摘要:Objectives. While much attention is paid to the importance of a First Nations community environment to the health of First Nations people, no research has assessed the health promoting and health damaging characteristics of First Nation communities. This study is the first to employ a multilevel approach to understanding the social determinants of health risk (smoking drinking problems, weight problems), health status (self rated health, suicide thoughts, diabetes, hypertension), and preventative health practices (regular physician and blood pressure check-up) in First Nations communities. The objective of the study is to determine if the social, cultural, geographic, economic, health status, health risk factor, and health service environment of First Nations communities independently influence the health of First Nations peoples.(Int J Circumpolar Health 2004; 63(2):192-194)