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Cunningham C, Mercury M. Coproducing health research with Indigenous peoples. Nat Med 2023; 29:2722-2730. [PMID: 37946057 DOI: 10.1038/s41591-023-02588-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2023] [Accepted: 09/13/2023] [Indexed: 11/12/2023]
Abstract
The coproduction of health research represents an important advance in the realm of participatory methodologies, which have evolved over the past five decades. This transition to a collaborative approach emphasizes shared control between academic researchers and their partners, fostering a more balanced influence on the research process. This shift not only enhances the quality of the research and the evidence generated, but also increases the likelihood of successful implementation. For Indigenous peoples, coproduced research represents a critical development, enabling a shift from being mere 'subjects' of research to being active controllers of the process-including addressing the extractive and oppressive practices of the past. In this Review, we explore how research coproduction with Indigenous peoples is evolving. An 'Indigenous turn' embraces the concept of shared control while also considering the principles of reciprocity, the incommensurability of Western and Indigenous knowledge systems, divergent ethical standards, strategic and political differences, and the broader impact of processes and outcomes. To illustrate these ideas, we present examples involving New Zealand's Māori communities and offer recommendations for further progress.
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Affiliation(s)
- Chris Cunningham
- Research Centre for Hauora & Health (RCHH), Massey University, Wellington, New Zealand.
| | - Monica Mercury
- The Family Centre Social Policy Research Unit, Lower Hutt, New Zealand
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Grzejszczak J, Strzelecki D, Gabryelska A, Kotlicka-Antczak M. Affiliation to a Social Group as a Preventive Factor in Suicidal Behaviors in Children and Adolescents during the COVID-19 Pandemic. CHILDREN (BASEL, SWITZERLAND) 2023; 10:children10020333. [PMID: 36832461 PMCID: PMC9955561 DOI: 10.3390/children10020333] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/17/2023] [Revised: 02/05/2023] [Accepted: 02/07/2023] [Indexed: 02/12/2023]
Abstract
Suicide is one of the most common causes of death in the population of children and adolescents. Available data show the continuous growth of this phenomenon and the ineffectiveness of prevention programs. Additionally, the COVID-19 pandemic significantly affected young people's mental health, including an increased risk of suicidal behaviors due to limited direct contact with the school and peer groups in favor of the home environment. Therefore, the aim of this narrative review was to consider the risk factors and protective factors for suicidal behavior in the under-18 population, with a particular focus on the importance of belonging to a social group and building identification with it as a phenomenon protecting against suicidal behavior. Additionally, in this review, we evaluate how the COVID-19 pandemic affected these relationships. The PubMed database was used in the search with the following keywords: suicide, suicide behaviors, child and adolescent suicide behaviors, group affiliation, family affiliation, ethnicity, religious affiliation, and the COVID-19 pandemic, with articles published between 2002 and 2022 analyzed. Research conducted to date indicates that both sustained and stable family and peer relationships, as well as a sense of identification and belonging, noticeably reduce the risk of suicidal behavior. Ethnic or cultural affiliation seems to have been particularly important during the isolation in the home environment caused by the COVID-19 pandemic. Additionally, it has been shown that while in lockdown, contact through social media with individuals' identification groups was associated with a reduced chance of emotional crises. Furthermore, regardless of cultural background, attachment to a particular group correlates with enhanced psychiatric state of children and adolescents. Thus, available data highlight the need for building and maintaining affiliations with suitable groups as a protective factor against suicidal behaviors.
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Affiliation(s)
- Jagoda Grzejszczak
- Department of Child and Adolescent Psychiatry, Medical University of Lodz, 92-216 Lodz, Poland
| | - Dominik Strzelecki
- Department of Affective and Psychotic Disorders, Medical University of Lodz, 92-216 Lodz, Poland
| | - Agata Gabryelska
- Department of Sleep Medicine and Metabolic Disorders, Medical University of Lodz, 92-215 Lodz, Poland
- Correspondence:
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Liu-Helmersson J, Ouma A. Sámi traditional medicine: practices, usage, benefit, accessibility and relation to conventional medicine, a scoping review study. Int J Circumpolar Health 2021; 80:1924993. [PMID: 34319217 PMCID: PMC8330704 DOI: 10.1080/22423982.2021.1924993] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022] Open
Abstract
The Sámi Indigenous populations, who live in the arctic Sápmi area across four countries - Norway, Sweden, Finland and the Kola Peninsula of Russia - have practiced traditional medicine (TM) for millennia. However, today Sámi TM is unknown within the Swedish health care services (HCS). The aim of this study is to describe the nature and scope of research conducted on Sámi TM among the four Sápmi countries. This study covers peer-reviewed research published in the English language up to 8 April 2020. From 15 databases, 240 abstracts were identified, and 19 publications met the inclusion criteria for full review. Seventeen studies were conducted in Norway, one in Finland and one in Sweden, none in Russia. In northern Norway, Sámi TM is actively used by the local communities, and is claimed to be effective, but is not accessible within HCS. Holistic worldviews, including spirituality, prevail in Sámi TM from practitioners' selection criteria to health care practices to illness responsibilities. An integration of Sámi TM into HCS is clearly the desire of local communities. Comparisons were made between Sámi TM and conventional medicine on worldviews, on perspectives towards each other, and on integration. More studies are needed in Sweden, Finland and Russia.
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Affiliation(s)
| | - Anne Ouma
- Centre for Sami Research (Várdduo), Umeå University, Umeå, Sweden
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Ness TM, Munkejord MC. Being connected to nature, reindeer, and family: findings from a photovoice study on well-being among older South Sámi people. Int J Circumpolar Health 2021; 80:1936971. [PMID: 34256684 PMCID: PMC8280892 DOI: 10.1080/22423982.2021.1936971] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
In this paper, we examine the perceptions of well-being among older South Sámi people with various experiences from reindeer herding by use of a method called photovoice. Eleven participants, including six men and five women aged 67–84 years, agreed to take photos of situations, things, or persons that made them feel a sense of well-being. When the researcher collected the photos, the participants were invited to tell their stories related to each photo. In the thematic analysis of the photos, three main themes emerged: a) well-being through connection to nature, b) well-being through connection to the reindeer, and c) well-being through connection to the family. In conclusion, we argue that if healthcare professionals are to enhance the well-being of care receivers – in this case older people with South Sami background from reindeer-herding families – they must consider the care receiver’s life story and what constitutes well-being for the individual person.
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Affiliation(s)
- Tove Mentsen Ness
- Faculty of Nursing and Health Sciences, Nord University, Namsos, Norway.,Department of Child Welfare and Social Work, UiT The Arctic University of Norway, Tromsø, Norway
| | - Mai Camilla Munkejord
- Centre for Care Research, West, Western Norway University of Applied Sciences, Bergen, Norway.,Dept of Business Administration, Western Norway University of Applied Sciences, Bergen, Norway
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Good A, Sims L, Clarke K, Russo FA. Indigenous youth reconnect with cultural identity: The evaluation of a community- and school-based traditional music program. JOURNAL OF COMMUNITY PSYCHOLOGY 2021; 49:588-604. [PMID: 33314203 DOI: 10.1002/jcop.22481] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/21/2019] [Revised: 10/02/2020] [Accepted: 10/03/2020] [Indexed: 06/12/2023]
Abstract
Reconnecting Indigenous youth with their cultural traditions has been identified as an essential part of healing the intergenerational effects of forced assimilation policies. Past work suggests that learning the music of one's culture can foster cultural identity and community bonding, which may serve as protective factors for well-being. An 8-week traditional song and dance program was implemented in a school setting for Indigenous youth. An evaluation was conducted using a mixed-method design to determine the impact of the program on 35 youth in the community. A triangulation of qualitative and quantitative data revealed several important themes, including personal development, cultural development, social development, student engagement in school-based programming, and perpetuating cultural knowledge. The program provided students with an opportunity to connect with their cultural traditions through activities that encouraged self and cultural expression. Community responses suggested that this type of programming is highly valued among Indigenous communities.
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Affiliation(s)
- Arla Good
- Ryerson University, Toronto, Ontario, Canada
| | - Lori Sims
- Selkirk First Nation, Pelly Crossing, Yukon Territory, Canada
| | - Keith Clarke
- Yukon Department of Education, Government of Yukon, Whitehorse, Yukon Territory, Canada
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Hämäläinen S, Salamonsen A, Mehus G, Schirmer H, Graff O, Musial F. Yoik in Sami elderly and dementia care – a potential for culturally sensitive music therapy? NORDIC JOURNAL OF MUSIC THERAPY 2021. [DOI: 10.1080/08098131.2020.1849364] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
- Soile Hämäläinen
- The National Research Center in Complementary and Alternative Medicine NAFKAM, Department of Community Medicine, UiT The Arctic University of Norway and Centre of Quality and Development, University Hospital of North Norway UNN HF, Tromsø, Norway
- RKBU North, Department of Health and Care Sciences, UiT The Arctic University of Norway, Tromsø, Norway
| | - Anita Salamonsen
- RKBU North, Department of Health and Care Sciences, UiT The Arctic University of Norway, Tromsø, Norway
| | - Grete Mehus
- Nursing Bsc in Hammerfest, Department of Health and Care Sciences, UiT The Arctic University of Norway, Tromsø, Norway
| | - Henrik Schirmer
- Division of Medicine and Laboratory Sciences at University of Oslo, Division of Cardiothoracic and Respiratory Medicine at University Hospital of North Norway UNN, Department of Clinical Medicine, UiT The Arctic University of Norway, Tromsø, Norway
| | - Ola Graff
- The Arctic University Museum of Norway, UiT The Arctic University of Norway, Tromsø, Norway
| | - Frauke Musial
- The National Research Center in Complementary and Alternative Medicine NAFKAM, Department of Community Medicine, UiT The Arctic University of Norway and Centre of Quality and Development, University Hospital of North Norway UNN HF, Tromsø, Norway
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