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Is Geographical Isolation Associated with Poorer Outcomes for Northern Manitoba First Nation Communities? 地理隔离与曼尼托巴省北部第一民族社区的较差结果有关吗?
IF 1.3 Q1 Social Sciences Pub Date : 2019-09-27 DOI: 10.21203/rs.2.15263/v1
J. Lavoie, W. Phillips-Beck, K. Kinew, Stephanie Sinclair, Grace Kyoon-Achan, A. Katz
This study tested the assumption that geographical isolation is associated with poorer population health outcomes among First Nations in Manitoba. Our results show higher premature mortality rates (PMR) in northern communities, declining slower than for any other Manitoba communities. Our results also show lower ambulatory care sensitive conditions (ACSC) hospitalization rate in the North, suggesting barriers to prevention and early diagnosis. There remains a large gap in ACSC hospitalization rates between First Nations and all Manitobans. Further research is warranted to understand the relationship between the changes in the rates of ACSC and the difference in the rates between northern and southern communities.
这项研究检验了这样一种假设,即地理隔离与马尼托巴省原住民较差的人口健康结果有关。我们的研究结果显示,北部社区的过早死亡率(PMR)较高,下降速度慢于曼尼托巴省其他任何社区。我们的研究结果还显示,北方的门诊护理敏感性疾病(ACSC)住院率较低,这表明预防和早期诊断存在障碍。原住民和所有马尼托巴人在ACSC住院率方面仍然存在很大差距。需要进一步研究,以了解ACSC发病率的变化与北部和南部社区发病率差异之间的关系。
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引用次数: 1
Business Ethics and Sovereignty in Settler Colonial States 殖民地国家的商业伦理与主权
IF 1.3 Q1 Social Sciences Pub Date : 2019-09-12 DOI: 10.18584/iipj.2019.10.3.8251
J. Poesche
The objective of this conceptual article is to make the case that Indigenous Cemānáhuacan nations’ sovereignty is valid throughout all of Cemānáhuac (the Americas), thus rendering settler colonial laws illegitimate and illegal. This in turn means that firms need to abide by Indigenous Cemānáhuacan nations’ laws. Theories relating to business, business ethics, compliance, and sustainability reflecting the assumptions of settler colonial sovereignty need to be reworked to take into account the ethical and legal reality of Indigenous Cemānáhuacan nations’ sovereignty. Without coercion-free recognition from Indigenous Cemānáhuacan nations, firms cannot accept any claim of government authority, ownership, or sovereignty made by settler colonial states. This article closes a gap in the literature between Indigenous sovereignty and business ethics in a settler colonial context.
这篇概念性文章的目的是证明土著Cemānáhuacan民族的主权在整个Cemā。这反过来意味着公司需要遵守Cemānáhuacan土著民族的法律。与商业、商业道德、合规性和可持续性相关的理论反映了定居者殖民主权的假设,需要重新制定,以考虑到土著Cemānáhuacan民族主权的道德和法律现实。如果没有Cemānáhuacan土著民族的无胁迫承认,公司就无法接受定居者殖民国家对政府权力、所有权或主权的任何主张。这篇文章填补了定居者殖民背景下土著主权和商业伦理之间的文献空白。
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引用次数: 0
Quantification of Interplaying Relationships Between Wellbeing Priorities of Aboriginal People in Remote Australia 澳大利亚偏远地区原住民福祉优先事项之间互动关系的量化
IF 1.3 Q1 Social Sciences Pub Date : 2019-08-21 DOI: 10.18584/IIPJ.2019.10.3.8165
Rosalie Schultz, Stephen Quinn, Tammy Abbott, Sheree Cairney, J. Yamaguchi
Wellbeing is a useful indicator of social progress because its subjectivity accounts for diverse aspirations. The Interplay research project developed a wellbeing framework for Aboriginal people in remote Australia comprising government and community wellbeing priorities. This article describes statistical modelling of community priorities based on surveys administered by community researchers to 841 participants from four remote settlements. Constructs for Aboriginal language literacy, cultural practice, and empowerment were identified through exploratory factor analysis (EFA); structural equation modeling (SEM) was used to confirm relationships. Cultural practice was associated with Aboriginal language literacy and empowerment, which were both associated with wellbeing. Aboriginal literacy and empowerment mediated negative direct relationships between cultural practice and wellbeing. Direct relationships were significant only for females for whom empowerment and Aboriginal literacy appear key to enhancing wellbeing.
幸福是社会进步的一个有用指标,因为它的主观性反映了不同的愿望。Interplay研究项目为澳大利亚偏远地区的原住民制定了一个福利框架,其中包括政府和社区的福利优先事项。本文描述了基于社区研究人员对来自四个偏远定居点的841名参与者进行的调查,对社区优先事项进行的统计建模。通过探索性因素分析确定了土著语言识字、文化实践和赋权的结构;使用结构方程建模(SEM)来确认关系。文化实践与土著语言识字和赋权有关,这两者都与幸福感有关。土著人识字和赋权介导了文化实践与福祉之间的负面直接关系。只有对女性来说,直接关系才是重要的,对她们来说,赋权和原住民识字似乎是提高幸福感的关键。
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引用次数: 1
Acknowledging and Promoting Indigenous Knowledges, Paradigms, and Practices Within Health Literacy-Related Policy and Practice Documents Across Australia, Canada, and New Zealand 承认和促进澳大利亚、加拿大和新西兰卫生扫盲相关政策和实践文件中的土著知识、范例和实践
IF 1.3 Q1 Social Sciences Pub Date : 2019-07-04 DOI: 10.18584/IIPJ.2019.10.3.8133
Gordon Robert Boot, A. Lowell
Enhancing health literacy can empower individuals and communities to take control over their health as well as improve safety and quality in healthcare. However, Indigenous health studies have repeatedly suggested that conceptualisations of health literacy are confined to Western knowledge, paradigms, and practices. The exploratory qualitative research design selected for this study used an inductive content analysis approach and systematic iterative analysis. Publicly available health literacy-related policy and practice documents originating from Australia, Canada, and New Zealand were analysed to explore the extent to which and the ways in which Indigenous knowledges are recognised, acknowledged, and promoted. Findings suggest that active promotion of Indigenous-specific health knowledges and approaches is limited and guidance to support recognition of such knowledges in practice is rare. Given that health services play a pivotal role in enhancing health literacy, policies and guidelines need to ensure that health services appropriately address and increase awareness of the diverse strengths and needs of Indigenous Peoples. The provision of constructive support, resources, and training opportunities is essential for Indigenous knowledges to be recognised and promoted within health services. Ensuring that Indigenous communities have the opportunity to autonomously conceptualise health literacy policy and practice is critical to decolonising health care.
提高健康素养可以使个人和社区能够控制自己的健康,并提高医疗保健的安全性和质量。然而,土著健康研究一再表明,健康素养的概念仅限于西方知识、范式和实践。本研究选择的探索性定性研究设计采用了归纳内容分析法和系统迭代分析法。对来自澳大利亚、加拿大和新西兰的公开的健康扫盲相关政策和实践文件进行了分析,以探索土著知识得到承认、承认和推广的程度和方式。研究结果表明,积极宣传土著特有的健康知识和方法是有限的,在实践中支持承认这些知识的指导意见很少。鉴于卫生服务在提高健康知识方面发挥着关键作用,政策和指导方针需要确保卫生服务适当解决土著人民的各种优势和需求,并提高人们对这些优势和需求的认识。提供建设性的支持、资源和培训机会对于在卫生服务中承认和推广土著知识至关重要。确保土著社区有机会自主构思健康扫盲政策和实践,对于医疗保健非殖民化至关重要。
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引用次数: 15
Book Review: The Reason You Walk 书评:你走路的原因
IF 1.3 Q1 Social Sciences Pub Date : 2019-07-01 DOI: 10.18584/IIPJ.2019.10.3.8081
C. McLeod, N. Adunuri
This article provides a review of the memoir The Reason You Walk by Wab Kinew.
这篇文章提供了对回忆录《你走路的原因》的回顾。
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引用次数: 0
Genocide Against Indigenous Peoples: The Experiences of the Truth Commissions of Canada and Guatemala 对土著人民的种族灭绝:加拿大和危地马拉真相委员会的经验
IF 1.3 Q1 Social Sciences Pub Date : 2019-06-04 DOI: 10.18584/IIPJ.2019.10.2.6
Emmanuel Guematcha
The truth commission of Guatemala stated that a genocide was committed against Indigenous Peoples in Guatemala. The truth commission of Canada concluded that a cultural genocide was committed against Aboriginal Peoples in Canada. The article questions the contribution of the truth commissions of Guatemala and Canada to the recognition of a genocide. Their contribution is analyzed in two areas. The article argues that the work of the two truth commissions shows that the context of a country and the perception of the crime influence the findings on genocide. It also states that the work of the two truth commissions on genocide is part of a movement towards an evolution of the 1948 United Nations Genocide Convention.
危地马拉真相委员会说,危地马拉发生了针对土著人民的种族灭绝。加拿大真相委员会的结论是,加拿大发生了针对土著人民的文化种族灭绝。这篇文章质疑危地马拉和加拿大真相委员会对承认种族灭绝的贡献。从两个方面分析了他们的贡献。文章认为,两个真相委员会的工作表明,一个国家的背景和对罪行的看法影响了对种族灭绝的调查结果。它还指出,两个真相委员会关于种族灭绝的工作是1948年《联合国灭绝种族罪公约》演变运动的一部分。
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引用次数: 2
Community Setting as a Determinant of Health for Indigenous Peoples Living in the Prairie Provinces of Canada: High Rates and Advanced Presentations of Tuberculosis 社区环境是加拿大草原省份土著人民健康的决定因素:结核病发病率高和发病率高
IF 1.3 Q1 Social Sciences Pub Date : 2019-05-24 DOI: 10.18584/IIPJ.2019.10.2.5
M. Mayan, R. Gokiert, T. Robinson, M. Tremblay, S. Abonyi, Kirstyn Morley, R. Long
Indigenous Peoples in Canada experience disproportionately high tuberculosis (TB) rates, and those living in the Prairie Provinces have the most advanced TB presentations (Health Canada, 2009). The community settings (i.e., urban centres, non-remote reserves, remote reserves, and isolated reserves) where Indigenous Peoples live can help explain high TB rates. Through qualitative description, we identify how community setting influenced Indigenous people’s experiences by (a) delaying accurate diagnoses; (b) perpetuating shame and stigma; and (c) limiting understanding of the disease. Participants living in urban centres experienced significant difficulties obtaining an accurate diagnosis. Reserve community participants feared being shamed and stigmatized. TB information had little impact on participants’ TB knowledge, regardless of where they lived. Multiple misdiagnoses (primarily among urban centre participants), being shamed for having the disease (primarily reserve community participants), and a lack of understanding of TB can all contribute to advanced presentations and high rates of the disease among Indigenous Peoples of the Prairie Provinces.
加拿大土著人民的肺结核发病率高得不成比例,而生活在草原省份的土著人民的结核病发病率最高(加拿大卫生部,2009年)。土著人民居住的社区环境(即城市中心、非偏远保护区、偏远保护区和孤立保护区)有助于解释结核病发病率高的原因。通过定性描述,我们确定了社区环境如何通过(a)延迟准确诊断来影响土著人的经历;(b) 使耻辱和耻辱永久存在;以及(c)限制对该疾病的了解。生活在城市中心的参与者在获得准确诊断方面遇到了重大困难。预备役社区的参与者害怕被羞辱和污名化。结核病信息对参与者的结核病知识几乎没有影响,无论他们住在哪里。多次误诊(主要是在城市中心参与者中)、因患有结核病而感到羞耻(主要是后备社区参与者)以及对结核病缺乏了解,都可能导致草原省土著人民对结核病的发病率高。
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引用次数: 5
Social Determinants of Indigenous Health and Indigenous Rights in Policy: A Scoping Review and Analysis of Problem Representation 政策中土著健康和土著权利的社会决定因素:问题代表性的范围审查和分析
IF 1.3 Q1 Social Sciences Pub Date : 2019-05-21 DOI: 10.18584/IIPJ.2019.10.2.4
E. George, T. Mackean, F. Baum, Matt Fisher
Despite evidence showing the importance of social determinants of Indigenous health and Indigenous rights for health and equity, they are not always recognised within policy. This scoping review identified research on public policy and Indigenous health through a systematic search. Key themes identified included the impact of ongoing colonisation; the central role of government in realising rights; and the difficulties associated with the provision of mainstream services for Indigenous Peoples, including tokenism towards Indigenous issues and the legacy of past policies of assimilation. Our approach to problem representation was guided by Bacchi (2009). Findings from the review show social determinants of Indigenous health and Indigenous rights may be acknowledged in policy rhetoric, but they are not always a priority for action within policy implementation.
尽管有证据表明土著健康和土著健康与平等权利的社会决定因素的重要性,但这些因素在政策中并不总是得到承认。该范围审查通过系统搜索确定了关于公共政策和土著居民健康的研究。确定的主要主题包括持续殖民化的影响;政府在实现权利方面的核心作用;以及为土著人民提供主流服务的困难,包括对土著问题的象征性态度和过去同化政策的遗留问题。我们的问题表征方法是由Bacchi(2009)指导的。审查的结果表明,土著健康和土著权利的社会决定因素可能在政策言辞中得到承认,但它们并不总是政策执行中行动的优先事项。
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引用次数: 23
Solution Model for Enhancing the Experiences of Urban First Nations and Métis Patients Accessing and Navigating the Health System for Inflammatory Arthritis Care 增强城市原住民和梅蒂斯患者获得和导航炎症性关节炎卫生系统护理经验的解决方案模型
IF 1.3 Q1 Social Sciences Pub Date : 2019-05-10 DOI: 10.18584/IIPJ.2019.10.2.3
C. Barnabe, Jean Miller, Sylvia Teare, Casey Eaglespeaker, Brenda Roland, N. Eshkakogan, L. Crowshoe, E. Lopatina, D. Marshall
Health system innovations that better support Indigenous patients, particularly in urban settings, exist in primary health services, but this has not been translated and integrated into specialty care. We sought to identify the experiences of urban First Nations and Métis patients with inflammatory arthritis in accessing and navigating the health system. We used a qualitative research method called Patient and Community Engagement Research Program (PaCER) led by patients using an iterative three phase process: Set, Collect, and Reflect. Initial access and continuity of specialty care can be facilitated with collaboration between primary and specialty care in an urban Indigenous health service model, where health system change was built on culturally responsive models of care.
在初级卫生服务中存在着更好地支持土著患者的卫生系统创新,特别是在城市环境中,但这尚未转化并纳入专科护理。我们试图确定城市第一民族和患有炎性关节炎的msamims患者在访问和导航卫生系统方面的经验。我们使用了一种定性研究方法,称为患者和社区参与研究计划(PaCER),由患者领导,采用迭代的三个阶段过程:设置,收集和反思。在城市土著卫生服务模式中,初级保健和专科保健之间的合作可以促进专科保健的初步获取和连续性,在这种模式中,卫生系统的变革建立在对文化作出反应的保健模式之上。
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引用次数: 2
International Disaster Risk Reduction Strategies and Indigenous Peoples 国际减少灾害风险战略与土著人民
IF 1.3 Q1 Social Sciences Pub Date : 2019-05-06 DOI: 10.18584/IIPJ.2019.10.2.2
Simon Lambert, J. Scott
With more frequent and more intense disasters, disaster risk reduction (DRR) has become increasingly important as a fundamental approach to sustainable development. Indigenous communities hold a unique position in DRR discourse in that they are often more vulnerable than non-Indigenous groups and yet also hold traditional knowledges that enable a greater understanding of hazards and disasters. This article provides an overview of multilateral agreements for incorporating Indigenous Peoples into wider debates on disaster policies as well as development agendas. Essential DRR strategies can be adapted for Indigenous communities through respect for Indigenous approaches in coordinating alliances; culturally appropriate incentives; accurate, appropriate, and ethical data collection; acknowledgment of Indigenous land use practices; use of Indigenous language, leadership, and institutions; collaboration with Indigenous knowledges; and acceptance of traditional healing approaches.
随着灾害的日益频繁和强烈,减少灾害风险作为可持续发展的一种基本方法变得越来越重要。土著社区在DRR话语中占据着独特的地位,因为他们往往比非土著群体更容易受到伤害,但他们也拥有传统知识,能够更好地了解危险和灾难。本文概述了将土著人民纳入关于灾害政策和发展议程的更广泛辩论的多边协议。通过在协调联盟中尊重土著人的做法,可以为土著社区调整基本的DRR战略;文化上适当的激励措施;准确、适当和合乎道德的数据收集;承认土著土地使用做法;使用土著语言、领导能力和机构;与土著知识合作;以及接受传统的治疗方法。
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引用次数: 31
期刊
International Indigenous Policy Journal
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