IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i5p2836-d761116.html
   My bibliography  Save this article

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

Author

Listed:
  • Bryan Tanner

    (Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, 100 Collip Circle, London, ON N6G 4X8, Canada)

  • Sara Plain

    (E’Mino Bmaad-Zijig Health Centre, Aamjiwnaang First Nation, 1300 Tashmoo Ave, Sarnia, ON N7T 7H5, Canada)

  • Tracey George

    (E’Mino Bmaad-Zijig Health Centre, Aamjiwnaang First Nation, 1300 Tashmoo Ave, Sarnia, ON N7T 7H5, Canada)

  • Julie George

    (Mental Health, Addiction and Violence Support Program, Kettle & Stony Point Health Services, A-6275 Indian Lane, Kettle & Stony Point First Nation, Lambton Shores, ON N0N 1J1, Canada)

  • Christopher J. Mushquash

    (Department of Psychology, Lakehead University, 955 Oliver Rd, Thunder Bay, ON P7B 5E1, Canada
    Northern Ontario School of Medicine, Lakehead University, 955 Oliver Rd, Thunder Bay, ON P7B 5E1, Canada
    Dilico Anishinabek Family Care, 200 Anemki Pl, Fort William First Nation, ON P7J 1L6, Canada
    Centre for Rural and Northern Health Research, Thunder Bay, ON P7B 5E1, Canada)

  • Sharon Bernards

    (Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, 100 Collip Circle, London, ON N6G 4X8, Canada)

  • Melody Morton Ninomiya

    (Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, 100 Collip Circle, London, ON N6G 4X8, Canada
    Health Sciences, Wilfrid Laurier University, 75 University Ave W, Waterloo, ON N2L 3C5, Canada)

  • Samantha Wells

    (Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, 100 Collip Circle, London, ON N6G 4X8, Canada
    Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, 33 Russel Street, Toronto, ON M5S 3M1, Canada
    Dalla Lana School of Public Health, University of Toronto, 150 College St, Toronto, ON M5T 3M7, Canada
    Department of Epidemiology and Biostatistics, Western University, 1151 Richmond St., London, ON N6A 3K7, Canada)

Abstract

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.

Suggested Citation

  • Bryan Tanner & Sara Plain & Tracey George & Julie George & Christopher J. Mushquash & Sharon Bernards & Melody Morton Ninomiya & Samantha Wells, 2022. "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," IJERPH, MDPI, vol. 19(5), pages 1-10, February.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:5:p:2836-:d:761116
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/5/2836/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/5/2836/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Richmond, C.A.M. & Ross, N.A. & Egeland, G.M., 2007. "Social support and thriving health: A new approach to understanding the health of indigenous Canadians," American Journal of Public Health, American Public Health Association, vol. 97(10), pages 1827-1833.
    2. Nelson, Sarah E. & Wilson, Kathi, 2017. "The mental health of Indigenous peoples in Canada: A critical review of research," Social Science & Medicine, Elsevier, vol. 176(C), pages 93-112.
    3. Morton Ninomiya, Melody E. & Tanner, Bryan & Peach, Laura J. & George, Ningwakwe & Plain, Sara & George, Tracey & Graham, Kathryn & Bernards, Sharon & Brubacher, Laura Jane & Wells, Samantha, 2022. "Anishinabek sources of strength: Learning from First Nations people who have experienced mental health and substance use challenges," Social Science & Medicine, Elsevier, vol. 309(C).
    4. Brady, Maggie, 1995. "Culture in treatment, culture as treatment. A critical appraisal of developments in addictions programs for indigenous North Americans and Australians," Social Science & Medicine, Elsevier, vol. 41(11), pages 1487-1498, December.
    5. Yin Paradies & Jehonathan Ben & Nida Denson & Amanuel Elias & Naomi Priest & Alex Pieterse & Arpana Gupta & Margaret Kelaher & Gilbert Gee, 2015. "Racism as a Determinant of Health: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 10(9), pages 1-48, September.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Elaine Toombs & Jessie Lund & Aislin R. Mushquash & Christopher J. Mushquash, 2022. "Predictors of Land-Based Activity Participation in a National Representative Sample of Indigenous Individuals Living Off-Reserve," IJERPH, MDPI, vol. 19(13), pages 1-13, June.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Bryan Tanner & Ningwakwe George & Laura Jane Brubacher & Melody E. Morton Ninomiya & Laura Peach & Sharon Bernards & Renee Linklater & Julie George & Samantha Wells, 2022. "Navigating Paths to Wellness: A Strengths-Based Photovoice Study Conducted with One First Nation in Southern Ontario, Canada," IJERPH, MDPI, vol. 19(17), pages 1-17, September.
    2. Morton Ninomiya, Melody E. & Tanner, Bryan & Peach, Laura J. & George, Ningwakwe & Plain, Sara & George, Tracey & Graham, Kathryn & Bernards, Sharon & Brubacher, Laura Jane & Wells, Samantha, 2022. "Anishinabek sources of strength: Learning from First Nations people who have experienced mental health and substance use challenges," Social Science & Medicine, Elsevier, vol. 309(C).
    3. Irizar, Patricia & Kapadia, Dharmi & Amele, Sarah & Bécares, Laia & Divall, Pip & Katikireddi, Srinivasa Vittal & Kibuchi, Eliud & Kneale, Dylan & McCabe, Ronan & Nazroo, James & Nellums, Laura B. & T, 2023. "Pathways to ethnic inequalities in COVID-19 health outcomes in the United Kingdom: A systematic map," Social Science & Medicine, Elsevier, vol. 329(C).
    4. Yuqi Wang & Laurent Reyes & Emily A. Greenfield & Sarah R. Allred, 2022. "Municipal Ethnic Composition and Disparities in COVID-19 Infections in New Jersey: A Blinder–Oaxaca Decomposition Analysis," IJERPH, MDPI, vol. 19(21), pages 1-25, October.
    5. Liamputtong, Pranee & Suwankhong, Dusanee, 2015. "Therapeutic landscapes and living with breast cancer: The lived experiences of Thai women," Social Science & Medicine, Elsevier, vol. 128(C), pages 263-271.
    6. Malat, Jennifer & Mayorga-Gallo, Sarah & Williams, David R., 2018. "The effects of whiteness on the health of whites in the USA," Social Science & Medicine, Elsevier, vol. 199(C), pages 148-156.
    7. Lynn N. Ibekwe & Maria Eugenia Fernández-Esquer & Sandi L. Pruitt & Nalini Ranjit & Maria E. Fernández, 2021. "Racism and Cancer Screening among Low-Income, African American Women: A Multilevel, Longitudinal Analysis of 2-1-1 Texas Callers," IJERPH, MDPI, vol. 18(21), pages 1-19, October.
    8. Caryn N. Bell & Jordan Kerr & Jessica L. Young, 2019. "Associations between Obesity, Obesogenic Environments, and Structural Racism Vary by County-Level Racial Composition," IJERPH, MDPI, vol. 16(5), pages 1-17, March.
    9. Ricci B Harris & James Stanley & Donna M Cormack, 2018. "Racism and health in New Zealand: Prevalence over time and associations between recent experience of racism and health and wellbeing measures using national survey data," PLOS ONE, Public Library of Science, vol. 13(5), pages 1-22, May.
    10. Villarreal-Otálora, Tatiana & Boyas, Javier F. & Alvarez-Hernandez, Luis R. & Fatehi, Mariam, 2020. "Ecological factors influencing suicidal ideation-to-action among Latinx adolescents: An exploration of sex differences," Children and Youth Services Review, Elsevier, vol. 118(C).
    11. Farah N. Mawani & Patricia O’Campo & Peter Smith, 2022. "Opportunity Costs: Underemployment and Mental Health Inequities Between Immigrant and Canadian-Born Labour Force Participants: A Cross-Sectional Study," Journal of International Migration and Integration, Springer, vol. 23(3), pages 1443-1470, September.
    12. Nazan Ulusoy & Anja Schablon, 2020. "Discrimination in In-Patient Geriatric Care: A Qualitative Study on the Experiences of Employees with a Turkish Migration Background," IJERPH, MDPI, vol. 17(7), pages 1-14, March.
    13. Tara L Upshaw & Chloe Brown & Robert Smith & Melissa Perri & Carolyn Ziegler & Andrew D Pinto, 2021. "Social determinants of COVID-19 incidence and outcomes: A rapid review," PLOS ONE, Public Library of Science, vol. 16(3), pages 1-22, March.
    14. Lubna Rashid & Silvia Cepeda-García, 2021. "Self-Categorising and Othering in Migrant Integration: The Case of Entrepreneurs in Berlin," Sustainability, MDPI, vol. 13(4), pages 1-14, February.
    15. Satrio Nindyo Istiko & Jo Durham & Lana Elliott, 2022. "(Not That) Essential: A Scoping Review of Migrant Workers’ Access to Health Services and Social Protection during the COVID-19 Pandemic in Australia, Canada, and New Zealand," IJERPH, MDPI, vol. 19(5), pages 1-13, March.
    16. Dudovitz, R.N. & Biely, C. & Barnert, E.S. & Coker, T.R. & Guerrero, A.D. & Jackson, N. & Schickedanz, A. & Szilagyi, P.G. & Iyer, S. & Chung, P.J., 2021. "Association between school racial/ethnic composition during adolescence and adult health," Social Science & Medicine, Elsevier, vol. 272(C).
    17. Uršula Lipovec Čebron, 2021. "Language as a Trigger for Racism: Language Barriers at Healthcare Institutions in Slovenia," Social Sciences, MDPI, vol. 10(4), pages 1-17, March.
    18. Bastos, João L. & Harnois, Catherine E. & Paradies, Yin C., 2018. "Health care barriers, racism, and intersectionality in Australia," Social Science & Medicine, Elsevier, vol. 199(C), pages 209-218.
    19. Jill Furzer & Boriana Miloucheva, 2020. "The Long Arm of the Clean Air Act: Pollution Abatement and COVID-19 Racial Disparities," Working Papers tecipa-668, University of Toronto, Department of Economics.
    20. Chen, Shanting & Mallory, Allen B., 2021. "The effect of racial discrimination on mental and physical health: A propensity score weighting approach," Social Science & Medicine, Elsevier, vol. 285(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:5:p:2836-:d:761116. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.