Abstract
Indigenous people living in the Circumpolar North rely, to varying degrees, on the natural environment and the resources it provides for their lifestyle and livelihoods. As a consequence, these Northern Indigenous peoples may be more sensitive to global climate change, which has implications for food security, cultural practices, and health and well-being. To date, most research on the human dimensions of climate change in the Circumpolar North has focused on biophysical issues and their consequences, such as changing sea ice regimes affecting travel to hunting grounds or the effects of melting permafrost on built infrastructure. Less is known about how these changes in the environment affect mental health and well-being. In this paper, we build upon existing research, combined with our community-based research and professional mental health practices, to outline some pathways and mechanisms through which climate change may adversely impact mental health and well-being in the Circumpolar North. Our analysis indicates that mental health may be affected by climate change due to changes to land, ice, snow, weather, and sense of place; impacts to physical health; damage to infrastructure; indirect impacts via media, research, and policy; and through the compounding of existing stress and distress. We argue that climate change is likely an emerging mental health challenge for Circumpolar Indigenous populations and efforts to respond through research, policy, and mental health programming should be a priority. We conclude by identifying next steps in research, outlining points for policy, and calling for additional mental health resources that are locally responsive and culturally relevant.
Similar content being viewed by others
References
ACIA (2005) Impacts of a warming Arctic–Arctic climate impact assessment. Cambridge University Press, London
Adelson N (2009) Toward a recuperation of souls and bodies: community healing and the complex interplay of faith and history. In: Kirmayer L, Valaskakis G (eds) Healing traditions: the mental health of Aboriginal peoples in Canada. UBC Press, Vancouver, pp 272–288
Adger WN (2006) Vulnerability. Glob Environ Change 16:268–281
Albrecht G, Sartore GM, Connor L, Higginbotham N, Freeman S, Kelly B, Stain H, Tonna A, Pollard G (2007) Solastalgia: the distress caused by environmental change. Australas Psychiatry 15(Suppl):95–98
Allen J, Levintova M, Mohatt GV (2011) Suicide and alcohol-related disorders in the U.S. Arctic: boosting research to address a primary determinant of health disparities. Int J Circumpolar Health 70(5):473–487
Allen J, Hopper K, Wexler L, Kral M, Rasmus, Nystad K (2013). Mapping resilience pathways of Indigenous youth in five circumpolar communities. Transcult Psychiatry. doi:10.1177/1363461513497232
Berkes F, Jolly D (2002) Adapting to climate change: social-ecological resilience in a Canadian Western Arctic community. Conserv Ecol 5: (online) http://www.consecol.org/vol5/iss2/art18/
Berry H (2009) Pearl in the oyster: climate change as a mental health opportunity. Australas Psychiatry 17:453–456
Berry H, Bowen K, Kjellstrom T (2010a) Climate change and mental health: a causal pathways framework. Int J Public Health 55:123–132
Berry HL, Butler JR, Burgess CP, King UG, Tsey K, Cadet-James YL, Rigby CW, Raphael B (2010b) Mind, body, spirit: co-benefits for mental health from climate change adaptation and caring for country in remote Aboriginal Australian communities. NSW Public Health Bull 21:139–145
Berry H, Hogan A, Owen J, Rickwood D, Fragar L (2011) Climate change and farmer’s mental health: risks and responses. Asia Pac J of Public Health 23:1295–1325
Bjerregaard P, Young K, Dewailly E, Ebbesson S (2004) Indigenous health in the Arctic: an overview of circumpolar Inuit population. Scand J Public Health 32(5):390–395
Costello A, Abbas M, Allen A, Ball S, Bell S, Bellamy R, Friel S, Grace N, Johnson A, Kett M, Lee M, Levy C, Maslin M, McCoy D, McGuire B, Montgomery H, Napier D, Pagel C, Patel J, Antonio J, de Oliveira P, Redclift N, Rees H, Ragger D, Scott J, Stephenson J, Twigg J, Wolff J, Patterson C (2009) Managing the health effects of climate change. Lancet 373:1693–7333
Cunsolo Willox A, Harper S, Ford J, Landman K, Houle K, Edge V, The Rigolet Inuit Community Government (2012) ‘From this place and of this place’: climate change, sense of place, and health in Nunatsiavut, Canada. Soc Sci Med 75:538–547
Cunsolo Willox A, Harper S, Ford J, Landman K, Houle K, Edge V, The Rigolet Inuit Community Government (2013a) Climate change and mental health: a case study from Rigolet, Nunatsiavut, Labrador, Canada. Clim Change 121:255–270
Cunsolo Willox A, Harper S, Edge V, Landman K, Houle K, Ford J, The Rigolet Inuit Community Government (2013b) ‘The land enriches the soul’: on climatic and environmental change, affect, and emotional health and well-being in Rigolet, Nunatsiavut, Canada. Emotion Space Soc 6:14–24
Doherty TJ, Clayton S (2011) The psychological impacts of global climate change. Am Psychol 66:265–276
Dowsley M, Gearheard S, Johnson N, Inksetter J (2010) Should we turn the tent? Inuit women and climate change. Études/Inuit/Studies 34:151–165
Duerden F (2004) Translating climate change impacts at the local level. Arctic 57(2):204–212
Ebi K (2011) Climate change and health risks: assessing and responding to them through ‘adaptive management’. Health Aff 30:924–930
Ebi KL, Kovats SR, Menne B (2006) An approach for assessing human health vulnerability and public health interventions to adapt to climate change. Environ Health Perspect 114:1930–1934
Egeland G, Pacey A, Cao Z, Sobol I (2010) Food insecurity among Inuit preschoolers: Nunavut Inuit Child Health Survey, 2007–2008. Can Med Assoc J 182(3):243–248
Evengard B, Sauerborn R (2009) Climate change influences infectious diseases both in the Arctic and the tropics: joining the dots. Glob Health Action 2. http://www.globalhealthaction.net/index.php/gha/article/view/2106/2507
Ford JD (2009) Dangerous climate change and the importance of adaptation for the Arctic’s Inuit population. Environ Res Lett 4(2):024006
Ford JD (2012) Indigenous health and climate change. Am J Public Health 102:1260–1266
Ford JD, Pearce T (2012) Climate change vulnerability and adaptation research focusing on the Inuit subsistence sector in Canada: directions for future research. Can Geogr 56(2):275–287
Ford JD, Smit B (2004) A framework for assessing the vulnerability of communities in the Canadian arctic to risks associated with climate change. Arctic 57:389–400
Ford JD, Smit B, Wandel J (2006a) Vulnerability to climate change in the Arctic: a case study from Arctic Bay, Canada. Glob Environ Chang 16:145–160
Ford JD, Smit B, Wandel J, MacDonald J (2006b) Vulnerability to climate change in Igloolik, Nunavut: what we can learn from the past and present. Polar Record 42:127–138
Ford JD, Smit B, Wandel J, MacDonald J (2006c) Vulnerability to climate change in Igloolik, Nunavut: what we can learn from the past and present. Polar Record 42:127–138
Ford JD, Smit B, Wandel J (2006d) Vulnerability to climate change in the Arctic: a case study from Arctic Bay, Canada. Glob Environ Chang 16:145–160
Ford JD, Berrang-Ford L, King M, Furgal C (2010) Vulnerability of Aboriginal health systems in Canada to climate change. Glob Environ Chang 20:668–680
Ford JD, Bolton K, Shirley J, Pearce T, Tremblay M, Westlake M (2012) Mapping human dimensions of climate change research in the Canadian Arctic. Ambio 41(8):808–822
Fritze JG, Blashki GA, Burke S, Wiseman J (2008) Hope, despair, and transformation: Climate change and the promotion of mental health and wellbeing. Int J Mental Health Syst, 2. http://www.ijmhs.com/content/2/1/13
Furgal CM, Seguin J (2006) Climate change, health and community adaptive capacity: lessons from the Canadian North. Environ Health Perspect 114:1964–1970
Furgal C, Martin D, Gosselin P (2002) Climate change and health in Nunavik and Labrador: lessons from Inuit knowledge. In: Krupnik I, Jolly D (eds) The earth is faster now: Indigenous observations of Arctic change. Arctic Research Consortium of the United States, Fairbanks, pp 266–299
Füssel HM (2009) Assessing adaptation to the health risks of climate change: what guidance can existing frameworks provide? Int J Environ Health Res 18:37–63
Füssel HM, Klein RTJ (2006) Climate change vulnerability assessments: an evolution of conceptual thinking. Glob Environ Chang 75:301–329
Gone J (2009) Encountering professional psychology: re-envisioning mental health services for native North America. In: Kirmayer L, Valaskakis G (eds) Healing traditions: the mental health of Aboriginal peoples in Canada. UBC Press, Vancouver, pp 419–439
Gracey M, King M (2009) Indigenous health part 1: determinants and disease patterns. Lancet 374(9683):65–75
Hajkowicz SA, Heyenga S, Moffat K (2011) The relationship between mining and socio-economic well being in Australia’s regions. Resour Policy 36:30–38
Harper SL, Edge V, Wallace C, Berke O, McEwen S (2011) Comparison of trends in weather, water quality, and infectious gastrointestinal illness in two Inuit communities in Nunatsiavut, Canada: potential implications for climate change. EcoHealth 8:93–108
Hart CR, Berry HL, Tonna AM (2011) Improving the mental health of rural New South Wales communities facing drought and other adversities. Aust J Rural Health 19:231–238
Horton G, Hanna L, Kelly B (2010) Drought, drying, and climate change: emerging health issues for ageing Australians in rural areas. Australas J Ageing 29:2–7
Hunter E (2009) ‘Radical hope’ and rain: climate change and the mental health of Indigenous residents of northern Australia. Australas Psychiatry 17:445–452
IPCC (2013) Stocker TF, Qin D (eds) Climate change 2013: the physical science basis. Working Group 1 Contribution to the Fifth Assessment Report of the Intergovernmental Panel on Climate Change, Cambridge University Press, Cambridge
IPCC (2014) Barros V, Field C (eds) Climate change 2014: impacts, adaptation, and vulnerability. Contribution of Working Group II to the Fifth Assessment Report of the Intergovernmenta Panel on Climate Change, Cambridge University Press, Cambridge
ITK (2010) Health indicators of Inuit Nunangat within the Canadian context (1994–1998 and 199–2003). Inuit Tapiriit Kanatami. https://www.itk.ca/publication/health-indicators-inuit-nunangat-within-canadian-context. Accessed April 29, 2013
Jong M (2004) Managing suicides via videoconferencing in a remote Northern community in Canada. Int J Circumpolar Health 63(4):422–428
Joyce SL, Tomlin SM, Somerford PJ, Weeramanthri TS (2013) Health behaviours and outcomes associated with fly-in fly-out and shift workers in Western Australia. Internal Med J 43(4):440–444
King M, Smith A, Gracey M (2009) Indigenous health part 2: the underlying causes of the health gap. Lancet 374(9683):76–85
Kirmayer L, Brass G, Valaskakis G (2009a) Conclusion: healing/invention/tradition. In: Kirmayer L, Valaskakis G (eds) Healing traditions: the mental health of Aboriginal peoples in Canada. UBC Press, Vancouver, pp 440–472
Kirmayer L, Fletcher C, Watt R (2009b) Locating the ecocentric self: Inuit concepts of mental health and illness. In: Kirmayer L, Valaskakis G (eds) Healing traditions: the mental health of Aboriginal peoples in Canada. UBC Press, Vancouver, pp 289–314
Kirmayer L, Tait C, Simpson C (2009c) The mental health of Aboriginal peoples in Canada: transformations of identity and community. In: Kirmayer L, Valaskakis G (eds) Healing traditions: the mental health of Aboriginal peoples in Canada. UBC Press, Vancouver, pp 3–35
Kirmayer L, Dandeneau S, Marshall E, Phillips M, Williamson K (2011) Rethinking resilience from Indigenous perspectives. Can J Psychiatry-Revue Canadienne De Psychiatrie 56(2):84–91
Kral MJ (2012) Postcolonial suicide among Inuit in Arctic Canada. Cult Med Psychiatry 36:306–325
Kral MJ, Idlout L (2009) Community wellness and social action in the Canadian Arctic: collective agency as subjective well-being. In: Valaskakis G, Kirmayer L (eds) Healing traditions: The mental health of Aboriginal peoples in Canada. UBC Press, Vancouver, pp 315–334
Kral MJ, Wiebe P, Nisbet K, Dallas C, Okalik L, Enuaraq N, Cinotta J (2009) Canadian Inuit community engagement in suicide prevention. Int J Circumpolar Health 68(3):292–308
Kral MJ, Idlout L, Minoire JB, Dyck RJ, Kirmayer LJ (2011) Unikkaartuit: meanings of well-being, unhappiness, health, and community change among Inuit in Nunavut, Canada. Am J Community Psychol 48:426–438
Kral MJ, Salusky I, Inuksuk P, Angutimarik L, Tulugardjuk N (forthcoming). Tunngajuq: stress and resilience among Inuit youth in Nunavut, Canada. Transcult Psychiatry
Krupnik I, Aporta C, Gearheard S, Laidler G, Kielsen Holm L (eds) (2010) Siku: knowing our ice: documenting Inuit sea ice knowledge and use. Springer, New York
Kunuk Z, Mauro I (2010) Qapirangajuq: Inuit knowledge and climate change. Igloolik Isuma productions. www.isuma.tv/ikcc
Lear J (2006) Radical hope: ethics in the face of cultural devastation. Harvard University Press, Cambridge
Lear J (2007) Working through the end of civilization. Int J Psycholanal 88:291–308
Lehti V, Niemelä S, Hoven C, Mandell D, Sourander A (2009) Mental health, substance use, and suicidal behaviour among young Indigenous people in the Arctic: a systematic review. Soc Sci Med 69:1194–1203
Marmot M, Commission on Social Determinants of Health (2007) Achieving health equity: from root causes to fair outcomes. Lancet 370(9593):1153–1163. doi:10.1016/S0140-6736(07)61385-3
Marrone S (2007) Understanding barriers to health care: a review of disparities in health care services among Indigenous populations. Int J Circumpolar Health 66(3):188–198
Martin D, Bélanger D, Gosselin P, Brazeau J, Furgal C, Déry S (2007) Drinking water and potential threats to human health in Nunavik: adaptation strategies under climate change conditions. Arctic 60(2):195–202
Mclean KN (2012) Mental health and well-being in resident mine workers: out of the fly-in fly-out box. Aust J Rural Health 20:126–130
Minore B, Boone M, Katt M, Kinch P, Birch S (2009) Addressing the realities of health care in northern Aboriginal communities through participatory action research. J Interprof Care 18(4):360–368
Myers SS, Patz JA (2009) Emerging threats to human health from global environmental change. Annu Rev Environ Resour 34:223–252
Noble BF, Bronson JE (2005) Integrating human health into environmental impact assessment: case studies of Canada’s northern mining resource sector. Arctic 58:395–405
Nuttall M (1998) Protecting the Arctic: Indigenous peoples and cultural survival. Gordon Beach, Bedford
Nuttall M (2010) Anticipation, climate change, and movement in Greenland. Études/Inuit/Studies 34:21–38
Nystad T, Melhus M, Lund E (2006) Samisktalende er mindre fornøyd med legetjenestene. Tidsskr Nor Laegeforen 126:738–740
Page LA, Howard LM (2010) The impact of climate change on mental health (but will mental health be discussed at Copenhagen?). Psychol Med 40:177–180
Parkinson AJ, Butler JC (2005) Potential impacts of climate change on infectious disease in the Arctic. Int J Circumpolar Health 64:478–486
Parkinson AJ, Evengard B (2009) Climate change, its impact on human health in the Arctic and the public health response to threats of emerging infectious diseases. Glob Health Action 2. http://www.globalhealthaction.net/index.php/gha/article/view/2075/2566
Pearce T, Smit B, Dierden F, Ford J, Goose A, Kataoyak F (2010) Inuit vulnerability and adaptive capacity to climate change in Ulukhaktok, Northwest Territories, Canada. Polar Rec 46(237):157–177
Pearce T, Ford JD, Duerden F, Smit B, Andrachuk M, Berrang-Ford L, Smith T (2011a) Advancing adaptation planning for climate change in the Inuvialuit Settlement Region (ISR): a review and critique. Reg Environ Change 11(1):1–17
Pearce T, Wright H, Notaina R, Kudlak A, Smit B, Ford J, Furgal C (2011b) Transmission of environmental knowledge and land skills among Inuit men in Ulukhaktok, Northwest Territories, Canada. Hum Ecol 39(3):271–288
Polain JD, Berry HL, Hoskin J (2011) Rapid changes, climate adversity, and the next ‘big dry’: older farmers’ mental health. Aust J of Rural Health 19:239–243
Prowse T, Furgal C (2009) Northern Canada in a changing climate: major findings and conclusions. Ambio 38:290–292
Prowse T, Furgal C, Bonsai B, Edwards T (2009) Climatic conditions in Northern Canada: past and future. Ambio 38:257–265
Reser J, Swim J (2011) Adapting to and coping with the threats and impacts of climate change. Am Psychol 66(4):277–289
Richmond C (2007) Narratives of social support and health in Aboriginal communities. Can J Public Health 98(4):347–351
Rigby C, Rosen A, Berry H, Hart C (2011) If the land’s sick, we’re sick: the impact of prolonged drought on the social and emotional well-being of Aboriginal communities in rural New South Wales. Aust J Rural Health 19:249–254
Sartore G, Kelly B, Stain H, Albrecht G, Higginbotham N (2008) Control, uncertainty, and expectations for the future: a qualitative study of the impact of drought on a rural Australian community. Rural Remote Health 8:950
Shandro JA, Veiga MM, Shoveller J, Scoble M, Koehoorn M (2011) Perspectives on community health issues and the mining boom–bust cycle. Resour Policy 36:178–186
Sharma S, Cao X, Roache C, Buchan A, Reid R, Gittelsohn J (2010) Assessing dietary intake in a population undergoing a rapid transition in diet and lifestyle: the Arctic Inuit in Nunavut, Canada. Br J Nutr 103:749–759
Smit B, Wandel J (2006) Adaptation, adaptive capacity, and vulnerability. Glob Environ Chang 16:282–292
Stevenson L (2012) The psychic life of biopolitics: survival, cooperation, and Inuit community. Am Ethnol 39(3):592–613
Swim J, Clayton S, Doherty T, Gifford R, Howard G, Reser J, Stern P, Weber E (2010) Psychology and global climate change: addressing a multifaceted phenomenon and set of challenges. A report of the American Psychological Association task force on the interface between psychology and global climate change 2010: http://www.apa.org/science/about/publications/climate-change-booklet.pdf
Swim J, Stern P, Doherty T, Clayton S, Reser J, Weber E, Gifford R, Howard G (2011) Psychology’s contributions to understanding and addressing global climate change. Am Psychol 66:241–250
Tester T, McNicoll P (2004) Isumagijaksaq: mindful of the state: social constructions of Inuit suicide. Soc Sci Med 58:2625–2636
Waldram J (2009) Culture and Aboriginality in the study of mental health. In: Kirmayer L, Valaskakis G (eds) Healing traditions: the mental health of Aboriginal peoples in Canada. UBC Press, Vancouver, pp 56–79
Wenzel GW (2009) Canadian Inuit subsistence and ecological instability—if the climate changes, must the Inuit? Polar Res 28(1):89–99
Wexler L (2009) Identifying colonial discourses in Inupiat young people’s narratives as a way to understand the no future of Inupiat youth suicide. J Am Indian Alask Nativ Mental Health Res 16(1):1–24
Wexler L (2011) Behavioral health services “don’t work for us”: cultural incongruities in human service systems for Alaska Native communities. Am J Community Psychol 47(1–2):157–169
Wexler L, Gone J (2012) Examining cultural incongruities in Western and Indigenous suicide prevention to develop responsive programming. Am J Public Health 102(5):800–806
Wexler L, Graves K (2008) The importance of culturally-responsive training for building a behavioral health workforce in Alaska Native villages: a case study from Northwest Alaska. J Rural Mental Health 32(3):22–33
Wexler L, Joule L, Garoutte J, Mazziotti J, Baldwin E, Griffin M, Jernigan K, Hopper K, CIPA Team (2013) “Being responsible, respectful, trying to keep the tradition alive:” cultural resilience and growing up in an Alaska native community. Transcult Psychiatry
Wolf J, de Shalit A (2007) Disadvantage. Oxford University Press, Oxford
Young K (ed) (2012) Circumpolar health atlas. University of Toronto Press, Toronto
Acknowledgments
The authors wish to thank the many wonderful Circumpolar communities, health professionals, and Indigenous partners with whom we have been collaborating and from whom we have learned so much. We also wish to thank Adam Bonnycastle (University of Guelph) for creating the map, and the two anonymous reviewers for providing very helpful comments and suggestions, which improved this article.
Author information
Authors and Affiliations
Corresponding author
Additional information
Editor: Wolfgang Cramer.
Rights and permissions
About this article
Cite this article
Cunsolo Willox, A., Stephenson, E., Allen, J. et al. Examining relationships between climate change and mental health in the Circumpolar North. Reg Environ Change 15, 169–182 (2015). https://doi.org/10.1007/s10113-014-0630-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10113-014-0630-z