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The Inuit, sometimes referred to as Eskimos, are indigenous people to the remote circumpolar regions of the northern hemisphere that remain relatively inaccessible to outsiders. The traditional diet consisted almost entirely of raw animal foods eaten fresh, dried, or fermented and was similar to the diets of wild carnivorous animals. From the 1950s onward, the Inuits gradually adopted Western foods. With the adoption of a more Western diet, there has also been a corresponding increase in Western diseases such as obesity, type 2 diabetes, hypertension, and some cancers. Asians have also consumed salted fermented fish, but the fermented fish are different due to environmental temperatures. Although the microbial content of Inuit fermented foods is uniquely different from that of Asian fermented foods, Asian and Inuit fermented foods appear to be similarly important for supporting gut and immune health. The benefits of Asian fermented fish for improving the biodiversity of the microbiome and the generation of bioactive amines from proteins may be similar to the fermented marine foods of the Inuits. This study reviewed traditional fermented fish consumed by the Inuit people and Asians, highlighting various aspects that can offer valuable insights into the nutritional, cultural, and health dimensions of these practices. [ABSTRACT FROM AUTHOR]

Background: Inuit children from Nunavut have been observed to have high rates of macrocephaly, which sometimes leads to burdensome travel for medical evaluation, often with no pathology identified upon assessment. Given reports that World Health Organization (WHO) growth charts may not reflect all populations, we sought to compare head circumference measurements in a cohort of Inuit children with the WHO charts. Methods: We extracted head circumference data from a previous retrospective cohort study where, with Inuit partnership, we reviewed medical records of Inuit children (from birth to age 5 yr) born between Jan. 1, 2010, and Dec. 31, 2013, and residing in Nunavut. To create a cohort of Inuit children similar to the cohorts used in the development of the WHO growth charts, we excluded children with preterm birth, documented neurologic or genetic disease, and most congenital anomalies. We compared head circumference values with the 2007 WHO charts using centiles estimated with a generalized additive model. Results: We analyzed records of 1960 Inuit children (8866 data points), of whom 993 (50.8%) were female. Most data were from ages 0 to 36 months. At all age points, we found that the study cohort had statistically significantly larger head circumferences than WHO medians, with most z scores for head circumference measurements among Inuit children falling 0.5–1 standard deviations above the WHO reference (p < 0.001). At age 12 months, median head circumferences were 1.3 cm and 1.5 cm larger for male and female Inuit children, respectively. Using WHO growth curves, macrocephaly was significantly overdiagnosed and microcephaly was underdiagnosed (p < 0.001). Interpretation: Our results support the observation that Inuit children from Nunavut have larger head circumferences than other populations, and use of the WHO charts may thus lead to overdiagnosis of macrocephaly and underdiagnosis of microcephaly. Population-specific growth curves for Inuit children should be considered to provide timely and appropriate diagnoses of microcephaly and avoid overinvestigation of macrocephaly. [ABSTRACT FROM AUTHOR]

Focusing on constructions of food security in settler colonial contexts, this article demonstrates how its contemporary conceptualization is heir to long-standing schemes to reform Indigenous peoples and validate state projects. It highlights how discursive regimes of food security in the areas of health, conservation, and economics were conceived within frameworks that instruct Indigenous peoples as to correct behaviour, blame them for their misconduct, and ignore the role of settler states and populations in defining notions of right and wrong and in creating the conditions that promote and sustain those definitions. Ignorance, blame, and indoctrination are thus constitutive features of state interventions aimed at promoting Indigenous peoples’ food security. Using instructional publications directed at Inuit, the article demonstrates how, through the provision of services, and in the exercise of settler nation-building, Indigenous peoples have been subjected to programmes of indoctrination and ideological pacification whilst larger contexts of dispossession are bracketed out. [ABSTRACT FROM AUTHOR]

Kalaallit Nunaat (Greenland), a self-governing country within the Danish Realm with a majority Indigenous population, has one of the most far-reaching self-determination arrangements of all Indigenous peoples worldwide. A close look at the food system in Kalaallit Nunaat, however, reveals a situation in which Indigenous foods are marginalized and imported foods are promoted even when incompatible with the local context. Here, I ask why Danish foods are so prevalent in Kalaallit Nunaat and argue that an unacknowledged factor in dietary transitions, well-known to be the cause of major public health issues, is a biased view of foodways that favors imported foods and questions Indigenous foods. The conclusion is that there is a lack of Indigenous food sovereignty in Kalaallit Nunaat such that Indigenous views of food and health are not prioritized in the public food system. The significance of this conclusion is that without Indigenous food sovereignty, Indigenous health, wellbeing and thriving cannot be achieved. [ABSTRACT FROM AUTHOR]

The site of Iita in northwestern Greenland had near-continual occupation from 1000 CE to the mid-twentieth century, which presents an unparalleled opportunity to examine diachronic changes in the use of marine mammals for food and raw material resources by Pre-Inuit (Late Dorset) and Inuit–Inughuit—two culturally distinct Indigenous groups. Limited wood in High Arctic environments necessitated the use of antler, bone, and ivory for tool making. Choices in the selection and processing of osseous material reflect changes in the way these two groups used the same resources. However, modification of osseous material during the toolmaking process is often to such an extent that few diagnostic features remain for species identification. Here, we include Zooarchaeology by Mass Spectrometry (ZooMS) to identify typically indeterminate pieces of manufacturing debris from preserved collagen. The minimally destructive extraction technique using polishing films had a 99% success rate. The results suggest that selection of raw materials from certain marine mammals, particularly narwhal, by toolmakers at Iita was more frequent than previously understood through traditional faunal analysis alone. There is a paucity of narwhal from the Pre-Inuit (Late Dorset) assemblage, which contrasts starkly with the high frequency of narwhal in the Inuit–Inughuit assemblage. We demonstrate the importance of combining the analysis of bone-tool manufacturing debris with traditional dietary faunal remains to improve our understanding of resource use in coastal environments. [ABSTRACT FROM AUTHOR]

The ability of our northern Indigenous peoples (Inuit, Iñupiaq, and Yupik) to survive and thrive in the Arctic depends significantly upon underlying chemistry and chemical principles. Here, we explore four of these connections and then show how the Indigenous experience can be incorporated into science and chemistry courses. To accomplish our goals, we have knitted together the Indigenous experimental knowledge and cultural background of two Inuit science students with the depth and breadth of chemistry knowledge of a teaching-focused chemistry professor. Their combined investigations resulted in a series of published articles explaining the chemistry underpinning many aspects of Inuit life in the Arctic. Then we provide commentaries of the experiences of two high school science teachers who have incorporated this work into their chemistry and science classes in very different teaching environments. We contend that incorporating contextualized Indigenous content is important for two main reasons. Making chemistry more relevant for Indigenous students will spark their interest in the subject, make them feel valued, and possibly proceed to further science studies. Incorporating Indigenous-relevant chemistry for the wider population of students will enable them to appreciate the sophistication of an Indigenous culture and add an additional dimension to their chemistry studies. [ABSTRACT FROM AUTHOR]

Telling stories can be an empowering exercise, providing important insights into the values and priorities of the storytellers. This article shares stories told during a participatory scenario planning process among Inuit, an Indigenous People of northern Canada, Greenland, and Alaska, USA. This research takes place in Nunatsiavut, a land claim area in Labrador, Canada, to explore how visions provide insights into postcolonial futures for the fishing industry. Beginning in 2019, a group of fisheries stakeholders and managers came together to create a visioning process that would help them to develop consensus around priorities for the industry. Facilitated by university researchers, Inuit in the commercial fishing industry participated in an iterative data-collection process that involved interviews and a workshop. This article shares what was found during the scenario-planning process and position stories of the future within the context of Indigenous sovereignty. [ABSTRACT FROM AUTHOR]

Using individual-level tax filing data, we simulate basic incomes for Nunavut. We identify basic incomes that are feasible within Nunavut's budget and that deliver the greatest poverty reduction for the lowest cost. We find that Nunavut could implement a small basic income using savings from the elimination of Nunavut tax credits and income assistance. Given the low tax base in Nunavut, a more generous basic income would require federal funding. A basic income could mitigate concerns such as food insecurity but would not eliminate the need for programs such as housing nor completely cover harvesting costs. The current Nunavut income assistance program requires that recipients participate in "productive choices." Similar conditions, which are often conditions of Indigenous basic incomes, would be difficult to implement in a basic income administered through the tax system. We discuss this and other aspects in the context of Inuit principles. [ABSTRACT FROM AUTHOR]

Copyright of Canadian Foreign Policy Journal (CFPJ) is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Abstract The Inuit, sometimes referred to as Eskimos, are indigenous people to the remote circumpolar regions of the northern hemisphere that remain relatively inaccessible to outsiders. The traditional diet consisted almost entirely of raw animal foods eaten fresh, dried, or fermented and was similar to the diets of wild carnivorous animals. From the 1950s onward, the Inuits gradually adopted Western foods. With the adoption of a more Western diet, there has also been a corresponding increase in Western diseases such as obesity, type 2 diabetes, hypertension, and some cancers. Asians have also consumed salted fermented fish, but the fermented fish are different due to environmental temperatures. Although the microbial content of Inuit fermented foods is uniquely different from that of Asian fermented foods, Asian and Inuit fermented foods appear to be similarly important for supporting gut and immune health. The benefits of Asian fermented fish for improving the biodiversity of the microbiome and the generation of bioactive amines from proteins may be similar to the fermented marine foods of the Inuits. This study reviewed traditional fermented fish consumed by the Inuit people and Asians, highlighting various aspects that can offer valuable insights into the nutritional, cultural, and health dimensions of these practices.

There is relative agreement among many prehistorians that surpluses were an essential factor in the creation of socioeconomic inequalities and that storage was often an important aspect of surplus accumulation per Testart (Les chasseurs-cueilleurs ou l'origine des inégalités 1982a), Testart (Current Anthropology, 23, 523–537, 1982b). However, there is little agreement concerning the existence of large-scale kills, storage, surpluses, or inequalities in the deeply incised river valleys of the Southwestern French Upper Paleolithic. We present observations from a number of studies indicating that there were likely large-scale reindeer kills with substantial amounts of meat being filleted, dried, and stored, as well as indications of surpluses that could have resulted in inequalities. We rely on ethnographic observations among the Inuit concerning hunting, butchering, and filleting of meat for drying, as well as on ethnographic patterns of storage, taphonomic observations about bone discard of these activities, the importance of cut marks, and the behavior of reindeer. A critical distinction is made between the treatment of bones from individually killed animals versus the treatment of bones from large-scale kills. We also consider the implications for storage and surpluses of logistical hunting/gathering patterns, relative sedentism, and skeletal indications of heavy reliance on stored meat. On balance, we conclude that these indications favor the existence of mass kills, storage, and surpluses in certain areas of Southwestern France in the Upper Paleolithic. [ABSTRACT FROM AUTHOR]

Understanding ethnic variations in body composition is crucial for assessing health risks. Universal models may not suit all ethnicities, and there is limited data on the Inuit population. This study aimed to compare body composition between Inuit and European adults using computed tomography (CT) scans and to investigate the influence of demographics on these measurements. A retrospective analysis was conducted on 50 adults (29 Inuit and 21 European) who underwent standard trauma CT scans. Measurements focused on skeletal muscle index (SMI), various fat indices, and densities at the third lumbar vertebra level, analyzed using the Wilcoxon-Mann-Whitney test and multiple linear regression. Inuit women showed larger fat tissue indices and lower muscle and fat densities than European women. Differences in men were less pronouncehd, with only Intramuscular fat density being lower among Inuit men. Regression indicated that SMI was higher among men, and skeletal muscle density decreased with Inuit ethnicity and age, while visceral fat index was positively associated with age. This study suggests ethnic differences in body composition measures particularly among women, and indicates the need for Inuit-specific body composition models. It highlights the importance of further research into Inuit-specific body composition measurements for better health risk assessment. [ABSTRACT FROM AUTHOR]

The goal of this study was to examine and address critical knowledge gaps and develop an understanding of both the positive and negative societal outcomes resulting from the public health measures associated with the COVID-19 pandemic in Nunavut and the interventions being undertaken to promote positive well-being. Data collection for this study included narrative, in-person interviews in Iqaluit, Rankin Inlet, Baker Lake, and Cambridge Bay between September 2022 and January 2023. A total of 70 participants were interviewed for this study. Community highlighted challenges, such as crowding and food insecurity, and concern for the collective wellbeing of the community. Strengths included financials supports, food sharing, and maintaining community connections over a distance. Recommendations included a focus on holistic health such as 1) public education and awareness about communicable disease, 2) financial supports, 3) housing, 4) access to healthcare, 5) focus on Inuit Qaujimajatuqangit, 6) mental-health and addiction supports, and 7) community spaces. Community members described both strengths and challenges they believe impacted their experiences and service delivery as well as recommendations for the future. [ABSTRACT FROM AUTHOR]

Since 1993, dietary assessment has been carried out in Greenland as part of recurrent population health surveys. In preparation for the next survey in 2024, 91 participants from the survey in 2018 were selected for a validation study of the Food Frequency Questionnaire (FFQ). The 91 participants were reinterviewed 38–50 months after the first FFQ and invited to complete a food diary. As part of the 2018 survey, blood was analysed for mercury. The food diary was completed by 65 participants. The agreement between the two FFQ interviews was very good for macronutrients and fatty acids (p > 0.20), whereas the calculated intake of mercury was 22% higher in the second FFQ (p = 0.04) due to a higher intake of whale meat and muktuk (whale skin). The agreement between the second FFQ and the food diary was good for local food, imported meat and cakes/ sweets/snacks but fruit and vegetables, dairy products, beverages and added sugar were significantly underreported in the food diary. Food items not included in the FFQ were identified from the food diaries. The correlation between the intake of marine mammals and blood mercury was moderate (Spearman’s rho = 0.41–0.50; p < 0.0001). The results will inspire future dietary studies in the circumpolar North. [ABSTRACT FROM AUTHOR]

Many indigenous cultures conceptualize health wholistically, whereby physical, mental, spiritual and relational dimensions of health are interconnected. Yet, quantitative approaches to studying Indigenous health remain anchored in western perspectives, that separate the dimensions of health. This paper aims to operationalize a wholistic indicator of health based on the IQI model of Inuit health. Variables from the 2017 Nunavik Health Survey (N = 1196) were selected based on their representativeness of IQI model. Exploratory Latent Class Analysis (LCA) was used to identify wholistic health profiles. Once participants assigned to their health profile, sociodemographic characteristics were compared across profiles, and multinomial regression models were used to examine the relationship between community-level social determinants of health and the profiles. The LCA revealed three health profiles, labelled as "excellent", "good" and "fair" based on the distribution of answers to the indicators. Nunavimmiut in "excellent" and "good" health were more likely to: rate their health positively; be over 30 years old; be in a relationship; and have participated or volunteered in community events. Nunavimmiut in "fair" health tended to report lower levels of community cohesion, family relationships, and emotional support. Intergrating culturally relevant models of health can support improved health status assessments and identify opportunities for health promotion. [ABSTRACT FROM AUTHOR]

Autoimmune liver diseases are rare serious diseases causing chronic inflammation and fibrosis in the liver parenchyma and bile ducts. Yet, the prevalence and burden of autoimmune liver diseases are largely unexplored in Arctic native populations. We investigated the prevalence and management of autoimmune liver diseases in Greenland using nationwide cross-sectional register data and subsequent medical chart reviews validating diagnoses and extracting liver histology examinations and medical treatments. The overall prevalence of autoimmune liver diseases in Greenland was 24.6 per 100,000 (95% CI: 14.7-41.3). This was based on 7 patients with autoimmune hepatitis (AIH) (12.3 per 100,000), 3 patients with primary biliary cholangitis (PBC) (5.3 per 100,000), 4 patients with AIH/PBC overlap disease (7.0 per 100,000), and no patients with primary sclerosing cholangitis. All diagnoses were confirmed by liver histology examinations. Medical treatments adhered to internal recommendations and induced complete remission in most patients with AIH, and complete or partial remission in 1 patient with PBC and 3 patients with AIH/PBC overlap disease. One patient had established cirrhosis at the time of diagnosis, while 2 patients progressed to cirrhosis. In conclusion, the prevalence of autoimmune liver diseases was lower in Greenland than in Scandinavia and among Alaska Inuit. [ABSTRACT FROM AUTHOR]

Inuit living in the northern region of Nunavik continue to experience significant health inequalities, which are rooted in colonialism that still have repercussions on their health-related perceptions and practices, including vaccination. This study aimed to explore the perceptions and determinants of routine vaccination among the Inuit of Nunavik by describing factors influencing vaccination decisions from the perspective of community members and health professionals. Semi-structured interviews focusing on the perception of vaccination and experience with vaccination and health services were conducted with 18 Inuit and 11 non-Inuit health professionals. Using the socio-ecological model, factors acting at the community and public policy (e.g. rumours and misinformation about vaccination, language barrier), organisational (e.g. complexity of the vaccination process, staff turnover, lack of specialised vaccination workers and interpreters), and intrapersonal and interpersonal (e.g. past experiences with vaccination, vaccine attitudes, social norms) levels were identified as having an impact on vaccination decisions. Improving vaccination coverage in Nunavik requires a more global reflection on how to improve and culturally adapt the health care and services offered to the Inuit population. [ABSTRACT FROM AUTHOR]

This cross-sectional study sought to assess the prevalence of atrial fibrillation (AF) diagnosis in Greenland among various age groups and examine the corresponding quality of care. We collected data from Greenland's electronic medical records and evaluated the quality of care using six internationally recommended indicators, which are: percentage of AF patients with an assessment of smoking status within the previous year, an assessment of body mass index within the previous year, assessment of blood pressure within the previous year, measurement of thyroid stimulating hormone (TSH), treatment with an anticoagulant and percentage of patients with a measurement of serum-creatinine. We found the prevalence of AF among patients aged 20 years or older in Greenland to be 1.75% (95% CI 1.62-1.88). We found an increasing prevalence of AF with age and a greater proportion of men than women until the age of 74 years. Our study suggests that the associated quality of care could be higher as the requirement of only one of the six quality indicators was met. A lack of registration may partly explain this, and initiatives to improve the quality of care are recommended. [ABSTRACT FROM AUTHOR]

Indigenous knowledge is central to understanding environment and health sciences in the Arctic, yet limited research in these fields has explored the human–animal–environment interface from the unique perspectives of Inuit women. Using a community-led, Inuit-centred research approach, we characterized the use and meaning of country food in the context of community well-being for Inuit women in Nunavut, Canada. In-depth conversational interviews and focus groups (n = 16) were held with Inuit women (n = 10) who are knowledge holders in the Qikiqtani region that hold decades of country food knowledge. Data were analyzed using thematic analysis and constant comparative methods. Inuit women described country food in the context of (1) well-being, connection, and identity, (2) hunger, craving, and healing, (3) food security and nourishment, and (4) change and adaptation. Inuit women described a wide range of country food as central to physical and mental health, food security, identity, culture, healing and medicine. Adaptive strategies were discussed, such as eating more fish when caribou were scarce. This research highlights the critical role of country food for health and well-being for Inuit women and shares knowledge and perspective that is relevant to wildlife and environment researchers, public health practitioners, policy makers, and others interested in advancing health, well-being, and food sovereignty in Inuit communities.

Indigenous communities in the North American Arctic are characterized by mixed economies that feature hunting, fishing, gathering, and trapping activities--and associated sharing practices--alongside the formal wage economy. The region is also undergoing rapid social, economic, and climate changes, including, in Canada, carbon taxation, which is impacting the cost of fuel used in local food harvesting. Because of the importance of local foods to nutrition, health, and well-being in Arctic Indigenous communities, there is an urgent need to better understand the sensitivity of Arctic food systems to social, economic, and climate changes and to develop plans for mitigating potential adverse effects. Here, we develop a Bayesian model to calculate the substitution value and carbon emissions of market replacements for local food harvests in the Inuvialuit Settlement Region, Canada. Our estimates suggest that under plausible scenarios, replacing locally harvested foods with imported market substitutes would cost over 3.1 million Canadian dollars per year and emit over 1,000 tons of CO2-equivalent emissions per year, regardless of the shipping scenario. In contrast, we estimate that gasoline inputs to harvesting cost approximately $295,000 and result in 315 to 497 tons of emissions. These results indicate that climate change policies that fail to account for local food production may undermine emissions targets and adversely impact food security and health in Arctic Indigenous communities, who already experience a high cost of living and high rates of food insecurity. [ABSTRACT FROM AUTHOR]

Changing climatic conditions is a perpetual circumstance for mankind. In this study, we investigate local environmental and climatic changes near Kangerlussuaq, west Greenland. Our reconstruction is based on a lake sediment core and methods include chemical proxies and a palynological analysis. The investigated site is located 15 km from the Aasivissuit Inuit summer hunting ground, which has been in use for caribou hunting for more than 2000 years. The presented climatic reconstruction covers the time from c. 560 CE to present time. We identify three distinct periods of climate regimes: From c. 560–1100 CE conditions were stable, warm and humid, and summer temperatures were 1.5–2°C warmer than today. 1100–1600 was a period of cooler and very arid conditions with more sea ice, corresponding to the Neoglacial cooling. In this period, we detect two wildfire events and subsequent temporary caribou abandonment of the area. From 1600 to present we find increasingly warmer conditions with more precipitation and less extensive sea ice cover, gradually approaching today's climate regime in Kangerlussuaq. We review the existing literature regarding the Aasivissuit summer hunting ground, which was first used concurrently with the detected cooling. Despite climatic deterioration, the hunting ground was regularly in use throughout the Neoglacial and onwards, with peak hunting intensity in the early 1700s. The detected wildfires and reindeer abandonment are interpreted to be localized events at the coring site and did not affect the hunting ground. Our findings highlight the resilience of the Inuit hunters to climatic changes as well as the advantages and limitations of local environmental reconstructions. [ABSTRACT FROM AUTHOR]

Despite the rapidly growing importance of the Arctic in economic, defense, and environmental sectors, the United States, though an Arctic nation, lacks meaningful defense capacity in the Arctic region. This article provides a brief history of the critical role that Alaska Natives played in the Arctic during World War II, first as the Alaska Territorial Guard and later as formally incorporated units of the Alaska Army National Guard, and how these units addressed in their time the same capability gaps facing the United States today. However, Army reorganization during the Global War on Terror has had the unintended effect of making National Guard service nearly impossible for this critical population. The article further proposes that the Canadian Ranger program could serve as a model for restoring military service as a possibility for Alaska Natives while providing a cost-effective means of addressing domain awareness and other shortfalls confronting the United States. [ABSTRACT FROM AUTHOR]

This article explores the existing dynamics between languages and identities in a changing multilingual indigenous context in Nunavik. Although immersed in Inuit culture throughout their lives, many Inuit today do not understand or speak their ancestral language, Inuktitut. This ethno-sociolinguistic study (Blanchet, 2012) exposes Inuit cultural and linguistic experiences which revealed that by actively participating in their Inuit way of life, young and old alike learn to live their "inukness" (Qilavaaq, 2012), the Inuit way to say, act, think and live. An identity cultivated through the myriad practices that make up the Inuit oral tradition. I examine the emerging representations of Inuit participants through the way they expressed their experiences in their ancestral culture. Culture which, today, is undergoing significant sociolinguistic changes (Weinreich, 1953; Thomason & Kaufman, 1988; Wendel & Heinrich, 2012; McCarty & Nicholas, 2014). [ABSTRACT FROM AUTHOR]

Copyright of International Journal of Canadian Studies is the property of University of Toronto Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

With the rapid growth of TikTok in the last few years, we have seen the emergence of global influencers from diverse backgrounds, whose popularity is enhanced by TikTok's specific content-based algorithm. In North America, the meta-hashtag #NativeTikTok has become a sharing space for a diverse Indigenous online community. Among these, several young Inuit women have acquired a large fanbase, allowing them to display their culture to a vast public, as well as to bring awareness to issues relating to the Arctic. In this article, we analyze how TikTok became a scale-shifting media for contemporary self-affirmation and displaying of Inuit culture. Drawing data from a case study of six Inuit influencers and an online thematic analysis of their content, we discuss definitions of Inuit authenticity on digital screenscapes, before presenting an analysis of content shared by young Inuit influencers to better understand specific forms of storytelling on TikTok and tensions pertaining to authentic cultural self-presentation. We argue that the TikTok platform provides an efficient tool for young Inuit women to engage with, learn about, and display their culture in their own terms, self-presenting as diverse and modern, in contrast with colonial Inuit imageries. [ABSTRACT FROM AUTHOR]

By imposing non-Inuit ways of doing within households and communities, colonization has created a rift between generations and impacted the transmission of Inuit practices and knowledge. Inuit care-providers continue to support their fellow community members with individual and collective approaches to wellbeing. The objectives and design of the current project were developed with community members who play an active role in mobilization and wellness. Inuit and non-Inuit research assistants conducted 14 individual interviews and 2 group interviews (total of 19 participants) with key informants involved in community wellness work. Then an Elder (third author) shared her knowledge regarding traditional practices. In this study we describe three underlying principles regarding wellness practices as well as five approaches and the mechanisms by which these approaches seem to impact personal and collective wellbeing. This study highlights how Inuit culture and knowledge can support children, family and community wellbeing in the ways of being together and of taking care of each other. The study responds to an expressed desire named by our partners to document Inuit approaches as well as the principles and practices underlying such approaches and how they are related to self-determination. [ABSTRACT FROM AUTHOR]

The nature and the complex intermingling of the difficulties encountered by Inuit youth calls for a close collaboration between health and social professionals from different fields, the families of youth and their communities. Promising practices within Indigenous communities are described as being collaborative, community-driven and culturally grounded. Ideally most professionals would be of Indigenous heritage, and families would have access to Indigenous healing approaches if desired. Despite the documented importance of collaboration and self-determination of services, very little is known regarding how collaboration takes place in Indigenous communities, and what the facilitators and barriers to collaboration may be. This paper presents results from a study that took place in Nunavik Quebec between 2014 and 2015 and is based on qualitative interviews conducted with 42 key informants including community workers, social workers, doctors, teachers, family members and more. Using a combination of network and qualitative analyses, we explore the principal characteristics of health and social networks in child and youth mental health in Nunavik, Québec. Our findings show that while collaboration is desired by all participants, at the time of the interviews, non-Inuit and institutional actors were more central in collaborations than informal and community ressources, even if they were considered essential elements in service delivery. Participants spoke of many ways to foster collaboration; however, our project shows that collaboration is often hindered by structural and colonial challenges. [ABSTRACT FROM AUTHOR]

The article examines myths and archaeological discoveries pertaining to the presence of Vikings in North America. It discusses Old Norse sagas about a land known as Vinland where Scandinavian raiders and traders attempted their first settlements in the New World. It describes archaeological evidence discovered in the 20th and 21st centuries directly connected with some of the voyages supposedly made by Norse adventurers to North America.

This paper presents a case study of how agent-based modelling can be utilized to conduct a cost-benefit analysis of two differing adaptational strategies to resource insecurity. Using Inuit Nunangat (the Canadian Arctic) as the setting, models are developed to represent two adaptational strategies in response to the onset of the Little Ice Age: exchange with other communities via long-distance trade and intensification of local resource procurement. After determining the average kilograms of resources acquired through a model of local resource procurements, two models were then developed to determine under what scenarios long-distance journeys to procure perishable food goods would be more productive than hunting locally. Ultimately, the results showed that while there are scenarios where undertaking a trading journey would result in a higher average amount of resources acquired, those scenarios would not have been realistic for most Thule communities, leaving hunting locally as the more beneficial adaptational strategy on an economic basis.

Self-sampling for oncogenic human papillomavirus (HPV) offers an alternative to the Papanicolaou (Pap) test for cervical cancer screening. We aimed to assess Inuit women’s cervical cancer screening preferences. Eligible Inuit women aged between 25 and 65 in 2022–2023 were given the choice between self-sampling, sampling performed solely by the nurse or the Pap test and were administered a questionnaire on screening preference. Thematic analysis was performed on qualitative data collected through a questionnaire asking if and why women prefer HPV self-sampling or the Pap test for cervical cancer screening. A total of 103 women agreed to participate. Of these, 12 (11.6%) chose to have the nurse perform the HPV test rather than self-collect. Among the 91 left for analysis, 80.2% (73) of women who self-sampled preferred self-sampling to the Pap test and 82.4% (75) would prefer self-sampling in the future. The most common reason given was comfortability (54.9%) and privacy (25.2%). Participants that did not prefer self-sampling (n = 7) expressed desire for a physical exam by the nurse or a lack of confidence in their ability to collect the sample. Eleven either did not indicate a preference, were unsure, or indifferent to cervical cancer screening method. This represents an improvement from a previously conducted study in 2012 among the same population who reported a preference for HPV self-sampling of 56%.

Background: Little peer-reviewed research has been done on trauma exposure, Post-Traumatic Stress Disorder (PTSD) and Complex PTSD (CPTSD) prevalence among Greenlandic children and adolescents. There is a need for a validated Greenlandic version of the International Trauma Questionnaire – Child and Adolescent version (ITQ-CA) to assess symptoms of ICD-11 PTSD and CPTSD, as well as investigations of the prevalence of these disorders. This information is imperative in a Greenlandic context, where general epidemiological knowledge on traumatic exposure and reactions is lacking.Objective: The present study examined the factor structure of the Greenlandic ITQ-CA, estimated the prevalence of trauma exposure, ICD-11 PTSD and CPTSD, and examined the relationship between potentially traumatic events (PTEs), PTSD, CPTSD, and demographic variables in a Greenlandic adolescent population.Method: Confirmatory factor analysis of competing models of the dimensionality of the ITQ-CA was tested among Greenlandic adolescents (N = 704) aged 11–17 years (M = 13.4, SD = 1.77). Using the ITQ-CA, PTSD and CPTSD was assessed.Results: Findings supported the factorial validity of the Greenlandic ITQ-CA although factor structure differed across boys and girls. A total of 82.8% of the adolescents had been directly exposed to at least 1 PTE (M = 3.2), and 57.0% had been indirectly exposed (M = 3.1). The estimated prevalence of PTSD and CPTSD was 7.8% and 8.5%, while an additional 13.9% and 7% reached subclinical levels. Older age, female gender, several different and cumulative PTEs significantly elevated the risk of PTSD and CPTSD.Conclusion: ITQ-CA is a valid tool for identifying symptoms of ICD-11 PTSD and CPTSD. Results indicate that type and quantity of direct traumatic exposure are important predictors of PTSD and CPTSD. Events not normally considered traumatic as well as non-interpersonal events are significantly associated with CPTSD symptoms.

This study aims to estimate the prevalence of cardiovascular disease, kidney disease, and other selected diseases including hypertension, atrial fibrillation, asthma, chronic obstructive lung disease, osteoarthritis, osteoporosis, psoriasis and depression among Greenlanders living in Nuuk with and without type 2 diabetes (T2D). The study was designed as a cross-sectional case-control study based on data from the electronic medical record (EMR) in Greenland. Persons with a registered T2D diagnosis in EMR and residence in Nuuk (N = 435) were included. The prevalence of cardiovascular disease was 17.9% among persons with T2D and significantly higher compared to the control group (10.1%). In addition, our results showed a significantly higher prevalence of ischaemic heart disease, hypertension, heart failure, atrial fibrillation, osteoarthritis and psoriasis among persons with T2D compared to the control group.Our study found a higher prevalence in five out of 10 selected diseases in regularly followed persons with T2D in Nuuk compared to unselected controls. This enlightens the importance of a broad multifaceted approach in combination of changing primary health care to focus on early detection of controllable risk factors and chronic conditions care in Artic Greenland.

The global use of pesticides is increasing; however, few studies have examined the exposure of current-use pesticide exposure in Inuit populations. Some current use pesticides are also capable of long-range transport, potentially increasing exposures to northern populations. The study aim was to analyse pesticide (chlorophenoxy, organophosphates, and pyrethroid pesticide) biomarker levels in pooled samples from an Inuit population in Nunavik, Quebec. Thirty pooled samples from the Qanuilirpitaa? 2017 survey (Q2017) from individuals aged 16–80 years were included. Creatinine-adjusted arithmetic (AM) were compared by sex, age, and region sub-groups, and geometric mean concentrations (GM) were compared to those in the Canadian Health Measures Survey (CHMS). Most analysed pesticide biomarkers were detected, and PNP (a metabolite of methyl and ethyl parathion), trans-DCCA (a metabolite of pyrethroids), and 3,5,6-TCP (a metabolite of chlorpyrifos) had the highest concentrations. Concentrations in Q2017 were largely similar to or less than CHMS concentrations. Although not significant, there was a general increase in 2,4-D (a chlorophenoxy biomarker), 3,5,6-TCP, 3-PBA (a metabolite of pyrethroids), and trans-DCCA with increasing age. Concentrations were also somewhat higher in females versus males, but these were not significant. Environmental exposures to current use pesticides were detected in Nunavik and concentrations were similar to or less than those in the general Canadian population. Regular monitoring of current use pesticide exposures is recommended given the increasing global use of pesticides.

Inuit youth in Nunavut (NU) are resilient but face a protracted suicide crisis. The SPARX serious game and e-intervention, developed originally in New Zealand, teaches youth cognitive behavioural therapy (CBT) skills to ameliorate stress and depression. Inuit youth in NU reviewed and culturally adapted SPARX and an existing wellness outcome measure for Inuit. One hundred and twenty-one youth, aged 13 to 24, across NU then tested, played, and evaluated I(nuit)-SPARX, showing improvement in several areas of wellbeing post-play. Youth completed a CBT skills survey, engaged in sharing circles to assess CBT skill retention, and shared their thoughts about the usefulness and cultural fit of I-SPARX with Inuit Qaujimajatuqangit (IQ). Communication Skills, Listening Skills, and Problem Solving emerged as the most helpful learned CBT skills, and NU youth provided real-world examples of using I-SPARX skills to support their mental wellness. Several principles of IQ were exemplified and upheld in the content of the adapted SPARX tool and the process of the project as a whole. Empirically grounded, asynchronous e-tools, developed in collaboration with Inuit communities to ensure cultural specificity, may support psychological wellness in communities where mental health resources are scarce.

Cold climate and unique genetic and environmental factors may influence the prevalence of skin diseases in Greenland. However, there is a lack of epidemiological studies on skin diseases in the adult Greenlandic population. To address this unmet need a cross-sectional study, run by dermatologists from Denmark, the UK, and Switzerland estimated the prevalence and clinical manifestations of skin diseases among adults in East Greenland in May 2022. All adults ≥18 years in the town of Tasiilaq were invited, and 295 individuals aged 18–78 years participated (22.5% of the overall adult population in Tasiilaq). Two-hundred and three participants (69%) had visible signs of current skin disease, and among these, 242 cases of dermatoses were identified. The most common skin diseases were hand eczema (22.4%), lichen simplex (9.5%), discoid eczema (7.1%), psoriasis, atopic dermatitis and acne vulgaris (5.8% each). Scabies was the most frequent infectious skin disease (4.4%). No cases of skin cancer were identified. Atopic dermatitis and psoriasis presented with disease that was of limited extent and different from the classical presentations. Skin diseases showed a high prevalence among adults in East Greenland, and some of them were severe. This indicates a noteworthy public health problem that warrants better access to dermatologist support.

Helicobacter pylori is a bacterium that may colonise and proliferate in human stomachs, leading invariably to chronic inflammation and, to a lesser extent, to peptic ulcers and cancer. The main objective of this study is to describe the epidemiology surrounding H. pylori in Nunavik’s Inuit population using the 2004 and 2017 Health Surveys. Estimated prevalences were 70.9% for bacterial colonisation using a stool antigens test (SAT), 72.5% for anti-H. pylori antibodies, 12.7% for faecal occult blood in participants aged ≥ 50 and respectively of 28.4%, 11.2% and 2.4% for a prior diagnosis of colonisation, gastritis and peptic ulcer in the medical charts, with under five cases of gastric cancer reported. Variables associated with higher SAT+ prevalence were the number of household members (prevalence ratio [PR] = 1.03) and age (quadratic relationship), whereas mainly drinking municipal (PR = 0.84) and natural water (PR = 0.72) compared to bottled water, and increasing alcohol consumption (PR = 0.96) were associated with reduced prevalence. Despite current regional guidelines targeting high risk individuals in the context of high prevalence, Nunavik’s health authorities must remain vigilant by following gastric cancer incidence and the rapid evolution of guidelines, while considering local realities.

Poor mental health among youth in Greenland is a major challenge, childhood conditions are critical for mental health later in life. The study aimed to examine the clustering of childhood conditions by considering risk and protective factors for mental health among youth and young adults in Greenland and to explore the relationship between these clusters and mental health outcomes in youth. The study included 565 participants aged 15–34 living in Greenland. Seven indicators including childhood adversities (ACEs), childhood residence, language, and cultural indicators (protective factors) were used to define clusters via latent class analysis (LCA). The associations between clusters and mental health outcomes (satisfaction with life (Cantrill’s ladder), self-esteem, self-efficacy, loneliness, psychological distress (General Health Questionnaire) and mental illness (Kessler 6)) were assessed by logistic regression. Four clusters were identified through LCA. While most participants reported positive childhoods, 40% (in two clusters) experienced ACEs. The two clusters differed as more participants in one cluster had experienced protective factors than the other. ACEs were associated with increased odds of negative aspects of mental health in youth. However, participants who faced high levels of adversity and few protective factors also had reduced odds of positive aspects of mental health in youth.

Background Little is known about lung function in Inuit. The aim of this study was to describe lung function and the prevalence of obstructive and restrictive lung disease among Inuit in GreenlandMethods During the 2017–2019 Health Survey, spirometry, with forced expiratory volume in the first second (FEV1), forced vital capacity (FVC), and FEV1/FVC ratio in liters (L), and percent of predicted value (pred%) were recorded according to Global Lung function Initiative standard reference values (GLI). Smoking history was obtained. Obstructive spirometry was defined as FEV1/FVC 90%.Results Based on validated spirometries, 795/2084 persons were included in this cross-sectional, descriptive study. Of those, 54.6% were current- and 27.7% former smokers. In Inuit, normal lung function was higher than predicted GLI (FEV1 107.2 pred%/FVC 113.5 pred%). In total, 106 (13.3%) were found to have an obstructive lung function measurement and 11 (1.4%) had a restrictive pattern. Among current smokers, the prevalence of obstructive lung function was 16.4%. An accelerated decline in lung function was observed > 50 years old (y.o), compared to

Gastrointestinal function plays a pivotal role in nutrient absorption and overall digestive health. Abnormal gastric emptying is closely linked to type 2 diabetes, impacting blood glucose regulation and causing gastrointestinal symptoms. This study aims to investigate and compare segmental transit times, motility indices, and micromilieu between Greenlandic Inuit and Danish individuals with and without type 2 diabetes. We included forty-four Greenlandic Inuit, twenty-three of whom had type 2 diabetes, and age and gender-matched Danish individuals. Segmental transit time, motility, and luminal environment were measured using the SmartPill®. Greenlandic controls displayed shorter gastric emptying time (GET) (163 min), higher gastric median pH (2.0 pH) and duodenal median contractions (18.2 mm Hg) compared to Greenlanders with type 2 diabetes (GET: 235 min, pH:1.9, median duodenal contraction 18.4 mm Hg) and Danish controls (GET: 190, pH:1.2 median duodenal contraction 17.5 mmHg). Despite similar anti-diabetic management efforts, variations in gastrointestinal physiology were evident, highlighting the complexity of diabetes and its interaction with ethnicity, suggesting potential dietary or even genetic influences, emphasising the necessity for personalised diabetes management approaches. Finally, the study opens possibilities for future research, encouraging investigations into the underlying mechanisms linking genetics, diet, and gastric physiology, as an understanding of factors can lead to more effective, tailored strategies for diabetes care and improved digestive health in diverse populations.

Lung cancer is one of the most commonly diagnosed cancers in Canada and a leading cause of cancer mortality. Lung cancer also affects First Nations, Inuit and Métis peoples significantly in Canada, which deserves further investigation as there is a literature gap on this topic. We sought to develop a deeper understanding of lung cancer diagnosis, incidence, mortality, and survival in First Nations, Inuit, and Métis peoples in Canada. A systematic search was conducted in bibliographic databases to identify relevant studies published between January 2000 and March 2023. Articles were screened and assessed for relevance using the Population/ Concept/ Context (PCC) framework. A total of 22 articles were included in the final analysis, of which 13 were Inuit-specific, 7 were First Nations-specific, and 2 were Métis-specific. The literature suggests that comparative incidence, mortality, and relative risk of lung cancer is higher and survival is poorer in First Nations, Inuit and Métis peoples. Lung cancer also has varying impact on these population depending on sex, age, location and other factors. This review illustrates that more comprehensive quantitative and qualitative lung cancer research is essential to further identify the structural causes for the high incidence of the disease.