Getting the Canadian HIV epidemic to zero: Valuing indigenous cultures through holistic research.

Earl Nowgesic
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Abstract

This paper was orally presented at the Canadian Aboriginal AIDS Network, Wise Practices IV - Community-Based Research Gathering on September 25, 2013 in Saskatoon, Saskatchewan, Canada as the LaVerne Monette Memorial Lecture. The objectives of this paper are: (1) to describe the HIV epidemic among Aboriginal people living in Canada; and (2) to examine the value of incorporating indigenous cultures into research within the context of holistic research perspectives. The methodology used to address the objectives was an integrative review (i.e., structured review) of the literature. The major results of this review revealed that while Aboriginal people make up 3.8% of the Canadian population, they represent 12.2% of all new HIV infections in 2011. In 2011, a full 81% of newly diagnosed HIV cases in the Province of Saskatchewan were of Aboriginal ethnicity. Although there are diverse approaches to conducting research involving Aboriginal populations (e.g., critical social paradigm, indigenous research paradigm, and critical indigenous pedagogy vis-à-vis critical, indigenous qualitative research), each has its unique challenges. This paper concludes that Aboriginal people are overrepresented in the Canadian HIV epidemic and that valuing indigenous cultures through holistic research perspectives has the potential to get the Canadian HIV epidemic to zero.

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使加拿大的艾滋病毒流行为零:通过整体研究重视土著文化。
本文于2013年9月25日在加拿大萨斯喀彻温省萨斯卡通举行的加拿大原住民艾滋病网络Wise Practices IV - Community-Based Research Gathering上作为LaVerne Monette Memorial Lecture口头提交。本文的目的是:(1)描述居住在加拿大的土著人中的艾滋病毒流行情况;(2)在整体研究视角的背景下,考察将土著文化纳入研究的价值。用于解决目标的方法是文献的综合回顾(即,结构化回顾)。这项审查的主要结果显示,虽然原住民占加拿大人口的3.8%,但他们占2011年所有新感染艾滋病毒的12.2%。2011年,萨斯喀彻温省新诊断的艾滋病毒病例中有81%是土著民族。虽然开展涉及土著人口的研究有多种方法(例如,批判性社会范式、土著研究范式和批判性土著教育学,参见-à-vis批判性土著定性研究),但每种方法都有其独特的挑战。本文的结论是,土著人在加拿大艾滋病毒流行中所占比例过高,通过整体研究观点重视土著文化有可能使加拿大艾滋病毒流行降至零。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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Getting the Canadian HIV epidemic to zero: Valuing indigenous cultures through holistic research. Addressing HIV/AIDS among Aboriginal People using a Health Status, Health Determinants and Health Care Framework: A Literature Review and Conceptual Analysis.
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