Sujane Kandasamy1, Meredith Vanstone1, Mark Oremus1, Trista Hill1, Gita Wahi1, Julie Wilson1, A Darlene Davis1, Ruby Jacobs1, Rebecca Anglin1, Sonia Savitri Anand1. 1. Affiliations: Department of Health Research Methods, Evidence, and Impact (Kandasamy, Oremus, Wahi, Anand), McMaster University; Department of Family Medicine (Vanstone), McMaster University; Centre for Health Economics and Policy Analysis (Vanstone), McMaster University, Hamilton, Ont.; School of Public Health and Health Systems (Oremus), University of Waterloo, Waterloo, Ont.; Birthing Centre (Hill, Wilson), Six Nations Health Services, Ohsweken, Ont.; Department of Pediatrics (Wahi), McMaster University, Hamilton, Ont.; Six Nations Health Services (Davis); Six Nations Health Foundation (Jacobs), Ohsweken, Ont.; Departments of Medicine (Anglin, Anand) and Psychiatry and Behavioural Neurosciences (Anglin), McMaster University, Hamilton, Ont.
Abstract
BACKGROUND: Women play important roles in translating health knowledge, particularly around pregnancy and birth, in Indigenous societies. We investigated elder Indigenous women's perceptions around optimal perinatal health. METHODS: Using a methodological framework that integrated a constructivist grounded-theory approach with an Indigenous epistemology, we conducted and analyzed in-depth interviews and focus groups with women from the Six Nations community in southern Ontario who self-identified as grandmothers. Our purposive sampling strategy was guided by a Six Nations advisory group and included researcher participation in a variety of local gatherings as well as personalized invitations to specific women, either face-to-face or via telephone. RESULTS: Three focus groups and 7 individual interviews were conducted with 18 grandmothers. The participants' experiences converged on 3 primary beliefs: pregnancy is a natural phase, pregnancy is a sacred period for the woman and the unborn child, and the requirements of immunity, security (trust), comfort, social development and parental responsibility are necessary for optimal postnatal health. Participants also identified 6 communal responsibilities necessary for families to raise healthy children: access to healthy and safe food, assurance of strong social support networks for mothers, access to resources for postnatal support, increased opportunities for children to participate in physical activity, more teachings around the impact of maternal behaviours during pregnancy and more teachings around spirituality/positive thinking. We also worked with the Six Nations community on several integrated knowledge-translation elements, including collaboration with an Indigenous artist to develop a digital story (short film). INTERPRETATION: Elder women are a trusted and knowledgeable group who are able to understand and incorporate multiple sources of knowledge and deliver it in culturally meaningful ways. Thus, tailoring public health programming to include elder women's voices may improve the impact and uptake of perinatal health information for Indigenous women. Copyright 2017, Joule Inc. or its licensors.
BACKGROUND:Women play important roles in translating health knowledge, particularly around pregnancy and birth, in Indigenous societies. We investigated elder Indigenous women's perceptions around optimal perinatal health. METHODS: Using a methodological framework that integrated a constructivist grounded-theory approach with an Indigenous epistemology, we conducted and analyzed in-depth interviews and focus groups with women from the Six Nations community in southern Ontario who self-identified as grandmothers. Our purposive sampling strategy was guided by a Six Nations advisory group and included researcher participation in a variety of local gatherings as well as personalized invitations to specific women, either face-to-face or via telephone. RESULTS: Three focus groups and 7 individual interviews were conducted with 18 grandmothers. The participants' experiences converged on 3 primary beliefs: pregnancy is a natural phase, pregnancy is a sacred period for the woman and the unborn child, and the requirements of immunity, security (trust), comfort, social development and parental responsibility are necessary for optimal postnatal health. Participants also identified 6 communal responsibilities necessary for families to raise healthy children: access to healthy and safe food, assurance of strong social support networks for mothers, access to resources for postnatal support, increased opportunities for children to participate in physical activity, more teachings around the impact of maternal behaviours during pregnancy and more teachings around spirituality/positive thinking. We also worked with the Six Nations community on several integrated knowledge-translation elements, including collaboration with an Indigenous artist to develop a digital story (short film). INTERPRETATION: Elder women are a trusted and knowledgeable group who are able to understand and incorporate multiple sources of knowledge and deliver it in culturally meaningful ways. Thus, tailoring public health programming to include elder women's voices may improve the impact and uptake of perinatal health information for Indigenous women. Copyright 2017, Joule Inc. or its licensors.
Authors: Sonia S Anand; Fahad Razak; A D Davis; Ruby Jacobs; Vlad Vuksan; Koon Teo; Salim Yusuf Journal: Int J Epidemiol Date: 2006-08-22 Impact factor: 7.196
Authors: Helen Vallianatos; Erin A Brennand; Kim Raine; Queenie Stephen; Beatrice Petawabano; David Dannenbaum; Noreen D Willows Journal: Can J Nurs Res Date: 2006-03
Authors: Gita Wahi; Julie Wilson; Richard Oster; Patricia Rain; Susan M Jack; Joel Gittelsohn; Sujane Kandasamy; Russell J de Souza; Cindy L Martin; Ellen Toth; Sonia S Anand Journal: Curr Dev Nutr Date: 2019-11-28