scholarly journals The Preventing Dementia MOOC: Contribution to First Nations’ Health and Well-Being

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 11-11
Author(s):  
Lynette Goldberg ◽  
Dianne Baldock
Keyword(s):  
Risk Factors ◽  
First Nations ◽  
Aboriginal People ◽  
Well Being ◽  
Public Health Issue ◽  
Modifiable Risk Factors ◽  
Nations People ◽  
Increased Risk ◽  
First Nations People ◽  
Health And Well Being

Abstract Dementia is a global public health issue. First Nations people are at increased risk due to complex intergenerational factors grounded in inequalities in health services and economic and educational opportunities. While there is yet no drug-related cure for this progressive and terminal neurological condition, evidence confirms that increased understanding of dementia and modification of lifestyle factors can reduce risk. The primary potentially modifiable risk factors are not completing secondary school, midlife hypertension, obesity, type II diabetes, depression, physical inactivity, smoking, hearing loss acquired after the age of 55 years, and social isolation. Inherent in these factors is stress, affecting mental health. Addressing these factors globally could prevent or delay over 40 million cases of dementia. The free Preventing Dementia Massive Open Online Course (PD MOOC) is a globally recognized 4-week course that aims to build self-efficacy in knowledge and management of modifiable risk factors. The course has reached over 68,000 people world-wide and is rated highly; however, its contribution to First Nations communities has not yet been investigated. We describe the content of the PD MOOC, report on its impact in a cohort of older Aboriginal people (≥ 50 years of age) in Circular Head, Tasmania, Australia six months after course completion, and emphasize the importance of including traditional approaches to healing. We describe a protocol in which cultural determinants of health can be infused into the PD MOOC and evaluated to promote health and well-being globally for older First Nations people.

What Makes Us Strong: Urban Aboriginal Perspectives on Wellness and Strength

1997 ◽  
Vol 16 (2) ◽  
pp. 37-50 ◽  
Author(s):  
Collin P. Van Uchelen ◽  
Sara Florence Davidson ◽  
Seanna V. A. Quressette ◽  
Charles R. Brasfield ◽  
Lou H. Demerais
Keyword(s):  
Mental Health ◽  
First Nations ◽  
Aboriginal People ◽  
Health Planning ◽  
Well Being ◽  
Culturally Appropriate ◽  
Nations People ◽  
Downtown Eastside ◽  
Alternative Approach ◽  
First Nations People

The limitations of a needs orientation for aboriginal mental health planning are evaluated in terms of the discrepancy between First Nations and western medical paradigms of health. We propose an alternative approach that focuses on how aboriginal people conceptualize wellness and describe their strengths. This provides a focus for initiatives that promote well-being by enhancing strengths rather than concentrating solely on deficits. We illustrate this approach by highlighting the indigenous knowledge of urban First Nations people in Vancouver's Downtown Eastside neighbourhood. We conclude that supporting existing strengths promotes wellness in holistic, culturally appropriate, and empowering ways.

scholarly journals Prevalence and associated risk factors of chronic bronchitis in First Nations people

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Punam Pahwa ◽  
◽  
Chandima P. Karunanayake ◽  
Donna C. Rennie ◽  
Joshua A. Lawson ◽  
...  
Keyword(s):  
Risk Factors ◽  
First Nations ◽  
Chronic Bronchitis ◽  
Nations People ◽  
First Nations People ◽  
Associated Risk Factors

First Nations Community Well-Being Research and Large Data Sets: A Respectful Caution

2017 ◽  
Vol 12 (2) ◽  
pp. 15-24 ◽  
Author(s):  
Alexandra S. Drawson ◽  
Aislin R. Mushquash ◽  
Christopher J. Mushquash
Keyword(s):  
First Nations ◽  
Social Determinants ◽  
Large Data ◽  
Well Being ◽  
Large Data Sets ◽  
Data Sets ◽  
Nations People ◽  
Level Data ◽  
Traditional Language ◽  
First Nations People

Health researchers are increasingly encouraged to use large, community-level data sets to examine factors that promote or diminish health, including social determinants. First Nations people in Canada experience disparity in a range of social determinants of health that result in relatively low community well-being scores, when compared to non-First Nations people. However, First Nations people also possess unique protective factors that enhance well-being, such as traditional language usage. Large data sets offer First Nations a new avenue for advocating for supports and services to decrease health inequity while developing culture-based evidence. However, care must be taken to ensure that these data are interpreted appropriately. In this paper, we respectfully offer a cautionary note on the importance of understanding culture and context when conducting First Nations health research with large data sets. We have framed this caution through a narrative presentation of a simple and concrete example. We then outline some approaches to research that can ensure appropriate development of research questions and interpretation of research findings.

Country Is Yarning to Me: Worldview, Health and Well-Being Amongst Australian First Nations People

2019 ◽  
Vol 50 (3) ◽  
pp. 944-960
Author(s):  
Mareese Terare ◽  
Margot Rawsthorne
Keyword(s):  
First Nations ◽  
Health Inequalities ◽  
Work Practice ◽  
Well Being ◽  
Social Work Practice ◽  
Social Determinant ◽  
Indigenous Australians ◽  
Creation Story ◽  
Nations People ◽  
First Nations People

Abstract Health inequalities experienced by Australian First Nations People are amongst the most marked in the world, with First Nations People dying some ten years earlier than non-Indigenous Australians. The failure of existing responses to health inequalities suggests new knowledges and questions that need to be explored. It is likely that these new knowledges sit outside of western research or practice paradigms. Through the Indigenous practice of yarning, the importance of worldview and Country emerged as an under-acknowledged social determinant of Australian First Nations People well-being. Yarning is a process of storytelling that involves both sound and silence. It requires embodied deep listening through which stories emerge that create new knowledge and understanding. We anchor our learning by re-telling John’s creation story, a story of healing through discovering his Aboriginal Worldview through reconnecting to Country. Country for First Nations People is more than a physical place; it is a place of belonging and a way of believing. We argue for the recognition of trauma, recognition of diversity and the use of yarning in social work practice. We conclude that reconnecting to Aboriginal Worldview provides hopeful insights into the well-being of Australia’s First Nations People and the social determinants of health.

Preserving mental health and well-being

2017 ◽  
pp. 1289-1296 ◽  
Author(s):  
Osvaldo P. Almeida
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Cognitive Activity ◽  
Later Life ◽  
Well Being ◽  
Good Health ◽  
High Plasma ◽  
Plasma Homocysteine ◽  
Modifiable Risk Factors ◽  
Health And Well Being

Well-being is a state characterized by contentment with one’s emotional, physical, and social circumstances that is undermined by the presence of depression, dementia, and frailty. Numerous potentially modifiable risk factors have been associated with these common conditions of later life, and there is growing evidence that multidomain interventions that target them in a systematic fashion hold potential to reduce the incidence and prevalence of frailty, dementia, and depression in older age. Some of the potential targets for interventions include physical inactivity, suboptimal education or cognitive activity, smoking, harmful alcohol use, obesity, diabetes, hypertension, high plasma homocysteine, low vitamin D, and testosterone. These interventions are still in their infancy, but preliminary data offer hope that an increasing number of people will be able to enjoy good health and well-being in their later years.

scholarly journals Prevalence of Multiple Sclerosis in First Nations People of Alberta

2007 ◽  
Vol 34 (2) ◽  
pp. 175-180 ◽  
Author(s):  
Lawrence W. Svenson ◽  
Sharon Warren ◽  
Kenneth G. Warren ◽  
Luanne M. Metz ◽  
Scott B. Patten ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
General Population ◽  
First Nations ◽  
Aboriginal People ◽  
European Ancestry ◽  
Fee For Service ◽  
Government Health ◽  
Male Ratio ◽  
Nations People ◽  
First Nations People

Background:Multiple Sclerosis (MS) is reported to be uncommon among North American aboriginals despite frequent intermarriage with people of European ancestry, but few population-based studies have been conducted. The purpose of this study was to determine the prevalence of MS among First Nations aboriginal people in Alberta, Canada compared to the general population.Methods:All hospital in-patient and physician fee-for-service records between 1994 and 2002 where a diagnosis of MS was mentioned were extracted from government health databases in the province of Alberta. First Nations people can be identified since the federal government (Health Canada) pays health care insurance premiums on their behalf. Multiple Sclerosis prevalence per 100,000 population for both First Nations people and the general population of Alberta were calculated for each year during this time span.Results:Among First Nations in Alberta, MS prevalence was 56.3 per 100,000 in 1994 and 99.9 per 100,000 in 2002, an increase of 43.6%. In 2002 prevalence was 158.1 and 38.0 for females and males respectively, a female to male ratio of 4.2:1. Multiple Sclerosis prevalence among the general population of Alberta was 262.6 per 100,000 in 1994 and 335.0 per 100,000 in 2002, an increase of 21.6%. In 2002 prevalence was 481.5 and 187.5 for females and males respectively, a female to male ratio of 2.6:1. Peak prevalence for both First Nations and general population females in 2002 was age 50-59, also 50-59 for both First Nations and general population males.Conclusion:While MS prevalence in First Nations people is lower than in the general population of Alberta, it is not rare by worldwide standards.

The impact of type 2 diabetes on women’s health and well-being during their reproductive years: A mixed-methods systematic review

2021 ◽  
Vol 17 ◽  
Author(s):  
Aycan Celik ◽  
Rita Forde ◽  
Simona Racaru ◽  
Angus Forbes ◽  
Jackie Sturt
Keyword(s):  
Risk Factors ◽  
Type 2 Diabetes ◽  
Mixed Methods ◽  
Well Being ◽  
Reproductive Age ◽  
Modifiable Risk Factors ◽  
Health Issues ◽  
Women Of Reproductive Age ◽  
Health And Well Being

Background: The incidence of type 2 diabetes (T2DM) among younger women now accounts for 40% of females with T2DM. Women of reproductive age with T2DM have additional health considerations and their needs may differ from older populations. Objectives: To identify the health issues encountered by women aged 16-45 years living with T2DM; to determine the modifiable risk factors associated with living with diabetes; to specify ideas for interventions to meet age and genderspecific diabetes-related healthcare needs. Methods: A systematic search was performed in the following databases; MEDLINE, PsycINFO, EMBASE, CINAHL, Web of Science, and Maternity and Infant Care. Databases were searched without time and study design limits. The Mixed Methods Appraisal Tool was used to assess the methodological quality of included studies. Data were narratively synthesised due to the mixed methods evidence included. Results: A total of 32 papers were included in the review from which six domains were identified from the synthesis: (1) diabetes related modifiable risk factors: blood glucose, cardiovascular risk, neuropathy/nephropathy/retinopathy, diabetes self-management barriers (2) reproductive health: diabetes care before pregnancy, pre-pregnancy care barriers and expectations of women, contraceptive use (3) psychosocial wellbeing: depression symptoms and diabetes distress, perception of T2DM, emotional concerns about pregnancy (4) sexual function; (5) menopause; (6) sociocultural factors: social support, cultural norms. Conclusion: This review highlighted specific health issues affecting women of reproductive age with T2DM and which represent an important focus for health services research and health care delivery. Future research needs to address identified health domains to improve women’s health and well-being living with T2DM. Prospero Registration number: CRD42019146535.

scholarly journals Demographic Risk Factors for Fracture in First Nations People

2005 ◽  
Vol 96 (S1) ◽  
pp. S45-S50 ◽  
Author(s):  
William D. Leslie ◽  
Shelley A. Derksen ◽  
Colleen Metge ◽  
Lisa M. Lix ◽  
Elizabeth A. Salamon ◽  
...  
Keyword(s):  
Risk Factors ◽  
First Nations ◽  
Nations People ◽  
First Nations People ◽  
Demographic Risk ◽  
Demographic Risk Factors

scholarly journals Association of self-perceived income sufficiency with cognitive impairment among older adults: a population-based study in India

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
T. Muhammad ◽  
Shobhit Srivastava ◽  
T. V. Sekher
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Cognitive Impairment ◽  
Activities Of Daily Living ◽  
Psychological Health ◽  
Daily Living ◽  
Basic Needs ◽  
Well Being ◽  
Asset Ownership ◽  
Increased Risk

Abstract Background Greater cognitive performance has been shown to be associated with better mental and physical health and lower mortality. The present study contributes to the existing literature on the linkages of self-perceived income sufficiency and cognitive impairment. Study also provides additional insights on other socioeconomic and health-related variables that are associated with cognitive impairment in older ages. Methods Data for this study is derived from the 'Building Knowledge Base on Population Ageing in India'. The final sample size for the analysis after removing missing cases was 9176 older adults. Descriptive along with bivariate analyses were presented to show the plausible associations of cognitive impairment with potential risk factors using the chi-square test. Also, binary logistic regression analysis was performed to provide the relationship between cognitive impairment and risk factors. The software used was STATA 14. Results About 43% of older adults reported that they had no source of income and 7.2% had income but not sufficient to fulfil their basic needs. Older adults with income but partially sufficient to fulfil their basic needs had 39% significantly higher likelihood to suffer from cognitive impairment than older adults who had sufficient income [OR: 1.39; OR: 1.21–1.59]. Likelihood of cognitive impairment was low among older adults with asset ownership than older adults with no asset ownership [OR: 0.83; CI: 0.72–0.95]. Again, older adults who work by compulsion (73.3%) or felt mental or physical stress due to work (57.6%) had highest percentage of cognitive impairment. Moreover, older adults with poor self-rated health, low instrumental activities of daily living, low activities of daily living, low subjective well-being and low psychological health were at increased risk for cognitive impairment. Conclusion The study highlights the pressing need for care and support and especially financial incentives in the old age to preserve cognitive health. Further, while planning geriatric health care for older adults in India, priority must be given to financially backward, with no asset ownership, with poor health status, older-older, widowed, and illiterate older individuals, as they are more vulnerable to cognitive impairment.

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