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探索安大略省梅蒂斯民族公民的住房条件与健康之间的关系:一项定性研究。

Exploring the relationship between housing conditions and Métis Nation of Ontario citizen's health: a qualitative study.

作者信息

Tsui Noel, Simms Abigail J, Lacka Carolyn, Boutros Helana Marie, Sadler Robynn, Mersereau Amy, Crenna David, Evenson Jeff, Rye Cindi, Edwards Sarah A

机构信息

Métis Nation of Ontario, 66 Slater Street, Ottawa, ON, K1P 5H1, Canada.

ICES Central, V1 06, 2075 Bayview Avenue, Toronto, ON, M4N 3M5, Canada.

出版信息

BMC Public Health. 2025 Jul 25;25(1):2545. doi: 10.1186/s12889-025-23716-x.

Abstract

BACKGROUND

Housing is an important social determinant of health as the lack of housing or substandard housing conditions can negatively impact people's health and wellbeing. Indigenous Peoples in Canada are three times more likely to live in substandard housing than non-Indigenous people. The objective of this study is to examine the thoughts, feelings, and stories of citizens of the Métis Nation of Ontario (MNO) on how their housing conditions impact their health.

METHODS

Thirty-five (35) MNO citizens were recruited for the study, and seven focus groups were conducted between August 2022 and February 2023. All focus groups were conducted via Zoom with 3-9 participants, one facilitator, one note-taker, and one MNO Senator. All focus groups were recorded. Each transcript was coded and analyzed using thematic analysis by two independent coders.

RESULTS

Seven themes were derived from all focus groups: housing needs and conditions, affordability of shelter costs, renting, infrastructure and connectedness, impacts of housing on mental and emotional health, impacts of housing on physical health, and improvements to housing programs and supports.

CONCLUSIONS

This is the first Métis-specific study to explore and gather the lived experiences and stories of MNO citizens regarding the impact of housing conditions on their health. Our findings revealed a multifaceted relationship between housing and health, extending beyond individual's living conditions, with a significant impact on Métis citizens' mental health. The results will be used to inform MNO housing programs to increase Métis homeownership and improve affordable housing options.

摘要

背景

住房是健康的重要社会决定因素,因为住房短缺或住房条件不达标准会对人们的健康和福祉产生负面影响。加拿大的原住民比非原住民居住在不达标准住房中的可能性高三倍。本研究的目的是调查安大略省梅蒂斯民族(MNO)公民关于其住房条件如何影响他们健康的想法、感受和故事。

方法

招募了35名MNO公民参与本研究,并在2022年8月至2023年2月期间进行了7次焦点小组讨论。所有焦点小组讨论均通过Zoom进行,参与者3至9人,一名主持人、一名记录员和一名MNO参议员。所有焦点小组讨论均进行了录音。每份文字记录由两名独立编码员使用主题分析法进行编码和分析。

结果

从所有焦点小组讨论中得出了七个主题:住房需求和条件、住房成本的可承受性、租房、基础设施和连通性、住房对心理和情绪健康的影响、住房对身体健康的影响以及住房项目和支持的改进。

结论

这是第一项针对梅蒂斯人的研究,旨在探索和收集MNO公民关于住房条件对其健康影响的生活经历和故事。我们的研究结果揭示了住房与健康之间的多方面关系,这种关系超出了个人生活条件的范畴,对梅蒂斯公民的心理健康有重大影响。这些结果将用于为MNO住房项目提供信息,以增加梅蒂斯人的住房拥有率并改善经济适用房选择。

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本文引用的文献

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The Mental Health Consequences of the Global Housing Crisis.全球住房危机对心理健康的影响。
Alpha Psychiatry. 2022 Nov 1;23(6):264-265. doi: 10.5152/alphapsychiatry.2022.17112022. eCollection 2022 Nov.
2
Review of the Impact of Housing Quality on Inequalities in Health and Well-Being.住房质量对健康与福祉不平等的影响综述
Annu Rev Public Health. 2023 Apr 3;44:233-254. doi: 10.1146/annurev-publhealth-071521-111836. Epub 2022 Dec 16.
7
Housing as a determinant of health equity: A conceptual model.住房作为健康公平的决定因素:概念模型。
Soc Sci Med. 2019 Dec;243:112571. doi: 10.1016/j.socscimed.2019.112571. Epub 2019 Sep 25.

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