城市原住民健康：检查加拿大原住民和非原住民之间的不平等,The Canadian Geographer

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城市原住民健康：检查加拿大原住民和非原住民之间的不平等
The Canadian Geographer ( IF 1.4 ) Pub Date : 2017-05-15 , DOI: 10.1111/j.1541-0064.2011.00397.x
Kathi Wilson ₁ , Nicolette Cardwell ₁

Affiliation

本文通过比较加拿大城市原住民和城市非原住民的健康状况和健康决定因素，为有关城市原住民健康的新兴文献做出了贡献。该研究的数据来自2001年原住民调查（APS）和2000-2001年加拿大社区健康调查（CCHS）周期1.1。在人口健康方法的框架内，我们探讨了居住在城市地区的原住民与非原住民的健康状况和健康决定因素的差异程度。健康状况由三个变量衡量：自我评估的健康状况，慢性病和活动受限。尽管城市原住民与非原住民之间存在健康差异，它们不如居住在保留地上的原住民和非原住民之间的人口大。两种人群之间健康的社会决定因素非常相似，但结果还揭示了文化因素在城市原住民中塑造健康的重要性。该研究表明，有必要进行进一步的研究，以关注特定于文化的健康决定因素，以此作为城市原住民与非原住民之间健康差异的一种潜在解释。

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Urban Aboriginal health: Examining inequalities between Aboriginal and non‐Aboriginal populations in Canada

This article contributes to the nascent literature on the health of urban Aboriginal people by comparing the health status and determinants of health of the urban Aboriginal and urban non‐Aboriginal population in Canada. Data for the research were taken from the 2001 Aboriginal Peoples Survey (APS) and the 2000–2001 Canadian Community Health Survey (CCHS) Cycle 1.1. Framed within a population health approach, we explore the extent to which health status and determinants of health differ between Aboriginal and non‐Aboriginal populations living in urban areas. Health status is measured by three variables—self‐assessed health status, chronic conditions, and activity limitations. While disparities in health exist between the urban Aboriginal and non‐Aboriginal population, they are not as large as those between the Aboriginal population living on a reserve and non‐Aboriginal people. The social determinants of health are quite similar between the two populations but the results also reveal the significance of cultural factors in shaping health among the urban Aboriginal population. The research demonstrates a need for future research to focus on culturally specific determinants of health as one potential explanation for disparities in health between urban Aboriginal and non‐Aboriginal people.

更新日期：2017-05-15

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