Abstract
BackgroundResearch carried out in partnership with Indigenous youth at The Native Youth Sexual Health Network (NYSHN) demonstrates that Indigenous youth can (and do) develop and implement public health interventions amongst their peers and within their communities, when supported by non-youth allies and mentors.MethodsTogether, NYSHN and Well Living House researchers co-designed a qualitative case study to demonstrate and document how Indigenous youth can and do practice their own form of public health implementation research (PHIR) in the realm of mental health promotion for 2SLGBTTQQIA and Gender Non-Conforming Indigenous youth. Academic and Indigenous youth researchers were: participant observers; conducted a focus group; and designed and implemented an online survey with Indigenous youth project participants. Governance, intellectual property, financial terms and respective academic and NYSHN roles and responsibilities were negotiated using a customized community research agreement. The data were thematically analyzed using a critical decolonizing lens that recognizes the historic and ongoing marginalization of Indigenous peoples while also highlighting the unique and diverse strengths of Indigenous communities’ knowledge and practice in maintaining their health and wellbeing.ResultsAnalysis revealed how colonialism and intergenerational trauma have impacted Indigenous youth identity and the value of self-determination as it relates to their identity, their relationships, health and wellbeing. We also learned how knowing and doing about and for Indigenous youth needs to be youth determined – ‘nothing about us, without us’ -- yet also supported by allies. Finally, our analysis shares some promising practices in knowing and doing for and with Indigenous youth.ConclusionsThis study provides a reminder of the need to centre Indigenous youth throughout PHIR in order to realize sustainable benefit from research, services and programming. It emphasizes the need to recognize Indigenous youth as leaders and partners in these initiatives, support their efforts to self-determine, compensate them as partners, and prioritize Indigenous youth-determined frameworks and accountability mechanisms.
Highlights
Research carried out in partnership with Indigenous youth at The Native Youth Sexual Health Network (NYSHN) demonstrates that Indigenous youth can develop and implement public health interventions amongst their peers and within their communities, when supported by non-youth allies and mentors
This study provides a reminder of the need to centre Indigenous youth throughout public health implementation research (PHIR) in order to realize sustainable benefit from research, services and programming
Canadian Institutes of Health Research (CIHR) funding programs promote implementation science (IS) in Indigenous health research [10]
Summary
Research carried out in partnership with Indigenous youth at The Native Youth Sexual Health Network (NYSHN) demonstrates that Indigenous youth can (and do) develop and implement public health interventions amongst their peers and within their communities, when supported by non-youth allies and mentors. Key factors for success, demonstrated through past projects include: support for youth leadership; prioritization of cultural relevance and safety; and a focus on strength-based methods [1,2,3] Despite this evidence, the voices, contexts and expertise of Indigenous youth continue to be underrepresented in public health research, programs and services. Canadian Institutes of Health Research (CIHR) funding programs promote IS in Indigenous health research [10] These frameworks promote a shift from more descriptive approaches to actively addressing Indigenous health inequities, the theories and methods of IS and IR in public health have been developed outside of Indigenous contexts. They must be systematically reconciled with existing Indigenous knowledge systems and assumptions
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