Inequities in Diabetes Outcomes among Urban First Nation and Métis Communities: Can Addressing Diversities in Preventive Services Make a Difference?
DOI:
https://doi.org/10.18584/iipj.2014.5.1.2Abstract
This article primarily aims to demonstrate how diversity is reflected among urban Aboriginal peoples in Canada. Secondly, it uncovers if and how preventive health services in the province of Ontario, Canada are responsive to this diversity. Data for this study were gathered from a review of literature on culturally appropriate health service delivery to Aboriginal peoples in Canada and a qualitative exploratory study conducted with urban First Nation and Métis people, and health service providers and policy makers. The findings from review of literature and the exploratory study indicated that the nature of Aboriginal diversity and its trends are complex. From the document review, we can comprehend that socio-economic disparities among First Nations and Métis, compared to non-Aboriginal people, are reducing slowly; however, evidence from the exploratory study suggested otherwise and indicated that there is also a strong need for First Nation and Métis families to overcome barriers in order to improve their quality of live in urban Ontario, Canada. It is evident that health services for urban First Nation and Métis people cannot address existing health inequities by simplistic application of pan-Aboriginal strategies in preventive services. Initiatives for urban First Nation and Métis people require strategies that are targeted at the unique and distinct needs of First Nation and Métis residents regardless of their legal status, cultural pluralities, socio-economic backgrounds, and place of residence in cities.
Downloads
Published
Issue
Section
License
Copyright (c) 2014 Hasu Ghosh, Denise Spitzer
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
In keeping with IIPJ's Open Access policy, IIPJ has a shared approach to copyright. A shared approach means that authors do not have to waive all of their rights to the work published in IIPJ. By submitting to IIPJ, the author(s) grant(s) IIPJ the right to:
- Copy edit the article,
- Display the article in perpetuity, and
- Enforce the conditions of the Creative Commons license associated with the article.
All articles published in IIPJ carry the Creative Commons Attribution, Non-Commercial, No Derivatives license (click here for the human-readable summary and here for the legal code).
This means that the article can be copied or redistributed without written permission from the author(s) or IIPJ if the following conditions are met:
- IIPJ is appropriately credited as the original source. The reference should include the article's DOI (Digital Object Identifier), which helps us track the dissemination of articles published in IIPJ.
- The article is not being used for a commercial purpose. Users must be able to access the reprinted or republished article without paying any fee.
- The article is not altered from its original form. This means it cannot be edited, transformed, remixed, or truncated in any way. This policy protects our authors from having their work or intent misrepresented.
Any reprints, republications, or distributions that do not meet all of these conditions must be approved in writing by the author(s) of the article and IIPJ.
IIPJ will not grant permission to any publisher that requires authors or IIPJ to waive any of their rights to the article.
Authors who wish to reprint, republish, or distribute their article published in IIPJ for any commercial purpose must obtain written permission from IIPJ and provide appropriate attribution.
IIPJ will consider accepting articles that have been previously published. However, authors submitting articles of this nature must:
- Indicate that the article was previously published,
- Provide details of all previous publications (that is, source, publication date, format, etc.),
- Describe how their IIPJ submission differs from the original publication, and
- Provide written permission to republish the article from the copyright holder(s) if applicable.