRAWN: Addressing social determinants of health is a priority for managing COVID-19 in Arctic Indigenous communities: results of a scoping review

Prevalence, correlates and trends of intimate partner violence among Indigenous and northern youths in the Northwest Territories, Canada

Shifting paradigm from biomedical to decolonised methods in Inuit public health research in Canada: a scoping review

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