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Diving below the surface: A framework for arctic health research to support thriving communities

Katie Cueva · Elizabeth Rink · Josée Gabrielle Lavoie · Jon Petter Stoor · Gwen Healey Akearok · Elena F. Gladun +1 more

23 citations0/0 files storedScandinavian Journal of Public Health

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Indigenous Health, Education, and Rights Healthcare Systems and Public Health Indigenous Studies and Ecology

Abstract

Aims: Historically, health research in the Arctic has focused on documenting ill-health using a narrow set of deficit-oriented epidemiologic indicators (i.e., prevalence of disease and mortality rates). While useful, this type of research does not adequately capture the breadth and complexities of community health and well-being, and fails to highlight solutions. A community’s context, strengths, and continued expressions of well-being need to guide inquiries, inform processes, and contextualize recommendations. In this paper, we present a conceptual framework developed to address the aforementioned concerns and inform community-led health and social research in the Arctic. Methods: The proposed framework is informed by our collective collaborations with circumpolar communities, and syntheses of individual and group research undertaken throughout the Circumpolar North. Our framework encourages investigation into the contextual factors that promote circumpolar communities to thrive. Results: Our framework centers on the visual imagery of an iceberg. There is a need to dive deeper than superficial indicators of health to examine individual, family, social, cultural, historical, linguistic, and environmental contexts that support communities in the Circumpolar North to thrive. A participatory community-based approach in conjunction with ongoing epidemiologic research is necessary in order to effectively support health and wellness. Conclusions: The iceberg framework is a way to conceptualize circumpolar health research and encourage investigators to both monitor epidemiologic indicators and also dive below the surface using participatory methodology to investigate contextual factors that support thriving communities.

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References

2008Research Is Ceremony: Indigenous Research Methods 2010Closing the gap in a generation: health equity through action on the social determinants of health. Final report of the Commission on Social Determinants of Health 2008Handbook of Critical and Indigenous Methodologies 2011Rethinking Resilience from Indigenous Perspectives 2009Practical Application of an Indigenous Research Framework and Two Qualitative Indigenous Research Methods: Sharing Circles and Anishnaabe Symbol-Based Reflection 2001The Social Basis of Disparities in Health 2017A New Framework for Addressing Adverse Childhood and Community Experiences: The Building Community Resilience Model 2011Unikkaartuit : Meanings of Well‐Being, Unhappiness, Health, and Community Change Among Inuit in Nunavut, Canada

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