Module 1: Foundational Learning. Self-Reflection & Self Location
Part 2: Heart Health Among Indigenous Populations in Canada
By clicking on the arrows, you will be able to read more about the recent research and reporting on heart disease and stroke faced by FN/I/M Peoples in Canada. By acknowledging and attending to the current state of CVD/s within FN/I/M communities in Canada, steps can be taken toward the implementation of culturally appropriate treatment.
While cardiovascular disease (CVD) has been decreasing in most Western countries…
it remains the leading cause of death in Canada and around the world. Despite a reduction in CVD attributed to alterations in lifestyle, behaviour (diet, exercise and smoking cessation), Indigenous people continue to experience a rapidly growing burden of CVD morbidity and mortality (Reading, 2015).
The Heart and Stroke Foundation (HSF) of Canada reports that FN/I/M peoples…
…have a significantly higher likelihood of developing heart disease and stroke. Further, that overall, their heart and brain health is far worse than the general Canadian population.
In 2022, the HSF in their spotlight on Heart Failure reported…
…that heart failure rates are higher among Indigenous people in Canada compared to the non-Indigenous population, and Indigenous people are more likely to die of heart failure (Reading, 2015)
For some Indigenous groups, the death rate from heart disease and stroke is also higher…
…particularly for women and younger age groups. For example, heart disease rates for Indigenous people are as much as 50% higher than in the general Canadian population, and the death rate from stroke is twice as high.
One study in 2019, reported that in comparison with non-Indigenous people…
…the age-standardized cardiovascular disease mortality is 30% higher for First Nations men and 76% higher for First Nations women (Annand et al., 2019).
The disproportionate burden of CVD/s for Indigenous populations can generally be attributed…
…to the loss of Indigenous identity and family, and collective trauma experienced from residential schools inflicted by colonization (Vallesi et al., 2018 in Gomes et al., 2023).
A key issue is the presence of elevated risk factors…
…For example, the lifetime risk and prevalence of diabetes is higher in Indigenous people compared to the general population of Canada — particularly for women. Indigenous women in Canada are more likely to experience diabetes during pregnancy than their non-Indigenous peers.
Reading, Jeffrey. 2015. “Confronting the Growing Crisis of Cardiovascular Disease and Heart Health Among Aboriginal Peoples in Canada.” Canadian Journal of Cardiology 31 (9): 1077–80. https://doi.org/10.1016/j.cjca.2015.06.012.
Anand, Sonia S, Sylvia Abonyi, Laura Arbour, Kumar Balasubramanian, Jeffrey Brook, Heather Castleden, Vicky Chrisjohn, et al. 2019. “Explaining the Variability in Cardiovascular Risk Factors among First Nations Communities in Canada: A Population-Based Study.” The Lancet Planetary Health 3 (12): e511–20. https://doi.org/10.1016/S2542-5196(19)30237-2.
Gomes, Zoya, Dana Hart, and Bernice Downey. 2023. “Indigenous Women’s Perspectives on Heart Health and Well-Being: A Scoping Review.” CJC Open 5 (1): 43–53. https://doi.org/10.1016/j.cjco.2022.10.007.