1. Objectifs

Intentions :
«This anthropological analysis study was conducted to have a deep understanding of the cultural aspects of the integration of oral health into PHC [primary health care] in [an] Indigenous health care organization.» (p. 2) The role of the family in this care is notably discussed in the study.

2. Méthode

Échantillon/Matériau :

Four Eastern James Bay Cree communities were selected for the study. «From the selected communities, a total of 74 participants including 46 health and oral health care service providers, 18 administrators, and 10 patients participated in 36 interviews and six focus group discussions. Among these participants, 43 were Crees and 31 were non-Crees […].» (p. 3)

Instruments :
- Guide d’entretien de groupe
- Guide d’entretien semi-directif

Type de traitement des données :
Analyse de contenu

3. Résumé

«First, PHC definitions revealed the strength of local structures and programs, the dynamic character of iiyiyuyimuwiin (Cree language) and selfgovernance institutions, highlighting Eeyou political and regional autonomy. Second, the PHC and primary oral health care perceptions enhance complementary views about the meaning of taking care of ourselves. Both lead to complementary versions of individual autonomy, from the individualistic perspective of non-Indigenous participants to the personal and community aspects implied within the discourse of Cree participants.» (p. 10) «Another dimension of taking care of ourselves that emerged from our results is the spiritual dimension of health. Spirituality encompasses the power to know, to love, and to will […], which is progressively built into an individual during her/his life and within the family […]. If spirituality is an essential component of PHC, then families are the spiritual support units. This suggests that family may be an irreducible foundation for conceiving the holding environment of PHC within Eeyou Istchee. However, we want to suggest that the household advantageously replaces family as an efficient way to refer to the people who are involved in a broader community-based definition of PHC. This terminology would assure that the concept of the family is not restricted to parent and children members, given that many participants point to propinquity to home and people who share the environment regularly as close family members.» (p. 8)