Communities In Saskatchewan Research Articles

Association of Insomnia with Functional Outcomes Relevant to Daily Behaviors and Sleep-Related Quality of Life among First Nations People in Two Communities in Saskatchewan, Canada.

Insomnia is a common sleep complaint in Canada and is associated with increased use of health care services and economic burden. This paper examines the association of insomnia with functional outcomes relevant to daily behaviors and sleep-related quality of life among First Nations participants using the Functional Outcomes of Sleep Questionnaire (FOSQ-10). The First Nations Sleep Health Project follow-up survey was conducted in partnership with two Cree First Nations in the summer of 2022, where 355 individuals participated. Statistical analysis was conducted using logistic regression models. The mean age of the participants was 40.76 ± 14.60 (SD) years, and 59.4% were females. The prevalence of chronic insomnia (Insomnia Severity Index score of ≥15) was 21.0%, with more females (26.1%) than males (13.8%) experiencing it among the 348 participants. Overall, the mean FOSQ-10 score was 17.27 ± 2.98 among the 350 participants, with those who had clinical insomnia reporting significantly lower scores than those without clinical insomnia (mean ± SD: 14.6 ± 3.9 vs. 18.0 ± 2.1; p < 0.001). The FOSQ-10 scores indicated sleep-related functional impairment (FOSQ-10 total score < 17.90) in 46.6% of participants. After adjusting for age, excessive daytime sleepiness, sex, and regular use of prescription medication, we found that clinical insomnia was significantly associated with functional impairments. In fact, a person with clinical insomnia was 3.5 times more likely to have functional impairments than those without clinical insomnia. This study highlights the significant association between insomnia and functional impairments related to daily behaviors and quality of life in two First Nation communities. Identifying this association can help healthcare providers to diagnose and treat patients with insomnia in these communities.

Community-led water governance: Meanings of drinking water governance within remote First Nations and Métis communities in Saskatchewan

Access to safe drinking water remains a significant challenge for many Indigenous communities in Canada, particularly for remote communities. This stems from historic colonial practices of water governance that have relied on Western worldviews and excluded Indigenous Peoples. Using an Indigenist research framework and a Community-Based Participatory Research design, we, as Indigenous and non-Indigenous collaborative research team wanted to learn from remote Indigenous communities, including Star Blanket Cree First Nation and the Cumberland House Village at the Treaty 4 and 5 territories (known as Saskatchewan) that have not been adequately represented in water governance. Following this, we used storytelling and deep listening to engage seven Elders and knowledge-keepers from the two communities. The findings show Indigenous People have spiritual and historical worldviews and practices surrounding water and its governance. Promoting Indigenous worldviews in water governance is critical to enhancing access to safe drinking water within the two communities. Therefore, reviving and reconnecting Indigenous drinking water governance promotes community healing and water protection. Insights from this paper propose a meaningful bridge between Western and Indigenous perspectives and the capacity to govern water through deep and complex practices and meanings of water governance.

Community adaptation to climate-related flooding in Saskatchewan

Sustainable Development Goal 13 advances planning and resilience particularly germane for communities at the forefront of exposure to climate impacts. With the increasing intensity and frequency of climate impacts, including flood, assessing the state of preparedness of communities through review of their policies, is increasingly important. This research used a mixed methods approach to develop community resilience indicators (based on planning for extreme flood events) supplemented by two round tables and six focus groups with community leaders in Saskatchewan.Several Saskatchewan communities were identified as exposed to extreme rainfall events as well as inundation from surrounding rivers and water bodies. Focus group and roundtable participants confirmed that flood events were becoming more frequent in recent years. Cities generally scored higher in resilience, however, some northern communities also scored high. Experience of floods wasn't a necessary prerequisite of flood planning as several communities had robust plans without historical flood experience. Communities that had experienced previous flood events scored higher on indicators of flood preparedness resilience. Two communities that had never experienced floods had high indicators, providing evidence that demonstrated coping capacity is not a necessary precondition of resilience.Explanations for failure to plan included inability to address contributing farming practices, the high cost of infrastructure, climate change denial within communities, and downplaying adaptation to climate change because of its high price tag. A generational divide was identified as concerning, and especially counterproductive to the attraction of young people to rural and remote communities. Solutions identified included expanding partnerships, sharing services within a wider regional community, and supporting capacity and leadership for this. While this research suffers from limitations relating to data availability, more research on why some communities have not yet planned for floods (even though they have experienced them) and a greater geography of study would be beneficial.

Community Engagement Integral to Reimagining Rural and Remote Physiotherapy in Saskatchewan: Findings from a World Café Multi-Stakeholder Event

Purpose: To provide recommendations to improve access to physiotherapy services in underserved rural, remote, and Indigenous communities across Saskatchewan. Methods: Through a World Café facilitated discussion, 55 multi-stakeholder participants (including facilitators) discussed ways to improve access to physiotherapy services in rural, remote, and Indigenous communities in Saskatchewan. Qualitative description happened through qualitive content analysis from data captured during the World Café facilitated discussion. Results: Community Engagement was found to be a central code, along with the interrelated categories: Training Program and Student Experience; Recruitment of Physiotherapists; Retention and Physiotherapy Practice; Community and Team-Based Models of Care; Virtual Care and Technology. Conclusions: Recommendations to improve access to physiotherapy services in Saskatchewan spanned from targeted recruitment and training of physiotherapy students to supporting physiotherapists who practice in geographically isolated environments. Community engagement was highlighted as necessary to ensure effective, sustainable, and appropriate measures to better train, recruit, retain, and support physiotherapists and access to physiotherapy services in rural and remote areas across Saskatchewan.

Learning from wildfire: co-creating knowledge using an intersectional feminist standpoint methodology

Due to climate change, rural Canadian communities living in boreal regions can expect more intense and frequent wildfires. People’s experiences of wildfire hazards are differentiated by intersecting social factors such as age, gender, culture, and socio-economic status, as well as by social structures that enable or limit adaptation. This study engaged two Northern Saskatchewan communities in a process of co-developing a post-disaster learning framework and companion guidebook to support ongoing adaptation to climate hazards, enabled by the use of an intersectional feminist standpoint methodology. This methodology influenced both the process and outcomes of the research, which involved 18 interviews conducted with study community members and a workshop with a subset of the interview cohort. The intersectional feminist standpoint methodology facilitated insight into how intersecting social identity factors (e.g., gender, age, socio-economic status, and geography) shaped experiences of wildfire, as well as the need for and potential of post-disaster learning at the community level. In this paper, we focus on methodological insights for researchers and communities who seek to co-create knowledge and learning opportunities. In particular, we note the methodological impacts on research design choices, learning through the research process, and lessons learned through conducting community-engaged research during the early days of another kind of crisis: the COVID-19 pandemic.

"Working on a Shoestring": Critical Resource Challenges and Place-Based Considerations for Telehealth in Northern Saskatchewan, Canada.

Rural, remote, and northern Indigenous communities in Canada frequently face limited access to healthcare services with ongoing physician and staff shortages, inadequate infrastructure, and resource challenges. These healthcare gaps have produced significantly poorer health outcomes for people living in remote communities than those living in southern and urban regions who have timely access to care. Telehealth has played a critical role in bridging long-standing gaps in accessing healthcare services by connecting patients and providers across distance. While the adoption of telehealth in Northern Saskatchewan is growing, its initial implementation faced several barriers related to limited and stretched human and financial resources, infrastructure challenges such as unreliable broadband, and a lack of community involvement and engaged decision-making. Emerging ethical issues during the initial implementation of telehealth in community contexts have been wide ranging including concerns around privacy that have also shaped patients' experiences and particularly the need to consider place and space within rural contexts. Drawing from a qualitative study with four Northern Saskatchewan communities, this paper offers critical perspectives on the resource challenges and place-based considerations that are shaping telehealth in the Saskatchewan context and provides recommendations and lessons learned that could inform other Canadian regions and countries. This work responds to the ethics of tele-healthcare in rural communities in Canada and contributes perspectives of community-based service providers, advisors, and researchers.

Where past meets present: Indigenous vaccine hesitancy in Saskatchewan

In Canada, colonisation, both historic and ongoing, increases Indigenous vaccine hesitancy and the threat posed by infectious diseases. This research investigated Indigenous vaccine hesitancy in a First Nation community in...

A guiding framework for needs assessment evaluations to embed digital platforms in partnership with Indigenous communities.

In community-based research projects, needs assessments are one of the first steps to identify community priorities. Access-related issues often pose significant barriers to participation in research and evaluation for rural and remote communities, particularly Indigenous communities, which also have a complex relationship with academia due to a history of exploitation. To bridge this gap, work with Indigenous communities requires consistent and meaningful engagement. The prominence of digital devices (i.e., smartphones) offers an unparalleled opportunity for ethical and equitable engagement between researchers and communities across jurisdictions, particularly in remote communities. This paper presents a framework to guide needs assessments which embed digital platforms in partnership with Indigenous communities. Guided by this framework, a qualitative needs assessment was conducted with a subarctic Métis community in Saskatchewan, Canada. This project is governed by an Advisory Council comprised of Knowledge Keepers, Elders, and youth in the community. An environmental scan of relevant programs, three key informant interviews, and two focus groups (n = 4 in each) were conducted to systematically identify community priorities. Through discussions with the community, four priorities were identified: (1) the Coronavirus pandemic, (2) climate change impacts on the environment, (3) mental health and wellbeing, and (4) food security and sovereignty. Given the timing of the needs assessment, the community identified the Coronavirus pandemic as a key priority requiring digital initiatives. Recommendations for community-based needs assessments to conceptualize and implement digital infrastructure are put forward, with an emphasis on self-governance and data sovereignty.

Experiences of Health Care Access Challenges for Back Pain Care Across the Rural-Urban Continuum in Canada: Protocol for Cross-sectional Research

Back pain is common and costly, with negative impacts on both individuals and the health care system. Rural, remote, and Indigenous populations are at greater risk of experiencing back pain compared to urban and non-Indigenous populations. Potential barriers to health care access among Canadians with chronic back pain (CBP) have been identified; however, no study has used lived experiences of people with CBP to drive the selection, analysis, and interpretation of variables most meaningful to patients. The aims of this study are to (1) engage with rural, remote, and urban Indigenous and non-Indigenous patients, health care providers, and health system decision makers to explore lived experiences among people with CBP in Saskatchewan, Canada; (2) cocreate meaningful indicators of CBP care access and effectiveness; and (3) identify program and policy recommendations to overcome access barriers to CBP care. In phase 1, one-on-one interviews with 30 people with current or past CBP and 10 health care providers residing or practicing in rural, remote, or urban Saskatchewan communities will be conducted. We will recruit Indigenous (n=10) and non-Indigenous (n=20) rural, remote, and urban people. In phase 2, findings from the interviews will inform development of a population-based telephone survey focused on access to health care barriers and facilitators among rural, remote, and urban people; this survey will be administered to 383 residents with CBP across Saskatchewan. In phase 3, phase 1 and 2 findings will be presented to provincial and national policy makers; health system decision makers; health care providers; rural, remote, and urban people with CBP and their communities; and other knowledge users at an interactive end-of-project knowledge translation event. A World Café method will facilitate interactive dialogue designed to catalyze future patient-oriented research and pathways to improve access to CBP care. Patient engagement will be conducted, wherein people with lived experience of CBP, including Indigenous and non-Indigenous people from rural, remote, and urban communities (ie, patient partners), are equal members of the research team. Patient partners are engaged throughout the research process, providing unique knowledge to ensure more comprehensive collection of data while shaping culturally appropriate messages and methods of sharing findings to knowledge users. Participant recruitment began in January 2021. Phase 1 interviews occurred between January 2021 and September 2022. Phase 2 phone survey was administered in May 2022. Final results are anticipated in late 2022. This study will privilege patient experiences to better understand current health care use and potential access challenges and facilitators among rural, remote, and urban people with CBP in Saskatchewan. We aim to inform the development of comprehensive measures that will be sensitive to geographical location and relevant to culturally diverse people with CBP, ultimately leading to enhanced access to more patient-centered care for CBP. DERR1-10.2196/42484.

STOP-Bang Score and Prediction of Severity of Obstructive Sleep Apnea in a First Nation Community in Saskatchewan, Canada.

The STOP-Bang questionnaire is an easy-to-administer scoring model to screen and identify patients at high risk of obstructive sleep apnea (OSA). However, its diagnostic utility has never been tested with First Nation peoples. The objective was to determine the predictive parameters and the utility of the STOP-Bang questionnaire as an OSA screening tool in a First Nation community in Saskatchewan. The baseline survey of the First Nations Sleep Health Project (FNSHP) was completed between 2018 and 2019. Of the available 233 sleep apnea tests, 215 participants completed the STOP-Bang score questionnaire. A proportional odds ordinal logistic regression analysis was conducted using the total score of the STOP-Bang as the independent variable with equal weight given to each response. Predicted probabilities for each score at cut-off points of the Apnea Hypopnea Index (AHI) were calculated and plotted. To assess the performance of the STOP-Bang questionnaire, sensitivity, specificity, positive predictive values (PPVs), negative predictive values (NPVs), and area under the curve (AUC) were calculated. These data suggest that a STOP-Bang score ≥ 5 will allow healthcare professionals to identify individuals with an increased probability of moderate-to-severe OSA, with high specificity (93.7%) and NPV (91.8%). For the STOP-Bang score cut-off ≥ 3, the sensitivity was 53.1% for all OSA and 72.0% for moderate-to-severe OSA. For the STOP-Bang score cut-off ≥ 3, the specificity was 68.4% for all OSA and 62.6% for moderate-to-severe OSA. The STOP-Bang score was modestly superior to the symptom of loud snoring, or loud snoring plus obesity in this population. Analysis by sex suggested that a STOP-Bang score ≥ 5 was able to identify individuals with increased probability of moderate-to-severe OSA, for males with acceptable diagnostic test accuracy for detecting participants with OSA, but there was no diagnostic test accuracy for females.

Housing inadequacy in rural Saskatchewan First Nation communities.

Housing and house conditions on First Nation communities in Canada are important determinants of health for community members. Little is known about rural First Nation housing in the Canadian Prairies. The aim was to survey houses in two rural First Nation communities in Saskatchewan, Canada to understand housing conditions, prevalence of mold/mildew and dampness, and sources, locations and frequency of mold and dampness. Surveys were conducted with an adult member of each household in 144 houses. Surveys assessed: size, age, and number of rooms in the house; number of individuals residing in the house; presence of mold/mildew and dampness, and sources, locations and frequency of mold and dampness. Houses were mostly two-bedrooms (25.7%) or more (67.4%). Thirty-one percent of houses had six or more people living in the house with crowding present in 68.8% of houses. Almost half of the houses (44.5%) were in need of major repairs. More than half of the houses had water or dampness in the past 12 months in which dripping/puddles and standing water were most commonly identified and were from surface water and plumbing. More than half of the houses indicated that this dampness caused damage. A smell of mold or mildew was present in over half of the houses (52.1%) and 73.3% of these houses indicated that this smell was always present. Housing adequacy including crowding, dampness, and mold are significant issues for houses in these two rural Saskatchewan First Nation communities. Housing inadequacy is more common in these rural communities as compared to Canadian statistics. Housing inadequacy is modifiable and is important to address for multiple reasons, but notably, as a social determinant of health. Federal government strategy to address and redress housing in First Nation communities in Canada is a fiduciary responsibility and critical to reconciliation.

Decolonizing Digital Citizen Science: Applying the Bridge Framework for Climate Change Preparedness and Adaptation

Research has historically exploited Indigenous communities, particularly in the medical and health sciences, due to the dominance of discriminatory colonial systems. In many regions across Canada and worldwide, historical and continued injustices have worsened health among Indigenous Peoples. Global health crises such as climate change are most adversely impacting Indigenous communities, as their strong connection to the land means that even subtle changes in the environment can disproportionately affect local food and health systems. As we explore strategies for climate change preparedness and adaptation, Indigenous Peoples have a wealth of Traditional Knowledge to tackle specific climate and related health issues. If combined with digital citizen science, data collection by citizens within a community could provide relevant and timely information about specific jurisdictions. Digital devices such as smartphones, which have widespread ownership, can enable equitable participation in citizen science projects to obtain big data for mitigating and managing climate change impacts. Informed by a Two-Eyed Seeing approach, a decolonized lens to digital citizen science can advance climate change adaptation and preparedness efforts. This paper describes the ‘Bridge Framework’ for decolonizing digital citizen science using a case study with a subarctic Indigenous community in Saskatchewan, Canada.

Place-based power production deliberations in Saskatchewan: engaging future sustainability

This article addresses a gap in knowledge of peoples’ strategies and recommendations concerning power production and achieving reductions in GHGs to address climate change. Employing mixed methods, two-day deliberative focus groups in three communities in Saskatchewan, Canada included pre and post-focus group surveys, coding and analysis of discussions, and the creation of consensus recommendations for sustainable power production in the future. These innovative mixed-methods provide insights into how to advance individual and social learning. Results of comparative case study analysis provide strong support for renewables and illustrate place-based differences. All communities supported renewable sources. The community in proximity to coal, oil, and gas production supported coal, and coal with carbon capture and storage (CCS) and was concerned with the social cost of job loss on the welfare system; engaging the public was not a priority. In contrast, the other two communities stressed the importance of engaging the public and considering all costs, risks, benefits across the entire lifespan of power production sources. To achieve future sustainability, policy implications include addressing important concerns of resource-dependent communities, namely job loss, and conducting holistic policy assessment of potential power production sources that account for carbon and cost across the entire supply chain and include land-use change.Graphical abstract

Obesity, Sex, Snoring and Severity of OSA in a First Nation Community in Saskatchewan, Canada.

Sleep disorders have been related to body weight, social conditions, and a number of comorbidities. These include high blood pressure and type 2 diabetes, both of which are prevalent in the First Nations communities. We explored relationships between obstructive sleep apnea (OSA) and risk factors including social, environmental, and individual circumstances. An interviewer-administered survey was conducted with adult participants in 2018–2019 in a First Nations community in Saskatchewan, Canada. The survey collected information on demographic variables, individual and contextual determinants of sleep health, and objective clinical measurements. The presence of OSA was defined as an apnea–hypopnea index (AHI) ≥5. Multiple ordinal logistic regression analysis was conducted to examine relationships between the severity of OSA and potential risk factors. In addition to the survey, 233 men and women participated in a Level 3 one-night home sleep test. Of those, 105 (45.1%) participants were reported to have obstructive sleep apnea (AHI ≥ 5). Mild and moderately severe OSA (AHI ≥ 5 to <30) was present in 39.9% and severe OSA (AHI ≥ 30) was identified in 5.2% of participants. Being male, being obese, and snoring loudly were significantly associated with severity of OSA. The severity of OSA in one First Nation appears relatively common and may be related to mainly individual factors such as loud snoring, obesity, and sex.

Terroir as Territory: Frybread and Fermentation as Critical Settler and Decolonial Practice

In this text, I reflect on the relationship between terroir and territory as part of a critical settler practice of sourdough bread-baking in the prairies of Treaty 4 lands, Saskatchewan. I propose that a framework of terroir-as-territory is one way of conceiving of and practising decolonialization within land-based food systems. Writing through conversation, reflection, and provocation, I consider the place of fermentation practices—specifically wheat fermentation—in settler and Indigenous communities in Saskatchewan, where fermentation (the chemical changes brought on by microbes) embodies simultaneously the processes of preservation and transformation. As I write, I draw from my ongoing curatorial research into contemporary art and fermentation as well as my long-standing interest in food security and food justice, pivoting, in this short textual performance, into food writing and criticism as activism.

Duration and quality of sleep in 2 rural Cree First Nation communities in Saskatchewan, Canada

Study objectivesEstimates of sleep duration and quality are lacking for Canadian First Nations peoples. This study examines the prevalence of and risk factors for short/normal/long sleep duration and sleep quality. MethodsFive hundred eighty-eight adults participated in the baseline survey of the First Nations Sleep Health Project conducted in 2018-2019 in Saskatchewan, Canada. Sleep duration and quality were self-reported. ResultsMean sleep duration was 8.18 hours per night. About 45.5% slept the recommended 7 hours per night. However, short sleep duration and poor sleep quality were relatively common: about one-quarter of the participants slept fewer hours than recommended. Sleep duration was significantly less for men than women. Women were significantly more likely to report poor sleep quality than males. Multiple regression models revealed that age was significantly related with shorter sleep duration; sex and employment status were significantly related with sleep duration; and sex and income indicators were significantly associated with sleep quality. Nearly half of participants reported having had the recommended hours of sleep, but nearly two-thirds reported poor sleep quality. ConclusionsInformation about the proportion of First Nations adults who sleep the recommended duration and the quality of sleep is important in informing health care and health policy.

Seasonal Changes in Sleep Patterns in Two Saskatchewan First Nation Communities.

Sleep is crucial for maintaining the recovery and restoration of the body and brain. Less sleep is associated with poor mental and physical performance. Seasonal changes in sleep patterns can be observed. This paper examines seasonal effects on sleep timing, duration, and problems in two Cree First Nation communities in Saskatchewan, Canada. Data were available from a community survey of 588 adults aged 18 years and older (range: 18–78 years) with 44.2% males and 55.8% females. Results are presented using descriptive statistics and a binary logistic-regression model to identify the association between seasonal changes in sleep patterns, and demographic, social, and environmental factors. The participants reported sleeping the least during the spring and summer months and sleeping the most during the fall and winter months. This was further confirmed by sleep hours and the lower proportion of recommended hours of sleep during the spring and summer, and a higher proportion of longer sleep duration during the fall and winter months. There was no significant variation in sleeping onset and wake-up times by season. Overall, there were no significant differences in the prevalence of sleep deprivation, insomnia, and excessive daytime sleepiness by season. When stratified by age group and sex, some differences existed in the prevalence of sleep problems by season. More than two-thirds (68.6%) of the participants reported that there was a change in sleep patterns across seasons, and about 26.0% reported a very or extremely marked change in sleep patterns across seasons. Changes in sleep patterns by season were related to money left at the end of the month and damage caused by dampness in the house.

Animal Safekeeping in Situations of Intimate Partner Violence: Experiences of Human Service and Animal Welfare Professionals.

Although knowledge of the link between intimate partner violence (IPV) and animal maltreatment has increased significantly in recent years, few studies have examined service providers' experiences with IPV and concurrent animal abuse, as well as animal safekeeping in situations of IPV. The present study documented human service and animal welfare service providers' experiences supporting victims/survivors of IPV, who owned pets and livestock, and included service providers in rural and northern communities in Saskatchewan. Online surveys were completed by 128 human service professionals (including domestic violence shelter workers, domestic violence counsellors, victim services workers, police, and legal professionals) and 43 animal welfare professionals (including workers from animal rescues, humane societies, Societies for the Prevention of Cruelty to Animals [SPCAs], and veterinary clinics) (n = 171). Respondents shared information relating to their awareness of the link; their experiences responding in situations of IPV and concurrent animal abuse, including arranging animal safekeeping in situations of IPV; and successes and challenges related to effective service provision. Results include descriptions of intersecting risks to people and animals. Service providers shared ways that they have assisted victims/survivors who own animals, such as through animal safekeeping programs. Both human service and animal welfare professionals expressed the need for pet-friendly domestic violence shelters and pet-friendly long-term housing options. Service providers offered recommendations for improving education and training; improving provision of services of victims/survivors of IPV and their animals, including improving access to Emergency Intervention Orders and establishing funding for animal safekeeping in situations of IPV; and strengthening existing and building new partnerships.

Liver health events: an indigenous community-led model to enhance HCV screening and linkage to care.

Despite high prevalence of hepatitis C virus (HCV), linkage to care and treatment for Indigenous people is low. In an Indigenous community in Saskatchewan, Canada a retrospective review identified 200 individuals (∼12% prevalence) had HCV antibodies though majority lacked ribonucleic acid (RNA) testing, and few received treatment despite availability of an effective cure. Following Indigenous oral traditions, focus group discussions were held with key community members and leadership. Participants emphasized the need for a community-based screening and treatment programme. A team of community members, peers and healthcare professionals developed a streamlined screening pathway termed 'liver health event' (LHE) to reduce stigma, reach undiagnosed, re-engage previously diagnosed, and ensure rapid linkage to care/treatment. LHEs began December 2016. Statistics were tracked for each event. As of July 2019, there were 10 LHEs with 540 participants, 227 hepatitis C tests and 346 FibroScans completed. This represented 294 unique individuals, of which 64.3% were tested, and of those, 40.8% were Ab positive. Among those positive for antibodies, 41.7% had active hepatitis C infections, and among these, 90% were linked to care, and 14 new positive individuals were identified. Following the success of LHEs, these were adapted and implemented in 10 other communities in this region, resulting in 17 additional LHEs. This intervention is reaching the undiagnosed and linking clients to care through a low-barrier and de-stigmatizing approach. It has facilitated collaboration, knowledge exchange and mentorship between Indigenous communities, significantly impacting health outcomes of Indigenous people in this region.

Sleep deprivation in two Saskatchewan First Nation communities: a public health consideration

ObjectivesSleep deprivation is a common problem in Canada and is associated with many health problems. More than a quarter of Canadians get fewer than the recommended sleep hours (<7 h). This paper examines the prevalence and risk factors for sleep deprivation in two First Nation communities in Saskatchewan, Canada. MethodsThe baseline cross-sectional survey was completed between 2018 and 2019 in collaboration with the two Cree First Nation communities in Saskatchewan, Canada. There were five hundred and eighty-eight participants participated in the survey from two communities. A Multivariate logistic regression model was used for analysis. ResultsThe prevalence of sleep deprivation (<7 h of sleep) was 25.4%. The multivariate logistics regression revealed that middle and older age groups, visible mold in the house, and being male with nighttime insomnia symptoms were significantly associated with a higher risk of sleep deprivation among study participants in the study. ConclusionsIn these two First Nation communities, a higher proportion of the participants reported having sleep deprivation. This was a unique study, which evolved from ongoing research collaboration with two First Nation communities in Saskatchewan, Canada. Findings will be helpful in the management of patients with sleep deprivation in these communities; as well as for co-creating policy with the communities and future research priorities.