Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2012;6:23-31.
doi: 10.4137/SART.S9247. Epub 2012 Mar 28.

Researching Prescription Drug Misuse Among First Nations in Canada: Starting From a Health Promotion Framework

Affiliations
Free PMC article

Researching Prescription Drug Misuse Among First Nations in Canada: Starting From a Health Promotion Framework

Colleen Anne Dell et al. Subst Abuse. .
Free PMC article

Abstract

The intentional misuse of psychotropic drugs is recognized as a significant public health concern in Canada, although there is a lack of empirical research detailing this. Even less research has been documented on the misuse of prescription drugs among First Nations in Canada. In the past, Western biomedical and individual-based approaches to researching Indigenous health have been applied, whereas First Nations' understandings of health are founded on a holistic view of wellbeing. Recognition of this disjuncture, alongside the protective influence of First Nations traditional culture, is foundational to establishing an empirical understanding of and comprehensive response to prescription drug misuse. We propose health promotion as a framework from which to begin to explore this. Our work with a health promotion framework has conveyed its potential to support the consideration of Western and Indigenous worldviews together in an 'ethical space', with illustrations provided. Health promotion also allots for the consideration of Canada's colonial history of knowledge production in public health and supports First Nations' self-determination. Based on this, we recommend three immediate ways in which a health promotion framework can advance research on prescription drug misuse among First Nations in Canada.

Keywords: First Nations; Indigenous health; health promotion framework; intentional prescription drug misuse.

Similar articles

See all similar articles

Cited by 3 articles

References

    1. Haydon E, Monga N, Rehm J, Adlaf E, Fischer B. Prescription drug abuse in Canada and the diversion of prescription drugs into the illicit drug market. Canadian Journal of Public Health. 2005;96(6):459–61. - PubMed
    1. Health Canada . Honouring Our Strengths: A Renewed Framework to Address Substance Use Issues among First Nations People in Canada. Ottawa, ON: Health Canada; 2010.
    1. Office of the Auditor General of Canada . Report of the Auditor General of Canada. Ottawa, ON: Office of the Auditor General of Canada; Oct, 2007. Chapter 13—Health Canada—First Nations. Available at: http://www.oag-bvg.gc.ca/internet/English/parl_oag_199710_13_e_8094.html. Accessed February 24, 2012.
    1. Office of the Auditor General of Canada . Status Report of the Auditor General of Canada. Ottawa, ON: Office of the Auditor General of Canada; May, 2004. Chapter 5—Management of Programs for First Nations. Available at: http://www.oag-bvg.gc.ca/internet/English/parl_oag_200605_05_e_14962.html. Accessed February 24, 2012.
    1. CBC News Eskasoni seeking answers as suicides continue. 2009. Available at: http://www.cbc.ca/news/canada/nova-scotia/story/2009/02/03/ns-eskasoniyouth.html. Accessed January 3, 2012.

LinkOut - more resources

Feedback