title: Climate-sensitive health priorities in Nunatsiavut, Canada.
abstract: BACKGROUND
  This exploratory study used participatory methods to identify, characterize, and rank climate-sensitive health priorities in Nunatsiavut, Labrador, Canada.
  
  
  METHODS
  A mixed method study design was used and involved collecting both qualitative and quantitative data at regional, community, and individual levels. In-depth interviews with regional health representatives were conducted throughout Nunatsiavut (n = 11). In addition, three PhotoVoice workshops were held with Rigolet community members (n = 11), where participants took photos of areas, items, or concepts that expressed how climate change is impacting their health. The workshop groups shared their photographs, discussed the stories and messages behind them, and then grouped photos into re-occurring themes. Two community surveys were administered in Rigolet to capture data on observed climatic and environmental changes in the area, and perceived impacts on health, wellbeing, and lifestyles (n = 187).
  
  
  RESULTS
  Climate-sensitive health pathways were described in terms of inter-relationships between environmental and social determinants of Inuit health. The climate-sensitive health priorities for the region included food security, water security, mental health and wellbeing, new hazards and safety concerns, and health services and delivery.
  
  
  CONCLUSIONS
  The results highlight several climate-sensitive health priorities that are specific to the Nunatsiavut region, and suggest approaching health research and adaptation planning from an EcoHealth perspective.
authors.affiliation: Department of Population Medicine, University of Guelph, Guelph, ON, Canada. harpers@uoguelph.ca.|Indigenous Health Adaptation to Climate Change Research Team: Lea Berrang-Ford, Cesar Carcamo, Alejandro Llanos, Shuaib Lwasa, Didacus Bambaiha Namanya, Montreal, Canada. harpers@uoguelph.ca.
authors.forename: Sherilee L
authors.initials: SL
authors.lastname: Harper
authors.affiliation: Department of Population Medicine, University of Guelph, Guelph, ON, Canada. victoria.edge@phac-aspc.gc.ca.|Indigenous Health Adaptation to Climate Change Research Team: Lea Berrang-Ford, Cesar Carcamo, Alejandro Llanos, Shuaib Lwasa, Didacus Bambaiha Namanya, Montreal, Canada. victoria.edge@phac-aspc.gc.ca.
authors.forename: Victoria L
authors.initials: VL
authors.lastname: Edge
authors.affiliation: Indigenous Health Adaptation to Climate Change Research Team: Lea Berrang-Ford, Cesar Carcamo, Alejandro Llanos, Shuaib Lwasa, Didacus Bambaiha Namanya, Montreal, Canada. james.ford@mcgill.ca.|Department of Geography, McGill University, Montreal, QC, Canada. james.ford@mcgill.ca.
authors.forename: James
authors.initials: J
authors.lastname: Ford
authors.affiliation: Department of Nursing, Cross-Appointed with Indigenous Studies, Cape Breton University, Sydney, NS, Canada. ashlee_cunsolowillox@cbu.ca.
authors.forename: Ashlee Cunsolo
authors.initials: AC
authors.lastname: Willox
authors.affiliation: Department of Health and Social Development, Nunatsiavut Government, Goose Bay, Labrador, Canada. michele_wood@nunatsiavut.com.
authors.forename: Michele
authors.initials: M
authors.lastname: Wood
authors.affiliation: Department of Population Medicine, University of Guelph, Guelph, ON, Canada. smcewen@uoguelph.ca.
authors.forename: Scott A
authors.initials: SA
authors.lastname: McEwen
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D057231:Climate Change; D055812:Community-Based Participatory Research / Q000706:statistics & numerical data*; D003469:Culture; D004493:Education; D058735:Environmental Policy; D005260:Female; D005523:Food Supply; D006292:Health Priorities / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D004930:Inuit / Q000706:statistics & numerical data; D008019:Life Style; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D009523:Newfoundland and Labrador; D014881:Water Supply; D055815:Young Adult