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Table 2 Self-Report Variable Classifications according to ILCSD Model and Definitions

From: The Cedar Project: Using Indigenous-Specific Determinants of Health to Predict Substance use among Young Pregnant-Involved Indigenous Women In Canada

Variable names

Variable definitions

Proximal Determinants

 Socioeconomic Status (SES)

  Relationship Status

Current relationship status.

  Highest Education

Highest level of education completed.

  Income

Monthly income from all sources (gov’t, work, and illegal sources).

  Survival Sex, ever

Has the participant ever done survival sex work?

   IF YES,

 

   Age of 1st Survival Sex

Age of participant the first time she did survival sex work.

   Survival Sex, last 6 Months

Has the participant done survival sex work in the previous 6 months?

 Physical Environments

  Housing Stability

Considered unstable if lived anywhere other than house or apartment in previous 6 months (i.e. hotel, hostel, shelter, crack shack etc.).

  Homelessness

Has the participant ever been on the street with no place to sleep for more than three nights?

  Age First Left Home

Age the participant first left home to live on her own.

 Health Behaviours

  Number of Pregnancies

Number of times the participant has ever been pregnant (including abortions/miscarriages).

  Age of First Pregnancy

Age of participant the first time she was pregnant.

 Trauma

 

  Sexual Abuse, ever

Has the participant ever been sexually abused? (Any type of forced sexual activity including childhood sexual abuse, molestation, rape, and sexual assault)

   IF YES,

 

   Age of 1st Sexual Abuse

Age of participant the first time she was sexually abused.

   Sexual Abuse, reported

Has the participant ever reported the sexual abuse to anyone?

   Sexual Abuse, repeated

Has the participant been sexually abused again, since the first time?

   Sexual Abuse, last 6 Months

Has the participant been sexually abused in the previous 6 months?

 Mothering Experiences

  Child Apprehended, ever

Has the participant ever had any of her children apprehended by child and family services?

Intermediate Determinants

 Cultural Continuity

  Taken from Parents, ever

Has the participant ever been taken from her biological parents by child and family services?

   IF YES,

 

   Age 1st Taken from Parents

Age of participant the first time she was taken from her biological parents.

  Language

Does the participant speak her native or traditional language?

  Reserve, ever

Has the participant ever been to a reserve?

  Cultural Substance Treatment

Is the participant interested in more culturally specific substance use treatment?

 Services Used within the previous 6 months

  Emergency Room Visit

Has the participant received health care from the emergency room (ER) in the previous 6 months?

  Admitted to Hospital

Has the participant been admitted overnight to a hospital in the previous 6 months?

  Ambulance

Has the participant received health care from an ambulance in the previous 6 months?

 

Has the participant ever received any substance abuse treatment (including methadone)?

  Counselling Services

Has the participant accessed a counsellor in the previous 6 months?

  Food Services

Has the participant accessed food services in the previous 6 months?

  Visit with a Health Care Provider Visit

Has the participant accessed a health care provider in the previous 6 months?

  Housing Services

Has the participant accessed housing services in the previous 6 months?

  Needle Exchange Services

Has the participant accessed a needle exchange in the previous 6 months?

  Support Group Services

Has the participant accessed a support group in the previous 6 months?

  Social Worker

Has the participant accessed a social or welfare worker in the previous 6 months?

 Service Barriers

  Housing Denied, due to drug Use

Has the participant ever had housing denied due to her drug use?

  Service Denied, due to drug use

Has the participant ever had a service denied due to her drug use?

  Barriers to Services

Does the participant feel there are barriers to accessing services she needs?

 Service Needs

  Service Needed, last 6 months

Has the participant been in need of any service, in the previous 6 months?

Distal Determinants

 Colonialism

  Residential School, parents

Has either of the participant’s parents attended residential school?

  Residential School, family History

Has anyone in the participant’s family (excluding parents) attended residential school?

  Number of Family Members

Number of known family members (excluding parents) who attended residential school

  Caregiver Addiction

Did any of the participant’s caregivers have drug or alcohol addiction problems?

  Survival Sex History

Did anyone in the participant’s family do survival sex work?