Canadian scholars
Engaging ideas, transforming minds
Engaging ideas, transforming minds
Determinants2ecoverredesign front rgb
Canadian Scholars’ Press
291 pages
6 x 9 inches
August 2015
Print ISBN: 9781551307329
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The health disparities affecting Indigenous peoples in Canada might well be understood as a national epidemic. Although progress has been made in the last decade towards both understanding and ameliorating Indigenous health inequalities, very little research or writing has expanded a social determinants of health framework to account for the unique histories and present realities of Indigenous peoples in this country. This timely edited collection addresses this significant knowledge gap, exploring the ways that multiple health determinants beyond the social—from colonialism to geography, from economy to biology—converge to impact the health status of Indigenous peoples in Canada.

This unique collection, comprised largely of contributions by Indigenous authors, offers the voices and expertise of First Nations, Inuit, and Metis writers from across Canada. The multitude of health determinants of Indigenous peoples are considered in a selection of chapters that range from scholarly papers by research experts in the field, to reflective essays by Indigenous leaders. Appropriate throughout a range of disciplines, including Health Studies, Indigenous Studies, Public and Population Health, Community Health Sciences, Medicine, Nursing, and Social Work, this engaging text broadens the social determinants of health framework to better understand health inequality. Most importantly, it does so by placing front and center the voices and experiences of Indigenous peoples.

Related Titles

Table of Contents

Introduction: Rethinking Determinants of Indigenous Peoples’ Health in Canada, Sarah de Leeuw, Nicole Marie Lindsay, and Margo Greenwood

Chapter 1: Structural Determinants of Aboriginal Peoples’ Health, Charlotte Reading
Chapter 2: Two-Eyed Seeing in Medicine, Murdena Marshall, Albert Marshall, and Cheryl Bartlett
Chapter 3: Inuit Knowledge Systems, Elders, and Determinants of Health: Harmony, Balance, and the Role of Holistic Thinking, Shirley Tagalik
Chapter 4: The Spiritual Dimension of Holistic Health: A Reflection, Marlene Brant Castellano
Chapter 5: Two Poems, Marilyn Iwama

Chapter 6: The Relatedness of People, Land, and Health: Stories from Anishinabe Elders, Chantelle Richmond
Chapter 7: Being at the Interface: Early Childhood as a Determinant of Health, Margo Greenwood and Elizabeth Jones
Chapter 8: Cultural Wounds Demand Cultural Medicines, Michael J. Chandler and
Chapter 9: Activating Place: Geography as a Determinant of Indigenous Peoples’ Health and Well-being, Sarah de Leeuw
Chapter 10: Embodying Self-Determination: Beyond the Gender Binary, Sarah Hunt
Chapter 11: Take Care of the Land and the Land Will Take Care of You: Resources, Development, and Health, Terry Teegee
Chapter 12: Raven Healing, Roberta Kennedy (Kung Jaadee)

Chapter 13: Atikowisi miýw-ay¯awin, Ascribed Health and Wellness, to Kaskitamasowin miýw-ay¯awin¯, Achieved Health and Wellness: Shifting the Paradigm, Madeleine Dion Stout
Chapter 14: Miyo pimâtisiwin “A Good Path”: Indigenous Knowledges, Languages, and Traditions in Education and Health, Diana Steinhauer and James Lamouche
Chapter 15: Reshaping the Politics of Health: A Personal Perspective, Warner Adam
Chapter 16: Aboriginal Early Childhood Development Policies and Programs in British Columbia: Beyond the Rhetoric, Karen Isaac and Kathleen Jamieson
Chapter 17: Grandma and Grandpa and the Mysterious Case of Wolf Teeth in the House!, Richard Van Camp
Chapter 18: Knowing Who You Are: Family History and Aboriginal Determinants of Health, Brenda Macdougall

Chapter 19: Miyo pimâtisiwin: Practising “the Good Way of Life” from the Hospital Bed to Mother Earth, Patricia Makokis and James Makokis
Chapter 20: Reflections of One Indian Doctor in a Town up North, Nadine Caron
Chapter 21: Type 2 Diabetes in Indigenous Populations: Why a Focus on Genetic Susceptibility Is Not Enough, Fernando Polanco and Laura Arbour
Chapter 22: Determining Life with HIV and AIDS, Sherri Pooyak, Marni Amirault, and Renée Masching
Chapter 23: Medicine Is Relationship: Relationship Is Medicine, Leah May Walker and Danièle Behn-Smith


Margo Greenwood

Margo Greenwood is a Professor of Education and First Nations Studies at the University of Northern British Columbia.

Determinants of Indigenous Peoples' Health in Canada, Determinants of Indigenous Peoples' Health, Second Edition

Sarah de Leeuw

Sarah de Leeuw is an Associate Professor in the Northern Medical Program at the University of Northern British Columbia and an Associate Professor in the School of Public and Population Health in the Faculty of Medicine at the University of British Columbia.

Determinants of Indigenous Peoples' Health in Canada, Determinants of Indigenous Peoples' Health, Second Edition

Nicole Marie Lindsay

Nicole Marie Lindsay is a Doctoral Candidate in the School of Communication at Simon Fraser University and a Research Associate at the National Collaborating Centre for Aboriginal Health.

Determinants of Indigenous Peoples' Health in Canada, Determinants of Indigenous Peoples' Health, Second Edition

Charlotte Reading

Charlotte Reading is a Professor in the School of Public Health and Social Policy at the University of Victoria and the Director of the Centre for Aboriginal Health Research.


"Determinants of Indigenous Peoples’ Health in Canada is a timely resource for educators of future health care professionals, policy-makers, and researchers through the use of transformative knowledge acquisition and application from Indigenous (two-eyed seeing) paradigms, while providing a thoughtful critique of Western discourse and its limitations when discussing Indigenous peoples’ health in Canada."
Danielle N. Soucy, Aboriginal Students Health Sciences, McMaster University

"This book offers new light, questioning our views about social determinants of health among Indigenous peoples in Canada. It is a creative text that I highly recommend."
Javier Mignone, Department of Family Social Sciences, University of Manitoba

"This book provides a welcome corrective to mainstream writings that present simplistic and essentialist views of both culture and Indigenous status and how these operate to influence the health and wellbeing of Indigenous peoples. It is an ideal text for students, faculty, and practitioners across a range of disciplines concerned with health equity."
M. Star Mahara, School of Nursing, Thompson Rivers University

Instructor Resources

Included with the textbook are PowerPoint slides for each chapter, which include questions for reflection and discussion and additional resources.

Instructor resources for Determinants of Indigenous Peoples' Health in Canada include:

  • Powerpoint slides for each chapters
  • Powerpoint slide notes

Student Resources

General Student Resource - Download