Bonding social capital and health within four First Nations communities in Canada: A cross-sectional study

被引:4
作者
Yeung, Sharon [1 ]
Rosenberg, Mark [2 ]
Banach, Donna [4 ]
Mayotte, Lisa [5 ]
Anand, Sonia S. [3 ]
Band, Lac La Ronge Indian [6 ]
Nation, Fort McKay First [7 ]
Castleden, Heather [8 ]
机构
[1] Univ Toronto, Dept Psychiat, 250 Coll St,8th Floor, Toronto, ON M5T 1R8, Canada
[2] Queens Univ, Dept Geog & Planning, Mackintosh Corry Hall,58 Univ Ave, Kingston, ON K7L 3N9, Canada
[3] McMaster Univ, Populat Hlth Res Inst, 20 Copeland Ave, Hamilton, ON L8L 2X2, Canada
[4] Lac La Ronge Indian Band, POB 1770, La Ronge, SK S0J 1L0, Canada
[5] Lac La Ronge Indian Band, POB 67, La Ronge, SK S0J 1L0, Canada
[6] Care of Carlson M, POB 1770, La Ronge, SK S0J 1L0, Canada
[7] Care of LHommecourt J, 39 Athabasca River, Ft McKay, AB T0P 1C0, Canada
[8] Univ Victoria, Sch Publ Adm, POB 1700 STN CSC, Victoria, BC V8W 2Y2, Canada
关键词
Social capital; Indigenous health; Social determinants of health; Social epidemiology; First nations; Canada; SELF-RATED HEALTH;
D O I
10.1016/j.ssmph.2021.100962
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
To date, research on social capital in Indigenous contexts has been scarce. In this quantitative study, our objectives were to (1): Describe bonding social capital within four distinct First Nations communities in Canada, and (2) Explore the associations between bonding social capital and self-rated health in these communities. With community permission, cross-sectional data were drawn from the Canadian Alliance for Healthy Hearts and Minds study. Four reserve-based First Nations communities were included in the analysis, totaling 591 participants. Descriptive statistics were computed to examine levels of social capital among communities and logistic regression analyses were performed to identify social capital predictors of good self-rated health. Age, sex, education level, and community were controlled for in all models. Across the four communities in this study, areas of common social capital included frequent socialization among friends and large and interconnected family networks. Positive self-rated health was associated with civic engagement at federal or provincial levels (OR=1.65, p<0.05) and organizational membership (OR=1.60, p<0.05), but overall, sociodemographic variables were more significantly associated with self-rated health than social capital variables. Significant differences in social capital were found across the four communities and community of residence was a significant health outcomes predictor in all logistic regression models. In conclusion, this study represents one of the first efforts to quantitatively study First Nations social capital with respect to health in Canada. The results reflect significant differences in the social capital landscape across different First Nations communities and suggest the need for social capital measurement tools that may be adapted to unique Indigenous contexts. Further, the impact of social capital on health may be better explored and interpreted with more community-specific instruments and with supplementary qualitative inquiry.
引用
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页数:9
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