Department of Pediatrics, Children's Hospital of Eastern Ontario, Ottawa ON, Canada.
Clinical Research Unit, Children's Hospital of Eastern Ontario Research Institute, Ottawa ON, Canada.
Int J Circumpolar Health. 2022 Dec;81(1):2120174. doi: 10.1080/22423982.2022.2120174.
Our study sought to explore the experiences of caregivers of urban Inuit children with respect to child health knowledge acquisition to develop community-specific best practices for health promotion initiatives. A needs assessment was conducted to understand how caregivers access child health knowledge and services; what child health issues require improved knowledge mobilisation; and how caregivers would like to access this knowledge. Four focus groups were held with twenty-four parents and caregivers of Inuit children. Child health knowledge acquisition was influenced by dynamics of trust and discrimination, making caregivers' social networks and Indigenous health services highly valued sources. Health topics identified as requiring improved knowledge mobilisation were those in which caregivers faced tensions between Indigenous and non-Indigenous ways of knowing. Such topics included parenting and development, adolescent mental and sexual health, common childhood illnesses, infant care, and nutrition. Caregivers preferred a multi-modal approach to health promotion, highlighting importance of in-person gatherings while also valuing accessible multi-media components. The presence of Elders as facilitators was especially important for child development, parenting, and nutrition. For health promotion to be effective, it must consider community-specific health knowledge sharing processes; tensions between Indigenous and non-Indigenous ways of knowing; and community ownership in health promotion endeavors.
我们的研究旨在探讨城市因纽特儿童照顾者在获取儿童健康知识方面的经验，以制定针对社区的健康促进倡议的最佳实践。进行了需求评估，以了解照顾者如何获取儿童健康知识和服务；哪些儿童健康问题需要更好地调动知识；以及照顾者希望如何获取这些知识。与二十四名因纽特儿童的父母和照顾者举行了四次焦点小组会议。儿童健康知识的获取受到信任和歧视动态的影响，使照顾者的社交网络和土著卫生服务成为高度重视的资源。需要更好地调动知识的健康主题是那些照顾者在土著和非土著知识之间面临紧张关系的主题。这些主题包括育儿和发展、青少年心理健康和性健康、常见的儿童疾病、婴儿护理和营养。照顾者更喜欢多模式的健康促进方法，突出了面对面聚会的重要性，同时也重视可访问的多媒体内容。长者作为促进者的存在对儿童发展、育儿和营养尤为重要。为了使健康促进有效，它必须考虑社区特有的健康知识共享过程；土著和非土著知识之间的紧张关系；以及社区在健康促进努力中的所有权。
