Self-perceived mental health of First Nations people living off reserve, Métis and Inuit by age group and gender, Canada, provinces and territories.

PurposeMental health conditions are the leading cause of preventable maternal mortality and morbidity, yet few investigations have examined perinatal bipolar disorders. This study sought to examine racial differences in the odds of having a bipolar disorder diagnosis in perinatal women across self-reported racial groups in a large sample in California, USA.MethodThis cross-sectional study uses data from 3,831,593 women who had singleton live births in California, USA from 2011 to 2019 existing in a linked dataset which included hospital discharge records and birth certificates. International Classification of Diseases codes were used to identify women with a bipolar disorder diagnosis code on the hospital discharge record. Medical charts and birth certificate data was used to extract information on clinical and demographic covariate characteristics. Multivariable logistic regression was used to estimate the odds of having a bipolar disorder diagnosis across different self-reported racial groups.ResultsWe identified 19,262 women with bipolar disorder diagnoses. Differences in the presence of a bipolar disorder diagnosis emerged by self-reported race. In the fully adjusted model, Multiracial (selection of two races self-reported) women, compared to single-race White women had the highest odds of having a bipolar disorder diagnosis. Further examination of the all-inclusive Multiracial category revealed differences across subgroups where White/Black, White/American Indian Alaskan Native, and Black/American Indian Alaskan Native women had increased odds for bipolar disorder compared to single race White women.ConclusionsDifferences in bipolar disorder diagnoses exist across racial categories and when compared to White women, Multiracial women had the highest odds of bipolar disorder and thus represent a perinatal population of focus for future intervention studies. The increased burden of mental health problems among Multiracial women is consistent with recent research that employs disaggregated race data. More studies of Multiracial women are needed to determine how self-reported racial categories are related to increased risk for perinatal bipolar disorder.

Percentage of persons aged 15 years and over by perceived mental health, by gender and other selected sociodemographic characteristics: age group; immigrant status; visible minority group; Indigenous identity; persons with a disability, difficulty or long-term condition; LGBTQ2+ people; highest certificate, diploma or degree; main activity; and urban and rural areas.

Tribal or indigenous communities have unique health behaviors, challenges, and inequities that nationally representative surveys cannot document. Odisha has one of India’s largest and most diverse tribal populations, constituting more than a fifth of the state. State and tribe-specific health data generation is recommended in India’s national roadmap of tribal health. The Odisha tribal family health survey (OTFHS) aims to describe and compare the health status of tribal communities in the state of Odisha and to estimate the prevalence of key maternal-child health indicators and chronic diseases. This paper summarizes the methodology, protocols, and tools used in this survey. This is a population-based cross-sectional survey with a multistage random sampling design in 13 (tribal sub-plan areas) districts of Odisha, India. We will include participants of all age groups and gender who belong to tribal communities. The sample size was calculated for each tribe and aggregated to 40,921, which will be collected from 10,230 households spread over 341 clusters. The survey data will be collected electronically in modules consisting of Village, Household, and Individual level questionnaires. The age-group-specific questionnaires were adapted from other national family health surveys with added constructs related to specific health issues of tribal communities, including-critical indicators related to infectious and non-communicable diseases, multimorbidity, nutrition, healthcare-seeking behavior, self-rated health, psycho-social status, maternal and child health and geriatric health. A battery of laboratory investigations will be conducted at the household level and the central laboratory. The tests include liver function tests, kidney function tests, lipid profile, iron profile, and seroprevalence of scrub typhus and hepatitis infections. The datasets from household questionnaires, field measurements and tests and laboratory reports will be connected using a common unique ID in the database management system (DBMS) built for this survey. Robust quality control measures have been built into each step of the survey. The study examines the data focused on different aspects of family health, including reproductive health, adolescent and child health, gender issues in the family, ageing, mental health, and other social problems in a family. Multistage random sampling has been used in the study to enable comparison between tribes. The anthropometric measurements and biochemical tests would help to identify the indicators of chronic diseases among various age groups of the population.

Percentage of persons aged 15 years and over by perceived mental health, by gender and other selected sociodemographic characteristics: age group; immigrant status; visible minority group; Indigenous identity; persons with a disability, difficulty or long-term condition; LGBTQ2+ people; highest certificate, diploma or degree; main activity; and urban and rural areas.

The December 2021 Mandate Letter tasked the Minister of Justice and Attorney General of Canada with the development of Canada’s Black Justice Strategy (the Strategy) to address the overrepresentation of Black people in the criminal justice system, including as victims of crime. An external Steering Group composed of nine experts and leaders from Black communities across Canada was established in February 2023 to provide advice to the Minister of Justice on the development of the Strategy. From March 2023 to February 2024, Steering Group discussions centered around five key issues, or pillars, that inform Black people’s experiences with the criminal justice system: Pillar 1 - Social Determinants of Justice (Employment and Income; Housing; Education; Health and Mental Health; Child Welfare; and Immigration and Settlement); Pillar 2 - Policing; Pillar 3 - Courts and Legislation ; Pillar 4 - Corrections; and Pillar 5 - Parole, Re-entry and Reintegration. In Fall 2023, 12 Black-led community-based organizations (CBOs) used the Framework developed by the Steering Group to guide community consultations, to lead engagements and consultations with Black communities in nine provinces and territories. The CBOs provided reports to the Steering Group detailing the outcomes of the consultations and engagement. Justice Canada also provided the Steering Group with the outcome of the online survey, which was developed to gather insight from community members who were unable to participate in CBO-led consultations and engagement. The report of the external Steering Group (the Report) builds on the Framework and is informed by the Steering Group discussions as well as the outcomes of community engagements and consultations. The Report identifies five principles to guide practical actions and policies in achieving justice for Black communities in Canada: Sankofa, Africentrism, the Principle of Restraint, Evidence-based Decision Making, and Reparative Justice. Five priority areas that inform the recommendations are as follows: Decarceration, Legislative Change, Targeted Resourcing, Structural Change, and Collaboration with Provinces, Territories and Municipalities. In relation to decarceration, the Report recommends reducing the incarceration rate of Black and Indigenous people by 50% of the current rate by 2034. The Report identifies eight overarching structural and accountability recommendations, described as actions that do not fit within only one specific pillar but that are intended to drive systemic change. In addition to the overarching recommendations, there are 106 recommendations under the five pillars, organized as short, medium, or long-term.

This table contains 41216 series, with data for years 2005 - 2005 (not all combinations necessarily have data for all years). This table contains data described by the following dimensions (Not all combinations are available): Geography (14 items: Canada; Newfoundland and Labrador; Prince Edward Island; Nova Scotia ...) Off-reserve Aboriginal profile (4 items: Total off-reserve population; Non-Aboriginal; Aboriginal; not stated; Aboriginal ...) Sex (3 items: Both sexes; Males; Females ...) Health profile (32 items: Very good or excellent self-rated health; Very good or excellent self-rated mental health; Overweight; self-reported adult body mass index 25.00 to 29.99 (18 years and over); Obese; self-reported adult body mass index 30.00 or higher (18 years and over) ...) Characteristics (8 items: Number of persons; Low 95% confidence interval; number of persons; Coefficient of variation for number of persons; High 95% confidence interval; number of persons ...).

The Framework contributes to the implementation of the Mental Health Strategy for Canada: Changing Directions, Changing Lives, which is focused on improving the mental health and well-being of all Canadians. It also aligns with the First Nations Mental Wellness Continuum Framework (the Continuum) which is designed to help partners work more effectively with federal, provincial and territorial programs within a comprehensive mental wellness system for First Nations The Framework is informed by the World Health Organization's Preventing Suicide: A Global Imperative report, which reinforces the value of a public health approach to suicide prevention. This approach includes both universal interventions, which strive to improve the health of the population as a whole, and tailored interventions for groups that experience higher rates of suicide and which strive to reduce health disparities between groups.

BackgroundHomelessness is one of the most disabling and precarious living conditions. The objective of this Delphi consensus study was to identify priority needs and at-risk population subgroups among homeless and vulnerably housed people to guide the development of a more responsive and person-centred clinical practice guideline.MethodsWe used a literature review and expert working group to produce an initial list of needs and at-risk subgroups of homeless and vulnerably housed populations. We then followed a modified Delphi consensus method, asking expert health professionals, using electronic surveys, and persons with lived experience of homelessness, using oral surveys, to prioritize needs and at-risk sub-populations across Canada. Criteria for ranking included potential for impact, extent of inequities and burden of illness. We set ratings of ≥ 60% to determine consensus over three rounds of surveys.FindingsEighty four health professionals and 76 persons with lived experience of homelessness participated from across Canada, achieving an overall 73% response rate. The participants identified priority needs including mental health and addiction care, facilitating access to permanent housing, facilitating access to income support and case management/care coordination. Participants also ranked specific homeless sub-populations in need of additional research including: Indigenous Peoples (First Nations, Métis, and Inuit); youth, women and families; people with acquired brain injury, intellectual or physical disabilities; and refugees and other migrants.InterpretationThe inclusion of the perspectives of both expert health professionals and people with lived experience of homelessness provided validity in identifying real-world needs to guide systematic reviews in four key areas according to priority needs, as well as launch a number of working groups to explore how to adapt interventions for specific at-risk populations, to create evidence-based guidelines.

Homelessness and Hidden Homelessness in Rural and Northern Ontario is the first study of its kind to empirically challenge these popular perceptions. In fact, as the analysis of data from the recent Canadian Social Survey demonstrates, compared to city dwellers, a higher percentage of people from rural Ontario reported that they had experienced homelessness or hidden homelessness at some point in their lives. The research carried out for this report was based on a survey of service providers (with responses from 204 service providers and 30 service managers), focus groups (with 76 key sector stakeholders), and interviews (with 40 people who had experience of homelessness or hidden homelessness) in 10 communities in northwestern, northeastern, southwestern, and southeastern Ontario. This was augmented by an analysis of Ontario data from Canada’s General Social Survey. The causes of homelessness in rural and northern Ontario were found to be similar to those in big cities: poverty, mental illness and addictions, lack of affordable housing and domestic violence. The study also revealed that many Indigenous peoples are at risk of homelessness and hidden homelessness, particularly those living in northern areas of the province.

The purpose of this study was to investigate the attitudes toward eating disorders in native German adolescents (Germans), adolescents with Turkish migration background in Germany (Immigrants), and native Turkish adolescents (Turks). A total of 507 adolescents (N = 139 Germans; N = 126 Immigrants; N = 242 Turks) read a vignette describing a 16-year-old female with bulimic symptoms. Participants completed questionnaires on mental health literacy, stigmatization, desirability of eating disorder-related behaviors and acquaintance with bulimic symptoms. Adolescents living in Germany were more likely to recognize the vignette as an eating disorder than Turks. Immigrants were more similar to Germans in mental health literacy of eating disorders than Turks. However, in terms of stigmatizing attitudes, immigrants blamed more than Germans, Turks being intermediate on this variable. In Turks, higher desirability of eating disorder-related behaviors was associated with an increased acquaintance with bulimic symptoms and decreased evaluations of impairment. Higher mental health literacy was associated with less blame in Germans. Migration background was associated with increased mental health literacy of eating disorders but did not result in reduced stigma. Differences in attitudes toward eating disorders indicate the need for differential interventions across the groups.

The vision of the Community Restorative (CORE) Health Project was to increase awareness and availability of trauma-informed care and indigenous healing practices in the target communities for clients and families being served by the City of Los Angeles Mayor's Office of Gang Reduction and Youth Development (GRYD). Two agencies were contracted to provide either trauma-focused mental health treatment or training on indigenous healing practices to clients, families, and the community. A total of 115 individual or group therapy sessions were provided, 23 community based workshops on trauma-informed care or indigenous healing practices were offered, and 15 professional development events were attended by over 354 GRYD intervention workers or CORE staff. Background information was collected during the initial stages of the GRYD program, and a youth's eligibility for GRYD services was determined. The Posttraumatic Screening Inventory was used to assess the presence of posttraumatic stress, exposure to a traumatic event, and whether participants should be referred for treatment. Youths were then exposed to the GRYD's Summer Night Lights program, which raised trauma awareness, taught coping strategies, and increased access to services. Then the National Compadres Network was chosen to administer three training sessions on indigenous healing practices: La Cultura Cura, El Joven Noble, and Circle Keepers. Pre-test surveys collected demographics such as age, gender, ethnicity, and religiosity, as well as their expectations heading into training. Post-test surveys assessed how much information participants received, the usefulness of information, if training rationale made sense, and whether or not participants planned to use what they had learned. After training sessions were completed, researchers conducted 10 follow up interviews with services providers and leadership from CORE.

ABSTRACT: Objective: To identify the frequency and factors associated with the use of waterpipe and other tobacco products among Brazilian students. Methods: This is a cross-sectional study based on data from the National Adolescent Student Health Survey. The sample consisted of 9th-grade students from elementary school. We conducted a descriptive analysis of the use of tobacco products in 2012 and 2015. To explore the relationship between the use of other tobacco products and factors such as sociodemographic characteristics, family, mental health, and life habits, we calculated the adjusted odds ratio. Results: The use of other tobacco products increased from 4.8% (95%CI 4.6 - 5.0) in 2012 to 6.1% (95%CI 5.7 - 6.4) in 2015, with a higher proportion among boys. Waterpipe was the most commonly used product in 2015 (71.6%; 95%CI 68.8 - 74.2), especially among girls. Factors positively associated with the use of other tobacco products were: attending private school, living with father/mother, working, not having friends, suffering domestic violence, skipping classes, consuming cigarettes and alcohol, experimenting drug, having had sex, having smoker parents or guardians, and seeing people smoking. The protective factors were: female gender, increasing age, multiracial or indigenous people, having meals with a guardian, family supervision, and practicing physical activity. Conclusion: The use of other tobacco products was high and has been increasing in recent years, particularly waterpipe. It is important to raise awareness of the risks and monitor the use of these products, as well as improve public policies of tobacco control in the country.

BackgroundWhen a person dies by suicide, it takes a reverberating emotional, physical, and economic toll on families and communities. The widespread use of social media among youth and adolescents, disclosures of emotional distress, suicidal ideation, intent to self-harm, and other mental health crises posted on these platforms have increased. One solution to address the need for responsive suicide prevention and mental health services is to implement a culturally-tailored gatekeeper training. The Northwest Portland Area Indian Health Board (NPAIHB) developed Mind4Health, an online gatekeeper training (90 min) and text message intervention for caring adults of American Indian/Alaska Native (AI/AN) youth.MethodsThe Mind4Health intervention was a multi-phase, single-arm, pre-and post-test study of users enrolled in the intervention that is available via text message (SMS) or via a 90 min online, self-paced training. We produced four datasets in this study: Mobile Commons, pre-survey data, post-survey data, and Healthy Native Youth website’s Google Analytics. The analysis included data cleaning, basic frequency counts, percentages, and descriptive statistics. Qualitative data were analyzed using thematic content analysis methods and hand-coding techniques with two independent coders.ResultsFrom 2022 to 2024, 280 people enrolled in the Mind4Health SMS training, and 250 completed the 8-week intervention. Many messages in the sequence were multi-part text messages and over 21,500 messages were sent out during the timeframe. Of the 280 subscribers, 52 participated in the pre-survey. Pre-survey data show that 94% of participants were female, and nearly one-fourth lived in Washington state, 92% of participants in the pre-survey were very to moderately comfortable talking with youth about mental health (n = 48). Most participants interact with youth in grades K–12. Post-survey data demonstrate changes in knowledge, beliefs, comfort talking about mental health, and self-efficacy among participants. Mind4Health improved participant’s skills to have mental health conversations with youth and refer youth to resources in their community.

Riverland Mallee Coorong Local Health Network (RMCLHN) provides a wide range of public acute, residential aged care, community health, mental health and Aboriginal health services supporting people in the Network including the towns of Barmera, Berri, Karoonda, Lameroo, Loxton, Mannum, Meningie, Murray Bridge, Pinnaroo, Renmark, Tailem Bend and Waikerie. RMCLHN delivers a comprehensive range of health services throughout 12 public hospitals/health services and Country Connect community health services according to population needs. With effect from 1 July 2019, the State Government established 10 Local Health Networks (LHNs), each with its own Governing Board, which commenced operation on 1 July 2019. From this date, six new regional LHNs replaced Country Health SA Local Health Network. To access data published for reporting periods prior to 2019-20, please see https://data.sa.gov.au/data/dataset/country-health-sa-local-health-network

Most Canadians believe that diversion of accused from the courts in appropriate cases should be the preferred response to at least some types of offences/situations. They also believe that increased use of diversion could make the criminal justice system (CJS) more efficient and effective and could contribute to reducing the overrepresentation of Indigenous people in custody. What we also found: Over three quarters (79%) of Canadians believe that diversion could make the Criminal Justice System (CJS) more efficient and 69% believe that diversion could make the system more effective. Canadians were most likely to select the increased use of diversion as the best solution to reducing the number of Indigenous people in the CJS. This solution was chosen by 55% of Canadians. Half (50%) of Canadians considered this to be the second best way to reduce the number of people with mental health and/or cognitive functioning disabilities in the CJS.

Socioeconomic characteristics of the population aged 15 and older whose reported sexual orientation is lesbian or gay, bisexual or pansexual, or another sexual orientation that is not heterosexual (LGB+), by gender, age group and geographic region. Marital status, presence of children under age 12 in the household, education, employment, personal income, Indigenous identity, the visible minority population, immigrant status, language(s) spoken most often at home, place of residence (population centre/rural), self-rated general health, and self-rated mental health. Estimates are obtained from combined cycles of the Canadian Community Health Survey, 2019 to 2021.

The Framework contributes to the implementation of the Mental Health Strategy for Canada: Changing Directions, Changing Lives, which is focused on improving the mental health and well-being of all Canadians. It also aligns with the First Nations Mental Wellness Continuum Framework (the Continuum) which is designed to help partners work more effectively with federal, provincial and territorial programs within a comprehensive mental wellness system for First Nations The Framework is informed by the World Health Organization's Preventing Suicide: A Global Imperative report, which reinforces the value of a public health approach to suicide prevention. This approach includes both universal interventions, which strive to improve the health of the population as a whole, and tailored interventions for groups that experience higher rates of suicide and which strive to reduce health disparities between groups.