Systematic Review and Meta-analysis: First Nations, Inuit, and Métis Youth Mental Health
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. Five electronic databases were...
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Veröffentlicht in: | Journal of the American Academy of Child and Adolescent Psychiatry 2022-10, Vol.61 (10), p.1227-1250 |
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creator | Owais, Sawayra Tsai, Zoe Hill, Troy Ospina, Maria B. Wright, Amy L. Van Lieshout, Ryan J. |
description | 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.
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.
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 ( |
doi_str_mv | 10.1016/j.jaac.2022.03.029 |
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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.
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.
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.</description><identifier>ISSN: 0890-8567</identifier><identifier>EISSN: 1527-5418</identifier><identifier>DOI: 10.1016/j.jaac.2022.03.029</identifier><identifier>PMID: 35427729</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>adolescent ; At risk populations ; Attention deficit hyperactivity disorder ; Bias ; Canada ; Challenges ; Children & youth ; Colonialism ; Community Relations ; Data Analysis ; Drug use ; Eligibility ; Eskimo Aleut Languages ; Eskimos ; Evidence ; Families & family life ; Family Structure ; Foreign Policy ; Health status ; Hyperactivity ; Indigenous peoples ; Indigenous Populations ; Interviews ; Inuit ; Maximum Likelihood Statistics ; Mental disorders ; Mental health ; Meta Analysis ; Native North Americans ; Oppositional defiant disorder ; Parents ; Periodicals ; Prevalence ; Psychopathology ; Residential Schools ; Risk assessment ; Security (Psychology) ; Statistical Significance ; Suicide ; Suicides & suicide attempts ; Systematic review ; Youth</subject><ispartof>Journal of the American Academy of Child and Adolescent Psychiatry, 2022-10, Vol.61 (10), p.1227-1250</ispartof><rights>2022 American Academy of Child and Adolescent Psychiatry</rights><rights>Copyright © 2022 American Academy of Child and Adolescent Psychiatry. Published by Elsevier Inc. All rights reserved.</rights><rights>2022. American Academy of Child and Adolescent Psychiatry</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c384t-179e837e254a1509c8ad762c963089648b0fb70571f8256f8de4599ae52f17973</citedby><cites>FETCH-LOGICAL-c384t-179e837e254a1509c8ad762c963089648b0fb70571f8256f8de4599ae52f17973</cites><orcidid>0000-0001-7244-0222 ; 0000-0002-2207-2545 ; 0000-0002-3115-1907 ; 0000-0001-9305-7521 ; 0000-0002-3966-1215 ; 0000-0002-4664-0025</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jaac.2022.03.029$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,30999,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35427729$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Owais, Sawayra</creatorcontrib><creatorcontrib>Tsai, Zoe</creatorcontrib><creatorcontrib>Hill, Troy</creatorcontrib><creatorcontrib>Ospina, Maria B.</creatorcontrib><creatorcontrib>Wright, Amy L.</creatorcontrib><creatorcontrib>Van Lieshout, Ryan J.</creatorcontrib><title>Systematic Review and Meta-analysis: First Nations, Inuit, and Métis Youth Mental Health</title><title>Journal of the American Academy of Child and Adolescent Psychiatry</title><addtitle>J Am Acad Child Adolesc Psychiatry</addtitle><description>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.
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.
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.
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.</description><subject>adolescent</subject><subject>At risk populations</subject><subject>Attention deficit hyperactivity disorder</subject><subject>Bias</subject><subject>Canada</subject><subject>Challenges</subject><subject>Children & youth</subject><subject>Colonialism</subject><subject>Community Relations</subject><subject>Data Analysis</subject><subject>Drug use</subject><subject>Eligibility</subject><subject>Eskimo Aleut Languages</subject><subject>Eskimos</subject><subject>Evidence</subject><subject>Families & family life</subject><subject>Family Structure</subject><subject>Foreign Policy</subject><subject>Health status</subject><subject>Hyperactivity</subject><subject>Indigenous peoples</subject><subject>Indigenous Populations</subject><subject>Interviews</subject><subject>Inuit</subject><subject>Maximum Likelihood Statistics</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Meta Analysis</subject><subject>Native North Americans</subject><subject>Oppositional defiant disorder</subject><subject>Parents</subject><subject>Periodicals</subject><subject>Prevalence</subject><subject>Psychopathology</subject><subject>Residential Schools</subject><subject>Risk assessment</subject><subject>Security (Psychology)</subject><subject>Statistical Significance</subject><subject>Suicide</subject><subject>Suicides & suicide attempts</subject><subject>Systematic review</subject><subject>Youth</subject><issn>0890-8567</issn><issn>1527-5418</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNp9kM1O3DAURq2qqAzQF-gCRWLDgqTXThzbqBuE-JOgSNAuWFke50Y4yiTUdkDzSDwHL4ZHAyxYdOXNOZ-uDyE_KBQUaP2zKzpjbMGAsQLKApj6QmaUM5HzisqvZAZSQS55LTbJVggdAFAh5TeyWfKKCcHUjNzdLkPEhYnOZjf46PApM0OTXWE0uRlMvwwuHGanzoeY_U7UOISD7GKYXDxYgy_P0YXsbpzifbKGaPrsHE0f73fIRmv6gN_f3m3y9_Tkz_F5fnl9dnF8dJnbUlYxp0KhLAUyXhnKQVlpGlEzq-oynV9Xcg7tXAAXtJWM161ssOJKGeSsTa4ot8n-evfBj_8mDFEvXLDY92bAcQqa1ZzWCiiDhO59Qrtx8umXiZKVVAxAqESxNWX9GILHVj94tzB-qSnoVXjd6VV4vQqvodQpfJJ236an-QKbD-W9dAJ-rQFMLVJnr4N1OFhsnEcbdTO6_-2_AgzFkeg</recordid><startdate>20221001</startdate><enddate>20221001</enddate><creator>Owais, Sawayra</creator><creator>Tsai, Zoe</creator><creator>Hill, Troy</creator><creator>Ospina, Maria B.</creator><creator>Wright, Amy L.</creator><creator>Van Lieshout, Ryan J.</creator><general>Elsevier Inc</general><general>Elsevier BV</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TK</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7244-0222</orcidid><orcidid>https://orcid.org/0000-0002-2207-2545</orcidid><orcidid>https://orcid.org/0000-0002-3115-1907</orcidid><orcidid>https://orcid.org/0000-0001-9305-7521</orcidid><orcidid>https://orcid.org/0000-0002-3966-1215</orcidid><orcidid>https://orcid.org/0000-0002-4664-0025</orcidid></search><sort><creationdate>20221001</creationdate><title>Systematic Review and Meta-analysis: First Nations, Inuit, and Métis Youth Mental Health</title><author>Owais, Sawayra ; Tsai, Zoe ; Hill, Troy ; Ospina, Maria B. ; Wright, Amy L. ; Van Lieshout, Ryan J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c384t-179e837e254a1509c8ad762c963089648b0fb70571f8256f8de4599ae52f17973</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>adolescent</topic><topic>At risk populations</topic><topic>Attention deficit hyperactivity disorder</topic><topic>Bias</topic><topic>Canada</topic><topic>Challenges</topic><topic>Children & youth</topic><topic>Colonialism</topic><topic>Community Relations</topic><topic>Data Analysis</topic><topic>Drug use</topic><topic>Eligibility</topic><topic>Eskimo Aleut Languages</topic><topic>Eskimos</topic><topic>Evidence</topic><topic>Families & family life</topic><topic>Family Structure</topic><topic>Foreign Policy</topic><topic>Health status</topic><topic>Hyperactivity</topic><topic>Indigenous peoples</topic><topic>Indigenous Populations</topic><topic>Interviews</topic><topic>Inuit</topic><topic>Maximum Likelihood Statistics</topic><topic>Mental disorders</topic><topic>Mental health</topic><topic>Meta Analysis</topic><topic>Native North Americans</topic><topic>Oppositional defiant disorder</topic><topic>Parents</topic><topic>Periodicals</topic><topic>Prevalence</topic><topic>Psychopathology</topic><topic>Residential Schools</topic><topic>Risk assessment</topic><topic>Security (Psychology)</topic><topic>Statistical Significance</topic><topic>Suicide</topic><topic>Suicides & suicide attempts</topic><topic>Systematic review</topic><topic>Youth</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Owais, Sawayra</creatorcontrib><creatorcontrib>Tsai, Zoe</creatorcontrib><creatorcontrib>Hill, Troy</creatorcontrib><creatorcontrib>Ospina, Maria B.</creatorcontrib><creatorcontrib>Wright, Amy L.</creatorcontrib><creatorcontrib>Van Lieshout, Ryan J.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American Academy of Child and Adolescent Psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Owais, Sawayra</au><au>Tsai, Zoe</au><au>Hill, Troy</au><au>Ospina, Maria B.</au><au>Wright, Amy L.</au><au>Van Lieshout, Ryan J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Systematic Review and Meta-analysis: First Nations, Inuit, and Métis Youth Mental Health</atitle><jtitle>Journal of the American Academy of Child and Adolescent Psychiatry</jtitle><addtitle>J Am Acad Child Adolesc Psychiatry</addtitle><date>2022-10-01</date><risdate>2022</risdate><volume>61</volume><issue>10</issue><spage>1227</spage><epage>1250</epage><pages>1227-1250</pages><issn>0890-8567</issn><eissn>1527-5418</eissn><abstract>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.
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.
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.
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.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>35427729</pmid><doi>10.1016/j.jaac.2022.03.029</doi><tpages>24</tpages><orcidid>https://orcid.org/0000-0001-7244-0222</orcidid><orcidid>https://orcid.org/0000-0002-2207-2545</orcidid><orcidid>https://orcid.org/0000-0002-3115-1907</orcidid><orcidid>https://orcid.org/0000-0001-9305-7521</orcidid><orcidid>https://orcid.org/0000-0002-3966-1215</orcidid><orcidid>https://orcid.org/0000-0002-4664-0025</orcidid></addata></record> |
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subjects | adolescent At risk populations Attention deficit hyperactivity disorder Bias Canada Challenges Children & youth Colonialism Community Relations Data Analysis Drug use Eligibility Eskimo Aleut Languages Eskimos Evidence Families & family life Family Structure Foreign Policy Health status Hyperactivity Indigenous peoples Indigenous Populations Interviews Inuit Maximum Likelihood Statistics Mental disorders Mental health Meta Analysis Native North Americans Oppositional defiant disorder Parents Periodicals Prevalence Psychopathology Residential Schools Risk assessment Security (Psychology) Statistical Significance Suicide Suicides & suicide attempts Systematic review Youth |
title | Systematic Review and Meta-analysis: First Nations, Inuit, and Métis Youth Mental Health |
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