Historical trauma refers to the cumulative emotional and psychological effects of colonization, forced assimilation, and other traumatic events that Indigenous communities have experienced over generations. This trauma can manifest in a variety of ways, including addiction, mental health problems, and physical health issues.

Historical traumas have had a profound impact on Indigenous peoples’ health, both physically and mentally. For example, the forced removal of Indigenous children from their families and communities to attend residential schools led to intergenerational trauma and loss of culture, which has been linked to higher rates of suicide, addiction, and other health problems. In addition, Indigenous peoples have faced systemic racism and discrimination in accessing healthcare, which has contributed to health disparities.

Health equity means that everyone has a fair and just opportunity to be healthy. This includes addressing social determinants of health, such as access to education and healthcare, as well as addressing systemic injustices and discrimination that contribute to health disparities. Health equity also recognizes that different populations may have unique health needs and requires tailoring interventions to meet those needs.

Promoting health equity for Indigenous peoples requires a comprehensive approach that addresses historical traumas and systemic inequities. This includes providing culturally safe healthcare, addressing social determinants of health, investing in Indigenous-led healthcare initiatives, and supporting the revitalization of Indigenous languages and cultures. It also requires addressing systemic racism and discrimination in healthcare and other sectors. Ultimately, achieving health equity for Indigenous peoples requires a commitment to reconciliation and decolonization.