The Cedar Project: Using Indigenous-Specific Determinants of Health to Predict Substance use among Young Pregnant-Involved Indigenous Women In Canada

BMC Women's Health

Research Article

Leanne Dahlgren¹  Sana Z. Shahram²  Joan L. Bottorff³  Nelly D. Oelke⁴  Patricia M. Spittal⁵  Victoria Thomas⁶ 

[1] Department of Obstetrics & Gynaecology, Faculty of Medicine, University of British Columbia, 1190 Hornby Street 4th Floor, V6Z 2K5, Vancouver, BC, Canada;Faculty of Health and Social Development, University of British Columbia, 1147 Research Road, V1V 1V7, Kelowna, BC, Canada;Present Address: Postdoctoral Research Fellow, Centre for Addictions Research of British Columbia, University of Victoria, PO Box 1700, STN CSC Victoria, V8W 2Y2, Victoria, BC, Canada;15890 Greenhow Road, V4V 2E6, Oyama, BC, Canada;Institute for Healthy Living and Chronic Disease Prevention, and School of Nursing, Faculty of Health and Social Development, University of British Columbia, 1147 Research Road, V1V 1V7, Kelowna, BC, Canada;Faculty of Health Sciences, Australian Catholic University, Melbourne, Australia;School of Nursing, Faculty of Health and Social Development, University of British Columbia, 1147 Research Road, V1V 1V7, Kelowna, BC, Canada;School of Population and Public Health, University of British Columbia, 2206 East Mall, V6T 1Z3, Vancouver, BC, Canada;Wuikinuxv Nation, The Cedar Project, Vancouver, Canada;

关键词: Canada;    Aboriginal health;    Women’s Health;    Substance use;    Addictions;    Pregnancy;    Maternal health;    Social determinants of health;   

DOI  :  10.1186/s12905-017-0437-4

 received in 2016-06-02, accepted in 2017-08-28,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundIndigenous women in Canada have been hyper-visible in research, policy and intervention related to substance use during pregnancy; however, little is known about how the social determinants of health and substance use prior to, during, and after pregnancy intersect. The objectives of this study were to describe the social contexts of pregnant-involved young Indigenous women who use substances and to explore if an Indigenous-Specific Determinants of Health Model can predict substance use among this population.MethodsUsing descriptive statistics and hierarchical logistic regression guided by mediation analysis, the social contexts of pregnant-involved young Indigenous women who use illicit drugs’ lives were explored and the Integrated Life Course and Social Determinants Model of Aboriginal Health’s ability to predict heavy versus light substance use in this group was tested (N = 291).ResultsImportant distal determinants of substance use were identified including residential school histories, as well as protective factors, such as sex abuse reporting and empirical evidence for including Indigenous-specific determinants of health as important considerations in understanding young Indigenous women’s experiences with pregnancy and substance use was provided.ConclusionsThis analysis provided important insight into the social contexts of women who have experiences with pregnancy as well as drug and/or alcohol use and highlighted the need to include Indigenous-specific determinants of health when examining young Indigenous women’s social, political and historical contexts in relation to their experiences with pregnancy and substance use.

【 授权许可】

CC BY   
© The Author(s). 2018