Indigenous research methods for healing sexual trauma with Cree women.

In this study, exploratory research on self-determination using Indigenous research methods provided a model to help heal trauma and discuss recovery for traumatic sexual experiences. The methods and healing were based on a Cree worldview. Informed consent and questions were developed by the principal investigator prior to the research commencing. Eleven co-creators had the opportunity to revise questions, discuss the research, speak the Cree language, and participate in one-to-one interviews, group meetings and ceremonies. They also had the chance to review the transcripts and approve/disapprove the content, provide guidance on sacred knowledge and suggest terms to use, and co-author the paper, if they chose and three did. A Cree concept was developed from the work, namely, nehiyaw isecikewena which involved promoting self-determination and sovereignty alongside recovery.

The impacts of mining on the food sovereignty and security of Indigenous Peoples and local communities: A global review.

Mineral extraction areas represent an environmental, social, and also a food sovereignty challenge for several countries. Indigenous Peoples and local communities (IPLC) are particularly vulnerable to the impacts of mining activities, particularly those that affect their lands and waters. At the global level, scientific evidence on the impacts of mining on the food sovereignty of IPLC is meagre, scattered, and fragmented across disciplines and geographic regions. This study aims to assess whether factors such as mining, trace elements contamination, social inequality, lack of environmental deficitary environmental policy and practice, and socio-environmental conflicts directly impact the food sovereignty of IPLC worldwide. Through a comprehensive literature review of 403 articles, we mapped globally the impacts of mining activities on the food sovereignty of IPLC. Our results reveal that the combination of mining, social inequality and weak environmental strategies impinge negatively on the food sovereignty of IPLC. A hundred and six articles reviewed contained a detailed ecotoxicological analysis of food resources used by IPLC in mining areas. Of all documented species, 52.9 % were vascular plants, 40.3 % were fish and 6.8 % were mammals, presenting substantial scientific evidence of the contamination of food systems of IPLC as a direct result of mining. Given the magnitude of the evidence presented in this review, we propose strategic policy actions to address the impacts of mining on IPLC food sovereignty, such as the strengthening of social, cultural, and environmental safeguards in the mining sector, which should include provisions for the protection of the food systems of IPLC and their culturally-valued food resources, as well as monitoring of contaminant concentrations in the environment and in culturally-valued food resources.

Alkylated polycyclic aromatic hydrocarbons are the largest contributor to polycyclic aromatic compound concentrations in traditional foods of the Bigstone Cree Nation in Alberta, Canada.

Rising global demand for energy promotes extensive mining of natural resources, such as oil sands extractions in Alberta, Canada. These extractive activities release hazardous chemicals into the environment, such as polycyclic aromatic compounds (PACs), which include the parent polycyclic aromatic hydrocarbons (PAHs), alkylated PAHs, and sulfur-containing heterocyclic dibenzothiophenes (DBTs). In areas adjacent to industrial installations, Indigenous communities may be exposed to these PACs through the consumption of traditional foods. Our objective was to evaluate and compare the concentrations of total PACs (∑PAC), expressed as the sum of the 16 U.S. EPA priority PAHs (∑PAH), 49 alkylated PAHs (∑alkyl-PAH), and 7 DBTs (∑DBT) in plant and animal foods collected in 2015 by the Bigstone Cree Nation in Alberta, Canada. We analyzed 42 plant tissues, 40 animal muscles, 5 ribs, and 4 pooled liver samples. Concentrations of ∑PAC were higher in the lichen, old man's beard (Usnea spp.) (808 ± 116 ng g-1 w.w.), than in vascular plants, and were also higher in smoked moose (Alces alces) rib (461 ± 120 ng g-1 w.w.) than in all other non-smoked animal samples. Alkylated-PAHs accounted for between 63% and 95% of ∑PAC, while the concentrations of ∑PAH represented 4%-36% of ∑PAC. Contributions of ∑DBT to ∑PAC were generally lowest, ranging from <1% to 14%. While the concentrations of benzo(a)pyrene (B[a]P) and ∑PAH4 (∑benzo[a]anthracene, chrysene, benzo[b]fluoranthene, and B[a]P) in all samples were below guideline levels for human consumption as determined by the European Commission, guideline levels for the more prevalent alkylated PAHs are not available. Given the predominance of alkylated PAHs in all food samples and the potentially elevated toxicity relative to parent PAHs of this class of PACs, it is critical to consider a broader range of PACs other than just parent PAHs in research conducted close to oil sands mining activities.

Evaluating the concentrations of total mercury, methylmercury, selenium, and selenium:mercury molar ratios in traditional foods of the Bigstone Cree in Alberta, Canada.

Traditional foods provide nutritional, social, and economic benefits for Indigenous communities; however, anthropogenic activities have raised concerns about mercury (Hg), especially methylmercury (MeHg), in these foods. This issue may be of particular concern for communities near large industrial activities, including the Bigstone Cree Nation adjacent to the Athabasca oil sands region, Canada. This community-led study sought to assess variation in THg and MeHg concentrations among traditional food types (plants or animals), species, and tissues (muscles, organs), and variation in concentrations of the micronutrient selenium (Se)- thought to protect against Hg toxicity-and Se:THg ratios. Thirteen plant and animal species were collected in 2015 by Bigstone Cree community members. We quantified THg, Se, and Se:THg ratios in 65 plant and 111 animal samples and MeHg in 106 animal samples. For plants, the lichen, old man's beard (Usnea spp.), showed the highest concentrations of THg and Se (0.11 ± 0.02 and 0.08 ± 0.01 µg g-1 w. w., respectively) and also had a low Se:THg molar ratio. Concentrations of THg, MeHg, and Se differed among animal samples (P < 0.010), showing variation among species and among tissues/organs. Generally, concentrations of THg and MeHg were highest in aquatic animals, which also had relatively low Se:THg molar ratios. Overall results revealed substantial variation in the patterns of THg, MeHg, Se and Se:THg ratios across this comprehensive basket of traditional foods. Thus, measuring concentrations of THg alone, without considering MeHg and potential associations with Se, may not adequately convey the exposure to Hg in traditional foods.

Rural Health and the Nonemergency Use of Emergency Medical Services.

The use of emergency department (ED) services for nonemergent conditions is common and seems to be growing. At a time when health care reform efforts are focused on delivering the right care, at the right time, and in the right place, understanding access barriers to health care and the impact of these barriers on the achievement of health equity for everyone is critical to achieving identified Healthy People 2020 national objectives. This article describes motivations for nonemergent use of ED services by individuals living in rural southeastern United States.

Cultural influences on health-promoting behaviors of older African-American women.

Culture is an integral component of health-promoting behaviors that can no longer be ignored. Using Pender's Revised Health Promotion Model as a guide, this correlational predictive study explored the cultural influences on the health-promoting behaviors of 201 (N = 201) older African-American women in the southeastern United States. Findings revealed that older African-American women who were acculturated towards the dominant society had significantly higher scores on the Modified African American Acculturation Scale Revised (AAAS-R), were highly educated with high socioeconomic resources, and were more likely to engage in health-promoting behaviors. Culture significantly predicted health-promoting behaviors (b = .27, t(198), p < .001), and explained a significant portion of variance in health-promoting behaviors among older African-American women (R2 = .22, F[2, 198] = 27.31, p < .001). By studying the influence of culture and acculturation in older African-American women, nurses and physicians can develop educational and culturally competent interventions to eliminate existing health disparities and to encourage health-promoting behaviors and longevity.