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1.
Int J Circumpolar Health ; 80(1): 1935594, 2021 12.
Artigo em Inglês | MEDLINE | ID: mdl-34596482

RESUMO

In a project aiming to develop community-led resources for families in northern Quebec, Canada, members (Inuit and non-Inuit) of the project decided to meet with Inuit parents to hear their experiences and needs, and to better understand how family dynamics might be related to ways of using resources within communities. In this article, we present secondary analyses of interviews conducted in 2015 with 14 parents living in a community of Nunavik, northern Quebec, accompanied by participatory analysis sessions. A dual data analysis strategy was adopted. Non-Inuit researchers and research assistants with significant lived experience in Nunavik explored what they learned from the stories that Inuit parents shared with them through the interviews and through informal exchanges. Inuit partners then discussed the large themes identified by the research team to guide non-Inuit researchers in their analysis. The aim was to better inform non-Inuit service providers and people whose mandate it is to support community mobilisation in relation to the heterogeneous realities of Inuit families, and the ways in which they can be of support to families based on their specific realities and needs.


Assuntos
Promoção da Saúde , Inuítes , Canadá , Relações Familiares , Humanos , Quebeque
2.
Transcult Psychiatry ; 55(1): 120-146, 2018 02.
Artigo em Inglês | MEDLINE | ID: mdl-29299979

RESUMO

Inuit communities of Canada experience many disparities in health and psychosocial context. Research in community psychology has shown associations between such socio-ecological factors and individual well-being. The objective of the study was to explore how community-level determinants of well-being influence family well-being in a northern community of Nunavik, Quebec. A total of 14 participants were interviewed. A thematic inductive analysis was conducted to extract community determinants of family well-being from the data. A system science approach was used to explore the associations between determinants and larger psychosocial dynamics. A community workshop was held to discuss the results and their meaning. A total of 25 determinants were coded, 16 of which were community-level. Community-level stressors were highly interrelated, whereas community supports were generally disconnected and superimposed on narratives of stressors. Participants spoke of desired supports. In their narratives, these supports were connected to a variety of determinants of well-being, suggesting the need to connect, redefine and support existing resources rather than simply add on new ones. We discuss intricate links between family and community well-being in small and geographically isolated communities.


Assuntos
Família/etnologia , Inuítes/psicologia , Satisfação Pessoal , Características de Residência , Apoio Social , Estresse Psicológico/etnologia , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Quebeque/etnologia
3.
Contemp Nurse ; 51(2-3): 286-300, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-27063599

RESUMO

OBJECTIVES: The study aims to explore representations and experiences with health and social services in an Inuit community of Nunavik. METHODS: A total of 15 semi-structured interviews were conducted with Inuit adults from a community of Northern Quebec. Informal interviews and participatory observation was conducted on six visits over two years. A thematic inductive analysis of data was conducted. RESULTS: Participants' experiences with care were largely related to the nature of interactions with service providers, and feelings about whether perceived needs were being met. Often these needs were socio-economic. Perceptions of services were based on concepts of trust, privacy and fear of consequences of divulging information, three intrinsically related themes. CONCLUSIONS: Reflections must be made on how to address the socio-economic needs of patients and how to go beyond the immediate requests to hear the psychosocial needs that patients might not feel safe to talk about.


Assuntos
Atenção à Saúde/organização & administração , Serviço Social/organização & administração , Nunavut
4.
Suicide Life Threat Behav ; 45(2): 141-56, 2015 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-25255825

RESUMO

Inuit in Canada currently suffer from one of the highest rates of suicide in the world. The objective of this study was to explore the prevalence of suicide ideations and attempts among 15-24 year olds living in Nunavik, Québec, and to explore risk and protective factors of suicide attempts as a function of gender. A cross-sectional survey was conducted in 2004 across Nunavik. Univariate and multivariate logistic regressions were conducted. A total of 22% of young males and 39% of females adults reported past suicidal attempts. Gender differences were observed in relation to associated risk and protective factors as well as degree of exposure to risk factors. Suicide prevention must include alcohol and drug prevention programs and rehabilitation services, interventions to reduce physical and sexual violence and their long-term impacts on Inuit youth, as well as exposure to culturally meaningful activities.


Assuntos
Inuítes , Delitos Sexuais/prevenção & controle , Transtornos Relacionados ao Uso de Substâncias , Ideação Suicida , Suicídio , Adolescente , Estudos Transversais , Assistência à Saúde Culturalmente Competente/métodos , Feminino , Necessidades e Demandas de Serviços de Saúde , Humanos , Inuítes/psicologia , Inuítes/estatística & dados numéricos , Modelos Logísticos , Masculino , Prevalência , Fatores de Proteção , Quebeque/epidemiologia , Fatores de Risco , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Transtornos Relacionados ao Uso de Substâncias/prevenção & controle , Suicídio/etnologia , Suicídio/prevenção & controle , Suicídio/psicologia , Suicídio/estatística & dados numéricos , Adulto Jovem
5.
Alcohol ; 46(3): 277-83, 2012 May.
Artigo em Inglês | MEDLINE | ID: mdl-22444956

RESUMO

Prenatal exposure to an average of 0.5 oz absolute alcohol per day (the equivalent of 7 standard drinks per week) during pregnancy has been found to be associated with numerous adverse effects on pre- and postnatal development. In the animal model, concentrated alcohol exposure has been found to lead to more adverse effects than exposure to the same total quantity of alcohol ingested in smaller doses over a longer period of time. The primary aim of this study is to determine whether, in a population where binge drinking is common but total alcohol consumption across pregnancy is low, prenatal exposure to alcohol is associated with effects on prenatal growth, visual acuity and cognitive development during infancy. The second aim is to determine which of several indicators of alcohol consumption best predicts pre- and postnatal outcomes. Data were collected from 216 Inuit women and their infants living in Nunavik, the northern region of Québec. Maternal interviews were conducted during mid-pregnancy and at 1 and 6 months postpartum. Birth weight, length, and head circumference were assessed at delivery. Visual acuity and cognitive development were assessed at 6 months of age. In this population in which infrequent heavy episodic drinking is common, even occasional binge exposure was associated with reduced prenatal growth and poorer visual acuity at 6 months of age. A simple dichotomous measure of binge drinking during pregnancy provided the best predictor of fetal growth and 6-month acuity. The population studied here is unusual in terms of its pattern of binge alcohol consumption. To our knowledge, this is the first study to observe effects of binge drinking during pregnancy on infant growth and development in a sample where the average daily alcohol intake is low (<0.5 ounces).


Assuntos
Desenvolvimento Infantil , Etanol/envenenamento , Efeitos Tardios da Exposição Pré-Natal/induzido quimicamente , Adolescente , Adulto , Consumo de Bebidas Alcoólicas/epidemiologia , Transtornos Cognitivos/induzido quimicamente , Feminino , Humanos , Lactente , Inuítes , Estudos Longitudinais , Gravidez , Complicações na Gravidez , Estudos Prospectivos , Quebeque/epidemiologia , Acuidade Visual/efeitos dos fármacos
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