A Review published in Crit_Care finds that Indigenous Peoples continue to experience health inequities, driven by the legacy of colonization and inter-generational trauma and their experience with critical care is poorly documented and understood.
]. The findings of our evidence synthesis may align with these experiences in ED settings. The observed shorter ICU stays and lower rates of receipt of IMV among Indigenous compared with non-Indigenous patients raises important questions of whether similar issues of systemic and structural racism and pedagogy exist in critical care settings.
Our systematic review also has limitations to consider. First, the definition of “Indigenous” and the availability of “identifiers” in health administrative varied substantially, driven by differences in legal definitions across countries and by academic discussions on culturally appropriate terminology.
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Expressions of masculinity and associations with suicidal ideation among young males - BMC PsychiatryBackground Adolescent boys and young men are at particular risk of suicide. Suicidal ideation is an important risk factor for suicide, but is poorly understood among adolescent males. Some masculine behaviors have been associated with deleterious effects on health, yet there has been little quantitative examination of associations between masculinity and suicide or suicidal ideation, particularly among boys/young men. This study aimed to examine associations between conformity to masculine norms and suicidal ideation in a sample of adolescents. Methods A prospective cohort design, this study drew on a sample of 829 Australian boys/young men from the Australian Longitudinal Study on Male Health. Boys were 15–18 years at baseline, and 17–20 years at follow-up. Masculine norms (Wave 1), were measured using the Conformity to Masculine Norms Inventory (CMNI-22). Suicidal ideation (Wave 2) was a single-item from the Youth Risk Behavior Survey. Logistic regression analysis was conducted, adjusting for available confounders including parental education, Indigenous Australian identity and area disadvantage. Results In adjusted models, greater conformity to violent norms (OR= 1.23, 95% Confidence Interval [CI]: 1.03–1.47) and self-reliance norms (OR= 1.40, 95% CI: 1.15–1.70) was associated with higher odds of reporting suicidal ideation. Greater conformity to norms regarding heterosexuality was associated with reduced odds of reporting suicidal ideation (OR= 0.80, 95% CI: 0.68–0.91). Conclusions These results suggest that conforming to some masculine norms may be deleterious to the mental health of young males, placing them at greater risk of suicidal ideation. The results highlight the importance of presenting young males with alternative and multiple ways of being a male. Facilitating a relaxation of norms regarding self-reliance, and encouraging help-seeking, is vital. Furthermore, dismantling norms that rigidly enforce masculine norms, particularly in relation to heterono
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