Perinatal Psychoactive Substance Use Among Indigenous Women: Social Determinants

Because of its impact on the health of families and future generations, psychoactive substance use during the perinatal period is a public health concern for the entire population. Understanding the factors that influence psychoactive substance use among Indigenous women in the perinatal period is essential to targeting prevention and health and wellness promotion strategies for First Nations and Inuit people. This synthesis analyzes the factors that emerge from the scientific literature through the lens of social determinants of health.

  • Strong family ties, social support and connection to community, traditional values and culture emerged as protective factors against psychoactive substance use during the perinatal period for Indigenous women. These factors are associated with the social environment and cultural continuity, which are social determinants of Indigenous health.
  • Difficult living conditions (job insecurity, low education level, and frequent relocation) and interpersonal violence tend to increase psychoactive substance use among Indigenous women before, during, and after pregnancy. These social determinants are also influenced by health and educational systems, as well as by historical and political contexts.
  • Based on the results of the selected publications, the relationship between well-being and mental health and psychoactive substance use during the perinatal period needs to be considered. Indigenous women who feel depressed are more likely to use psychoactive substances during the perinatal period.
  • Although few studies in this synthesis address this issue, the historical trauma experienced by Indigenous peoples has implications for the health and well-being of Indigenous women and communities. In particular, it influences psychoactive substance use behaviours and addiction problems. Some women attribute their adverse childhood experiences to the historical trauma experienced by Indigenous peoples.
  • The cessation or reduction of psychoactive substance use during the perinatal period is influenced by several social determinants. Improving Indigenous peoples’ living conditions, building supportive social environments, and ensuring cultural continuity—in close collaboration with Indigenous authorities—are avenues for action on these determinants.
Perinatal Psychoactive Substance Use Among Indigenous Women: Social Determinants
Types of Publication
ISBN (Digital)
978-2-550-93797-5
Date de publication