Long-term trends in health status and determinants of health among the off-reserve Indigenous population in Canada, 1991–2012

The Indigenous population in Canada totals approximately 1.6 million individuals, representing about 5% of the total population. The off-reserve Indigenous population represents the fastest growing segment of the Indigenous population, with over 50% living in urban settings. Despite the size of the off-reserve population, research on the health of Indigenous peoples tends to remain focused on reserve-based populations. The purpose of this paper is to contribute to a better understanding of health and social determinants of health among off-reserve Indigenous peoples in Canada. Using data from the 1991 and 2012 Aboriginal Peoples Surveys this paper examines changes in health status and the social determinants of health over a 20-year time span. Results show a decline in health care use and self-reported health status in the period between 1991 and 2012. The results may be related to urbanization, aging, and increased prevalence of some chronic conditions. The findings may also be tied to barriers to achieving adequate off-reserve health care—jurisdictional disputes, disjointed program coverage, systemic racism, and a lack of equity-oriented health services. There remains a pressing need for Indigenous and non-Indigenous governments, researchers, and policymakers to build new relationships that bridge these gaps in health and access to timely care.     

De la carte au territoire: Portée et usages des outils cartographiques au sein de la Première Nation des Pekuakamiulnuatsh Entrevue avec Michel Nepton,membre de la Première Nation des Pekuakamiulnuatsh et conseiller en aménagement du territoire

From map to territory: Scope and uses of mapping tools within the Pekuakamiulnuatsh First Nation Interview with Michel Nepton, member of the Pekuakamiulnuatsh First Nation and land use and planning advisor While the mapping of Indigenous territories has long been at the heart of land-grabbing strategies orchestrated by the colonial powers, these tools are now largely mobilized by Indigenous communities through the processes of claiming, negotiation, and affirmation. The specific context of land claiming in Canada has also contributed in a significant way to the increasing use of these tools by communities seeking to demonstrate their historical occupation of land. In any case, the translation of Indigenous knowledge into exogenous geographical language remains subject to criticism and caution, particularly by the tenants of critical mapping. In order to shed new light on these issues, the following interview was conducted with the land use and planning advisor Michel Nepton, working in the Pekuakamiulnuatsh Takuhikan Land rights and protection board (Council of the Pekuakamiulnuatsh First Nation, Mashteuiatsh). Bringing forward his experience and use of mapping tools within his professional practice, his thoughts reveal the role and scope they have in the specific context of his community.