TY - JOUR
T1 - Wellbeing of Indigenous peoples in Canada, Aotearoa (New Zealand) the United States
T2 - A systematic review
AU - Gall, Alana
AU - Anderson, Kate
AU - Howard, Kirsten
AU - Diaz, Abbey
AU - King, Alexandra
AU - Willing, Esther
AU - Connolly, Michele
AU - Lindsay, Daniel
AU - Garvey, Gail
N1 - Funding Information:
The What Matters study is funded by a National Health and Medical Research Council (NHMRC) Project grant (#1125434). This study was also supported by the NHMRC funded Centre of Research Excellence in Targeted Approaches to Improve Cancer Services for Indigenous Australian Australians (TACTICS; #1153027). AG is supported by a NHMRC Postgraduate Scholarship (APP1168150) and a TACTICS Postgraduate Scholarship top-up. AD receives salary from the TAC-TICS. GG?s salary is supported by a NHMRC Investigator Grant (#1176651).
Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland.
Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2021/5/28
Y1 - 2021/5/28
N2 - Despite the health improvements afforded to non-Indigenous peoples in Canada, Aotea-roa (New Zealand) and the United States, the Indigenous peoples in these countries continue to endure disproportionately high rates of mortality and morbidity. Indigenous peoples’ concepts and understanding of health and wellbeing are holistic; however, due to their diverse social, political, cultural, environmental and economic contexts within and across countries, wellbeing is not experienced uniformly across all Indigenous populations. We aim to identify aspects of wellbeing important to the Indigenous people in Canada, Aotearoa and the United States. We searched CINAHL, Embase, PsycINFO and PubMed databases for papers that included key Indigenous and wellbeing search terms from database inception to April 2020. Papers that included a focus on Indigenous adults residing in Canada, Aotearoa and the United States, and that included empirical qualitative data that described at least one aspect of wellbeing were eligible. Data were analysed using the stages of thematic development recommended by Thomas and Harden for thematic synthesis of qualitative research. Our search resulted in 2669 papers being screened for eligibility. Following full-text screening, 100 papers were deemed eligible for inclusion (Aotearoa (New Zealand) n = 16, Canada n = 43, United States n = 41). Themes varied across countries; however, identity, connection, balance and self-determination were common aspects of wellbeing. Having this broader understanding of wellbeing across these cultures can inform decisions made about public health actions and resources.
AB - Despite the health improvements afforded to non-Indigenous peoples in Canada, Aotea-roa (New Zealand) and the United States, the Indigenous peoples in these countries continue to endure disproportionately high rates of mortality and morbidity. Indigenous peoples’ concepts and understanding of health and wellbeing are holistic; however, due to their diverse social, political, cultural, environmental and economic contexts within and across countries, wellbeing is not experienced uniformly across all Indigenous populations. We aim to identify aspects of wellbeing important to the Indigenous people in Canada, Aotearoa and the United States. We searched CINAHL, Embase, PsycINFO and PubMed databases for papers that included key Indigenous and wellbeing search terms from database inception to April 2020. Papers that included a focus on Indigenous adults residing in Canada, Aotearoa and the United States, and that included empirical qualitative data that described at least one aspect of wellbeing were eligible. Data were analysed using the stages of thematic development recommended by Thomas and Harden for thematic synthesis of qualitative research. Our search resulted in 2669 papers being screened for eligibility. Following full-text screening, 100 papers were deemed eligible for inclusion (Aotearoa (New Zealand) n = 16, Canada n = 43, United States n = 41). Themes varied across countries; however, identity, connection, balance and self-determination were common aspects of wellbeing. Having this broader understanding of wellbeing across these cultures can inform decisions made about public health actions and resources.
KW - Culture
KW - First nations
KW - Indigenous health and wellbeing
KW - Indigenous people/s
KW - QoL
KW - Quality of life
KW - Well-being
KW - Wellbeing
UR - http://www.scopus.com/inward/record.url?scp=85106616522&partnerID=8YFLogxK
U2 - 10.3390/ijerph18115832
DO - 10.3390/ijerph18115832
M3 - Review article
AN - SCOPUS:85106616522
VL - 18
SP - 1
EP - 31
JO - International Journal of Environmental Research and Public Health
JF - International Journal of Environmental Research and Public Health
SN - 1660-4601
IS - 11
M1 - 5832
ER -