1. Objectifs

Intentions :
«In this article [authors] were interested in developing a better understanding of the ways in which Inuit parents of northern Canada interact with existing local resources, and how both the family dynamics, and the community social determinants of health influence the use of existing resources.» (p. 1)

2. Méthode

Échantillon/Matériau :
«This secondary data analysis is part of a large action research on community mobilisation for family wellbeing requested by Nunavimmiut (people of the land) leaders […]. A total of 14 parents participated in the interviews: Two grandmothers (aged 55 to 70, one of whom had young children in her care, the other living with her children who were now adults), eleven mothers (aged 20–45) and one father in his thirties.» (p. 3)

Instruments :
Guide d’entretien non-directif

Type de traitement des données :
Analyse de contenu

3. Résumé

«[T]he various narratives shared through the interviews […] suggest that at a given time, people experience and cope with community level social determinants of health in distinct ways. This household-community pattern can be placed on a continuum of permeability to external stressors […]. Two household-community patterns are more permeable to community stressors, the first being those with high household conflicts where community stressors infiltrated the household boundaries, and the second being the families actively offering intensive support to community members. [Moreover, results show that] families experiencing the highest and most pervasive household conflicts were those who spoke least of using available resources. Despite being seemingly most in need, households with internal family conflicts seemed to inhibit the use of support systems, creating a clear cut-off between the household and community resources in their narratives. Individuals experiencing these difficulties spoke of concrete actions that could support their use of services, such as ensuring care is available in their mother tongue, having care come directly to their home, or having workers show a high level of pro-activity and empathy in their care […].» (p. 7-8)