ArticleInternational journal for equity in health2014
Cultural continuity, traditional Indigenous language, and diabetes in Alberta First Nations: a mixed methods study.
Article in International journal for equity in health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 4 of them syntheses that pooled it.
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Who cites it
56 citing papers in PubMed, 4 syntheses or guidelines pooled it, 162 citations in OpenAlex.
- Prevalence of type 2 diabetes among global Indigenous adult populations: a systematic review.Diabetologia · 2026Pooled it
- A systematic review of prevention strategies for type 2 diabetes in First Nations children and young people.Pediatric obesity · 2025Pooled it
- Health effects of Indigenous language use and revitalization: a realist review.International journal for equity in health · 2022Pooled it
- Effectiveness of interventions to optimise dietary intakes in the first 1000 d of life in Indigenous children: a systematic review.Public health nutrition · 2022Pooled it
- Demographic and cultural correlates of traditional eating among Alaska Native adults at risk for cardiovascular disease.PloS one · 2022Trial
- Engaging with the All My Relations Advisory Board in a healthy food incentive randomized controlled trial: a qualitative process evaluation.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026Article
- Associations of Indigenous language knowledge and physical, emotional, mental, and spiritual balance among First Nations living on reserve in British Columbia, Canada.Canadian journal of public health = Revue canadienne de sante publique · 2026Article
- A qualitative study to create a framework of Métis understandings of brain health promotion and dementia prevention in Alberta, Canada.Frontiers in dementia · 2026Article
- Applying Community Engagement Methods to Facilitate Global Co‑Learning among Indigenous Communities.Annals of global health · 2026Article
- Perinatal wellbeing through restoring healthy family systems in a nêhiyaw (Plains Cree) community: a mixed methods study.Frontiers in public health · 2026Article
- Smudging the barriers away: crafting theInternational journal of circumpolar health · 2025Article
- Deadly Dads Support Society: understanding the development and impact of a culturally centred, group-led support strategy for nêhiyaw (Plains Cree) fathers and men.International journal of circumpolar health · 2025Article
- Frameworks and models that promote Métis health: a narrative review.AlterNative (Auckland, N.Z. : 2005) · 2025Article
- "If They Help Us, We Can Help Them": First Nations Peoples Identify Intercultural Health Communication Problems and Solutions in Hospital in Northern Australia.Journal of racial and ethnic health disparities · 2025Article
- Protecting Repositories of Indigenous Traditional Ecological Knowledges: A Health-Focused Scoping Review.International journal of environmental research and public health · 2025Article
- Global Learning for Health Equity: A Survey of Five Global Learning Sites in the United States.Community health equity research & policy · 2025Article
- Women from rural Guatemala who speak Mayan languages have reduced odds of diabetes, hypertension and obesity.Frontiers in public health · 2025Article
- The 2024 report of the Lancet Countdown on health and climate change: facing record-breaking threats from delayed action.Lancet (London, England) · 2024Review
- Measuring the health and wellbeing impacts of cultural camps among Aboriginal adults: preliminary evidence from the Gaawaadhi Gadudha Research Collaborative.The Lancet regional health. Western Pacific · 2024Article
- Prevalence of diabetes among Indigenous women in Guatemala: a retrospective chart review.BMC research notes · 2024Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionWe used an exploratory sequential mixed methods approach to study the association between cultural continuity, self-determination, and diabetes prevalence in First Nations in Alberta, Canada.
methodsWe conducted a qualitative description where we interviewed 10 Cree and Blackfoot leaders (members of Chief and Council) from across the province to understand cultural continuity, self-determination, and their relationship to health and diabetes, in the Alberta First Nations context. Based on the qualitative findings, we then conducted a cross-sectional analysis using provincial administrative data and publically available data for 31 First Nations communities to quantitatively examine any relationship between cultural continuity and diabetes prevalence.
resultsCultural continuity, or "being who we are", is foundational to health in successful First Nations. Self-determination, or "being a self-sufficient Nation", stems from cultural continuity and is seriously compromised in today's Alberta Cree and Blackfoot Nations. Unfortunately, First Nations are in a continuous struggle with government policy. The intergenerational effects of colonization continue to impact the culture, which undermines the sense of self-determination, and contributes to diabetes and ill health. Crude diabetes prevalence varied dramatically among First Nations with values as low as 1.2% and as high as 18.3%. Those First Nations that appeared to have more cultural continuity (measured by traditional Indigenous language knowledge) had significantly lower diabetes prevalence after adjustment for socio-economic factors (p =0.007).
conclusionsFirst Nations that have been better able to preserve their culture may be relatively protected from diabetes.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.