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Published in: BMC Public Health 1/2022

Open Access 01-12-2022 | Suicide | Research

Association between intergenerational solidarity involving elders and mental health of Indigenous people living off reserve

Authors: Chantal Viscogliosi, Hugo Asselin, Lise Trottier, Monia D’Amours, Mélanie Levasseur

Published in: BMC Public Health | Issue 1/2022

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Abstract

Background

Indigenous elders play an important role in transmitting knowledge, values and practices, hence fostering identity-building through intergenerational solidarity. We aimed to verify the association between intergenerational solidarity involving Indigenous elders and mental health of Indigenous people living off reserve.

Methods

We carried secondary analyses of data for a subsample from the cross-sectional 2012 Aboriginal Peoples Survey (total sample: n = 28,410 Indigenous persons aged ≥6 years old living off reserve; subsample: n = 13,020 aged 18–44 years old). Controlling for age as well as material and social deprivation, we used logistic regressions to verify the association between intergenerational solidarity (proxied as time spent with an elder and potential of turning to an elder or grandparent for support in times of need) and mental health (perceived mental health, mood disorders, anxiety, suicidal thoughts and attempts).

Results

About 39 and 9% of the respondents respectively reported having spent time with an elder and would have turned to an elder or grandparent for support in times of need. Women who would not turn to an elder or grandparent for support in times of need were more likely to report fair or poor perceived mental health (OR = 1.69, p = 0.03). Men not spending time with an elder were more likely to experience mood disorders (OR = 1.66, p = 0.004). Women who would not turn to an elder or grandparent for support in times of need were more likely to experience anxiety disorders (OR = 1.57, p = 0.04). Women not spending time with an elder or who would not turn to an elder or grandparent for support in times of need were respectively more likely to have suicidal thoughts (OR = 1.62, p = 0.04) or to have attempted suicide (OR = 3.38, p = 0.04).

Conclusion

Intergenerational solidarity is associated with better mental health outcomes of Indigenous people living off reserve. These results could guide policies and practices that aim to enhance mental health and wellness in Indigenous populations.
Literature
1.
go back to reference Canadian UNICEF Committee. Aboriginal children’s health: leaving no child behind. Canadian supplement to the state of the world’s children 2009. United Nations International Children’s Emergency Fund (UNICEF) Canada 2009. Canadian UNICEF Committee. Aboriginal children’s health: leaving no child behind. Canadian supplement to the state of the world’s children 2009. United Nations International Children’s Emergency Fund (UNICEF) Canada 2009.
2.
go back to reference FNQLHSSC. Living conditions of the elders of the first nations of Quebec. Final report. First Nations of Quebec and Labrador Health and Social Services Commission. 2010. FNQLHSSC. Living conditions of the elders of the first nations of Quebec. Final report. First Nations of Quebec and Labrador Health and Social Services Commission. 2010.
3.
go back to reference Hadjipavlou G, Varcoe C, Tu D, Dehoney J, Price R, Browne AJ. “All my relations”: experiences and perceptions of indigenous patients connecting with indigenous elders in an inner city primary care partnership for mental health and well-being. Can Med Assoc J. 2018;190(20):E608–15. https://doi.org/10.1503/cmaj.171390.CrossRef Hadjipavlou G, Varcoe C, Tu D, Dehoney J, Price R, Browne AJ. “All my relations”: experiences and perceptions of indigenous patients connecting with indigenous elders in an inner city primary care partnership for mental health and well-being. Can Med Assoc J. 2018;190(20):E608–15. https://​doi.​org/​10.​1503/​cmaj.​171390.CrossRef
4.
go back to reference Salée D, Newhouse D, Lévesque C. Quality of life of Aboriginal people in Canada: an analysis of current research. IRPP Choices. 2006;12(6):1–38. Salée D, Newhouse D, Lévesque C. Quality of life of Aboriginal people in Canada: an analysis of current research. IRPP Choices. 2006;12(6):1–38.
5.
go back to reference Drolet MJ, Goulet M. Travailler avec des patients autochtones du Canada. Recueil annuel francophone d’ergothérapie. 2018;10:25–56. Drolet MJ, Goulet M. Travailler avec des patients autochtones du Canada. Recueil annuel francophone d’ergothérapie. 2018;10:25–56.
6.
go back to reference Fridkin AJ. Addressing health inequities through indigenous involvement in health-policy discourses. Can J Nurs Res Arch. 2012;44(2):108–22. Fridkin AJ. Addressing health inequities through indigenous involvement in health-policy discourses. Can J Nurs Res Arch. 2012;44(2):108–22.
10.
go back to reference McGinn CA, Damasse J. Efficacité des interventions en matière de négligence auprès des enfants, des familles et des communautés autochtones. Revue systématique. Institut national d’excellence en santé et en services sociaux (INESSS). ETMIS. 2014;10(2):1–38. McGinn CA, Damasse J. Efficacité des interventions en matière de négligence auprès des enfants, des familles et des communautés autochtones. Revue systématique. Institut national d’excellence en santé et en services sociaux (INESSS). ETMIS. 2014;10(2):1–38.
11.
go back to reference Basile S, Asselin H, Martin T. Le territoire comme lieu privilégié de transmission des savoirs et des valeurs des femmes Atikamekw. Recherches féministes. 2017;30(1):61–80.CrossRef Basile S, Asselin H, Martin T. Le territoire comme lieu privilégié de transmission des savoirs et des valeurs des femmes Atikamekw. Recherches féministes. 2017;30(1):61–80.CrossRef
12.
go back to reference Kant S, Vertinsky I, Zheng B, Smith PM. Multi-domain subjective wellbeing of two Canadian first nations communities. World Dev. 2014;64:140–57.CrossRef Kant S, Vertinsky I, Zheng B, Smith PM. Multi-domain subjective wellbeing of two Canadian first nations communities. World Dev. 2014;64:140–57.CrossRef
15.
go back to reference Kahn CB, Reinschmidt K, Teufel-Shone NI, Ore CE, Henson M, Attakai A. American Indian Elders' resilience: sources of strength for building a healthy future for youth. Am Indian Alaska Nat. 2016;23(3):117–33. Kahn CB, Reinschmidt K, Teufel-Shone NI, Ore CE, Henson M, Attakai A. American Indian Elders' resilience: sources of strength for building a healthy future for youth. Am Indian Alaska Nat. 2016;23(3):117–33.
16.
go back to reference Olazabal I, Pinazo S. Les relations intergénérationnelles au sein de la parenté et de la communauté. In: Charpentier M, Guberman N, Billette V, Lavoie JP, Grenier A, Olazabal I, editors. Vieillir au pluriel. Perspectives sociales. Québec: Presses de l’Université du Québec; 2010. p. 255–80. Olazabal I, Pinazo S. Les relations intergénérationnelles au sein de la parenté et de la communauté. In: Charpentier M, Guberman N, Billette V, Lavoie JP, Grenier A, Olazabal I, editors. Vieillir au pluriel. Perspectives sociales. Québec: Presses de l’Université du Québec; 2010. p. 255–80.
18.
go back to reference Hains J. Relation entre les événements de vie stressants, la détresse psychologique et la résilience chez les adolescents autochtones et caucasiens. [Doctoral essay]. [Chicoutimi (Quebec, Canada)]: Université du Québec à Chicoutimi. 2015. p. 71. Hains J. Relation entre les événements de vie stressants, la détresse psychologique et la résilience chez les adolescents autochtones et caucasiens. [Doctoral essay]. [Chicoutimi (Quebec, Canada)]: Université du Québec à Chicoutimi. 2015. p. 71.
21.
go back to reference Uchino B. Social support and physical health: understanding the health consequences of relationships. New Haven: Yale University Press; 2004. p. 16–7.CrossRef Uchino B. Social support and physical health: understanding the health consequences of relationships. New Haven: Yale University Press; 2004. p. 16–7.CrossRef
22.
go back to reference Tu D, Hadjipavlou G, Dehoney J, Price ER, Dusdal C, Browne AJ, et al. Partnering with indigenous elders in primary care improves mental health outcomes of inner-city indigenous patients: prospective cohort study. Can Fam Physician. 2019;65(4):274–81.PubMedPubMedCentral Tu D, Hadjipavlou G, Dehoney J, Price ER, Dusdal C, Browne AJ, et al. Partnering with indigenous elders in primary care improves mental health outcomes of inner-city indigenous patients: prospective cohort study. Can Fam Physician. 2019;65(4):274–81.PubMedPubMedCentral
24.
go back to reference WHO. International classification of functioning, disability and health. Geneva: world health. Organization. 2003. WHO. International classification of functioning, disability and health. Geneva: world health. Organization. 2003.
28.
go back to reference Pampalon R, Hamel D, Gamache P, Philibert M, Raymond G, Simpson A. An area-based material and social deprivation index for public health in Québec and Canada. Can J Public Health. 2012;103(suppl 2):S17–22 Mar.-20-2013.pdf. Accessed 1 Mar 2021.CrossRef Pampalon R, Hamel D, Gamache P, Philibert M, Raymond G, Simpson A. An area-based material and social deprivation index for public health in Québec and Canada. Can J Public Health. 2012;103(suppl 2):S17–22 Mar.​-20-2013.​pdf. Accessed 1 Mar 2021.CrossRef
34.
go back to reference Holt-Lunstad J, Uchino BN. Social support and health. In: Glanz K, Rimer BK, Viswanath K, editors. Health behavior: theory, research, and practice. San Francisco: Jossey-Bass/Wiley; 2015. p. 183–204. Holt-Lunstad J, Uchino BN. Social support and health. In: Glanz K, Rimer BK, Viswanath K, editors. Health behavior: theory, research, and practice. San Francisco: Jossey-Bass/Wiley; 2015. p. 183–204.
36.
go back to reference Lynch TR, Mendelson T, Robins CJ, Krishnan KRR, George LK, Johnson CS, et al. Perceived social support among depressed elderly, middle-aged, and young-adult samples: cross-sectional and longitudinal analyses. J Affect Disord. 1999;55:159–70.CrossRef Lynch TR, Mendelson T, Robins CJ, Krishnan KRR, George LK, Johnson CS, et al. Perceived social support among depressed elderly, middle-aged, and young-adult samples: cross-sectional and longitudinal analyses. J Affect Disord. 1999;55:159–70.CrossRef
37.
go back to reference Silverstein M, Bengtson VL, Litwak E. Theoretical approaches to problems of families, aging, and social support in the context of modernization. In: Biggs S, Lowenstein A, Hendricks J, editors. The need for theory: critical approaches to social gerontology. New York: Routledge; 2020. p. 181–98.CrossRef Silverstein M, Bengtson VL, Litwak E. Theoretical approaches to problems of families, aging, and social support in the context of modernization. In: Biggs S, Lowenstein A, Hendricks J, editors. The need for theory: critical approaches to social gerontology. New York: Routledge; 2020. p. 181–98.CrossRef
38.
go back to reference Levasseur M, Roy M, Michallet B, St-Hilaire F, Maltais D, Généreux M. Associations between resilience, community belonging, and social participation among community-dwelling older adults: results from the eastern townships population health survey. Arch Phys Med Rehab. 2017;98(12):2422–32.CrossRef Levasseur M, Roy M, Michallet B, St-Hilaire F, Maltais D, Généreux M. Associations between resilience, community belonging, and social participation among community-dwelling older adults: results from the eastern townships population health survey. Arch Phys Med Rehab. 2017;98(12):2422–32.CrossRef
39.
go back to reference Wingo A, Wrenn G, Pelletier T, Gutman A, Bradley B, Ressler K. Moderating effects of resilience on depression in individuals with a history of childhood abuse or trauma exposure. J Affect Disord. 2010;126:411–4.CrossRef Wingo A, Wrenn G, Pelletier T, Gutman A, Bradley B, Ressler K. Moderating effects of resilience on depression in individuals with a history of childhood abuse or trauma exposure. J Affect Disord. 2010;126:411–4.CrossRef
Metadata
Title
Association between intergenerational solidarity involving elders and mental health of Indigenous people living off reserve
Authors
Chantal Viscogliosi
Hugo Asselin
Lise Trottier
Monia D’Amours
Mélanie Levasseur
Publication date
01-12-2022
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2022
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-022-12887-6

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