Week 7: Indigenous Health Inequalities

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Questions and Answers

What is a key reason for the high suicide rates in indigenous people?

  • Consequences of colonization (correct)
  • High levels of urbanization
  • Lack of access to healthcare
  • Limited recreational activities

What aspect should be prioritized to promote life among indigenous communities?

  • Encouraging assimilation into mainstream society
  • Focus on economic development only
  • Increased law enforcement
  • Life promotion and better living conditions (correct)

Why is language important in reconnecting young indigenous people with their culture?

  • It serves as a communication tool only
  • It is an investment in their worldview and identity (correct)
  • It helps them assimilate into balanced societies
  • It is essential for obtaining academic success

What is one effect of constant stress during pregnancy on indigenous populations?

<p>Higher rates of neurological disorders (C)</p> Signup and view all the answers

Which intervention is highlighted as effective for indigenous communities?

<p>Community-based opioid intervention (B)</p> Signup and view all the answers

What is a fundamental aspect of the Indigenous worldview on health?

<p>Interconnection of physical, mental, emotional, and spiritual health (D)</p> Signup and view all the answers

Which factor is linked to lower youth suicide rates in Indigenous communities?

<p>Increased autonomy and cultural continuity (A)</p> Signup and view all the answers

What does 'epistemic racism' refer to?

<p>Belief in the superiority of one group over another (A)</p> Signup and view all the answers

What is cultural continuity?

<p>Sustained practices linked to identifiable traditions from the past (B)</p> Signup and view all the answers

What do community-driven solutions in Indigenous health focus on?

<p>Integrating cultural practices and community values (A)</p> Signup and view all the answers

Which of the following is associated with systemic change in Indigenous health services?

<p>Supporting Indigenous healthcare professionals (A)</p> Signup and view all the answers

What is a characteristic of harm reduction strategies?

<p>Safe injection sites as an example (A)</p> Signup and view all the answers

What is one of the 7 grandfather teachings related to Indigenous women’s clinics?

<p>Respect and responsibility towards the community (C)</p> Signup and view all the answers

Which factor is NOT commonly associated with child welfare involvement among Indigenous communities?

<p>Access to higher education (C)</p> Signup and view all the answers

What is a significant outcome of cultural connectedness for Indigenous peoples?

<p>Higher self-esteem (A)</p> Signup and view all the answers

Which of the following describes a disadvantage faced by Indigenous communities in the educational system?

<p>Less funding for education (A)</p> Signup and view all the answers

What barrier to cultural continuity is directly related to the history of colonization?

<p>Historical trauma (C)</p> Signup and view all the answers

Which aspect of health is specifically improved by cultural continuity?

<p>Specific health issues like diabetes (C)</p> Signup and view all the answers

What role do elders play in Indigenous health and cultural transmission?

<p>Share historical knowledge (A)</p> Signup and view all the answers

Which of the following statements about poverty in Indigenous communities is true?

<p>Poverty contributes to higher rates of diabetes. (B)</p> Signup and view all the answers

What is one impact of systemic discrimination in the criminal justice system on Indigenous people?

<p>Higher rates of victimization (A)</p> Signup and view all the answers

Which of the following best describes the concept of 'walking in two worlds' for Indigenous people?

<p>Integrating both Western and traditional cultural values (A)</p> Signup and view all the answers

What is an example of institutional racism affecting Indigenous health?

<p>Differential access to healthcare based on race (C)</p> Signup and view all the answers

Why is knowledge transmission essential to cultural rehabilitation among Indigenous communities?

<p>It helps in passing down essential cultural practices. (C)</p> Signup and view all the answers

What led to the forced segregation of Indigenous peoples from their lands?

<p>Colonial expansion (A)</p> Signup and view all the answers

Which theme emerged regarding cultural continuity as a determinant of health for Indigenous peoples?

<p>Cultural connectedness influences health outcomes. (A)</p> Signup and view all the answers

What challenge does elder death pose for Indigenous communities?

<p>Loss of essential cultural transmission (C)</p> Signup and view all the answers

Flashcards

Indigenous Health Inequalities

Significant disparities in health outcomes experienced by Indigenous peoples compared to non-Indigenous populations, stemming from various social determinants.

Social Determinants of Health

Conditions in the environments where people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks.

Child Welfare Policies

Policies and systems related to the protection and well-being of children, often resulting in disproportionately high involvement with Indigenous families.

Criminal Justice System Disparity

Indigenous peoples are overrepresented as victims and offenders within the criminal justice system, facing systemic discrimination.

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Cultural Continuity

The preservation and transmission of Indigenous cultures, traditions, and knowledge, which are vital to health and well-being.

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Cultural Connectedness

The sense of belonging and identity derived from cultural practices and traditions.

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Knowledge Transmission

The passing down of knowledge, beliefs, and practices from one generation to the next, crucial for cultural continuity.

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Cultural Discontinuity

The disruption of cultural traditions and practices, often leading to negative health and social outcomes.

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Historical Trauma

The cumulative emotional and psychological wounding across generations stemming from historical events like colonization and discrimination.

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Institutional Racism

Differential access to goods, resources and opportunities based on racial identity, often embedded in institutional policies and practices, perpetuating health disparities.

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Epistemic racism

The belief that one group of people is inherently superior to another in terms of knowledge and understanding, often used to justify discrimination and inequality.

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Historical Health Inequities

Unequal access to healthcare and negative health outcomes experienced by specific groups due to past injustices and systemic discrimination.

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Indigenous Worldview on Health

A holistic view of health that considers the physical, mental, emotional, and spiritual well-being connected to culture, land, and identity.

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Cultural Continuity

The ongoing and sustained practice of a culture linked to a tradition from the past; it may evolve but maintains ties to its history.

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Community-Driven Solutions

Local Indigenous initiatives integrating cultural practices and community values to improve health within the community.

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Call for Systemic Change

A demand for fundamental changes in healthcare systems to grant Indigenous governance, address racism, and support Indigenous healthcare professionals.

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Cultural continuity and youth suicide

Studies show strong links between cultural continuity (like practicing local language) and lower youth suicide rates. Communities with more control over their health have lower suicide rates.

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Harm reduction vs Health/Life Promotion

A debate over which strategy is more effective for public health—reducing harm (e.g., safe injection sites) or promoting health and overall well-being.

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Suicide and environment

People facing difficult environments may question the value of living, a factor contributing to higher suicide rates.

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Indigenous Suicide Rates

High suicide rates among Indigenous peoples are connected to the lasting effects of colonization.

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Colonization's Impact

Colonization continues to affect Indigenous communities, impacting their well-being and causing trauma.

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Life Promotion

Instead of focusing on problems, a more effective approach is creating better living conditions for Indigenous people.

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Assimilation Forces

Forces that try to make Indigenous people align with mainstream society still exist in systems like child welfare.

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Cultural Continuity

Maintaining and fostering Indigenous traditions, practices, and languages is essential for community well-being.

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Land & Self-Governance

Preserving Indigenous land and allowing for Indigenous self-governance over education systems is important for their well-being.

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Language & Identity

Language is essential for reviving and maintaining Indigenous cultures and identities, contributing to a sense of purpose.

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Community-Based Interventions

Community-based approaches, like opioid interventions, are more effective than generalized ones because they address specific community needs.

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Lifespan Wellness

Mental and spiritual well-being are crucial throughout the entire life cycle of Indigenous people.

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Intergenerational Trauma

The trauma faced by Indigenous women due to colonization, and passed down through generations.

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Study Notes

Week 7 Readings: Understanding Indigenous Health Inequalities

  • Child welfare policies and systems are associated with intergenerational trauma, poverty, mental illness, and substance abuse, impacting child welfare involvement. Indigenous women are particularly vulnerable to having their children apprehended.
  • The criminal justice system disproportionately involves Indigenous people, both as victims and offenders, experiencing systemic discrimination and forceful police interventions.
  • The health care system demonstrates unequal access to services, untimely access, and widespread stereotyping and racism based on jurisdiction.
  • Educational systems show disparities in funding, lower completion rates, and lack of resources for Indigenous students.
  • Community infrastructure, resources, and capacities play a significant role in health, but they are hindered by limited funding and unequal access to resources.
  • Colonial expansion resulted in the dispossession of land and forced segregation of Indigenous communities, leading to negative impacts on health and lack of recognition of traditional practices.

Cultural Continuity as a Determinant of Indigenous Peoples' Health

  • Cultural continuity is linked to Indigenous health, and conceptualized as cultural connectedness and continuity.
  • Knowledge transmission is a crucial component of cultural continuity, and cultural continuity positively impacts wellness outcomes.
  • Experiences with cultural continuity and disconnection/barriers to cultural continuity are relevant to health and wellness outcomes.
  • Increased sense of community, belonging, social purpose are outcomes of cultural connection, and a strong sense of identity helps heal from trauma, including in relation to practices.
  • Cultural continuity improves specific health issues such as cancer, diabetes, heart disease, and addiction. Practicing spirituality and ceremonies promote holistic health and balance.
  • Attending cultural events and participating in activities, and knowledge transmission regarding cultural aspects and language is important.

Indigenous Knowledge to Close Gaps in Indigenous Health

  • Manitoba Indigenous populations experience significantly higher rates of diabetes than non-Indigenous populations.
  • Access to resources and infrastructure, and issues of institutional racism like differential rates of access to goods and services, are significant problems.
  • Indigenous communities face health disparities due to colonization, residential schools, and systemic racism.
  • Community-driven solutions, including Indigenous-led initiatives, are crucial for improving health outcomes by integrating cultural practices and community values.
  • A call for systemic change to address racism and support Indigenous healthcare professionals is necessary.

Cultural Continuity and Suicide

  • Strong cultural continuity acts as a protective factor against suicide.
  • Indigenous communities experiencing more autonomy over their lives and cultural practices have lower suicide rates.
  • Language and self-governance are indicators of cultural continuity and linked to lower suicide rates.

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