@article{ref1,
title="Collaborative social-epidemiology: a co-analysis of the cultural and structural determinants of health for Aboriginal youth in Victorian schools",
journal="International journal of environmental research and public health",
year="2021",
author="Luke, Joanne Nicole and Thorpe, Alister and Black, Carlina and Thorpe, Lisa and Thomas, David and Eades, Sandra and Rowley, Kevin G.",
volume="18",
number="16",
pages="-",
abstract="Social-epidemiology that excludes Aboriginal voices often fails to capture the full and complex social worlds of Aboriginal people. Using data from an existing co-designed Victorian government Adolescent Health and Wellbeing Survey (2008/9), we worked with Aboriginal organizations to identify data priorities, select measures, interpret data, and contextualize findings. Using this participatory co-analysis approach, we selected &quot;cultural&quot; and &quot;structural&quot; determinants identified by Aboriginal organizations as important and modelled these using principal component analysis. Resulting components were then modelled using logistic regression to investigate associations with &quot;likely being well&quot; (Kessler-10 score < 20) for 88 Aboriginal adolescents aged 11-17 years. Principal component analysis grouped 11 structural variables into four components and 11 cultural variables into three components. Of these, &quot;grew up in Aboriginal family/community and connected&quot; associated with significantly higher odds of &quot;likely being well&quot; (OR = 2.26 (1.01-5.06), p = 0.046). Conversely, &quot;institutionally imposed family displacement&quot; had significantly lower odds (OR = 0.49 (0.24-0.97), p = 0.040) and &quot;negative police contact and poverty&quot; non-significantly lower odds (OR = 0.53 (0.26-1.06), p = 0.073) for &quot;likely being well&quot;. Using a co-analysis participatory approach, the voices of Aboriginal researchers and Aboriginal organizations were able to construct a social world that aligned with their ways of knowing, doing, and being. <br><br>FINDINGS highlighted institutionally imposed family displacement, policing, and poverty as social sites for health intervention and emphasized the importance of strong Aboriginal families for adolescents.<p /> <p>Language: en</p>",
language="en",
issn="1661-7827",
doi="10.3390/ijerph18168674",
url="http://dx.doi.org/10.3390/ijerph18168674"
}