Using latent class analysis to operationalize a wholistic assessment of Inuit health and well-being
ABSTRACTMany Indigenous cultures conceptualize health wholistically, whereby physical, mental, spiritual and relational dimensions of health are interconnected. Yet, quantitative approaches to studying Indigenous health remain anchored in western perspectives, that separate the dimensions of health....
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2024-12-01
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| Series: | International Journal of Circumpolar Health |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/22423982.2024.2322186 |
| _version_ | 1797248465585045504 |
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| author | Morgen Bertheussen Mylene Riva Brittany Wenniserí:iostha Jock Christopher Fletcher Pierre Ayotte Gina Muckle Natalia Poliakova Richard Bélanger |
| author_facet | Morgen Bertheussen Mylene Riva Brittany Wenniserí:iostha Jock Christopher Fletcher Pierre Ayotte Gina Muckle Natalia Poliakova Richard Bélanger |
| author_sort | Morgen Bertheussen |
| collection | DOAJ |
| description | ABSTRACTMany Indigenous cultures conceptualize health wholistically, whereby physical, mental, spiritual and relational dimensions of health are interconnected. Yet, quantitative approaches to studying Indigenous health remain anchored in western perspectives, that separate the dimensions of health. This paper aims to operationalize a wholistic indicator of health based on the IQI model of Inuit health. Variables from the 2017 Nunavik Health Survey (N = 1196) were selected based on their representativeness of IQI model. Exploratory Latent Class Analysis (LCA) was used to identify wholistic health profiles. Once participants assigned to their health profile, sociodemographic characteristics were compared across profiles, and multinomial regression models were used to examine the relationship between community-level social determinants of health and the profiles. The LCA revealed three health profiles, labelled as “excellent”, “good” and “fair” based on the distribution of answers to the indicators. Nunavimmiut in “excellent” and “good” health were more likely to: rate their health positively; be over 30 years old; be in a relationship; and have participated or volunteered in community events. Nunavimmiut in ”fair” health tended to report lower levels of community cohesion, family relationships, and emotional support. Intergrating culturally relevant models of health can support improved health status assessments and identify opportunities for health promotion. |
| first_indexed | 2024-04-24T20:15:01Z |
| format | Article |
| id | doaj.art-3790eeb4da61422697d766fe0d90d1e9 |
| institution | Directory Open Access Journal |
| issn | 2242-3982 |
| language | English |
| last_indexed | 2024-04-24T20:15:01Z |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | International Journal of Circumpolar Health |
| spelling | doaj.art-3790eeb4da61422697d766fe0d90d1e92024-03-22T20:51:36ZengTaylor & Francis GroupInternational Journal of Circumpolar Health2242-39822024-12-0183110.1080/22423982.2024.2322186Using latent class analysis to operationalize a wholistic assessment of Inuit health and well-beingMorgen Bertheussen0Mylene Riva1Brittany Wenniserí:iostha Jock2Christopher Fletcher3Pierre Ayotte4Gina Muckle5Natalia Poliakova6Richard Bélanger7Department of Geography, McGill University, Montreal, CanadaDepartment of Geography, McGill University, Montreal, CanadaDepartment of Nutrition, McGill University, Montreal, CanadaDepartment of Social and preventative medecine, Laval University, Quebec, CanadaDepartment of Social and preventative medecine, Laval University, Quebec, CanadaDepartment of Social and preventative medecine, Laval University, Quebec, CanadaPopulation Health and Optimal Health Practices Branch, CHU deQuébec Research Centre, Quebec, CanadaDepartment of Social and preventative medecine, Laval University, Quebec, CanadaABSTRACTMany Indigenous cultures conceptualize health wholistically, whereby physical, mental, spiritual and relational dimensions of health are interconnected. Yet, quantitative approaches to studying Indigenous health remain anchored in western perspectives, that separate the dimensions of health. This paper aims to operationalize a wholistic indicator of health based on the IQI model of Inuit health. Variables from the 2017 Nunavik Health Survey (N = 1196) were selected based on their representativeness of IQI model. Exploratory Latent Class Analysis (LCA) was used to identify wholistic health profiles. Once participants assigned to their health profile, sociodemographic characteristics were compared across profiles, and multinomial regression models were used to examine the relationship between community-level social determinants of health and the profiles. The LCA revealed three health profiles, labelled as “excellent”, “good” and “fair” based on the distribution of answers to the indicators. Nunavimmiut in “excellent” and “good” health were more likely to: rate their health positively; be over 30 years old; be in a relationship; and have participated or volunteered in community events. Nunavimmiut in ”fair” health tended to report lower levels of community cohesion, family relationships, and emotional support. Intergrating culturally relevant models of health can support improved health status assessments and identify opportunities for health promotion.https://www.tandfonline.com/doi/10.1080/22423982.2024.2322186Inuitwholistic healthlatent class analysissocial determinants of healthwell-beingIndigenous health |
| spellingShingle | Morgen Bertheussen Mylene Riva Brittany Wenniserí:iostha Jock Christopher Fletcher Pierre Ayotte Gina Muckle Natalia Poliakova Richard Bélanger Using latent class analysis to operationalize a wholistic assessment of Inuit health and well-being International Journal of Circumpolar Health Inuit wholistic health latent class analysis social determinants of health well-being Indigenous health |
| title | Using latent class analysis to operationalize a wholistic assessment of Inuit health and well-being |
| title_full | Using latent class analysis to operationalize a wholistic assessment of Inuit health and well-being |
| title_fullStr | Using latent class analysis to operationalize a wholistic assessment of Inuit health and well-being |
| title_full_unstemmed | Using latent class analysis to operationalize a wholistic assessment of Inuit health and well-being |
| title_short | Using latent class analysis to operationalize a wholistic assessment of Inuit health and well-being |
| title_sort | using latent class analysis to operationalize a wholistic assessment of inuit health and well being |
| topic | Inuit wholistic health latent class analysis social determinants of health well-being Indigenous health |
| url | https://www.tandfonline.com/doi/10.1080/22423982.2024.2322186 |
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