ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2019
Intergenerational Trauma: The Relationship Between Residential Schools and the Child Welfare System Among Young People Who Use Drugs in Vancouver, Canada.
Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 60 citations in OpenAlex.
- Indigenous participation in pediatric Indigenous health research in Canada: a systematic review.Pediatric research · 2023Pooled it
- Medication for Adolescents and Young Adults With Opioid Use Disorder.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2021Guideline
- DIFFICULTY ACCESSING SUBSTANCE USE TREATMENT AMONG INDIGENOUS PEOPLE IN A CANADIAN INNER CITY SETTING.International indigenous policy journal · 2026Article
- Grounded in culture: a participatory empowerment evaluation of the oskâyak (youth) power program for oskinîkiwak (young men) and napêsisak (boys) at pakitahaw sākahikan iýiniwak (sturgeon lake first nation).International journal of circumpolar health · 2025Article
- Building social support into mental health and substance use treatment trajectories: Insights from a longitudinal qualitative and ethnographic study with young people experiencing unstable housing and homelessness.Child & youth services · 2025Article
- Understanding the experiences of young, urban, Indigenous mothers-to-be in British Columbia, Canada.BMC pregnancy and childbirth · 2025Observational
- Opioid agonist therapy and mortality among First Nations and other residents with concurrent alcohol use disorder in British Columbia, Canada: A population-based cohort study.Drug and alcohol dependence · 2023Article
- Methadone Maintenance Treatment Discontinuation Among Young People who use Opioids in Vancouver, Canada.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2023Article
- Application of Two-Eyed Seeing in Adolescent Mental Health to Bridge Design Thinking and Indigenous Collective Storytelling.International journal of environmental research and public health · 2022Article
- Enhancing health and wellness by, for and with Indigenous youth in Canada: a scoping review.BMC public health · 2022Article
- Parent-Child Separations and Mental Health among First Nations and Métis Peoples in Canada: Links to Intergenerational Residential School Attendance.International journal of environmental research and public health · 2022Article
- Navigating treatment in the shadow of the overdose crisis: Perspectives of youth experiencing street-involvement across British Columbia.The Canadian journal of addiction · 2022Article
- Canada's Colonial Genocide of Indigenous Peoples: A Review of the Psychosocial and Neurobiological Processes Linking Trauma and Intergenerational Outcomes.International journal of environmental research and public health · 2022Review
- The generative potential of mess in community-based participatory research with young people who use(d) drugs in Vancouver.Harm reduction journal · 2022Article
- Opioid use in indigenous populations: indigenous perspectives and directions in culturally responsive care.Journal of social work practice in the addictions · 2022Article
- Intergenerational residential school attendance and increased substance use among First Nation adults living off-reserve: An analysis of the aboriginal peoples survey 2017.Frontiers in public health · 2022Article
- "I Have to Watch Them Closely": Native American Parenting Practice and Philosophies.Journal of child and family studies · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 5 institutions in 1 country.
Funding
Abstract
purposeThis study investigated the relationship between familial residential school system (RSS) exposure and personal child welfare system (CWS) involvement among young people who use drugs (PWUD).
methodsData were obtained from two linked cohorts of PWUD in Vancouver, Canada, and restricted to Indigenous participants. Multivariable logistic regression analysis was used to investigate the relationship between three categories of familial RSS exposure (none, grandparent, and parent) and CWS involvement. A secondary analysis assessed the likelihood of CWS involvement between non-Indigenous and Indigenous PWUD with no familial RSS exposure.
resultsBetween December 2011 and May 2016, 675 PWUD (aged <35 years) were included in this study, 40% identified as Indigenous. In multivariable analyses, compared with Indigenous participants with no RSS exposure (reference), those with a grandparent in the RSS had a higher likelihood of having been in CWS (adjusted odds ratio [AOR] = 1.34, 95% confidence interval [CI]: .67-2.71), as did those with a parent exposed to RSS (AOR = 2.03, 95% CI: 1.03-3.99). In secondary analysis, the odds of CWS involvement was not significantly different between non-Indigenous and Indigenous PWUD with no familial RSS exposure (AOR = .63, 95% CI: .38-1.06).
conclusionsWe observed a dose-response-type trend between familial RSS exposure and personal CWS involvement and a nonsignificant difference in the likelihood of CWS involvement between Indigenous and non-Indigenous PWUD when controlling for RSS exposure. These data demonstrate the intergenerational impact of the RSS on the overrepresentation of Indigenous youth in the CWS. Findings have critical implications for public policy and practice including reconciliation efforts with Indigenous Peoples.
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Registered trials
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.