Bertheussen Morgen, Riva Mylene, Jock Brittany Wenniserí Iostha, Fletcher Christopher, Ayotte Pierre, Muckle Gina, Poliakova Natalia, Bélanger Richard
Department of Geography, McGill University, Montreal, Canada.
Department of Nutrition, McGill University, Montreal, Canada.
Int J Circumpolar Health. 2024 Dec;83(1):2322186. doi: 10.1080/22423982.2024.2322186. Epub 2024 Mar 11.
Many indigenous cultures conceptualize health wholistically, whereby physical, mental, spiritual and relational dimensions of health are interconnected. Yet, quantitative approaches to studying Indigenous health remain anchored in western perspectives, that separate the dimensions of health. This paper aims to operationalize a wholistic indicator of health based on the IQI model of Inuit health. Variables from the 2017 Nunavik Health Survey ( = 1196) were selected based on their representativeness of IQI model. Exploratory Latent Class Analysis (LCA) was used to identify wholistic health profiles. Once participants assigned to their health profile, sociodemographic characteristics were compared across profiles, and multinomial regression models were used to examine the relationship between community-level social determinants of health and the profiles. The LCA revealed three health profiles, labelled as ", " and " based on the distribution of answers to the indicators. Nunavimmiut in " and " health were more likely to: rate their health positively; be over 30 years old; be in a relationship; and have participated or volunteered in community events. Nunavimmiut in "" health tended to report lower levels of community cohesion, family relationships, and emotional support. Intergrating culturally relevant models of health can support improved health status assessments and identify opportunities for health promotion.
许多本土文化从整体上对健康进行概念化理解，即健康的身体、心理、精神和人际关系维度是相互关联的。然而，研究本土健康的定量方法仍然基于西方视角，将健康维度割裂开来。本文旨在基于因纽特人健康的IQI模型实施一种整体健康指标。根据IQI模型的代表性，从2017年努纳维克健康调查（n = 1196）中选取变量。探索性潜在类别分析（LCA）用于确定整体健康概况。一旦参与者被分配到他们的健康概况，就会比较各概况之间的社会人口特征，并使用多项回归模型来检验社区层面的健康社会决定因素与这些概况之间的关系。LCA揭示了三种健康概况，根据指标答案的分布分别标记为“ ”“ ”和“ ”。处于“ ”和“ ”健康状态的努纳维克居民更有可能：对自己的健康给予积极评价；年龄超过30岁；处于恋爱关系中；并且参与过社区活动或做过志愿者。处于“ ”健康状态的努纳维克居民往往报告社区凝聚力、家庭关系和情感支持水平较低。整合与文化相关的健康模型有助于改进健康状况评估，并确定健康促进的机会。
