Relationships to land as a determinant of wellness for Indigenous women, two-spirit, trans, and gender diverse people of reproductive age in Toronto, Canada.

Autor: Jubinville D; Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada. djubinvi@sfu.ca.; Ekw'í7tl Indigenous Doula Collective, Vancouver, British Columbia, Canada. djubinvi@sfu.ca., Smylie J; Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada.; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada., Wolfe S; Seventh Generation Midwives Toronto, Toronto, Ontario, Canada., Bourgeois C; Seventh Generation Midwives Toronto, Toronto, Ontario, Canada., Berry NS; Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada., Rotondi M; School of Kinesiology and Health Science, York University, Toronto, Ontario, Canada., O'Brien K; Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada., Venners S; Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada.
Jazyk: angličtina
Zdroj: Canadian journal of public health = Revue canadienne de sante publique [Can J Public Health] 2024 Nov; Vol. 115 (Suppl 2), pp. 253-262. Date of Electronic Publication: 2022 Aug 30.
DOI: 10.17269/s41997-022-00678-w
Abstrakt: Objective: Disparities in Indigenous reproductive health reflect Canada's historic and ongoing colonial relationship with Indigenous peoples, which includes persistent inequities in health and social services. Reproductive justice scholars and activists advocate for intersectional approaches to enhancing Indigenous health equity that recognize land as a central determinant of wellness. The purpose of this study is to examine the association between relationships to land and wellness in a study of urban Indigenous women, two-spirit, trans, and gender diverse people of reproductive age in Canada's largest city, Toronto.
Methods: Data were obtained from the cross-sectional Our Health Counts (OHC) Toronto study, which employed respondent-driven sampling methods (n = 323) and a community-directed comprehensive health assessment survey. In an exploratory analysis, we took an Indigenous reproductive justice theoretical approach to multivariable logistic regression.
Results: After adjusting for covariates, there was a statistically significant positive association between relationships to the land and wellness that was estimated with good precision (OR 3.7, 95% CI 2.5-5.3).
Conclusion: Our findings indicate that among urban Indigenous women, two-spirit, trans, and gender diverse people of reproductive age there is a positive association between feeling strong in their relationships to land and feeling balanced in the four domains of health (physical, spiritual, mental, and emotional). The community-based, community-directed design of OHC Toronto was congruent with a reproductive justice approach to research. Reproductive justice theories are adaptable to quantitative research on Indigenous reproductive health and can yield novel insights for supporting Indigenous wellness.
Competing Interests: Declarations. Conflict of interest: The authors declare no competing interests. Ethics approval: The Our Health Counts Toronto study received ethical approval from the St. Michael’s Hospital Research Ethics Board (REB# 14-083c) as well as the Well Living House Counsel of Grandparents and community partner Seven Generations Midwives Toronto. As a secondary analysis, this offshoot study adheres to the OHC Toronto Data Use Protocol Agreement. These Our Health Counts Toronto data governance processes are aligned with the research principles of Ownership, Control, Access, and Possession (OCAP®) for Indigenous data sovereignty (OCAP® is a registered trademark of the First Nations Information Governance Centre). This study was also given ethical approval by the Office of Research Ethics at Simon Fraser University (REB# 2018s0180). Consent to participate: This study uses secondary data collected for the Our Health Counts Toronto project, which obtained informed consent from all individual participants included in the study. Consent for publication: Not applicable.
(© 2022. The Author(s).)
Databáze: MEDLINE
Externí odkaz: