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Lafrenaye-Dugas AJ, Bélanger RE, Poliakova N, Riva M, Fletcher C, Godbout N, Fraser S, Courtemanche Y, Moisan C, Muckle G. Profiles of childhood adversities in Inuit from Nunavik: description and associations with indicators of socioeconomic characteristics, support, and community involvement. CANADIAN JOURNAL OF PUBLIC HEALTH = REVUE CANADIENNE DE SANTE PUBLIQUE 2024; 115:97-113. [PMID: 37079263 PMCID: PMC10830971 DOI: 10.17269/s41997-023-00750-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/15/2021] [Accepted: 01/30/2023] [Indexed: 04/21/2023]
Abstract
OBJECTIVES Distress and associated health problems reported by Nunavik Inuit emanate from heterogeneous roots, including adverse childhood experiences. This study aims to (1) identify distinct childhood adversity profiles and (2) examine associations between these profiles and sex, socioeconomic characteristics, social support, and community involvement among Nunavimmiut. METHODS In a sample of 1109 adult Nunavimmiut, sex, socioeconomic characteristics, support, community involvement, residential school attendance, and 10 forms of adverse childhood experiences (ACEs) were documented using questionnaires. Latent class analyses and weighted comparisons were performed for three subgroups: 18-49 years; 50 years and above with experience of residential school; and 50 years and above without experience of residential school. The analysis design, the manuscript drafts, and the key findings were discussed and co-interpreted with the collaboration of community representatives, taking into consideration Inuit culture and needs. RESULTS A total of 77.6% of Nunavimmiut reported having experienced at least one form of childhood adversity. Three ACE profiles were identified among the 18-49-year-olds: low ACEs (43.0%), household stressors (30.7%), and multiple ACEs (26.3%). Two profiles characterized ACEs experienced among the 50-year-olds and over with and without history of residential schooling: low ACEs (80.1% and 77.2%, respectively) and multiple ACEs (19.9% and 22.8%, respectively). Among the group of 18-49-year-olds, as compared to the low ACE profile, the profile with household stressors included proportionally more women (odds ratio [OR] = 1.5) and was associated with lower involvement in volunteering and community activities (mean score reduced by 0.29 standard deviation [SD]) and lower family cohesion (SD = - 0.11), while the multiple ACE profile was related to a lower rate of employment (OR = 0.62), lower family cohesion (SD = - 0.28), and lower satisfaction with ability to practice traditional activities (SD = - 0.26). CONCLUSION Childhood adversities among Nunavimmiut do not occur in isolation and experiencing multiple forms of childhood adversities predicts lower socioeconomic status, support, and community involvement in adulthood. Implications for the planning of health and community services in Nunavik are discussed.
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Affiliation(s)
- Anne-Julie Lafrenaye-Dugas
- Population Health and Optimal Health Practices Axis, CHU de Québec - Université Laval Research Centre, Québec, QC, Canada.
- Département de pédiatrie, Faculté de Médecine, Université Laval, Québec, QC, Canada.
| | - Richard E Bélanger
- Population Health and Optimal Health Practices Axis, CHU de Québec - Université Laval Research Centre, Québec, QC, Canada
- Département de pédiatrie, Faculté de Médecine, Université Laval, Québec, QC, Canada
| | - Natalia Poliakova
- Population Health and Optimal Health Practices Axis, CHU de Québec - Université Laval Research Centre, Québec, QC, Canada
| | | | - Christopher Fletcher
- Population Health and Optimal Health Practices Axis, CHU de Québec - Université Laval Research Centre, Québec, QC, Canada
| | | | | | - Yohann Courtemanche
- Population Health and Optimal Health Practices Axis, CHU de Québec - Université Laval Research Centre, Québec, QC, Canada
| | - Caroline Moisan
- Population Health and Optimal Health Practices Axis, CHU de Québec - Université Laval Research Centre, Québec, QC, Canada
- École de psychologie, Faculté des sciences sociales, Université Laval, Québec, QC, Canada
| | - Gina Muckle
- Population Health and Optimal Health Practices Axis, CHU de Québec - Université Laval Research Centre, Québec, QC, Canada
- École de psychologie, Faculté des sciences sociales, Université Laval, Québec, QC, Canada
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Wekerle C, Kim K, Wong N. Child Sexual Abuse Victimization: Focus on Self-Compassion. Front Psychiatry 2022; 13:818774. [PMID: 35308875 PMCID: PMC8924043 DOI: 10.3389/fpsyt.2022.818774] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/20/2021] [Accepted: 02/07/2022] [Indexed: 11/17/2022] Open
Affiliation(s)
| | - Katherine Kim
- Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada
| | - Nikki Wong
- Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada
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