The Perspectives of Young Indigenous People on Chronic Disease Prevention Programs: A Systematic Review of Qualitative Studies

This review explores the perspectives of Indigenous young people aged 10 to 24 on programs aimed at preventing chronic diseases, which are prevalent among Indigenous populations and tend to increase with age. This study synthesizes findings from 13 qualitative studies conducted across Canada, Australia, New Zealand, and the United States, involving 441 participants. The analysis identified four key themes. First, safeguarding food sovereignty emerged as a foundational priority, emphasizing access to traditional foods, nutritional needs, and food security. Second, empowering emerging leaders through the transfer of traditional wisdom and knowledge was recognized as vital for fostering agency and influence within communities. Third, strengthening the sociocultural fabric involved promoting community inclusion, securing community buy-in, and emphasizing the importance of elders and family involvement, alongside integrating cultural practices into health initiatives. Fourth, navigating challenges such as disengagement due to limited health knowledge and ambiguity surrounding health trajectories highlighted barriers that need addressing. The findings suggest that effective programs should involve family members, build community capacity, and foster leadership among Indigenous youth. Culturally appropriate community-developed interventions that actively engage Indigenous youth are essential for meaningful impact. This study highlights the importance of partnership with Indigenous communities to develop tailored programs that respect cultural practices and address specific needs, ultimately aiming to reduce the disproportionate burden of chronic disease in Indigenous populations through culturally sensitive youth-centered approaches.