Intergenerational Trauma: The Relationship Between Residential Schools and the Child Welfare System Among Young People Who Use Drugs in Vancouver, Canada.
Canada
Child welfare system
Colonization
Illicit drug use
Indigenous Peoples
Intergenerational trauma
Youth substance use
Journal
The Journal of adolescent health : official publication of the Society for Adolescent Medicine
ISSN: 1879-1972
Titre abrégé: J Adolesc Health
Pays: United States
ID NLM: 9102136
Informations de publication
Date de publication:
08 2019
08 2019
Historique:
received:
16
08
2018
revised:
17
01
2019
accepted:
18
01
2019
pubmed:
6
4
2019
medline:
19
8
2020
entrez:
6
4
2019
Statut:
ppublish
Résumé
This study investigated the relationship between familial residential school system (RSS) exposure and personal child welfare system (CWS) involvement among young people who use drugs (PWUD). Data were obtained from two linked cohorts of PWUD in Vancouver, Canada, and restricted to Indigenous participants. Multivariable logistic regression analysis was used to investigate the relationship between three categories of familial RSS exposure (none, grandparent, and parent) and CWS involvement. A secondary analysis assessed the likelihood of CWS involvement between non-Indigenous and Indigenous PWUD with no familial RSS exposure. Between December 2011 and May 2016, 675 PWUD (aged <35 years) were included in this study, 40% identified as Indigenous. In multivariable analyses, compared with Indigenous participants with no RSS exposure (reference), those with a grandparent in the RSS had a higher likelihood of having been in CWS (adjusted odds ratio [AOR] = 1.34, 95% confidence interval [CI]: .67-2.71), as did those with a parent exposed to RSS (AOR = 2.03, 95% CI: 1.03-3.99). In secondary analysis, the odds of CWS involvement was not significantly different between non-Indigenous and Indigenous PWUD with no familial RSS exposure (AOR = .63, 95% CI: .38-1.06). We observed a dose-response-type trend between familial RSS exposure and personal CWS involvement and a nonsignificant difference in the likelihood of CWS involvement between Indigenous and non-Indigenous PWUD when controlling for RSS exposure. These data demonstrate the intergenerational impact of the RSS on the overrepresentation of Indigenous youth in the CWS. Findings have critical implications for public policy and practice including reconciliation efforts with Indigenous Peoples.
Identifiants
pubmed: 30948272
pii: S1054-139X(19)30064-3
doi: 10.1016/j.jadohealth.2019.01.022
pmc: PMC6650326
mid: NIHMS1521283
pii:
doi:
Substances chimiques
Illicit Drugs
0
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
248-254Subventions
Organisme : NIDA NIH HHS
ID : U01 DA038886
Pays : United States
Organisme : CIHR
ID : MSH-141971
Pays : Canada
Informations de copyright
Copyright © 2019 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.
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