000			02749nab a22002537a 4500
001			1969
003			BCACCS
005			20150824150342.0
008			141024s2014 |||||s|||| 00| 0 eng d
040			_aBCACCS
100	1		_aOster, Richard T. _9484
245	1	0	_aCultural continuity, traditional Indigenous language, and diabetes in Alberta First Nations _cRichard T. Oster, Angela Grier, Rick Lightning, Maria J. Mayan, Ellen L. Toth _h[electronic resource] : _ba mixed methods study /
260			_c2014.
300			_a1 online resource (p. 92-101) : _bdigital, PDF file
520	3		_aIntroduction We used an exploratory sequential mixed methods approach to study the association between cultural continuity, self-determination, and diabetes prevalence in First Nations in Alberta, Canada. Methods We conducted a qualitative description where we interviewed 10 Cree and Blackfoot leaders (members of Chief and Council) from across the province to understand cultural continuity, self-determination, and their relationship to health and diabetes, in the Alberta First Nations context. Based on the qualitative findings, we then conducted a cross-sectional analysis using provincial administrative data and publically available data for 31 First Nations communities to quantitatively examine any relationship between cultural continuity and diabetes prevalence. Results Cultural continuity, or “being who we are”, is foundational to health in successful First Nations. Self-determination, or “being a self-sufficient Nation”, stems from cultural continuity and is seriously compromised in today’s Alberta Cree and Blackfoot Nations. Unfortunately, First Nations are in a continuous struggle with government policy. The intergenerational effects of colonization continue to impact the culture, which undermines the sense of self-determination, and contributes to diabetes and ill health. Crude diabetes prevalence varied dramatically among First Nations with values as low as 1.2% and as high as 18.3%. Those First Nations that appeared to have more cultural continuity (measured by traditional Indigenous language knowledge) had significantly lower diabetes prevalence after adjustment for socio-economic factors (p =0.007). Conclusions First Nations that have been better able to preserve their culture may be relatively protected from diabetes.
650		0	_aDiabetes _9485
700	1		_aGrier, Angela _9486
700	1		_aLightning, Rick _9487
700	1		_aMayan, Maria J. _9488
700	1		_aToth, Ellen L. _9489
773	0		_tInternational Journal for Equity in Health _gVol. 13, no. 1 (2014), p.92-101
856	4	0	_uhttp://www.equityhealthj.com/content/pdf/s12939-014-0092-4.pdf _zFull text
942			_2z _cARTICLE
999			_c1242 _d1242