Community Setting as a Determinant of Health for Indigenous Peoples Living in the Prairie Provinces of Canada: High Rates and Advanced Presentations of Tuberculosis

Authors

  • Maria J. Mayan University of Alberta
  • Rebecca Jayne Gokiert University of Alberta
  • Tristan Robinson University of Alberta
  • Melissa Tremblay University of Alberta
  • Sylvia Abonyi University of Saskatchewan College of Medicine
  • Kirstyn Morley University of Alberta
  • Richard Long University of Alberta

DOI:

https://doi.org/10.18584/iipj.2019.10.2.5

Keywords:

Canada, Indigenous Peoples, tuberculosis, misdiagnoses, community settings

Abstract

Indigenous Peoples in Canada experience disproportionately high tuberculosis (TB) rates, and those living in the Prairie Provinces have the most advanced TB presentations (Health Canada, 2009). The community settings (i.e., urban centres, non-remote reserves, remote reserves, and isolated reserves) where Indigenous Peoples live can help explain high TB rates. Through qualitative description, we identify how community setting influenced Indigenous people’s experiences by (a) delaying accurate diagnoses; (b) perpetuating shame and stigma; and (c) limiting understanding of the disease. Participants living in urban centres experienced significant difficulties obtaining an accurate diagnosis. Reserve community participants feared being shamed and stigmatized. TB information had little impact on participants’ TB knowledge, regardless of where they lived. Multiple misdiagnoses (primarily among urban centre participants), being shamed for having the disease (primarily reserve community participants), and a lack of understanding of TB can all contribute to advanced presentations and high rates of the disease among Indigenous Peoples of the Prairie Provinces.

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Published

2019-05-24

Issue

Vol. 10 No. 2 (2019)

Section

Research

License

Copyright (c) 2019 Maria J. Mayan, Rebecca Jayne Gokiert, Tristan Robinson, Melissa Tremblay, Sylvia Abonyi, Kirstyn Morley, and Richard Long

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