Kaspar Violet
Violet Kaspar is with the Centre for Addiction and Mental Health and the University of Toronto, Toronto, Ontario.
Am J Public Health. 2014 Nov;104(11):2184-90. doi: 10.2105/AJPH.2013.301479. Epub 2013 Dec 12.
I examined the health impact of lifetime Indian Residential school (IRS) attendance and the mediating influences of socioeconomic status and community adversity on health outcomes in a national sample of Aboriginal peoples in Canada.
In an analysis of data on 13,881 Inuit, Métis, and off-reserve First Nations or North American Indian adults responding to the postcensus 2006 Aboriginal Peoples Survey administered October 2006 to March 2007, I tested the direct effect of IRS attendance on health and indirect effects through socioeconomic and community factors using logistic regression procedures.
Negative health status was significantly more likely with IRS attendance than nonattendance. The direct effect of IRS attendance remained significant although it attenuated substantially when adjusting for demographic characteristics, socioeconomic status, and community-level adversities. Community adversity and socioeconomic factors, primarily income, employment status, and educational attainment mediated the effect of IRS on health.
Residential school attendance is a significant health determinant in the Indigenous population and is adversely associated with subsequent health status both directly and through the effects of attendance on socioeconomic and community-level risks.
我在加拿大原住民的全国样本中，研究了就读印第安人寄宿学校（IRS）对健康的影响，以及社会经济地位和社区逆境对健康结果的中介作用。
在对2006年10月至2007年3月进行的2006年人口普查后原住民调查作出回应的13881名因纽特人、梅蒂斯人以及非保留地第一民族或北美印第安成年人的数据进行分析时，我使用逻辑回归程序检验了就读IRS对健康的直接影响以及通过社会经济和社区因素产生的间接影响。
就读IRS者的健康状况不佳的可能性显著高于未就读IRS者。尽管在调整人口统计学特征、社会经济地位和社区层面的逆境后，就读IRS的直接影响大幅减弱，但仍具有显著性。社区逆境和社会经济因素，主要是收入、就业状况和教育程度，介导了IRS对健康的影响。
就读寄宿学校是原住民健康的一个重要决定因素，与随后的健康状况直接相关，也通过就读对社会经济和社区层面风险的影响产生不利关联。
