. 2023 Oct 3;11(5):E884–E893. doi: 10.9778/cmajo.20230006

Table 1:

Description of selected studies for scoping review on Métis health in Canada from 2012 to 2022^*

Author and year	Type	Location	Study aims	Age, yr	Main findings	Consultation with communities	Used national survey data
Anderson et al. 2017¹⁵	Quantitative	Canada	To examine gender and sense of community belonging influences on sedentary behaviour	Adults, ages unspecified	Community belonging among Métis men may reduce sedentary behaviour, but increased community belonging among Métis women may increase sedentary behaviour.	No	No
Atzema et al. 2015¹⁶	Quantitative	Ontario	To determine rates of cardiovascular diseases in Métis population	Unspecified	Cardiovascular disease was higher among Métis people than the general population; the prevalence of 5 cardiovascular conditions was 25%–77% higher.	No	No
Auger 2019³	Qualitative	British Columbia	To contribute to an increased understanding of Métis Peoples’ experiences in mental health and wellness	18–84 (mean 46)	Mental health is a priority for Métis people in British Columbia, and there is a need for increased access to culturally responsive health care.	Yes	No
Auger 2021¹⁷	Qualitative	British Columbia	To explores Métis Peoples’ experiences and conceptualizations of mental health and cultural continuity	≥ 19	Identified themes of Métis stories of culture, identity and mental health; the importance of community; and intergenerational knowledge transmission.	Yes	No
Carrière et al. 2017¹⁸	Quantitative	Canada	To describe hospital admissions for ambulatory care–sensitive conditions among urban Métis adults relative to non-Aboriginal adults	18–74	The age-standardized rates of hospital admission for ambulatory care–sensitive conditions among urban Métis adults were twice that of non-Aboriginal adults. These admissions were for diabetes or chronic obstructive pulmonary disease.	No	Yes
Cooke et al. 2013¹⁹	Quantitative	Canada	To examine the socioeconomic, behavioural and Métis-specific factors that predict obesity among Métis children	6–14	An estimated 18.5% of Métis boys and 14.4% of Métis girls were obese. Risk factors included living in a lone-parent family, living in rural areas, and having a caregiver with a history with residential schooling. The effects were negative among older girls.	No	Yes
Cooper et al. 2020²⁰	Qualitative	Manitoba	To identify current supports, needs and expectations of unpaid Métis caregivers caring for Métis seniors	Adults, ages unspecified	Need to have tools in place to help people age and to care for aging family members in a culturally responsive manner.	Yes	No
Driedger et al. 2014²¹	Mixed methods	Manitoba	To evaluate the 2009/10 H1N1 influenza pandemic door-to-door risk communication campaign that focused on at-risk Métis	18–65	This intervention ultimately did not meet its intended goals. Efforts can be made during interpandemic periods to build on established relationships, learn from past experiences and develop new solutions.	Yes	No
Driedger et al. 2015²²	Qualitative	Manitoba	To connect vaccine behaviour with the attitudes and beliefs that influenced Métis study participants’ H1N1 influenza vaccine decision-making	Adults, ages unspecified	The negatively influential factors were lack of knowledge about the vaccine and the pandemic, as well as concerns about vaccine safety. Risk of contracting H1N1 was the biggest positively influencing factor.	Yes	No
Gershon et al. 2014²³	Quantitative	Ontario	To measure and compare burden of asthma and chronic obstructive pulmonary disease between Métis and non-Métis populations	Adults (asthma ≥ 20 yr, chronic obstructive pulmonary disease ≥ 35 yr)	Prevalence of asthma and chronic obstructive pulmonary disease were 30% and 70% higher, respectively, among Métis people. Lower rates of physician visits suggested barriers in access to primary care services.	No	No
Ginn et al. 2021²⁴	Qualitative	Alberta	To explore links among health, spirituality and well-being for Métis	28–80	Connection between ancestry, land, community and tradition contributed to well-being.	Yes	No
Hayward et al. 2017²⁵	Quantitative	Ontario	To compare the prevalence of chronic kidney disease and incidence of acute kidney injury and end-stage kidney disease among registered Métis citizens to general population	≥ 18	Prevalence of chronic kidney disease was lightly higher among Métis citizens compared with the general population.	No	No
Hutchinson et al. 2014²⁶	Mixed methods	British Columbia	To investigate health benefits of participating in cultural activities (e.g., harvesting) and demonstrate how applying mixed methods meets and informs these research standards and creates a unique, participatory Indigenous research method relevant for Métis People	Unspecified	Details of the physical benefits of participating in the traditional activity of hunting, while also describing the holistic health and well-being benefits related to harvesting among the Métis People.	Yes	No
Jandoc et al. 2015²⁷	Quantitative	Ontario	To examine osteoporosis management and common osteoporosis-related fractures among Métis citizens compared with the general population of older adults residing in Ontario	Older adults (> 50 yr and > 65 yr)	Identified significantly lower sex-specific and age-standardized rates of bone mineral density testing among Métis people compared with the general population, but found little difference in fracture rates (both sexes) or pharmacotherapy (females only). They found age-standardized fracture rates for Métis people were similar to those of the general population.	No	No
Kaspar 2014²⁸	Quantitative	Canada	To explore link between suicidal ideation and major depressive episode among Métis who were fostered v. not fostered	Adults, ages unspecified	More than one-third of emancipated respondents reported a past-year major depressive episode, a prevalence rate nearly 50% higher than the rate of major depressive episodes among Métis respondents without a history of placement in foster care. The 25% lifetime prevalence rate of suicidal ideation in the emancipated group was more than twice the rate observed in the non-fostered group.	No	Yes
King et al. 2022²⁹	Mixed methods	Alberta	To describe the unique approach in implementing Canada’s first Métis-led SARS-CoV-2 immunization clinic	Unspecified	Thirteen hundred people were vaccinated. Visitors shared appreciation for the culturally specific aspects of the clinic, which contributed to increased safety and comfort.	Yes	No
Kumar et al. 2012^30’	Quantitative	Canada	To determine the prevalence of suicidal ideation among Métis people and identify its associated risk and protective factors	20–59	Prevalence of suicidal ideation was higher among Métis men than men who did not report Aboriginal identity. Métis women were more likely to report suicidal ideation than Métis men (14.9% v. 11.5%, respectively).	No	Yes
Landy et al. 2022³¹	Qualitative	Alberta	To explore the experiences of Métis community members participating in dried blood spot testing for HIV	Adults, unspecified	Four broad themes related to the participants’ experiences included ease of process, overcoming logistical challenges associated with existing testing, reducing stigma through health role models and events, and Métis-specific services.	Yes	No
Mazereeuw et al. 2018³²	Quantitative	Canada	To estimate site-specific incidence rates and survival for the most common cancers among Métis people	25–99	Incidence was significantly higher among Métis adults than among non-Aboriginal adults for lung, liver, larynx, gallbladder, cervix and female breast cancers. Métis people had poorer survival for prostate cancer. For all cancers and both sexes combined, cancer incidence was similar for Métis and non-Aboriginal adults.	No	Yes
Monchalin et al. 2020¹¹	Qualitative	Ontario	To learn from Métis women’s experiences to build an understanding on steps toward filling the health service gap	Adults, ages unspecified	Métis women experienced racial discrimination such as witnessing, absorbing and facing racism in mainstream service settings, as well as lateral violence and discrimination in Indigenous-specific services.	Yes	No
Monchalin et al. 2019³³	Qualitative	Ontario	To gather recommendations made by urban Métis women for improving access to health and social services in Toronto, Canada	≥ 15	Recommendations include Métis presence, holistic interior design, Métis-specific or informed service space, welcoming reception or front desk and culturally informed service providers.	Yes	No
Nickel et al. 2022³⁴	Quantitative	Manitoba	To examine patterns of prescription opioid dispensing among Red River Métis and compare them to other residents of Manitoba	> 10	Métis were more likely to live in lower-income, rural areas and were more likely to have received a diagnosis of a mood, anxiety or substance use disorder in the previous 5 years. Rates of opioid prescription dispensing were consistently higher than the general Manitoba population.	Yes	No
Ramage-Morin and Bougie 2017³⁵	Quantitative	Canada	To better understand family networks and self-perceived general and mental health among Métis people	≥ 45	Strong family networks were associated with positive self-perceived general and mental health among Métis adults.	No	Yes
Ryan et al. 2015³⁶	Quantitative	Canada	To examine the correlates of current smoking among Métis with a particular focus on culturally specific factors	≥ 18	The article found 39.9% of adult Métis respondents in the sample were current smokers. Adult Métis who reported a high level of spirituality were less likely to be current smokers. Those who spoke an Indigenous language, or who lived in a house where one was spoken, were more likely to be current smokers.	No	Yes
Ryan et al. 2018³⁷	Quantitative	Canada	To investigate correlates of leisure-time physical activity and active transportation (walking) among adult Métis, with a focus on culturally specific variables	20–64	Having attended a Métis cultural event in the previous year was positively associated with leisure-time physical activity, as was a high level of spirituality.	No	Yes
Sanchez-Ramirez et al. 2016³⁸	Quantitative	Alberta	To explore cancer incidence and mortality burden among Métis and to compare disease estimates with non-Métis populations	All ages based on Alberta registry	A higher incidence of bronchus or lung cancer was found among Métis men. No other statistically significant differences in cancer incidence or mortality were found between Métis and non-Métis groups.	No	No
Sanchez-Ramirez et al. 2019³⁹	Quantitative	Alberta	To examine injury-related health service use, defined as hospital admissions and emergency department visits, as well as mortality among Métis People in Alberta	Adults, ages unspecified	Injury-related hospital admissions were 35% higher for Métis than non-Métis people; injuries were a concern among Métis people.	No	No
Wesche 2013⁴⁰	Qualitative	British Columbia	To examine links between Métis identity and health and well-being for Métis women at risk of sexual exploitation	25–54	Métis identity and well-being were strongly linked. Many Métis women reported negative experiences in accessing a range of both Aboriginal and mainstream services because of perceived prejudice. Métis-specific or Métis-inclusive services were desired but currently limited.	Yes	No

Please note that the term “Aboriginal” is only used as a consistency of how it was reported in studies. We note our preference for the language to be Indigenous.