Search Results (185)

Immigrants from Latin America’s Indigenous and rural communities in New York City are likely to break the cycle of poverty by improving language proficiency, acculturation, and education. Their well-being has received poor attention in the economic literature, and little is known about the needs, financial welfare, health status, or education among Indigenous-origin migrants from Latin American households. This study used primary data from a non-probabilistic sample of 121 self-identified Indigenous migrants living in New York City (NYC), a demographic cohort presenting challenges in terms of research access. National-level data usually aggregates all Spanish-speaking individuals as Hispanics and fails to acknowledge the presence of these pre-Hispanic groups. Integrating low-skilled Latin American Indigenous migrants into labor markets remains a challenge. We examined the link between the household income of Indigenous migrants from Latin America in NYC and education, acculturation, and discrimination. Using a logistic regression, we substantiated that education retains its prominence as the primary determinant of income for Indigenous migrants, but perceptions of discrimination based on skin color undermined this progress. This study highlights the need for interventions to promote language proficiency, acculturation, and education among Indigenous immigrant communities and implement culturally tailored policies to encourage the upward mobility of this population. Full article

Background: Multimorbidity (the co-occurrence of two or more chronic conditions) is increasingly common among older adults and contributes to diminished well-being and greater healthcare use. While national data highlight regional variation, few studies have examined how multimorbidity is patterned within provinces like Saskatchewan or how it relates to access and acute care use. Objective: To describe sociodemographic and geographic patterns of multimorbidity among older adults in Saskatchewan and examine its association with healthcare access, unmet needs, and recent emergency department (ED) visits and hospitalizations. Methods: We conducted a secondary analysis of a population-based telephone survey of 1093 adults aged 65+ across Saskatchewan. Respondents were categorized by chronic disease burden (none, one, or multimorbidity). Descriptive statistics and postal code-level mapping explored health status, access, and utilization. Results: Multimorbidity (10.6%) was more prevalent among older adults aged 75+, Indigenous respondents, and those with lower education. It was associated with poorer self-rated health, greater unmet needs, and higher ED visits (20.7%) and hospitalizations (12.1%) compared to those without chronic conditions. Northern regions had proportionally higher multimorbidity, despite smaller populations. Conclusions: Findings highlight social and spatial disparities in chronic disease burden and underscore the need for equity-focused strategies in Saskatchewan’s rural and northern communities. Full article

Amidst deepening ecological disruption and widespread disconnection from nature, this study explores the emerging field of Earth Awareness (EA) as a relational and experiential aspect of advancing planetary health. EA practices—rooted in Buddhist, Indigenous, mindfulness, and nature-based traditions—support direct experiences of interconnectedness with Earth, ecological awareness and consciousness, and opportunities to transform underlying patterns and systems. Through 45 reflective dialogues with teachers and practitioners across traditions, this participatory research identifies common inspirations, intentions, and challenges that shape the emerging EA field. Findings reveal that EA is characterized by contemplative practices, rituals, and ceremonies that bridge inner transformation and outer action in the world. Central intentions such as healing, interconnectedness, and justice align closely with planetary health priorities, including mental well-being, equity, and stewardship of the living world. Although the field faces challenges related to access, risk of cultural appropriation, and systemic separation, participants identified opportunities for community building, intercultural exchange, and centering Earth as teacher and co-participant. By mapping coherence in this diverse field, this study highlights EA’s potential to contribute to planetary health by reconnecting people with place, fostering a more ecological consciousness, and supporting culturally grounded pathways for collective action and care for Earth. Full article

Globally, poverty remains a major obstacle to health parity, compromising well-being. This policy analysis aims to examine how poverty affects health inequities and healthcare access in two contexts: Canada, a high-income nation, and Pakistan, a low-income nation. This study employs a grounded approach, integrating a thorough review of the existing critical literature using systematic thematic analysis and synthesis. In Pakistan, chronic underinvestment, rural–urban gaps, inadequate infrastructure, and political instability exacerbate inequities in access to healthcare. Limited coverage, ineffective administrative processes, and gaps in rural healthcare delivery impede growth despite encouraging programs like the Sehat Card and the Ehsaas Program. Conversely, universal healthcare in Canada has lowered financial obstacles to access, but low-income and Indigenous communities are still impacted by service gaps, particularly in dental care, pharmacare, and mental health. Although child poverty rates have been significantly reduced by programs like the Canada Child Benefit, Indigenous children continue to endure disproportionate health risks. Findings underscore a need for equity-driven changes: Pakistan must expand rural health infrastructure and legislate health equity, while Canada should extend coverage to essential but excluded services. Findings underscore the intersecting nature of inequities driven by poverty, gender, geography, and systemic exclusion that highlight opportunities for cross-context policy learning. Canada’s equity monitoring frameworks could strengthen Pakistan’s health data systems, while Pakistan’s community-based Lady Health Worker program offers scalable grassroots models relevant for marginalized Canadian regions. Both countries must prioritize poverty alleviation as a health intervention, integrating justice, sustainability, and accountability to advance global health equity. Full article

Out-of-pocket health expenditure (OOPHE) significantly impacts people with chronic and complex diseases (CCDs) and injuries. Aboriginal communities experience a higher burden of CCDs and injury, along with greater OOPHE inequities. This project aims to develop and implement a social prescribing digital platform (Web App) to reduce OOPHE. It is grounded in citizen science approaches that value the lived experience and knowledge of Aboriginal people in shaping solutions. The project uses a citizen science methodology adapted for these communities, using knowledge interface methodology to weave together Indigenous and Western knowledges. Research methods (Indigenous, quantitative, qualitative) explore the relational nature of OOPHE risks and protective factors through co-design and workshops with Aboriginal participants to develop the Web App. A community-centric developmental evaluation guides the trial and refinement of the platform, allowing for ongoing learning and adaptation. Process measures inform a national scale-up and evaluation framework. Addressing OOPHE is essential to improving health and wellbeing for Aboriginal and Torres Strait Islander individuals and families living with or at risk of CCDs. This initiative aims to reduce the impact of OOPHE through digital social prescribing, there by connecting people with essential community services to access healthcare, offering a scalable approach to addressing health inequities nationwide. Full article

Adverse climate events are increasingly challenging the health and wellbeing of communities. The intersections of indigenous knowledge and sustainable development, through an eco-social work perspective, are least developed0 in sub-Saharan Africa (SSA). The challenging socio-ecological environment is compounded by limited infrastructure, which hinders the delivery of social services in remote communities. Drawing on cumulative research evidence and regional case studies across Africa, this conceptual article examines the key elements of an eco-social work paradigm and the potential challenges of its implementation. Drawing on intersectional approaches, this paper proposes practical strategies for integrating eco-social work dimensions into problem-solving to address the Sustainable Development Goals (SDGs), specifically Goal 1 (No Poverty) and Goal 13 (Climate Action). Social work practice should be anchored in an indigenous epistemology and research governance, informed by insights from higher education institutions, local communities, the context of practice, and partnerships with the state, to ensure regulatory oversight and inter-professional collaboration. Contextualised outcomes to build community-level resilience, and development practitioners who are up-skilled and able to conduct needs-led ecological assessments are essential. Such co-created interventions and collaborative strategies would effectively address poverty and climate change in vulnerable, remote communities. Further empirical research on the interpretation of indigenous knowledge and the role of eco-social workers within interprofessional collaboration is essential for formulating an indigenous epistemology and ecological wellbeing policy, thereby strengthening community-level resilience and sustainability. Full article

Indigenous Peoples have developed and stewarded complex knowledge systems that have contributed to thriving societies. With continued threats to Indigenous lifeways, there is increasing need to further protect traditional ecological knowledges (TEK). We carried out a qualitative study to explore Indigenous community perspectives on stewarding and protecting TEK while identifying gaps in community-level protections of TEK. We conducted ten semi-structured interviews in December 2024 and one focus group in January 2025 with Indigenous Peoples in the southwestern United States. Reflexive thematic analysis through open coding was carried out using qualitative software. Six overarching themes were characterized in the interviews, which overlapped with findings from the focus group, including the following: (1) Historical and current barriers impact the sharing of TEK; (2) Preserving our language is necessary for intergenerational transmission of our TEK; (3) Our TEK reveals changes to our Lands; (4) Protecting our Lands and medicines is vital to our health; (5) We must take the time to learn our TEK for future generations; and (6) We need to protect our TEK. Our research highlights the importance of supporting Indigenous communities’ capacities to protect their TEK for personal, community, and environmental well-being. Full article

(1) Background: The COVID-19 pandemic exacerbated existing health inequities for Native American communities, intensifying the challenges faced in accessing addiction and recovery services. As part of a tribal-university collaborative effort in Arizona, our team explored the impacts of the COVID-19 pandemic on mental well-being and resilience among the Indigenous substance use recovery community. (2) Methods: We conducted qualitative analysis of transcribed individual interviews (n = 19) to understand the factors of resilience and mental well-being for providers of Western addiction treatment services and Indigenous community members who were in addiction recovery or engaged in addiction treatment during the pandemic. (3) Results: Four major themes that impacted mental well-being among the Indigenous recovery group during the pandemic were identified: (1) healthcare barriers; (2) culture in recovery; (3) the impact of colonization/historical trauma; and (4) the importance of relationships. (4) Conclusions: This work provides insight into the disproportionate impact of the COVID-19 pandemic on Indigenous communities and vulnerable populations such as the recovery community. Findings from this study highlight the need for Indigenous-grounded and culturally informed recovery interventions. Full article

Climate change remains one of the existential threats to humanity in particular and life on earth in general. It presents significant impacts on food and nutritional security, health, and the general well-being of living organisms globally. Despite global efforts to tackle the climate crisis, the record shows that limited progress has been made in curbing the problem. Consequently, this study intends to address the following research question: How does the climate crisis affect indigenous food systems, farmers’ livelihoods, and local communities in the study area? This study was conducted in the Tolon district of the northern region of Ghana from 2017 to 2022. Grounded in the theoretical prism of political ecology and indigenous knowledge perspective, we selected individuals who were smallholder farmers, students, faculty members, extension officers, and an administrator from the Ministry of Food and Agriculture. The data were gathered through in-depth interviews, focus groups, and workshops and analyzed using coding, thematization, and inferences drawn from the literature and authors’ experiences. This study discovered some of the effects of a changing climate, including the extinction of indigenous food crops, poor yield resulting in poverty, and food and nutritional insecurity. This study concludes that failure to tackle climate change could pose a greater threat to the survival of smallholder households in Ghana. Full article

The Red River Jig is a traditional Métis dance practiced among Indigenous and non-Indigenous Peoples. While exercise improves physical health and fitness, the impacts of cultural dances on wholistic health are less clear. This study aimed to investigate the psychosocial (cultural and mental), social, physical function, and physical fitness benefits of a Red River Jig intervention. In partnership with Li Toneur Nimiyitoohk Métis Dance Group, Indigenous and non-Indigenous adults (N = 40, 39 ± 15 years, 32 females) completed an 8-week Red River Jig intervention. Social support, cultural identity, memory, and mental wellbeing questionnaires, seated blood pressure and heart rate, weight, pulse-wave velocity, heart rate variability, baroreceptor sensitivity, jump height, sit-and-reach flexibility, one-leg and tandem balance, and six-minute walk test were assessed pre- and post-intervention. Community, family, and friend support scores, six-minute walk distance (553.0 ± 88.7 m vs. 602.2 ± 138.6 m, p = 0.002), jump, leg power, and systolic blood pressure low-to-high-frequency ratio increased after the intervention. Ethnic identity remained the same while affirmation and belonging declined, leading to declines in overall cultural identity, as learning about Métis culture through the Red River Jig may highlight gaps in cultural knowledge. Seated systolic blood pressure (116.5 ± 7.3 mmHg vs. 112.5 ± 10.7 mmHg, p = 0.01) and lower peripheral pulse-wave velocity (10.0 ± 2.0 m·s⁻¹ vs. 9.4 ± 1.9 m·s⁻¹, p = 0.04) decreased after the intervention. Red River Jig dance training can improve social support, physical function, and physical fitness for Indigenous and non-Indigenous adults. Full article

Psychedelic plants and fungi have been traditionally used in many cultures as part of ritual ceremonies and ancient medicinal treatments. In some regions, these psychoactive plants have already entered mainstream discourse through popular literature and art. Today, numerous academic and medical institutions are establishing dedicated departments to examine the benefits and risks of psychedelic-assisted treatments. Entheogens in healing practices and herbal medicine are part of Slavic cultural heritage. However, due to the predominantly oral transmission of this knowledge, there is a significant lack of written sources and a profound gap in documentation regarding entheogen use on the Balkan Peninsula, where many psychoactive plants and mushrooms grow in their natural habitat. Our work aims to bridge indigenous knowledge systems with contemporary therapeutic discourse, while advocating for sustainable, inclusive, and culturally respectful research practices. This review manuscript presents information on Slavic ancient entheogens, and calls for further multidisciplinary, integrative approaches in researching psychoactive plants and mushrooms of the Balkans. Our paper includes the ethnobotanical uses of native Balkan entheogens, outlines the pharmacological mechanisms of their main active compounds, and discusses their impacts on social behavior, mental health, and overall well-being. We also examine their therapeutic potential and risks, contributing to the contemporary understanding of psychoactive and psychedelic use in mental health treatment and beyond, as tools for life enhancement to improve quality of life and well-being. Full article

Indigenous Peoples have stewarded Indigenous traditional ecological knowledges (TEK) for millennia. Health-related TEK represents vital knowledge that promotes Indigenous health and wellbeing. Yet, the intergenerational protection of TEK continues to be threatened by various factors, including climate change, which underscores the importance of strengthening and supporting Indigenous-managed TEK repositories. Using a scoping review methodology, we aimed to identify documents for setting up health-related TEK repositories within Indigenous communities. A systematic search was completed in multiple databases—Medline, PubMed, CABI abstracts, Canadian Public Policy Collection, and JSTOR—with manual searches carried out on relevant Indigenous repositories and Google. Content analysis was then carried out with the nine documents meeting our inclusion criteria. We characterized six overarching categories and twelve sub-categories from the included documents. These categories covered impacts on Indigenous TEK repositories resulting from colonial processes, with TEK being seen as diverse, living knowledge protected by longstanding cultural protocols. Concerns surrounding TEK repository management included the need for platforming Indigenous data sovereignty and Indigenous Peoples’ access and ownership. Wise practices of Indigenous-led repository development demonstrated clear examples of data governance processes in action. Indigenous communities were seen to be vital in contributing to key policies and protocols that protect health-related TEK. Full article

Māori, the Indigenous people of Aotearoa New Zealand, experience wide-ranging inequities compared with non-Māori. This survey aimed to explore the holistic health, wellbeing, and disability experiences of New Zealand’s Indigenous Māori population from a Māori worldview, addressing gaps in culturally relevant data often overlooked by standard health surveys. A robust cross-sectional survey was conducted with 7359 participants of Māori descent using Kaupapa Māori Research principles. Data were analysed using the Te Pae Māhutonga framework, a Māori health promotion model. Participants demonstrated strong cultural identity, with 32.3% understanding spoken Māori fairly well and 97.3% defining a broad non-nuclear concept of whānau (family). While over half reported high life satisfaction, 58.4% experienced discrimination, mainly based on ethnicity and appearance. Access to healthcare revealed that 32.6% were unable to contact a general practitioner due to cost. Socioeconomic challenges were prevalent; nearly a quarter borrowed from family or friends to meet daily living costs, and over a third economized on fresh produce to save money. This study reveals significant gaps in mainstream health data and demonstrates that a culturally aligned, methodological approach is feasible and crucial for informing policies that address the needs and rights of Māori, as guaranteed under Te Tiriti o Waitangi. These results could inform global, indigenous research addressing culturally relevant health, wellbeing and disability inequities. Full article

Queer, trans, and Two Spirit Native youth are rarely represented in research, with extant evidence continuously pointing out health disparities and pathologizing individual characteristics rather than accounting for the structural aspects of colonial society. Global Indigenous scholars have put forth a holistic conception of social and emotional wellbeing that integrates Indigenous sovereignty, strengths, and cultures, positing that Indigenous health is a culturally bound phenomenon. To move beyond these deficit-based framings and collate available scholarship, the present work presents the results of a scoping review surrounding the social and emotional wellbeing of queer, trans, and Two Spirit Native youth. Informed by the Indigiqueer ecological medicine wheel, the present work includes a breadth of health and wellbeing concepts for QT2S Native youth across micro and macro domains. A total of 27 articles met the criteria and were reviewed to (a) illuminate current experiences of QT2S Native youth, (b) provide recommendations for health providers to better support QT2S Native youth clients, and (c) suggest future research and data recommendations to build towards a holistic understanding of social and emotional wellbeing for queer, trans, and Two Spirit Native youth. Full article

During the COVID-19 pandemic, Alaska communities faced an extremely challenging situation given their socioeconomic, cultural, and demographic characteristics, as well as issues related to remoteness and colonial legacy. This paper seeks to advance the understanding of the gendered impacts and implications of crises like the COVID-19 pandemic on Indigenous women in Alaskan urban and rural communities through a resilience lens. The paper addresses two primary research questions: (1) What are the impacts of the COVID-19 pandemic on Indigenous women in urban and rural Alaska, and specifically what are the gendered implications in the personal, sociocultural, and economic domains? (2) What are the strengths associated with women’s responses to COVID-19 that contribute to individual and community resilience during crises such as the COVID-19 pandemic, and what are the constraints? This research is based on seventeen in-depth thematic interviews conducted in the city of Anchorage, the hub community of Nome, and its neighboring rural communities on the Seward Peninsula. Using the deficit-based approach combined with a strength-based perspective, this study provides a comprehensive examination of Indigenous women experiences during the pandemic across key domains of gendered impacts and responses, also providing a first-ever analysis of differences between rural and urban settings. The results revealed that despite significant challenges in personal, sociocultural, and economic domains, women demonstrated resilience and resourcefulness, while serving as caregivers at home and across their communities. The Indigenous holistic concepts of health and well-being, along with values of care, mutual support, and strong social and kinship ties, combined with traditional land- and water-based activities and cultural practices, play a crucial role in times of crisis, significantly contributing to building resilience and fostering empowerment at both the individual and community levels. Full article