Well-being Of Indigenous Peoples Research Articles

Underrepresentation of Indigenous mental health professionals in Bangladesh

Indigenous people worldwide are at increased risk of mental health problems compared with non-Indigenous people. Longstanding impacts of colonisation, systematic exclusion from rights and subsequent discrimination, and lack of access to quality education and healthcare, including mental healthcare, have been identified as contributory factors to these disproportionate mental health problems. With limited access, Indigenous people are less likely to seek healthcare, owing to the insufficient number of healthcare professionals representing Indigenous communities. In the face of growing numbers of mental health problems in Indigenous people in Bangladesh, this paper sheds light on the inadequate number of mental health professionals, particularly from Indigenous communities, and the potential impacts of this on the well-being of Indigenous people, and considers ways to increase representation of Indigenous mental health professionals. The aim is to ensure that the mental health system in Bangladesh is inclusive and embraces the country's diversity.

Insights into carbonate environmental conditions in the Chukchi Sea

Abstract. Healthy Arctic marine ecosystems are essential to the food security and sovereignty, culture, and wellbeing of Indigenous Peoples in the Arctic. At the same time, Arctic marine ecosystems are highly susceptible to impacts of climate change and ocean acidification. While increasing ocean and air temperatures and melting sea ice act as direct stressors on the ecosystem, they also indirectly enhance ocean acidification, accelerating the associated changes in the inorganic carbon system. Yet, much is to be learned about the current state and variability of the inorganic carbon system in remote, high-latitude oceans. Here, we present time series (2016–2020) of pH and the partial pressure of carbon dioxide (pCO2) from the northeast Chukchi Sea continental shelf. The Chukchi Ecosystem Observatory includes a suite of subsurface year-round moorings sited amid a biological hotspot that is characterized by high primary productivity and a rich benthic food web that in turn supports coastal Iñupiat, whales, ice seals, walrus (Odobenus rosmarus), and Arctic cod (Boreogadus saida). Our observations suggest that near-bottom waters (33 m depth, 13 m above the seafloor) are a high carbon dioxide and low pH and aragonite saturation state (Ωarag) environment in summer and fall, when organic material from the highly productive summer remineralizes. During this time, Ωarag can be as low as 0.4. In winter, when the site was covered by sea ice, pH was <8 and Ωarag remained undersaturated under the sea ice. There were only two short seasonal periods with relatively higher pH and Ωarag, which we term ocean acidification relaxation events. In spring, high primary production from sea ice algae and phytoplankton blooms led to spikes in pH (pH > 8) and aragonite oversaturation. In late fall, strong wind-driven mixing events that delivered low-CO2 surface water to the shelf also led to events with elevated pH and Ωarag. Given the recent observations of high rates of ocean acidification and a sudden and dramatic shift of the physical, biogeochemical, and ecosystem conditions in the Chukchi Sea, it is possible that the observed extreme conditions at the Chukchi Ecosystem Observatory are deviating from the carbonate conditions to which many species are adapted.

The well-being of indigenous peoples in India and its alignment with the sustainable development goals (SDGs)

PurposeThis study assesses the SDG-related well-being of indigenous communities in India using bibliometric analysis and the ADO-TCM framework. It provides insights into their alignment with sustainable development objectives.Design/methodology/approachThis study analysed 74 high-impact journals using bibliometric analysis to evaluate the well-being of India’s indigenous peoples about the SDGs.FindingsThis study analyses the well-being of tribal communities in India using existing scholarly articles and the ADO-TCM framework. It emphasises the importance of implementing Sustainable Development Goals (SDGs) to promote the well-being of indigenous populations.Originality/valueThis study uses bibliometric analysis and the ADO-TCM framework to investigate factors impacting tribal community welfare. It proposes theoretical frameworks, contextual considerations and research methodologies to achieve objectives.

Nearly Two Years Since the Start of the Full-scale War in Ukraine: The Rights of Russia’s Indigenous Peoples Continue to Deteriorate

Since the beginning of Russia’s full-scale war in Ukraine, Arctic Review on Law and Politics has been publishing reports on the situation of Indigenous peoples of Russia, on the changes in Russian legislation, and on the lives of Indigenous individuals who have left Russia rather than comply with the political regime. This article contributes to the journal’s efforts to shed light on the challenges related to the war in Ukraine and covers the following topics: 1) the continuing changes in Russian legislation and their aggravating impact on Indigenous peoples of Russia; 2) the worsening problem of crime in Russia and it’s impact on the wellbeing of Indigenous peoples; and 3) international cooperation of Indigenous peoples of Russia.

Indigenous Health Research Mentorship within Post-Secondary Institutions in Canada, the United States, Australia, and New Zealand: A Scoping Review

Indigenous peoples have been engaged in research since time immemorial, and have always acknowledged the power of their own knowledge systems, ways of being, and approaches. However, Indigenous peoples continue to be underrepresented in health research within academic institutions. There is an increased need for Indigenous leadership in health research, including greater Indigenous autonomy, mentorship, and self-determination in health research. This scoping review aims to explore Indigenous mentorship within Indigenous health research in post-secondary institutions in Canada, the US, New Zealand, and Australia. A review of empirical studies, case studies, reviews, commentaries, and grey literature was conducted. Four databases were used: Web of Science, PubMed, Native Health, and Google Scholar. Out of 1594 articles, 11 articles met the inclusion criteria. Four overarching themes were identified: (1) reciprocity: giving back to community; (2) supporting the development of research skills to build research capacity; (3) fostering a sense of belonging; and (4) building student ownership and confidence. The findings suggest that Indigenous mentorship is vital to creating supportive research environments for Indigenous students in the area of health sciences. Indigenous mentorship holds promise to address challenges faced by Indigenous scholars within post-secondary institutions, including intellectual, social, and cultural isolation, and can help to foster greater integration of Indigenous worldviews in Western-dominated academic settings and research systems. Future research should examine place-based mentorship opportunities for Indigenous students in community-based health research environments. Fostering Indigenous mentorship in health sciences is essential for advancing the health and wellbeing of Indigenous peoples and communities.

Knowledge Gaps Regarding Indigenous Health in Occupational Therapy: A National Survey.

Background. There is a need for the occupational therapy profession to respond to the Truth and Reconciliation Commission of Canada Calls to Action and work towards supporting the health and well-being of Indigenous Peoples. Purpose. (1) To determine the knowledge gaps of occupational therapists about Indigenous health and (2) to create recommendations to address identified gaps and inform responses from the profession. Method. A national needs survey was created and distributed to occupational therapists across Canada to determine the knowledge of occupational therapists about Indigenous health. Survey results were analyzed using thematic analysis and descriptive statistics. Findings. Data collected from 364 survey responses informed six distinct themes representing knowledge gaps of occupational therapists related to Indigenous health as follows: lack of foundational knowledge, power relations, lifelong learner, need for appropriate tools/approaches, respectful collaboration, and environmental influences. Implications. The project offers insight into the role of the occupational therapy profession in the process of reconciliation. Insights are focused on decolonizing occupational therapy practice, building trusting relationships with Indigenous Peoples, and the provision of appropriate training for occupational therapists to engage in culturally safer practices.

Understanding virtual primary healthcare with Indigenous populations: a rapid evidence review

BackgroundVirtual care has become an increasingly useful tool for the virtual delivery of care across the globe. With the unexpected emergence of COVID-19 and ongoing public health restrictions, it has become evident that the delivery of high-quality telemedicine is critical to ensuring the health and wellbeing of Indigenous peoples, especially those living in rural and remote communities.MethodsWe conducted a rapid evidence review from August to December 2021 to understand how high quality Indigenous primary healthcare is defined in virtual modalities. After completing data extraction and quality appraisal, a total of 20 articles were selected for inclusion. The following question was used to guide the rapid review: How is high quality Indigenous primary healthcare defined in virtual modalities?ResultsWe discuss key limitations to the delivery of virtual care, including the increasing cost of technology, lack of accessibility, challenges with digital literacy, and language barriers. This review further yielded four main themes that highlight Indigenous virtual primary healthcare quality: (1) limitations and barriers of virtual primary healthcare, (2) Indigenous-centred virtual primary healthcare, (3) virtual Indigenous relationality, (4) collaborative approaches to ensuring holistic virtual care. Discussion: For virtual care to be Indigenous-centred, Indigenous leadership and users need to be partners in the development, implementation and evaluation of the intervention, service or program. In terms of virtual models of care, time must be allocated to educate Indigenous partners on digital literacy, virtual care infrastructure, benefits and limitations. Relationality and culture must be prioritized as well as digital health equity.ConclusionThese findings highlight important considerations for strengthening virtual primary healthcare approaches to meet the needs of Indigenous peoples worldwide.

Intergenerational residential school attendance and increased substance use among First Nation adults living off-reserve: An analysis of the aboriginal peoples survey 2017.

The Truth and Reconciliation Commission of Canada (TRCC) published 94 Calls to Action in 2015 to address long-term, intergenerational effects of the residential school system, highlighting the pervasive impact of colonialism on the wellbeing of Indigenous peoples in Canada. Indeed, research with Indigenous populations in Canada has captured that prior experiences of residential schools contributes to the intergenerational transmission of mental and physical health disparities. Despite these studies, further research is needed that contextualizes the influence of residential schools within broader frameworks that consider Indigenous social determinants of health in Canada. As such, the purpose of the present study was to examine patterns of substance use and mental and physical health among individuals with a history of residential school attendance (RSA) and individuals reporting parent or two-generation (parent and grandparent) RSA. Data from the Aboriginal Peoples Survey (2017), involving 10,030 First Nations individuals living off reserve, were analyzed. Self-reported mental and physical health scores were significantly lower among those had attended residential schools, whose parents attended residential schools, and whose grandparents attended residential schools, when compared to those who did not. Further, family RSA was associated with increased substance use among participants, though the findings were variable based on sex and specific substance analyzed. Meanwhile, individual and family RSA was not associated with increased likelihood of a mental health diagnosis. These findings provide additional support for how both parental and two-generation family histories of RSA are associated with individual physical and mental health outcomes. Further, these findings articulate the need for the TRCC's Calls to Action to be actually implemented, including community-based approaches that harness the strength of Indigenous people and communities who aim to close the gap in these health disparities for their children and families.

O039 Access to sleep health services for Indigenous children in the Northern Territory of Australia

Abstract Paediatric sleep disorders have significant impacts on physical and mental health, growth and development. Indigenous children may be further impacted due to high prevalence of other medical conditions, socioeconomic disparity and reduced access to healthcare. In 2016, a local paediatric sleep service in the Northern Territory (NT) was created. We assessed demographics and referral patterns of Indigenous and non-Indigenous paediatric patients referred to this service. Paediatric patients referred for a sleep study between 2016- 2020 were included. Demographics, referral source, time from consult to study and follow up were assessed and compared between Indigenous and non-Indigenous patients. There were 923 children referred for sleep studies. Indigenous patients made up 20%. Indigenous patients were older (median 7 vs. 5 years) and more likely to live remotely (24% vs. 10%). Most Indigenous patients were referred from the public hospital system (62%) and by a paediatrician (56%); while most non-Indigenous patients were referred from the private system (56%) and by an otorhinolaryngologist (55%). Indigenous patients had a median 33 days between referral and initial consult compared with 21 days for non-Indigenous patients (p<0.05). Reviews were scheduled for 81% of Indigenous and 77% of non-Indigenous patients, of which 6% and 2% respectively did not attend. Indigenous patients showed different demographic and referral patterns to non-Indigenous patients. Despite improvements made to sleep service access for NT Indigenous children; there are still barriers to treatment. Reasons for this and ways to overcome these barriers are important for the health and wellbeing of Indigenous people.

Supporting the Health and Well-Being of Indigenous Communities: A Position Paper From the American College of Physicians.

Indigenous peoples in the United States experience many health disparities and barriers to accessing health care services. In addition, Indigenous communities experience poor social drivers of health, including disproportionately high rates of food insecurity, violence, and poverty, among others. These challenges are unsurprising, given historical societal discrimination toward Indigenous peoples and government policies of violence, forced relocation with loss of ancestral home, and erasure of cultures and traditions. Indigenous peoples have displayed resilience that has sustained their communities through these hardships. Through treaties between the federal government and Indigenous nations, the federal government has assumed a trust responsibility to provide for the health and well-being of Indigenous populations through the direct provision of health care services and financial support of tribally operated health systems. However, despite serving a population that has endured substantial historical trauma and subsequent health issues, federal programs serving Indigenous peoples receive inadequate federal funding and substantially fewer resources compared with other federal health care programs. Access to care is further challenged by geographic isolation and health care workforce vacancies. Given the history of Indigenous peoples in the United States and their treatment by the federal government and society, the American College of Physicians (ACP) asserts the federal government must faithfully execute its trust responsibility through increased funding and resources directed toward Indigenous communities and the undertaking of concerted policy efforts to support the health and well-being of Indigenous people. ACP believes that these efforts must be community-driven, Indigenous-led, and culturally appropriate and accepted, and center values of respect and self-determination.

The Health Effects of a Cherokee Grounded Culture and Leadership Program.

Introduction: Indigenous youth and young adults endure some of the highest rates of physical and mental health problems in the United States compared to their non-Indigenous counterparts. Colonization, oppression, and discrimination play a substantial role in these inequitable disease rates. However, culture (e.g., identity, participation, and connection) relates to the prevention of and recovery from illness in Indigenous populations. The Remember the Removal program aims to teach Indigenous youth and young adults tribally specific culture, history, and language to put them on a trajectory to become informed and culturally connected community leaders. We examined the program’s effects on health. Method: Thirty Remember the Removal program participants, mainly young adults, completed surveys four times: before the program’s start, at the end of the training period, at the program’s end, and at a six-month follow-up. Various indicators of physical, mental, spiritual, and cultural health and well-being were measured at each time period. Paired t-tests were completed to compare baseline scores to each subsequent time interval. Results: At program completion, and as indicated with an asterisk at the six month follow-up, participants had statistically significantly improved diet and exercise measures (e.g., reduced sugary, salty, and fatty foods, reduced soda consumption, increased fruit consumption, and improved self-efficacy for exercise), improved mental health indicators (e.g., reduced stress, anxiety, depression*, anger*, post-traumatic stress disorder, and microaggressions*, and improved positive mental health) and improved social and cultural connection (e.g., social support, Cherokee identity*, Cherokee values). Discussion: This is one of the first quantitative studies to demonstrate the profound effects that cultural learning and connection have on the health and well-being of Indigenous people and practices. It also demonstrates the specificity and effectiveness of a program created by and for tribal citizens. Future programs with Indigenous populations should work to center cultural connection and ensure that programs are created and directed by tribal community members.

Canada’s Colonial Genocide of Indigenous Peoples: A Review of the Psychosocial and Neurobiological Processes Linking Trauma and Intergenerational Outcomes

The policies and actions that were enacted to colonize Indigenous Peoples in Canada have been described as constituting cultural genocide. When one considers the long-term consequences from the perspective of the social and environmental determinants of health framework, the impacts of such policies on the physical and mental health of Indigenous Peoples go well beyond cultural loss. This paper addresses the impacts of key historical and current Canadian federal policies in relation to the health and well-being of Indigenous Peoples. Far from constituting a mere lesson in history, the connections between colonialist policies and actions on present-day outcomes are evaluated in terms of transgenerational and intergenerational transmission processes, including psychosocial, developmental, environmental, and neurobiological mechanisms and trauma responses. In addition, while colonialist policies have created adverse living conditions for Indigenous Peoples, resilience and the perseverance of many aspects of culture may be maintained through intergenerational processes.

Participation, not penalties: Community involvement and equitable governance contribute to more effective multiuse protected areas.

Accelerating ecosystem degradation has spurred proposals to vastly expand the extent of protected areas (PAs), potentially affecting the livelihoods and well-being of indigenous peoples and local communities (IPLCs) worldwide. The benefits of multiuse PAs that elevate the role of IPLCs in management have long been recognized. However, quantitative examinations of how resource governance and the distribution of management rights affect conservation outcomes are vital for long-term sustainability. Here, we use a long-term, quasi-experimental monitoring dataset from four Indonesian marine PAs that demonstrates that multiuse PAs can increase fish biomass, but incorporating multiple governance principles into management regimes and enforcing rules equitably are critical to achieve ecological benefits. Furthermore, we show that PAs predicated primarily on enforcing penalties can be less effective than those where IPLCs have the capacity to engage in management. Our results suggest that well-governed multiuse PAs can achieve conservation objectives without undermining the rights of IPLCs.

A Comparative Policy Analysis of Wild Food Policies Across Ontario, Northwest Territories, and Yukon Territory, Canada

Access to and availability of food harvested from the land (called traditional food, country food, or wild food) are critical to food security and food sovereignty of Indigenous People. These foods can be particularly difficult to access for those living in urban environments. We ask: what policies are involved in the regulation of traditional/country foods and how do these policies affect access to traditional/country food for Indigenous Peoples living in urban centers? Which policies act as barriers? This paper provides a comparative policy analysis of wild food policies across Ontario, the Northwest Territories (NWT), and the Yukon Territory, Canada, by examining and making comparisons between various pieces of legislation, such as fish and wildlife acts, hunting regulations, food premises legislation, and meat inspection regulations. We provide examples of how some programs serving Indigenous Peoples have managed to provide wild foods, using creative ways to operate within the existing system. While there is overwhelming evidence that traditional/country food plays a critical role for the health and well-being of Indigenous Peoples within Canada, Indigenous food systems are often undermined by provincial and territorial wild food policies. Provinces like Ontario with more restrictive policies may be able to learn from the policies in the Territories. We found that on a system level, there are significant constraints on the accessibility of wild foods in urban spaces because the regulatory food environment is designed to manage a colonial market-based system that devalues Indigenous values of sharing and reciprocity and Indigenous food systems, particularly for traditional/country foods. Dismantling the barriers to traditional/country food access in that system can be an important way forward.

Re-visiting sustainable development: sustainability and well-being from the perspectives of indigenous people in rural Ghana

ABSTRACT Although the Brundtland Commission’s definition of Sustainable Development (SD) is widely accepted and central to the Sustainable Development Goals (SDGs), it presents some limitations for application in the traditional African context. Drawing on a qualitative research design, this study interrogated indigenous knowledge systems of land governance among the Grune people in northern Ghana and the implications for SD. The emergent perspectives on land and land ownership are compelling and underpin the need for re-conceptualisation SD. To adapt SD to Grune worldview, it is imperative to redefine the frontiers of SD, by embracing a three-generational framework for addressing needs and achieving total wellbeing. In the context of decentralisation in Africa, an Endogenous Development (ED) approach to development planning is imperative for engineering social innovations and learnings that ensure socially and culturally acceptable development and the well-being of indigenous people and communities.

Restoring the dignity of indigenous people: Perspectives on tourism employment

The importance of dignity in tourism employment and the positive impact of Indigenous tourism activities are increasingly acknowledged. Nevertheless, the dignity and well-being of Indigenous people in urban tourism workplaces have received limited attention. Drawing on Indigenous Mexicans as a case study, we use cross-disciplinary concepts of dignity and humanistic management to address this gap by developing recommendations for restoring dignity to Indigenous groups through tourism employment in urban destinations. We explore how tourism employment has resulted in violations of the dignity of Indigenous peoples and illustrate how changes in employment practices across economic, sociocultural, and psychological dimensions can contribute to dignity restoration. By doing so, we advance a conceptual understanding of dignity and guide its practical implementation in tourism employment and management, and policy. Finally, we argue that dignity-restoring practices may also result in improved company performance and reputation as well as contribute to the sustainable development goals.

Abstract IA-37: Addressing cancer health disparities among Indigenous communities

Abstract Many Indigenous Peoples around the world continue to experience substantial inequities in health as a result of the enduring legacy of colonisation, marginalization and disempowerment. While there are many thousands of miles that separate our presenters by distance, we are united in our conviction to work collaboratively to improve the health and wellbeing of Indigenous peoples and to honor the cultural diversity and strengths within our communities with whom we are fortunate to work alongside. Providing global, national and regional perspectives from New Zealand, Australia and Canada, this presentation will capture both the common strengths and shared challenges faced by Indigenous Peoples within the realm of health, wellness, and cancer. Harnessing learnings and reflections from previous World Indigenous Cancer Conferences (WICCs), and the presenters research activities, they will discuss the challenges and solutions to improve cancer surveillance, strengthening our ability to develop and monitor cancer control plans with a focus on improving equity in cancer outcomes. This session directly responds to the United Nations Declaration on the Rights of Indigenous Peoples (UNDRIP) and Indigenous People's rights to self-determination. Citation Format: Nadine R. Caron, Gail Garvey, Nina Scott, Warren Clarmont, Kevin Linn. Addressing cancer health disparities among Indigenous communities [abstract]. In: Proceedings of the AACR Virtual Conference: 14th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2021 Oct 6-8. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2022;31(1 Suppl):Abstract nr IA-37.

The use and impact of digital technologies for and on the mental health and wellbeing of Indigenous people: A systematic review of empirical studies

Mental health issues in Indigenous communities have been increasingly documented by media, research, and government reports. High rates of suicide, depression, and substance abuse are prevalent among Indigenous people, especially youth. Research has reported that many Indigenous communities have adopted and are keen to adopt digital technologies, which have shown potential to provide e-mental health (eMH) resources for Indigenous people. By conducting a systematic literature review, this article examines the impact of Indigenous people's interactions with digital media on their mental health and wellbeing.The twenty-seven empirical studies included in this review were conducted with Indigenous participants primarily across four countries. We analyzed the studies' research objectives and respective instruments to measure the impact of an array of digital technologies adopted by Indigenous people for their mental health needs or used in Indigenous-specific eMH programs. This paper reports on themes found in the peer-reviewed literature, including Indigenous people and other stakeholders' perspectives on eMH and the viability of its implementation. The findings suggest that digital technologies can be effective in aiding the provision and improvement of Indigenous mental health services, particularly when applying decolonizing, culturally appropriate approaches. This review provides insights for researchers, health professionals, and educators to develop and implement innovative eMH resources for Indigenous communities.

Psychology and Indigenous People

Whether there are common features inherent to the psychology of Indigenous peoples around the globe has been the subject of much debate. We argue that Indigenous peoples share the experience of colonization and its social and psychological consequences. We develop this argument across four sections: (a) the global history of colonization and social inequalities; (b) aspects concerning identity and group processes, including the intergenerational transmission of shared values, the connection with nature, and the promotion of social change; (c) prejudice and discrimination toward Indigenous peoples and the role of psychological processes to improve relations between Indigenous and non-Indigenous peoples; and (d) the impact of historical trauma and colonialism on dimensions including cognition, mental health, and the well-being of Indigenous peoples as well as the basis for successful interventions that integrate Indigenous knowledge. Finally, we address future challenges for research on these topics.

Mental health and well-being of indigenous people during the COVID-19 pandemic in Bangladesh

BackgroundThe ongoing pandemic caused by the novel coronavirus and the subsequent containment strategies has taken a heavy toll on the mental health of people irrespective of age, gender, race, ethnicity, and geographical location. Studies have documented the mental health status of non-indigenous Bangladeshi people, but little attention has been paid during the pandemic to the investigation of the mental health status of indigenous people living in remote hilly areas. To address this gap the present study aimed at investigating the prevalence and accompanying risk factors of depression, anxiety, stress, and compromised well-being among indigenous people during the pandemic. MethodsA cross-sectional survey was conducted on 422 indigenous people aged between 16 and 90 using the 21-item Bangla Depression Anxiety Stress Scale (BDASS-21) and the Bangla version of the WHO-5 Well-being Index from January 30 to April 10, 2021. Data were collected by trained research assistants from three remote hilly areas namely Bandarban, Rangamati, and Khagracchari in the Chattogram Hill Tracts (CHT). Chi-squares, logistic regression, and ANOVA were performed to examine the association of variables. ResultsThe prevalence of moderate to extremely severe depression, anxiety, stress, and low well-being among the indigenous population during the pandemic was found to be 49.3%, 47.2%, 36.7%, and 50.9%, respectively. Risk predictors for depression, anxiety, and stress included age, ethnicity, geographical locations, educational attainment, occupation, and marital status. ConclusionsThe results suggest that the ongoing pandemic has led to the rise of common mental health problems among indigenous people during the pandemic. The results can contribute to the formation of mental health policy for indigenous people and the development of suitable mental health intervention strategies especially during and after the COVID-19 pandemic.