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Indigenous statistics : a quantitative research methodology
\"In the first book ever published on Indigenous quantitative methodologies, Maggie Walter and Chris Andersen open up a major new approach to research across the disciplines and applied fields. While qualitative methods have been rigorously critiqued and reformulated, the population statistics relied on by virtually all research on Indigenous peoples continue to be taken for granted as straightforward, transparent numbers. This book dismantles that persistent positivism with a forceful critique, then fills the void with a new paradigm for Indigenous quantitative methods, using concrete examples of research projects from First World Indigenous peoples in the United States, Australia, and Canada. Concise and accessible, it is an ideal supplementary text as well as a core component of the methodological toolkit for anyone conducting Indigenous research or using Indigenous population statistics\"-- Provided by publisher.
Book
Importance of fish for food and nutrition security among First Nations in Canada
Objective
To investigate the relationships between fish/seafood consumption patterns and food security status among First Nations (FN) communities in Canada. We estimated the contribution of fish/seafood to daily nutrient requirements. Barriers to traditional food (TF) access including fish were summarized.
Methods
Data were collected by the First Nations Food, Nutrition and Environment Study (2008–2018). The sample of this participatory study comprised 6258 randomly selected FN adults. Fish/seafood consumption was estimated with a food frequency questionnaire. Food security status was assessed with the Household Food Security Survey Module. The contribution of fish/seafood to protein, n-3 fatty acid, vitamin (A, B12, D, niacin) and mineral (selenium, zinc) requirements was assessed by comparison to Dietary Reference Intakes.
Results
Regional differences were observed in fish/seafood consumption patterns and their relationship with food security status. In the eastern regions (Ontario, Quebec/Labrador and the Atlantic region), consumption of fish/seafood and other TF was significantly higher among food insecure compared with food secure FN participants. Severely food insecure men (particularly in British Columbia, Alberta, Quebec/Labrador and the Atlantic region) tended to eat a higher amount of TF, including fish/seafood, compared with food secure and moderately food insecure men, while no difference was observed in women. Fish/seafood provided good sources of selected nutrients. However, the high cost of harvesting equipment, industry-related activities and climate change reduce access to fish/seafood and other wildlife.
Conclusion
Fish/seafood continues to be vital to the diet of FN communities. Focusing on policies that support FN increased access to fish/seafood has the potential to decrease food insecurity and support sustainable livelihoods. Future policies should focus on socio-economic determinants of food insecurity and support traditional harvesting and sustainable fisheries among FN communities.
Journal Article
How data happened : a history from the age of reason to the age of algorithms
\"From facial recognition--capable of checking people into flights or identifying undocumented residents--to automated decision systems that inform who gets loans and who receives bail, each of us moves through a world determined by data-empowered algorithms. But these technologies didn't just appear: they are part of a history that goes back centuries, from the census enshrined in the US Constitution to the birth of eugenics in Victorian Britain to the development of Google search. Expanding on the popular course they created at Columbia University, Chris Wiggins and Matthew L. Jones illuminate the ways in which data has long been used as a tool and a weapon in arguing for what is true, as well as a means of rearranging or defending power. They explore how data was created and curated, as well as how new mathematical and computational techniques developed to contend with that data serve to shape people, ideas, society, military operations, and economies. Although technology and mathematics are at its heart, the story of data ultimately concerns an unstable game among states, corporations, and people. How were new technical and scientific capabilities developed; who supported, advanced, or funded these capabilities or transitions; and how did they change who could do what, from what, and to whom? Wiggins and Jones focus on these questions as they trace data's historical arc, and look to the future. By understanding the trajectory of data--where it has been and where it might yet go--Wiggins and Jones argue that we can understand how to bend it to ends that we collectively choose, with intentionality and purpose.\"-- Publisher marketing.
Book
Importance of the traditional food systems for First Nations adults living on reserves in Canada
Objective
To describe the traditional food (TF) systems of First Nations in Canada, including intake, barriers and promoters.
Methods
The First Nations Food, Nutrition and Environment Study is a cross-Canada participatory study of First Nations adults below the 60
th
parallel that obtained data for communities excluded from other national studies. A food frequency questionnaire was used to establish frequency of TF intake (number of days in a year) to allow comparisons across ecozones/regions in Canada. Grams of TF intake were also calculated using frequency multiplied by average portions from 24-h recalls. Closed- and open-ended questions attempted to identify some of the key barriers and concerns regarding TF access and use. Multivariable analyses were run to determine what factors are associated with increased TF consumption.
Results
Across communities, there is a strong preference by adults to have TF in the diet more often. Consumption of land animals was most frequently reported in most ecozones except for the Pacific Maritime and Mixedwood Plains, where fish and plants, respectively, were more frequently consumed. First Nations identified structural and environmental challenges such as development, government regulations and climate change, along with household barriers such as insufficient capital for equipment and transportation, lack of time and absence of a hunter in the household. Multivariable analyses revealed that the highest intake of TF occurred in the Taiga Plains ecozone, and for older individuals and men.
Conclusion
Identifying solutions that empower First Nations at all levels is required to overcome the multiple challenges to the inclusion of TF in the diet.
Journal Article
The First Nations Food, Nutrition and Environment Study (2008–2018)—rationale, design, methods and lessons learned
Objective
To describe the rationale, the participatory nature of the methodology, and the lessons learned during the First Nations Food, Nutrition and Environment Study (FNFNES), a community-based participatory research project implemented in eight Assembly of First Nations regions, which includes the entirety of Canada south of the 60
th
parallel.
Methods
FNFNES respected the First Nations principles of Ownership, Control, Access and Possession (OCAP®) (
https://fnigc.ca/ocap
). A random sampling strategy based on an ecosystem framework comprising 11 ecozones was adopted to collect representative nutritional and environmental health results for all First Nations adults living on-reserve south of the 60
th
parallel. Data collection occurred during the fall months from 2008 to 2016. Respective First Nations were involved in the planning and implementation of data collection for the five principal components: household interviews, tap water sampling for metals, surface water sampling for pharmaceuticals, hair sampling for mercury, and traditional food sampling for contaminants.
Results
A total of 6487 adults from 92 First Nations participated in the Study (participation rate 78%). A higher percentage of females (66%) participated than males (34%). The average age of males and females was similar (44 and 45 years, respectively). This study offers a novel body of coherent and regionally representative evidence on the human dimension of the ongoing environmental degradation affecting First Nations.
Conclusion
FNFNES serves as a good example of participatory research. We encourage public health professionals to develop policy and programs building on the participatory dimension of the research as well as on its results. The information collected by the FNFNES is also important for community empowerment, environmental stewardship and the general promotion of good health by and for First Nations peoples in Canada.
Journal Article
Levels of metals and persistent organic pollutants in traditional foods consumed by First Nations living on-reserve in Canada
Objectives
First Nations may have a higher risk of contaminant exposure from the consumption of traditional foods. The objective of this study was to measure concentrations of metals and organochlorines in traditional foods commonly consumed by First Nations in Canada and estimate the risk from dietary exposure.
Methods
Data were collected from the participatory First Nations Food, Nutrition and Environment Study (2008–2018). Traditional food samples were collected by community members and concentrations of metals and organochlorines were measured. The population-weighted mean daily contaminant intake from traditional food items was estimated. Hazard quotients (HQs) were calculated by dividing contaminant intake with the toxicological reference values (TRVs).
Results
A total of 2061 food samples (different parts and organs) from 221 species were collected. The highest concentrations of cadmium were found in the kidneys of land mammals: moose kidney was the most significant contributor to intake. The meat of land mammals and birds had the highest lead concentrations and were the most significant contributors to intake. Arsenic was highest in seaweed, and prawn was the most significant contributor. Mercury and methyl mercury were highest in harp seal meat, with walleye/pickerel contributing most to intake. Harp seal meat also had the highest p,p′-DDE and PCB concentrations, and ooligan grease and salmon were the most significant contributors to intake. The percentage of adults eating traditional food who exceeded the TRVs was 1.9% for cadmium, 3.7% for lead, 13.6% for arsenic, 0.7% for mercury, and 0% for p,p′-DDE and PCBs. All median HQs, and most 95th percentile HQs, were less than 1.
Conclusion
These results can be used as a baseline of contaminant levels and exposure in traditional foods for future monitoring programs and to support risk assessment programs.
Journal Article
Impact of behavior and mood of people with specific needs on quality and feasibility of teledentistry: A five years retrospective study
Background
The e-DENT program, initiated by Montpellier University Hospital's Department of Dentistry, seeks to enhance dental care access for individuals with special needs through teledentistry. This five-year retrospective study focuses on the program's impact, particularly assessing patients’ mood and behavior during telemedicine dental examinations and the influence of these factors on diagnostic quality and feasibility.
Methods
This retrospective, multicentric observational study analyzed data from January 1, 2018, to April 24, 2023, involving residents of medico-social institutions who participated in the e-DENT program. The study utilized a scoring system based on the PANAS scale, which is used to brief measures of positive and negative affects. We aimed to evaluate mood and behavior. The statistical analysis was conducted using R software, incorporating mixed logistic and linear regressions to assess the impact of various factors on patient behavior, mood scores, and the quality and feasibility of diagnoses.
Findings
The study included 682 patients, revealing that the majority exhibited cooperative behavior during their telemedicine consultations, with a median mood score of 2.5. Analysis showed a significant improvement in mood scores from the first to subsequent consultations. The mood score positively correlated with diagnostic feasibility and negatively with visit duration. Specific factors such as type of disability, fear of dental instruments, and patient cooperation significantly influenced the quality of videos taken and the feasibility of diagnoses. Facilities catering to different disability types showed varied mood scores, suggesting tailored approaches may be necessary.
Interpretation
The findings underscore the efficacy of teledentistry in providing dental care to individuals with special needs, highlighting the importance of patient mood and behavior in improving diagnostic outcomes. The study suggests that teledentistry can be a well-accepted and effective mode of dental care delivery for this patient group, with implications for optimizing telemedicine practices in medico-social settings.
Journal Article
Self-Stigmatization of Healthcare Workers in Intensive Care, Acute, and Emergency Medicine
This quantitative study examines whether employees in the fields of intensive care or acute and emergency medicine experience psychological distress because of their daily work. In addition, it was examined if self-stigmatization tendencies can significantly influence the willingness to seek help, and therefore psychological problems are not being treated adequately. These problems lead to various difficulties in professional and private contexts and ultimately endanger patient safety. From May to June 2021, an online questionnaire survey was conducted. This questionnaire combined two validated measuring instruments (PHQ-D and SSDS). To ensure high participation, the departments of anesthesia and/or intensive care medicine in 68 German hospitals were contacted, of which 5 responded positively. A total of 244 people participated in the questionnaire survey. On average, depressive symptoms were of mild severity. At the same time, self-stigmatization regarding depressive symptoms was high. These results highlight the practical need to prepare staff who work in the field of intensive care or acute and emergency medicine at the early onset for potentially traumatic and emotionally demanding events during their university education or studies. Adequate, evaluated, and continuously available support services from the psychosocial field should become an integral part of every staff care structure.
Journal Article
Metals in the drinking water of First Nations across Canada
Objectives
The First Nations Food, Nutrition and Environment Study (FNFNES), a community-based participatory research project, measured the levels of metals of health concern and the levels of metals that have operational guidance (OG) and aesthetic objectives (AO) in drinking water of First Nations (FN) south of the 60
th
parallel.
Methods
Both stagnant (first draw) and flushed tap water samples were collected from participating households in 91 FN representing 11 ecozones. The concentrations of metals were quantified and compared to Health Canada’s Guidelines for Canadian Drinking Water Quality (GCDWQ).
Results
In total, 1516 FN households participated in this study component. Exceedances of the 2019 GCDWQ for the health-based maximum acceptable concentration (MAC) were found for five metals: lead 8.4% of households (first draw), manganese 4.0%, uranium 1.6%, aluminum 1.3%, and copper 0.2% (flushed). Flushing taps resulted in a decrease to 0.7% of households exceeding the lead MAC. Exceedances of the current OG for aluminum were found in 14.2% and the exceedances of the proposed OG were found in 18.1% of households (flushed). Exceedances of the AO (flushed) were as follows: manganese 12.8%, sodium 5.1%, iron 3.5%, and copper 0.4%. Results of the study were compared to provincial surveys where the data were available. Taste and colour were reported to be the main reasons for limiting the use of tap water.
Conclusion
Overall, the quality of drinking water with respect to trace metals of human health concern is satisfactory. However, elevated lead levels were found in some FN communities. Until appropriate action can take place, it was recommended to flush the water before use to reduce the lead levels.
Journal Article
Nutrient adequacy and nutrient sources of adults among ninety-two First Nations communities across Canada
Objectives
To identify food sources of nutrients in First Nations adults in Canada and to establish whether these populations are meeting their nutrient requirements and whether traditional foods (TF) contribute to better nutrient intake.
Methods
The First Nations Food, Nutrition and Environment Study is a cross-Canada participatory study of First Nations adults living south of the 60
th
parallel. Twenty-four-hour recalls were conducted in 92 First Nations communities from 2008 to 2016. Repeat recalls were attempted with 20% of participants to adjust for within-person variation and estimate the proportion of individuals below recommendations according to Institute of Medicine guidelines. Nutrients from days with and without TF were compared. The main food sources of select nutrients were identified, including TF.
Results
Mean energy intakes among women and men ranged from 1664 to 1864 and from 1761 to 2298 kcal/day respectively. Most macronutrients were within the acceptable macronutrient diet range except for fat in most age groups and carbohydrates in men 71 years of age and older. Saturated fat was above recommendations for all ages. Only niacin was identified as above recommendations in all age and sex categories. Days where TF were eaten showed greater intakes of key nutrients.
Conclusion
It is imperative that we find culturally appropriate ways to improve the quality and nutritional value of First Nations Peoples food intake by improving TF access and use on the one hand and conversely providing better quality store-bought foods. For success in this, we must empower First Nations communities and health practitioners to collaboratively overcome these challenges.
Journal Article