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      ”We own the illness”: a qualitative study of networks in two communities with mixed ethnicity in Northern Norway

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          ABSTRACT

          Background: When people in Northern Norway get ill, they often use traditional medicine. The global aim of this study was to examine the extended family networks’ function and responsibility in cases of illness in the family, in two Northern Norwegian communities with a population of mixed ethnicity.

          Methods: Semi-structured individual interviews with 13 participants and 4 focus group interviews with total 11 participants were conducted. The text data was transcribed verbatim and analysed based on the criteria for content analysis.

          Results: The participants grew up in areas where it was common to seek help from traditional healers. They were organized in networks and shared responsibility for the patient and they provided practical help and support for the family. According to the networks, health-care personnel should make room for the entire network to visit the patient in severe and life-threatening situations.

          Conclusion: Traditional networks are an extra resource for people in these communities. The networks seem to be essential in handling and disseminating hope and manageability on an individual as well as a collective level. Health personnel working in communities with mixed ethnicity should have thorough knowledge of the mixed culture, including the importance of traditional network to the patients.

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          Most cited references21

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          Community-based participatory research contributions to intervention research: the intersection of science and practice to improve health equity.

          Community-based participatory research (CBPR) has emerged in the last decades as a transformative research paradigm that bridges the gap between science and practice through community engagement and social action to increase health equity. CBPR expands the potential for the translational sciences to develop, implement, and disseminate effective interventions across diverse communities through strategies to redress power imbalances; facilitate mutual benefit among community and academic partners; and promote reciprocal knowledge translation, incorporating community theories into the research. We identify the barriers and challenges within the intervention and implementation sciences, discuss how CBPR can address these challenges, provide an illustrative research example, and discuss next steps to advance the translational science of CBPR.
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            Social networks, host resistance, and mortality: a nine-year follow-up study of Alameda County residents.

            The relationship between social and community ties and mortality was assessed using the 1965 Human Population Laboratory survey of a random sample of 6928 adults in Alameda County, California and a subsequent nine-year mortality follow-up. The findings show that people who lacked social and community ties were more likely to die in the follow-up period than those with more extensive contacts. The age-adjusted relative risks for those most isolated when compared to those with the most social contacts were 2.3 for men and 2.8 for women. The association between social ties and mortality was found to be independent of self-reported physical health status at the time of the 1965 survey, year of death, socioeconomic status, and health practices such as smoking, alcoholic beverage consumption, obesity, physical activity, and utilization of preventive health services as well as a cumulative index of health practices.
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              The determinants of First Nation and Inuit health: a critical population health approach.

              Environmental dispossession disproportionately affects the health of Canada's Aboriginal population, yet little is known about how its effects are sustained over time. We use a critical population health approach to explore the determinants of health in rural and remote First Nation and Inuit communities, and to conceptualize the pathways by which environmental dispossession affects these health determinants. We draw from narrative analysis of interviews with 26 Community Health Representatives (CHRs) from First Nation and Inuit communities across Canada. CHRs identified six health determinants: balance, life control, education, material resources, social resources, and environmental/cultural connections. CHRs articulated the role of the physical environment for health as inseparable from that of their cultures. Environmental dispossession was defined as a process with negative consequences for health, particularly in the social environment. Health research should focus on understanding linkages between environmental dispossession, cultural identity, and the social determinants of health.
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                Author and article information

                Journal
                Int J Circumpolar Health
                Int J Circumpolar Health
                ZICH
                zich20
                International Journal of Circumpolar Health
                Taylor & Francis
                1239-9736
                2242-3982
                2018
                21 February 2018
                : 77
                : 1
                : 1438572
                Affiliations
                [ a ] The National Research Center in Complementary and Alternative Medicine (NAFKAM), Department of Community Medicine, The Faculty of Health Sciences, UiT the Arctic University of Norway , Tromsø, Norway
                [ b ] Regional Centre for Child and Youth Mental Health and Child Welfare (RKBU North), The Faculty of Health Sciences, UiT the Arctic University of Norway , Tromsø, Norway
                [ c ] Department of Health and Care Sciences. Centre for Care Research, The Faculty of Health Sciences, UiT the Arctic University of Norway , Tromsø, Norway
                [ d ] Centre for Sami Studies, The Faculty of Humanities, Social Sciences and Education, UiT the Arctic University of Norway , Tromsø, Norway
                Author notes
                CONTACT Anette Langås-Larsen anette.l.larsen@ 123456uit.no The National Research Center in Complementary and Alternative Medicine (NAFKAM), Department of Community Medicine, The Faculty of Health Sciences, UiT the Arctic University of Norway , Tromsø, Norway
                Article
                1438572
                10.1080/22423982.2018.1438572
                5827718
                29466927
                423d986a-bbe4-4ed7-81f7-875ead5d0395
                © 2018 The Arctic University of Norway, Tromsø

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 22 September 2017
                : 05 February 2018
                Page count
                Figures: 1, Tables: 1, References: 60, Pages: 14
                Funding
                Funded by: Research Council of Norway 10.13039/501100005416
                Award ID: A21417:234282/F10
                The study was funded through a grant from the Research Council of Norway [A21417:234282/F10].
                Categories
                Research Article
                Research Article

                Medicine
                sami,ethnic mixed culture,folk medicine,traditional healing,traditional network,siida
                Medicine
                sami, ethnic mixed culture, folk medicine, traditional healing, traditional network, siida

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