Examining Land as a Determinant of Health for Indigenous Communities 


Presenter: Anika Maharaj

Faculty Sponsor: Deborah Keisch

School: UMass Amherst

Research Area: Public Health and Epidemiology

Session: Poster Session 1, 10:30 AM - 11:15 AM, Auditorium, A28

ABSTRACT

The Social Determinants of Health (SDOH) framework encapsulates how social and environmental conditions can impact health. However, this approach fails to capture how colonization and land dispossession can affect the health of Indigenous communities. Indigenous knowledge systems emphasize the interconnectedness of determinants, including relationships with land, non-human relatives, and cultural practices. Conventional SDOH models often overlook these protective factors, focusing instead on deficits and comparisons with mainstream populations, which are not representative in this scenario. The Hassanimisco Nipmuc are native to central and western Massachusetts and parts of Rhode Island and Connecticut for thousands of years. They have been trying to rematriate their land, Lampson Brook Farm in Belchertown, and have faced significant obstacles from a lack of awareness and understanding from the non-Native community about how land is central to their livelihood and wellbeing. The Land Back movement is an international Indigenous-led movement that calls for land to be returned to Indigenous tribes. By tying in elements from our public and political education campaign and the Land Back movement, this project aims to synthesize alternative health frameworks from Indigenous scholars to create a more holistic, Indigenous-led framework for community health and wellness. Land is a critical determinant of health for Indigenous communities and must be recognized in health policy. For many tribes, the relationship with land is inseparable from physical, mental, spiritual, and cultural well-being. Advancing land sovereignty is essential because it enables tribes to restore and center their relationships with land as a foundation of community health.