Wilk Piotr, Maltby Alana, Cooke Martin
1Department of Epidemiology & Biostatistics, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario Canada.
2Department of Paediatrics, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario Canada.
Public Health Rev. 2017 Mar 2;38:8. doi: 10.1186/s40985-017-0055-6. eCollection 2017.
BACKGROUND: The history of residential schools has been identified as having long lasting and intergenerational effects on the physical and mental well-being of Indigenous populations in Canada. Our objective was to identify the extent and range of research on residential school attendance on specific health outcomes and the populations affected. METHODS: A scoping review of the empirical peer-reviewed literature was conducted, following the methodological framework of Arksey and O'Malley (2005). For this review, nine databases were used: Bibliography of Native North Americans, Canadian Health Research Collection, CINAHL, Google Scholar, Indigenous Studies Portal, PubMed, Scopus, Statistics Canada, and Web of Science. Citations that did not focus on health and residential school among a Canadian Indigenous population were excluded. Papers were coded using the following categories: Indigenous identity group, geography, age-sex, residential school attendance, and health status. RESULTS: Sixty-one articles were selected for inclusion in the review. Most focused on the impacts of residential schooling among First Nations, but some included Métis and Inuit. Physical health outcomes linked to residential schooling included poorer general and self-rated health, increased rates of chronic and infectious diseases. Effects on mental and emotional well-being included mental distress, depression, addictive behaviours and substance mis-use, stress, and suicidal behaviours. CONCLUSION: The empirical literature can be seen as further documenting the negative health effects of residential schooling, both among former residential school attendees and subsequent generations. Future empirical research should focus on developing a clearer understanding of the aetiology of these effects, and particularly on identifying the characteristics that lead people and communities to be resilient to them.
背景:寄宿学校的历史已被认定对加拿大原住民的身心健康产生了长期且代际相传的影响。我们的目标是确定关于就读寄宿学校对特定健康结果及受影响人群的研究范围和程度。 方法:按照阿克西和奥马利(2005年)的方法框架,对实证性同行评审文献进行了范围综述。本次综述使用了九个数据库:《北美原住民文献目录》《加拿大健康研究文集》《护理学与健康领域数据库》《谷歌学术》《原住民研究门户》《医学期刊数据库》《Scopus数据库》《加拿大统计局》及《科学引文索引》。未聚焦于加拿大原住民群体健康与寄宿学校情况的文献被排除。论文按照以下类别进行编码:原住民身份群体、地理位置、年龄性别、是否就读寄宿学校以及健康状况。 结果:61篇文章被选入本次综述。大多数文章聚焦于第一民族中寄宿学校教育的影响,但也有一些纳入了梅蒂斯人和因纽特人。与寄宿学校教育相关的身体健康结果包括总体健康状况和自评健康状况较差、慢性病和传染病发病率上升。对心理和情绪健康的影响包括精神困扰、抑郁、成瘾行为和药物滥用、压力以及自杀行为。 结论:实证文献可被视为进一步记录了寄宿学校教育对前寄宿学校就读学生及其后代健康的负面影响。未来的实证研究应着重更清晰地理解这些影响的病因,尤其要确定使个人和社区对这些影响具有复原力的特征。
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