Frameworks and models that promote Métis health: a narrative review

Culture is a determinant of health for Indigenous peoples, providing a sense of belonging, strengthening resilience, and promoting wellness. Consequently, there is growing interest in exploring the relationship between Métis (distinct Indigenous people, rooted in both First Nations and European ancestry, Canada), culture, and health. A search of scholarly databases and gray literature resulted in 14 records that met inclusion criteria. Articles revealed seven frameworks and three models that applied Métis knowledge to health. Reiterative readings were used to analyze models and frameworks. Results indicated that one or multiple approaches to health were incorporated: (1) Métis symbolism and concepts; (2) social determinants of health and the life course perspective; (3) engagement with Métis government, organizations, and community; and (4) research methods and knowledge translation. These findings can foster the development of culturally appropriate models, frameworks, and strategies that favor Métis culture in health research to more effectively promote Métis health.