使用隐性类分析来运行对因纽特人健康和福祉的整体评估
Morgen Bertheussen1, Mylene Riva1, Brittany Wenniserí Iostha Jock2
1Department of Geography, McGill University, Montreal, Canada.
International journal of circumpolar health
|March 11, 2024
概括
这项研究运用了一个整体的因纽特人健康指标,确定了三个健康状况:优秀,好和公平. 积极的健康与社区参与和社会支持有关,强调需要文化相关的健康评估.
科学领域:
- 土著健康研究土著健康研究
- 公共卫生 公共卫生
- 量化心理学 量化心理学
背景情况:
- 原住民文化往往以整体的角度看待健康,整合身体,精神,精神和关系方面的方面.
- 西方的定量健康方法经常将这些维度分开,可能会误解土著人的福祉.
- 需要文化相关的健康指标,反映土著人的观点.
研究的目的:
- 通过使用因纽特人Qaujimajatuqangit (IQI) 模型来运行土著健康的整体指标.
- 在努纳维克因纽特人群中识别不同的整体健康状况.
- 检查与这些健康状况相关的社会人口统计和社区层面的因素.
主要方法:
- 利用了2017年努纳维克卫生调查 (N=1196) 的数据.
- 采用探索性潜伏类分析 (LCA) 来识别基于智商指数模型代表性的健康状况.
- 使用多项回归来分析健康的社会决定因素和确定的健康状况之间的关联.
主要成果:
- 确定了三种不同的健康状况: "优秀"",好"和"公平".
- 具有"优秀"和"良好"健康状况的个人更有可能年龄较大,处于恋爱关系中,并参与社区活动.
- "公平"的健康状况与较低的社区凝聚力,家庭关系和情感支持有关.
结论:
- 整合文化相关的模型,如IQI,对于准确的土著健康评估至关重要.
- 整体健康资料揭示了社会决定因素,社区因素和个人福祉的相互联系.
- 这种方法可以为土著人口提供有针对性的健康促进策略.
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