The role of sovereignty in Indigenous community-based health interventions: A qualitative metasynthesis

IF 3.4 2区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY American journal of community psychology Pub Date : 2023-04-14 DOI:10.1002/ajcp.12670
Gillian Joseph
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Abstract

Indigenous peoples around the world suffer from health disparities attributed to a plethora of risk factors and social determinants of health stemming from colonialism and systemic oppression. Community-based health interventions have been identified as a means for addressing and reducing Indigenous health disparities by allowing for Indigenous sovereignty to be respected and centered. However, sovereignty relating to Indigenous health and well-being is underresearched. The present article explores the role of sovereignty in Indigenous community-based health interventions. A qualitative metasynthesis was conducted among 14 primary research studies co-authored by Indigenous people describing and evaluating Indigenous community-based health interventions. Five conceptual themes emerged as aspects of sovereignty which benefit Indigenous health and well-being outcomes: integration of culture; relocation of knowledge; connectedness; self-actualization; and stewardship. Implications are discussed, with the goal of creating a decolonial framework rooted in Indigenous epistemologies and perspectives for how sovereignty impacts Indigenous health, as well as strengthening a clear need for further research on and praxis of sovereignty in Indigenous healthcare.

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主权在土著社区健康干预中的作用:定性荟萃。
由于殖民主义和系统性压迫所产生的大量风险因素和健康的社会决定因素,世界各地的土著人民在健康方面存在着差异。以社区为基础的健康干预措施已被确定为解决和减少土著人健康差距的一种手段,允许尊重土著人的主权并将其置于中心地位。然而,有关土著人健康和福祉的主权问题研究不足。本文探讨了主权在土著社区健康干预中的作用。对土著人共同撰写的描述和评估土著社区健康干预措施的 14 项主要研究进行了定性元综合。研究发现,主权的五个方面有利于土著人的健康和福祉成果:文化的融合;知识的迁移;联系;自我实现;以及管理。讨论了其影响,目的是建立一个根植于土著认识论和观点的非殖民框架,以了解主权如何影响土著健康,以及加强对土著医疗保健中主权的进一步研究和实践的明确需求。
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来源期刊
CiteScore
6.30
自引率
9.70%
发文量
55
期刊介绍: The American Journal of Community Psychology publishes original quantitative, qualitative, and mixed methods research; theoretical papers; empirical reviews; reports of innovative community programs or policies; and first person accounts of stakeholders involved in research, programs, or policy. The journal encourages submissions of innovative multi-level research and interventions, and encourages international submissions. The journal also encourages the submission of manuscripts concerned with underrepresented populations and issues of human diversity. The American Journal of Community Psychology publishes research, theory, and descriptions of innovative interventions on a wide range of topics, including, but not limited to: individual, family, peer, and community mental health, physical health, and substance use; risk and protective factors for health and well being; educational, legal, and work environment processes, policies, and opportunities; social ecological approaches, including the interplay of individual family, peer, institutional, neighborhood, and community processes; social welfare, social justice, and human rights; social problems and social change; program, system, and policy evaluations; and, understanding people within their social, cultural, economic, geographic, and historical contexts.
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