Lecture 14

Indigenous people's health

white, lands, cultures

Colonialism’s goal is to entrench social, political, and economic determinants that benefit ______ settler societies, often to the detriment of Indigenous ______, waters, _______, communities, families, and individuals

responsibility, report

In 2015, the Canadian government affirmed their ______ for Indigenous inequalities following a historic _______ by the Truth and Reconciliation Commission of Canada

genocide, schools

In Canada, colonialism is linked to the practices of cultural ______ in the form of residential ______

• Historical trauma → implies that it’s from the past, but the impacts are still present nowadays and it’s an ongoing concern

• Post-traumatic stress disorder → too general, it’s not a specific traumatic event but the cumulative effects of colonialism

What’s the problem with the terms “historical trauma” and “post-traumatic stress disorder”?

governance, status

Indigenous people’s access to healthcare is often limited because of federal/provincial jurisdictions regarding the ______ of healthcare and of “Indian ______”

not

The lack of cultural competency is ______ the only problem in healthcare access

pervasive

Discrimination and racism against Indigenous people in the healthcare system are _______

Metaphor to explain the social determinants of Indigenous people’s health

1. Root determinants → foundations, causes, have an impact on equity and wellness

   • Ex: colonial ideologies/governance, Indigenous self-determination

2. Core determinants → systems that allocate resources

   • Ex: communities, infrastructures, environmental stewardship

3. Stem determinants → actual resources, easily observed, often the main focus of policies ☹

   • Ex: employment/income, education, food security, health activities, environment

What’s the tree metaphor?