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Policy (Mis)Alignment: Addressing Type 2 Diabetes in Aboriginal Communities in Canada

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Author(s): Lauren A. Brooks | Francine E. Darroch | Audrey R. Giles

Journal: International Indigenous Policy Journal
ISSN 1916-5781

Volume: 4;
Issue: 2;
Start page: 3;
Date: 2013;
Original page

Keywords: Type 2 diabetes | First Nations | Aboriginal social determinants of health | policy analysis | Aboriginal Diabetes Initiative

ABSTRACT
In this article, we employ Bacchi’s (1999) What’s the Problem approach to policy analysis to examine Health Canada’s Aboriginal Diabetes Initiative (ADI) and the ways in which it articulates with existing federal policies that relate to three Aboriginal social determinants of health: colonialism, education, and health care. Focusing our analysis on the Aboriginal population with the highest prevalence of type 2 diabetes, First Nations, we argue that the ADI produces type 2 diabetes as a problem related to First Nations peoples’ apparently poor health decision making and lifestyle choices. Such a framing of the problem ignores the ways in which current federal policies are aligned in a way that undermines attempts, like the ADI, to improve First Nations peoples’ health. We argue that for rates of type 2 diabetes to decrease in First Nations communities, the federal government needs to re-align policies that affect all of the Aboriginal social determinants of health so that the startling inequities in health that exist between First Nations peoples and non-First Nations peoples, particularly those related to type 2 diabetes, can be addressed in a more effective fashion.

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