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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

International journal of environmental research and public health, 2022-02, Vol.19 (5), p.2836 [Peer Reviewed Journal]

2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;2022 by the authors. 2022 ;ISSN: 1660-4601 ;ISSN: 1661-7827 ;EISSN: 1660-4601 ;DOI: 10.3390/ijerph19052836 ;PMID: 35270529

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Title:
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: Tanner, Bryan ; Plain, Sara ; George, Tracey ; George, Julie ; Mushquash, Christopher J ; Bernards, Sharon ; Morton Ninomiya, Melody ; Wells, Samantha
Subjects: Child ; Childhood ; Children ; Collaboration ; Colonialism ; Community ; Cultural identity ; Culture ; Data collection ; Discrimination ; Domains ; Drug use ; Emotions ; Healing ; Historical Trauma ; Humans ; Marital status ; Medicine ; Mental Health ; Native North Americans ; Ontario ; Participation ; Polls & surveys ; Questionnaires ; Racial discrimination ; Regression models ; Resilience ; Sex education ; Social Determinants of Health ; Social interactions ; Social support ; Sociodemographics ; Stress ; Surveys and Questionnaires ; Trauma
Is Part Of: International journal of environmental research and public health, 2022-02, Vol.19 (5), p.2836
Description: 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 ( = 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.
Publisher: Switzerland: MDPI AG
Language: English
Identifier: ISSN: 1660-4601
ISSN: 1661-7827
EISSN: 1660-4601
DOI: 10.3390/ijerph19052836
PMID: 35270529
Source: GFMER Free Medical Journals
MEDLINE
PubMed Central
ProQuest Central

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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

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