ArticleBMC public health2022
Socio-cultural integration and holistic health among Indigenous young adults.
Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Ecospirituality and Health: A Systematic Review.Journal of religion and health · 2024Pooled it
- Feasibility of an Indigenous Food Is Medicine Program for Patients With Heart Failure in Rural Navajo Nation: The MUTTON-HF Nonrandomized Clinical Trial.JAMA network open · 2026Trial
- "…what it all comes down to is being a good relative": urban indigenous perspectives on caregiving, community, and culture to inform trauma transmission prevention and generational healing.Journal of behavioral medicine · 2026Article
- Intergenerational Impacts of Historical Trauma on Contemporary Depression Symptoms Among Indigenous Communities.Journal of the American Academy of Child and Adolescent Psychiatry · 2025Article
- Indigenous Motherwork in Crisis: Caregiving, Resistance, and Community Survival During the COVID-19 Pandemic.Sex roles · 2025Article
- Planting the seed: using research as a tool to revitalize puberty ceremonies in Anishinaabe communities.Qualitative research journal · 2024Article
- Advancing an individual-community health nexus: Survey, visual, and narrative meanings of mental and physical health for Arab emerging adults.SSM. Mental health · 2023Article
- The Culture is Prevention Project: measuring cultural connectedness and providing evidence that culture is a social determinant of health for Native Americans.BMC public health · 2023Article
- Looking beyond the individual-The importance of accessing health and cultural services for Indigenous women in Thunder Bay, Ontario.PloS one · 2023Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundResearch on associations between social integration and wellbeing holds promise to inform policy and practice targets for health promotion. Yet, studies of social connection too frequently rely on overly simplistic measures and give inadequate attention to manifestation and meanings of social integration across diverse groups. We use the term socio-cultural integration to describe expanded assessment of both social and cultural aspects of belonging and connection.
methodsWe examined 7 distinct indicators of socio-cultural integration, identified heterogeneous patterns of responses across these indicators using latent profile analysis, and determined their relevance for wellbeing using survey data from a study with Indigenous communities in the U.S. and Canada. Wellbeing was measured using holistic ratings of self-rated physical, emotional, and spiritual health.
resultsLatent profile analysis (LPA) of responses to the 7 socio-cultural integration variables yielded a 3-class model, which we labeled low, moderate, and high integration. Mean scores on self-rated physical, mental and spiritual health were significantly associated with LPA profiles, such that those in the low integration group had the lowest self-rated health scores and those in the high integration group had the highest health scores. With the exception of similar ratings of cultural identification between low and moderate integration profiles, patterns of responses to the diverse socio-cultural integration measures varied significantly across the 3 latent profiles.
conclusionsResults underscore the importance of expanding our assessment of social integration with attention to the interrelationships of family, community, culture, and our environment. Such concepts align with Indigenous conceptions of wellbeing, and have relevance for health across cultures. More concretely, the indicators of socio-cultural integration used in this study (e.g., cultural identity, having a sense of connectedness to nature or family, giving or receiving social support) represent malleable targets for inclusion in health promotion initiatives.
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