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"":再安置干预如何影响加拿大努纳武特地区因纽特成年人的心理健康。

"": How a Rehousing Intervention Shapes the Mental Well-Being of Inuit Adults in Nunavut, Canada.

机构信息

École de Santé Publique, Université de Montréal, Montréal, QC H3N 1X9, Canada.

Centre de Recherche en Santé Publique, CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Université de Montréal, Montréal, QC H3L 1M3, Canada.

出版信息

Int J Environ Res Public Health. 2022 May 25;19(11):6432. doi: 10.3390/ijerph19116432.

DOI:10.3390/ijerph19116432
PMID:35682015
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9180588/
Abstract

This study explores the ways in which a rehousing intervention shapes the mental well-being of Inuit adults living in Nunavut, Canada, where the prevalence of core housing need is four times the national average. More specifically, it compares the housing experiences of participants who were rehoused in a newly built public housing unit, to the experiences of participants on the public housing waitlist. The study was developed in collaboration with organizations based in Nunavut and Nunavik. Semi-structured interviews were transcribed, and a deductive-inductive thematic analysis was performed based on Gidden's concept of ontological security, and Inuit-specific mental health conceptualization. Twenty-five Inuit adults participated (11 rehoused, 14 waitlist). Three themes were identified to describe how the subjective housing experiences of participants improved their mental well-being after rehousing: (1) refuge creation; (2) self-determination and increased control; (3) improved family dynamics and identity repair. Implicit to these themes are the contrasting housing experiences of participants on the waitlist. Construction initiatives that increase public housing stock and address gaps in the housing continuum across Inuit regions could promote well-being at a population level. However, larger socio-economic problems facing Inuit may hamper beneficial processes stemming from such interventions.

摘要

本研究探讨了住房重置干预如何塑造加拿大努纳武特地区因纽特成年人的心理健康,在那里,核心住房需求的普遍性是全国平均水平的四倍。更具体地说,本研究比较了居住在新建成的公共住房单元中的参与者的住房体验,以及居住在公共住房候补名单上的参与者的住房体验。该研究是与努纳武特和努纳维克的组织合作开展的。对半结构化访谈进行了转录,并根据吉登的本体论安全概念和因纽特人特定的心理健康概念进行了演绎-归纳主题分析。共有 25 名因纽特成年人参与(11 人重新安置,14 人候补)。确定了三个主题来描述参与者在重新安置后的主观住房体验如何改善他们的心理健康:(1)创造避难所;(2)自决和增加控制;(3)改善家庭动态和身份修复。这些主题隐含着候补名单上参与者的对比住房体验。增加公共住房存量并解决因纽特地区住房连续体中的差距的建筑举措,可以在人口层面促进幸福感。然而,因纽特人面临的更大的社会经济问题可能会阻碍此类干预带来的有益进程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e6c/9180588/4b6218323dd3/ijerph-19-06432-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e6c/9180588/4b6218323dd3/ijerph-19-06432-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e6c/9180588/4b6218323dd3/ijerph-19-06432-g001.jpg

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Can J Public Health. 2023 Apr;114(2):241-253. doi: 10.17269/s41997-022-00701-0. Epub 2022 Oct 10.
2
Explaining the gaps in psychological distress and suicidal behaviours between non-Indigenous and Indigenous adults living off-reserve in Canada: a cross-sectional study.解释加拿大非原住民和原住民居住在保留地之外的成年人之间在心理困扰和自杀行为方面的差距:一项横断面研究。
CMAJ Open. 2021 Mar 8;9(1):E215-E223. doi: 10.9778/cmajo.20200177. Print 2021 Jan-Mar.
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"I don't know what home feels like anymore": Residential spaces and the absence of ontological security for people returning from incarceration.
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Soc Sci Med. 2021 Mar;272:113734. doi: 10.1016/j.socscimed.2021.113734. Epub 2021 Jan 30.
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What's next? A grounded theory of the relationship between ontological security, mental health, social relationships, and identity formation for young adults in supportive housing.接下来是什么?关于支持性住房中年轻人的本体安全、心理健康、社会关系和身份形成之间关系的扎根理论。
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