Engaging ideas, transforming minds
Engaging ideas, transforming minds

We don’t actively support Internet Explorer

It appears that you are using Internet Explorer, which has been discontinued by Microsoft. Support has ended for versions older than 11, and as a result you may face security issues and other problems when using it.

We recommend upgrading to a newer browser such as Firefox, Google Chrome, or Edge for a much better experience across the web.

While this site may work with Explorer, we are not testing and verifying it, so you may run into some trouble or strange looking things.

364 pages
6 x 9 inches
April 2018
Print ISBN: 9781773380377


Now in its second edition, this collection explores how multiple health determinants, such as colonialism, gender, culture, early childhood development, the environment, geography, HIV/AIDS, medicine, and policy, impact the health status of Indigenous peoples in Canada. Grounded in expert voices of First Nations, Inuit, and Métis writers from coast to coast, this updated edition includes a chapter on environment and land defense; a foreword written by Dr. Evan Adams, Chief Medical Officer of the First Nations Health Authority; chapters by Liz Howard and Helen Knott, Indigenous poets; and an updated arrangement that reflects the significant social and political events that dominated headlines over the last two years, such as the protests at Standing Rock, North Dakota, the US national election of 2016, the Indigenous youth suicide epidemic, and the enquiry into murdered and missing Indigenous women and girls in Canada. This revolutionary book is appropriate for undergraduate and graduate students enrolled in courses on health, public and population health, community health sciences, medicine, nursing, and social work.

Related Titles

Table of Contents

Dr. Evan Adams

Introduction to the Second Edition: Rethinking (Once Again) Determinants of Indigenous Peoples’ Health
Sarah de Leeuw, Nicole Marie Lindsay, and Margo Greenwood


Chapter 1— Structural Determinants of Aboriginal Peoples’ Health
Charlotte Reading

Chapter 2— Knausgaard, Nova Scotia
Liz Howard

Chapter 3— Embodying Self-Determination: Beyond the Gender Binary
Sarah Hunt

Chapter 4 Reflections of One Indian Doctor in a Town Up North
Nadine Caron

Chapter 5— Two-Eyed Seeing in Medicine
Murdena Marshall, Albert Marshall, and Cheryl Bartlett

Chapter 6— The Spiritual Dimension of Holistic Health: A Reflection
Marlene Brant Castellano


Chapter 7— atikowisi miýw-a¯ya¯win, Ascribed Health and Wellness, to kaskitamasowin miýw-a¯ya¯win, Achieved Health and Wellness: Shifting the Paradigm
Madeleine Dion Stout

Chapter 8— Raven Healing
Roberta Kennedy (Kung Jaadee)

Chapter 9— miyo-pimâtisiwin, “A Good Path”: Indigenous Knowledges, Languages, and Traditions in Education and Health
Diana Steinhauer and James Lamouche

Chapter 10— Inuit Knowledge Systems, Elders, and Determinants of Health: Harmony, Balance, and the Role of Holistic Thinking
Shirley Tagalik

Chapter 11— Two Poems
Marilyn Iwama


Chapter 12— Being at the Interface: Early Childhood as a Determinant of Health
Margo Greenwood and Elizabeth Jones

Chapter 13— Knowing Who You Are: Family History and Aboriginal Determinants of Health
Brenda Macdougall

Chapter 14— Cultural Wounds Demand Cultural Medicines
Michael J. Chandler and William L. Dunlop

Chapter 15— Grandma and Grandpa and the Mysterious Case of Wolf Teeth in the House!
Richard Van Camp


Chapter 16— The Relatedness of People, Land, and Health: Stories from Anishinabe Elders
Chantelle Richmond

Chapter 17— Activating Place: Geography as a Determinant of Indigenous Peoples’ Health and Well-Being
Sarah de Leeuw

Chapter 18— Violence on the Land, Violence on Our Bodies Women’s Earth
Alliance and Native Youth Sexual Health Network

Chapter 19— Take Care of the Land and the Land Will Take Care of You: Resources, Development, and Health
Terry Teegee

Chapter 20— Dishinit Sakeh
Helen Knott


Chapter 21— miyo-pimâtisiwin: Practising “the Good Way of Life” from the Hospital Bed to Mother Earth
Patricia Makokis and James Makokis

Chapter 22— Reshaping the Politics of Health: A Personal Perspective
Warner Adam

Chapter 23— Aboriginal Early Childhood Development Policies and Programs in British Columbia: Beyond the Rhetoric
Karen Isaac and Kathleen Jamieson

Chapter 24— Type 2 Diabetes in Indigenous Populations: Why a Focus on Genetic Susceptibility Is Not Enough
Fernando Polanco and Laura Arbour

Chapter 25— Determining Life with HIV and AIDS
Sherri Pooyak, Marni Amirault, and Renée Masching

Chapter 26— Medicine Is Relationship: Relationship Is Medicine
Leah May Walker and Danièle Behn-Smith

Contributor List


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


“Moving education, specifically in health sciences, beyond western centric pedagogies is necessary. Beyond the Social in its second edition has enhanced an already highly useful teaching resource to encompass timely and important discussions of intersectionality of Indigenous health in Canada. A required text to be sure.”

Determinants of Indigenous Peoples’ Health is a remarkable text, beautifully woven from authentic stories with current academic knowledge and impeccable wisdom. This is the first text on Indigenous people that I have read which moves the reader so eloquently forward beyond the social and provides significant insight as to how we as people both Indigenous and non-Indigenous have come to this place.… a true inspiration, one which has imprinted profoundly on me.”

“This is a must-read book for anyone interested in Reconciliation, wanting to understand the forces of colonization, or even those already doing the important work of decolonization. […] It is also informative for those who are working to close the unacceptable gaps and health inequities impacting Indigenous people in Canada.”

"Determinants of Indigenous Peoples' Health in its new 2nd edition is a highly accessible text that strongly represents the issues and perspectives of well respected Indigenous leaders in the area of health determinants. Important for a wide range of disciplines and practice areas as we respond to the calls to action for Truth and Reconciliation."

Instructor Resources

The Instructor's Manual for Determinants of Indigenous Peoples' Health, 2e includes:

  • PowerPoint slides
  • Notes for PowerPoint slides

See sample

Student Resources

General Student Resource - Download

Purchase Options