Tennenhouse Lana G, Leslie William D, Lix Lisa M
George and Fay Yee Centre for Healthcare Innovation, University of Manitoba, Winnipeg, MB, Canada.
Department of Internal Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada.
BMC Res Notes. 2017 Dec 20;10(1):755. doi: 10.1186/s13104-017-3081-z.
Studies about the health of Indigenous (i.e., original inhabitants) populations often focus on chronic diseases and risk behaviors, emphasizing physical aspects of health. Our objective was to test for differences in self-reported health-related quality of life (HRQOL), which provides a multidimensional and holistic perspective on health, between First Nations (one group of Indigenous peoples) and Caucasian women. Data were from the First Nations Bone Health Study, conducted in the Canadian province of Manitoba. HRQOL was measured using the validated Medical Outcomes Study 36-Item Short Form Health Survey (SF-36). It captures respondent's perceptions of eight health domains, as well as overall mental and physical health components.
Analyses were conducted for 707 participants of which 47.4% were of First Nations origin. First Nations respondents had significantly lower unadjusted scores (p < 0.05) than Caucasian respondents on all SF-36 dimensions, except bodily pain and vitality. They also had significantly lower overall mental health scores. After adjusting for multiple determinants of health (e.g., age, education, substance use), differences were no longer statistically significant, except for the social functioning and role emotional domains and overall mental health component. Complex cultural factors are likely responsible for the persistent mental health inequalities experienced by First Nations women.
关于原住民（即原居民）健康的研究通常聚焦于慢性病和风险行为，强调健康的身体方面。我们的目的是检验第一民族（原住民群体之一）和白人女性在自我报告的健康相关生活质量（HRQOL）方面的差异，HRQOL能提供一个关于健康的多维度和整体视角。数据来自于在加拿大曼尼托巴省开展的第一民族骨骼健康研究。HRQOL使用经过验证的医学结局研究36项简短健康调查（SF - 36）进行测量。它涵盖了受访者对八个健康领域的认知，以及整体的心理和身体健康组成部分。
对707名参与者进行了分析，其中47.4%为第一民族血统。在所有SF - 36维度上，除了身体疼痛和活力维度外，第一民族受访者未经调整的得分显著低于白人受访者（p < 0.05）。他们的整体心理健康得分也显著更低。在对多个健康决定因素（如年龄、教育程度、物质使用情况）进行调整后，除了社会功能和角色情感领域以及整体心理健康组成部分外，差异不再具有统计学意义。复杂的文化因素可能是第一民族女性持续存在心理健康不平等现象的原因。
