Colonialism as a broader social determinant of health
Open accessAbstract
A proposed broader or Indigenized social determinants of health framework includes "colonialism" along with other global processes. What does it mean to understand Canadian colonialism as a distal determinant of Indigenous health? This paper reviews pertinent discourses surrounding Indigenous mental health in Canada. With an emphasis on the notion of intergenerational trauma, there are real health effects of social, political, and economic marginalization embodied within individuals, which can collectively affect entire communities. Colonialism can also be enacted and reinforced within Indigenous mental health discourse, thus influencing scholarly and popular perceptions. Addressing this distal determinant through policy work necessitates that improving Indigenous health is inherently related to improving these relationships, i.e. eliminating colonial relations, and increasing self-determination.
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Colonialism has been recognized as a determinant of health.
“As colonialism has been recognized as a determinant of health (Commission on Social Determinants of Health, 2008; Czyzewski, 2011)”
From Addressing the need for indigenous and decolonized quantitative research methods in Canada (2021) · cites this paper as Czyzewski, 2011
Cites
Social determinants of health inequalities
Marmot, M. (2005) · The Lancet · doi:10.1016/s0140-6736(05)71146-6 · Cited by 5,086 · see citing works
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Whitbeck, L. B., Adams, G. W., Hoyt, D. R., & Chen, X. (2004) · American Journal of Community Psychology · doi:10.1023/b:ajcp.0000027000.77357.31 · Cited by 751 · see citing works
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Colonisation, racism and indigenous health
Paradies, Y. (2016) · Journal of Population Research · doi:10.1007/s12546-016-9159-y · Cited by 602 · see citing works
Implementing Anti-Racism Interventions in Healthcare Settings: A Scoping Review
Hassen, N., Lofters, A., Michael, S., Mall, A., Pinto, A. D., & Rackal, J. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18062993 · Cited by 286 · see citing works
Hackett, C., Feeny, D., & Tompa, E. (2016) · Journal of Epidemiology and Community Health · doi:10.1136/jech-2016-207380 · Cited by 80 · see citing works
Addressing the need for indigenous and decolonized quantitative research methods in Canada
Hayward, A., Wodtke, L., Craft, A., Robin, T., Smylie, J., McConkey, S., Nychuk, A., Healy, C., Star, L., & Cidro, J. (2021) · SSM - Population Health · doi:10.1016/j.ssmph.2021.100899 · Cited by 69 · see citing works
“As colonialism has been recognized as a determinant of health (Commission on Social Determinants of Health, 2008; Czyzewski, 2011), Indigenous epidemiology would fully consider all of the determinants of health (Anderson, Smylie, Anderson, Sinclair, & Crengle, 2006; Jones, 2006; Paradies, 2016;…”
BackgroundThe determinants of planetary health
Redvers, N. (2021) · The Lancet Planetary Health · doi:10.1016/s2542-5196(21)00008-5 · Cited by 65 · see citing works
First Nations members’ emergency department experiences in Alberta: A qualitative study.
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An allied research paradigm for epidemiology research with Indigenous peoples
Jaworsky, D. (2019) · Archives of Public Health · doi:10.1186/s13690-019-0353-1 · Cited by 23 · see citing works
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- Authors
- Czyzewski, K.
- Affiliations
- University of Toronto (CA)
- Corresponding author
- Czyzewski, Karina
- Venue
- International Indigenous Policy Journal
- Published
- 2011-05-16
- Volume
- 2
- Issue
- 1
- ISSN
- 1916-5781 (ISSN-L)
- OpenAlex
- W21501256
- Cited by
- 486
- References
- 2
- Citations by year
- 2026: 18 · 2025: 31 · 2024: 36 · 2023: 42 · 2022: 41 · 2021: 114 · 2020: 42 · 2019: 39 · 2018: 36 · 2017: 15 · 2016: 22 · 2015: 14 · 2014: 11 · 2013: 8 · 2012: 4
- FWCI
- 11.23
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- Locations
- International Indigenous Policy Journal (publishedVersion, cc-by-nc-nd)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Scholarship@Western (Western University) (submittedVersion, cc-by-nc-nd)
- Topics
- Social Sciences › Health › Indigenous Health, Education, and Rights
- Social Sciences › Anthropology › Indigenous Cultures and History
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Keywords
- colonialism, social determinants of health, Indigenous health, Indigenous mental health, intergenerational trauma, Indigenous self-determination, decolonization, marginalization, health policy, Canada
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