title: Understanding the broader context: the health of the urban native Canadian.
abstract: The average life expectancy for a Native male is 66, and for a non-Native male, 76. It is undisputed that the health of the Native Canadian is poor, yet substantial inequalities remain. One of the reasons these inequalities remain is the shallow, limited understanding of the poor health of the urban Native Canadian which, in turn, leads to quick fixes and temporary solutions. The purpose of the following paper is to give nursing leaders an accurate description of the poor health status of the urban Native Canadian, as well as a description of the perpetuating events leading up to their current situation. Once this is understood, the nursing profession can work with urban Native Canadians towards sustainable, long-term solutions. The following paper provides an overview of the historical oppression of Native Canadians, a discussion on the effects of marginalization and the subsequent adaptation process, an overview of the current health status of the urban Native Canadian and a practical assessment tool. The paper concludes with practical suggestions and directions for the future.
authors.affiliation: Trillium Health Centre, Mississauga, ON.
authors.forename: N
authors.initials: N
authors.lastname: Prodan-Bhalla
mesh_terms: D000368:Aged; D002170:Canada; D005260:Female; D006304:Health Status; D049670:History, 17th Century; D049671:History, 18th Century; D049672:History, 19th Century; D049673:History, 20th Century; D006801:Humans; D007198:Indians, North American / Q000266:history; D008297:Male; D016746:Transcultural Nursing; D014505:Urban Population