Systematic Review and Meta-analysis: First Nations, Inuit, and Métis Youth Mental Health - 28/09/22
, Zoe Tsai, BHSc Candidate a, Troy Hill, MEd a, Maria B. Ospina, PhD b, Amy L. Wright, PhD, NP c, Ryan J. Van Lieshout, MD, PhD aAbstract |
Objective |
The ongoing effects of colonialism disproportionately place Indigenous youth at risk for mental health challenges. This meta-analysis examined lifetime and past-year prevalence estimates of mental health challenges among First Nations, Inuit, and Métis youth in Canada.
Method |
Five electronic databases were searched from their inceptions until June 17, 2021. Studies were included if they assessed mental health challenges among First Nations, Inuit, and/or Métis youth (≤18 years old). Risk of bias was assessed using the Newcastle−Ottawa Scale.
Results |
A total of 28 articles were eligible. Sixteen studies contained data on First Nations, 2 on Inuit, one on Métis, and 10 aggregated Indigenous participants. Among First Nations participants, pooled prevalence estimates for past-year suicidality (8.9%), mood and/or anxiety (<2.9%), attention-deficit/hyperactivity (2.9%), oppositional defiant (8.8%), and conduct (12.8%) disorder diagnoses were identified. Limited studies containing Inuit, Métis, and aggregated Indigenous participants also found high levels of disruptive disorder symptoms. Data were very limited for lifetime prevalence estimates. Studies assessed to have a moderate or high methodological risk of bias (k = 19) or using measures that are not yet culturally validated (k = 25) may contribute to inaccuracies in prevalence estimates.
Conclusion |
Existing data suggest that Indigenous youth have a low prevalence of mental health challenges, with the exception of disruptive behaviors. Future studies should use culturally validated tools and partner with Indigenous communities to ensure optimal identification of mental health challenges.
Le texte complet de cet article est disponible en PDF.Key words : Indigenous peoples, adolescent, mental disorders, Canada
Plan
| The authors have reported no funding for this work. |
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| This article is part of a special series devoted to addressing bias, bigotry, racism, and mental health disparities through research, practice, and policy. The series is edited by Assistant Editor Eraka Bath, MD, Deputy Editor Wanjikũ F.M. Njoroge, Associate Editor Robert R. Althoff, MD, PhD, and Editor-in-Chief Douglas K. Novins, MD. |
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| Data collection form, data used in analyses, and analytic code can be available upon request by the corresponding author. |
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| This work has been prospectively registered: display_record.php?RecordID=203690. |
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| Author Contributions |
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| Conceptualization: Owais, Hill, Wright, Van Lieshout |
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| Data curation: Owais |
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| Formal analysis: Owais |
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| Investigation: Owais, Van Lieshout |
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| Methodology: Owais, Tsai, Hill, Ospina, Wright, Van Lieshout |
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| Project administration: Owais, Tsai, Van Lieshout |
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| Resources: Owais, Van Lieshout |
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| Software: Owais |
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| Supervision: Ospina, Wright, Van Lieshout |
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| Validation: Owais, Tsai |
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| Visualization: Owais, Ospina |
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| Writing – original draft: Owais |
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| Writing – review and editing: Owais, Tsai, Hill, Ospina, Wright, Van Lieshout |
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| Disclosure: Dr. Ospina has received funding from the Métis Nation of Alberta, the Canada Research Chairs Program, the Alberta Health Services Emergency Strategic Clinical Network, the Women and Children’s Health Research Institute, the Canadian Institutes of Health Research, and the Lung Association Provincial Grant-in-Aid/National Grant Review. Dr. Wright has received funding from the Canadian Institutes of Health Research and the Rosenstadt Special Funding Award. Ms. Owais has received scholarship funding from the Vanier Canada Graduate Scholarship program. Dr. Van Lieshout, Ms. Tsai, and Mr. Hill have reported no biomedical financial interests or potential conflicts of interest. |
Vol 61 - N° 10
P. 1227-1250 - octobre 2022 Retour au numéro
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