Department of Geography, McGill University, Burnside Hall, 805 Sherbrooke Street West, Montreal, QC, H3A 0B9, Canada.
Institute for Health and Social Policy, McGill University, Burnside Hall, 805 Sherbrooke Street West, Montreal, QC, H3A 0B9, Canada.
Can J Public Health. 2024 Jan;115(Suppl 1):31-43. doi: 10.17269/s41997-022-00687-9. Epub 2022 Nov 8.
The overall objective of this study was to elicit understandings of community health among Inuit youth aged 12-18 in the region of Nunavik, northern Quebec, through identifying community conditions supporting health from their perspective and exploring how they conceptualize a healthy community.
In January and February 2020, 51 secondary students from three communities participated in a 1-week participatory photovoice activity during regular class time. Youth participated in three different sessions dedicated to the ethics of taking photographs, taking photos in the community, and group discussions of photographs. Discussions were analyzed via thematic analysis and validated with the youth in the fall of 2020.
Twelve key community conditions supporting health were identified: family, food, culture, language, sense of community belonging, land, housing, services, community, connection, caring and somewhere to go. The youth understood a healthy community to be a place where "nothing was broken" and where community conditions supporting health could be visualized like the rocks in an inuksuk, a stone cairn used by Inuit for wayfinding on the tundra landscape. Participants chose the human form of inuksuk which has become widespread in northern and southern Canadian popular culture.
Findings from this study serve to confirm and strengthen existing models of Inuit health while also raising fresh perspectives and concepts relevant to the younger generation. Images and words of the youth identified in this study may be important in designing effective health promotion strategies that are accessible and relevant to younger generations, thus responding to an important research, programmatic and policy gap.
本研究的总体目标是通过确定从他们的角度支持健康的社区条件，并探讨他们如何构想一个健康的社区，来了解努纳武特地区 12-18 岁因纽特青年的社区健康。
2020 年 1 月和 2 月，来自三个社区的 51 名中学生在常规上课时间参加了为期一周的参与式摄影活动。青少年参加了三个不同的会议，分别致力于摄影的道德、在社区中拍摄照片以及对照片的小组讨论。讨论结果通过主题分析进行分析，并在 2020 年秋季与青少年进行了验证。
确定了 12 个支持健康的关键社区条件：家庭、食物、文化、语言、社区归属感、土地、住房、服务、社区、联系、关怀和去处。年轻人理解健康的社区是一个“没有任何问题”的地方，支持健康的社区条件可以像因纽特人在冻土地带景观上用于寻路的因努克石堆中的石头一样可视化。参与者选择了因努克石堆的人形，这种形式在加拿大北部和南部的流行文化中已经广泛传播。
本研究的结果证实并加强了现有的因纽特健康模式，同时也提出了与年轻一代相关的新视角和概念。本研究中年轻人确定的图像和文字可能对设计对年轻一代具有可及性和相关性的有效健康促进策略很重要，从而满足了一个重要的研究、计划和政策差距。
