Aborig<strong>in</strong>al peoples are <strong>in</strong>dividuals who identify <strong>the</strong>mselves as Aborig<strong>in</strong>al and areaccepted by members of <strong>the</strong>ir community as Aborig<strong>in</strong>al; have a historical l<strong>in</strong>k to <strong>the</strong> landfrom <strong>the</strong> time before colonization or annexation; have a strong l<strong>in</strong>k to territories andnatural resources; have dist<strong>in</strong>ct social, economic, and political systems; have dist<strong>in</strong>ctlanguages, cultures, beliefs and knowledge systems; want to ma<strong>in</strong>ta<strong>in</strong> <strong>the</strong>ir identity asdist<strong>in</strong>ct peoples and communities; and are from non-dom<strong>in</strong>ant groups <strong>in</strong> society (UNPFII<strong>in</strong> Papan, 2009). Aborig<strong>in</strong>al peoples <strong>in</strong>clude Métis, Inuit, and First Nations regardlessof where <strong>the</strong>y live <strong>in</strong> Canada and whe<strong>the</strong>r <strong>the</strong>y are ‘registered’ under <strong>the</strong> Indian Act ofCanada.AIDS is <strong>the</strong> acronym for Acquired Immune Deficiency Syndrome. This is a medicaldiagnosis given when a person is at an advanced stage of HIV disease.Broader determ<strong>in</strong>ants of Aborig<strong>in</strong>al health <strong>in</strong>corporate <strong>the</strong> historical socio-politicalcontext to situate contemporary health disparities that are evident <strong>in</strong> Aborig<strong>in</strong>alcommunities (First Nations, Métis, and Inuit). These broader determ<strong>in</strong>ants attempt tocapture <strong>the</strong> policy environment that has created chaos for <strong>in</strong>dividuals and communitiesand cont<strong>in</strong>ues to challenge resilience.Community HIV competence describes a community’s read<strong>in</strong>ess and ability to respondto HIV epidemics. HIV competent communities have an accurate understand<strong>in</strong>g ofHIV, safe social spaces to discuss how HIV relates to <strong>the</strong>ir own lives, solidarity amongcommunity members, a sense of ownership over <strong>the</strong> problem, a sense of responsibilityto contribute to solutions, confidence <strong>in</strong> <strong>the</strong> community’s ability to effectively respond,access to outside resources (f<strong>in</strong>ancial, technical, etc.) and networks to support efforts.Cultural competence is a term used to describe <strong>the</strong> skills, knowledge, and attitudes thatenable health practitioners to provide respectful care to patients of diverse cultures.Cultural cont<strong>in</strong>uity describes <strong>the</strong> <strong>in</strong>tergenerational capacity to transmit and re<strong>in</strong>forceAborig<strong>in</strong>al knowledge and cultural practices <strong>in</strong> families and communities.Cultural safety is a term that is replac<strong>in</strong>g cultural competence. It shifts <strong>the</strong> focus of culturallyappropriate health services from <strong>the</strong> sole responsibility of <strong>the</strong> health practitioner toa shared responsibility of <strong>the</strong> health practitioner and patients. Cultural safety is an outcomewhereby patients and health practitioners work toge<strong>the</strong>r <strong>in</strong> an equal and respectfulmanner to decide how to manage <strong>the</strong> patient’s health. This exposes and manages powerrelationship <strong>in</strong>herent <strong>in</strong> health care services.Determ<strong>in</strong>ants of health are <strong>the</strong> non-medical determ<strong>in</strong>ants that <strong>in</strong>clude gender; culture;<strong>in</strong>come; employment and work<strong>in</strong>g conditions; <strong>in</strong>come and social support; healthy childdevelopment; physical environment; social environment; and personal health practicesand cop<strong>in</strong>g skills.Gender refers to <strong>the</strong> expectations placed on people of a particular sex about how <strong>the</strong>yshould or should not feel, behave, and th<strong>in</strong>k about <strong>the</strong>mselves, <strong>the</strong>ir bodies, and <strong>the</strong>irroles <strong>in</strong> relationships and society. These expectations vary across cultures and historicaltimes.104
Gender norms refer to <strong>the</strong> expectations societies have about how men/boys andwomen/girls should th<strong>in</strong>k, feel, and behave. Gender norms <strong>in</strong>fluence people’s sexualityand <strong>in</strong>timate relationships.Health <strong>in</strong>equalities are differences <strong>in</strong> health status experienced by <strong>in</strong>dividuals or groups.These difference can be <strong>the</strong> result of biological factors, personal practices, chance, ordifferences <strong>in</strong> access to <strong>the</strong> social determ<strong>in</strong>ants of health (PHAC, 2008).Health <strong>in</strong>equities are differences <strong>in</strong> health status experienced by <strong>in</strong>dividuals or groupsthat result from social factors such as poverty and access to education; <strong>the</strong>se differencesare considered unfair or unjust.Heterosexism is <strong>the</strong> assumption that all people are heterosexuals. This contributes to<strong>the</strong> social and economic exclusion experienced by two-spirited Aborig<strong>in</strong>al people.HIV is <strong>the</strong> acronym for Human Immunodeficiency Virus. This is <strong>the</strong> virus that causesAIDS.Homophobia is stigma and discrim<strong>in</strong>ation based on sexual orientation.Landscape frames are a way of look<strong>in</strong>g at an issue so that <strong>the</strong> focus is on <strong>the</strong> relationshipbetween <strong>the</strong> <strong>in</strong>dividual and <strong>the</strong> broader social, cultural, economic and politicalenvironment.LGBTTQQI is an acronym for lesbian, gay, bisexual, transgendered, two-spirited, queer,question<strong>in</strong>g, and <strong>in</strong>tersex. It is an umbrella term used to describe people whose sexualand/or gender identity does not fit with ma<strong>in</strong>stream expectations of heterosexualitybe<strong>in</strong>g <strong>the</strong> normal or better.Men who have sex with men (MSM) describes a behaviour associated with HIVtransmission ra<strong>the</strong>r than how people self-identify. It <strong>in</strong>cludes men who identify as gayor bisexual, transgendered, and heterosexual. Discrim<strong>in</strong>atory laws and homophobiacontribute to MSM pursu<strong>in</strong>g heterosexual relationships.Population Health Approach was developed by Health Canada to improve <strong>the</strong> health of<strong>the</strong> entire population and to reduce health <strong>in</strong>equities among groups by look<strong>in</strong>g at “rootcauses.” Unlike <strong>the</strong> biomedical approach which focuses on health at an <strong>in</strong>dividual level,<strong>the</strong> population health approach focuses on <strong>the</strong> health of a population and groups with<strong>in</strong>population – with “health” be<strong>in</strong>g seen as a capacity or resource ra<strong>the</strong>r than a status.Portrait frames are a way of look<strong>in</strong>g at an issue so that <strong>the</strong> focus is on <strong>in</strong>dividualbehaviours and risk.Resiliency means be<strong>in</strong>g able to recover or bounce back from stressful and challeng<strong>in</strong>glife situations. Deal<strong>in</strong>g with challenges can help people become stronger and betterprepared to face future challenges. A person’s resiliency is affected by factors andconditions at <strong>the</strong> <strong>in</strong>dividual, family, and community level.105
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experienced traumatic life events s
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Individual LevelIndividual LevelInd
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Family LevelIndividual LevelFamily
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Systemic LevelArmand’s StoryArman
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