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International Journal of Indigenous Health最新文献

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Colonial Trauma: Complex, continuous, collective, cumulative and compounding effects on the health of Indigenous Peoples in Canada and beyond 殖民创伤:对加拿大内外土著人民的健康产生复杂、持续、集体、累积和复合的影响
IF 1.5 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2019-08-09 DOI: 10.32799/ijih.v14i2.32251
T. Mitchell
Indigenous peoples across the globe suffer a disproportionate burden of both mental and physical illness relative to Settler populations. A substantial body of research indicates that colonialism and its associated processes are important determinants of Indigenous peoples' health. In Canada, despite an abundance of health research documenting inequalities in morbidity and mortality rates for Indigenous peoples, relatively little research has focused on the political, historical, cultural basis of health disparities. This paper advances a theory of colonial trauma as a conceptual framework with which to understand Indigenous health and mental health disparities. Colonial Trauma is described as a complex, continuous, collective, cumulative and compounding interaction of impacts related to the imposition of colonial policies and practices which continue to separate Indigenous Peoples from their land, languages, cultural practices, and one another. The theory of colonial trauma is presented as useful a framework for understanding the links between persistent health disparities, the traumagenic nature of colonialism and the right of self-determination.
与移民人口相比,全球各地的土著人民在精神和身体疾病方面承受着不成比例的负担。大量研究表明,殖民主义及其相关进程是土著人民健康的重要决定因素。在加拿大,尽管有大量的保健研究记录了土著人民发病率和死亡率方面的不平等现象,但侧重于保健差异的政治、历史和文化基础的研究相对较少。本文提出了一种殖民创伤理论,作为理解土著居民健康和心理健康差异的概念框架。殖民创伤被描述为与实施殖民政策和做法有关的复杂、持续、集体、累积和复合影响的相互作用,这些政策和做法继续将土著人民与其土地、语言、文化习俗分开,并彼此分开。殖民创伤理论被认为是一个有用的框架,有助于理解持续存在的健康差距、殖民主义的创伤性质和自决权之间的联系。
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引用次数: 30
Editorial 社论
IF 1.5 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2019-08-09 DOI: 10.32799/ijih.v14i2.32958
S. Stewart, Angela Mashford‐Pringle
Since 2004 the International Journal of Indigenous Health has published Indigenous open access research and it is time to self-evaluation.
自2004年以来,《国际土著健康杂志》发表了土著开放获取研究,现在是自我评价的时候了。
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引用次数: 0
Growing Beyond Nutrition: 超越营养的成长:
IF 1.5 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2019-08-09 DOI: 10.32799/ijih.v14i2.31938
Kelsey Timler, C. Varcoe, H. Brown
Many Indigenous communities in Canada experience disproportionate rates of food insecurity and diet-related diseases impacted by historic and ongoing colonialism. Barriers to health and wellbeing associated with ongoing colonial processes also have resulted in inequities for Indigenous peoples within the criminal justice system. A prison garden program in British Columbia, Canada, attempts to address inmate rehabilitation and Indigenous community food insecurity by supporting incarcerated men to grow and subsequently donate organic produce to rural and remote Indigenous communities. Qualitative research undertaken to study program impacts shows that the focus on food security for Indigenous communities, while important, does not take into account wider contexts of colonialism and the importance of access to land, resources and rights inherent in food sovereignty. The study findings signal the limitations of programs and research that focus solely on food security for Indigenous peoples, and outlines how accounting for the colonial context can emphasize the critical role of Indigenous values, community strengths, and priorities for fostering food sovereignty and health.
加拿大许多土著社区经历了不成比例的粮食不安全和受历史和持续殖民主义影响的饮食相关疾病。与正在进行的殖民进程相关的健康和福祉障碍也导致了刑事司法系统中土著人民的不平等。加拿大不列颠哥伦比亚省的一个监狱花园项目试图通过支持被监禁的男子种植有机农产品,并随后向农村和偏远的土著社区捐赠有机农产品来解决囚犯康复和土著社区粮食不安全问题。为研究项目影响而进行的定性研究表明,关注土著社区的粮食安全虽然很重要,但没有考虑到殖民主义的更广泛背景以及获得土地、资源和粮食主权固有权利的重要性。研究结果表明,仅关注土著人民粮食安全的项目和研究存在局限性,并概述了殖民背景下如何强调土著价值观、社区优势和优先事项在促进粮食主权和健康方面的关键作用。
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引用次数: 5
Self-Location and Ethical Space in Wellness Research 健康研究中的自我定位与伦理空间
IF 1.5 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2019-08-09 DOI: 10.32799/ijih.v14i2.31914
Cindy Peltier, Louela Manankil-Rankin, Karey D. McCullough, Megan Paulin, P. Anderson, Kanessa Hanzlik
Working with Indigenous communities involves responsibility, relationship, respect, and reciprocity (Kirkness & Barnhardt, 2016). Our research consists of a partnership with Nipissing First Nation to explore their citizens’ understanding of wellness. Our aim is to tell a collective story of wellness based on the experiences of Nipissing First Nation citizens. As part of our relational process, our research team engaged in an exercise of self-location in preparation for working with Nipissing First Nation stories. This process involved looking back into our own stories of wellness from three temporal points: as children, youth, and adults. Our collective perspective of wellness involved three main themes of relationship, identity, and determinants of health. This exercise helped researchers become aware of their own subjective lenses about wellness. Awakening to our own stories helped us to recognize the ethical space that existed between us as researchers, the stories we will gather, and the perspectives of our community advisory committee. Engaging in this exercise illuminated the need for a continual reflexive stance, consistently being mindful about the privilege we hold as researchers and the invisible stories that creep into an analysis. The process of self-location was an essential element in beginning our research journey. It prepared us for working respectfully and reciprocally with the community that honours the ethical space we collectively share.
与土著社区合作涉及责任、关系、尊重和互惠(Kirkness & Barnhardt, 2016)。我们的研究包括与尼皮辛第一民族的合作伙伴关系,以探索其公民对健康的理解。我们的目标是根据尼皮辛第一民族公民的经历,讲述一个关于健康的集体故事。作为我们关系过程的一部分,我们的研究团队进行了自我定位练习,为尼皮辛第一民族故事的研究做准备。这个过程包括从三个时间点回顾我们自己的健康故事:儿童、青年和成人。我们对健康的集体看法涉及关系、身份和健康决定因素三个主题。这个练习帮助研究人员意识到他们自己对健康的主观看法。唤醒我们自己的故事,帮助我们认识到我们作为研究人员之间存在的伦理空间,我们将收集的故事,以及我们社区咨询委员会的观点。参与这一练习表明,我们需要保持一种持续反思的立场,始终牢记我们作为研究人员所拥有的特权,以及潜入分析的看不见的故事。自我定位的过程是我们开始研究之旅的一个重要因素。它使我们能够与尊重我们共同拥有的道德空间的社区相互尊重地工作。
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引用次数: 5
Exploring the health and well-being of children and youth in Winneway, Québec 探索温尼韦省儿童和青年的健康和福祉
IF 1.5 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2019-08-09 DOI: 10.32799/ijih.v14i2.31910
A. Kutcher, Priscilla Pichette, M. Macdonald, Franco A. Carvenvale
Health inequalities of Indigenous children and youth in Canada are well documented. Recently, children and youths’ perspectives are being recognized as valuable. However, there is a paucity of literature that seek children and youth’s perspective regarding their health and well-being. The purpose of this study was to understand how children and youth in Winneway, QC view health and well-being and to identify their main health and well-being concerns. A focused ethnographic study with Indigenous decolonizing framework was used with data primarily collected through interviews of fifteen participants aged 6 to 17. Children and youth in Winneway view their health and well-being as multidimensional and view themselves as decision-makers in their health and well-being choices. Their main health and well-being concerns include poor eating choices, difficulty expressing emotional and mental concerns, how children and youth treat others, and youth participation in unhealthy behaviours. These findings reveal the valuable perspectives that Indigenous children and youth can have regarding their health and well-being. They also suggest that future health and well-being interventions targeting Indigenous children and youth seek out and respect the knowledge and perspectives that children and youth have of their health and well-being.
加拿大土著儿童和青年在保健方面的不平等现象有据可查。最近,儿童和青少年的观点被认为是有价值的。然而,很少有文献从儿童和青年的角度来看待他们的健康和福祉。本研究的目的是了解Winneway, QC的儿童和青少年如何看待健康和福祉,并确定他们的主要健康和福祉问题。采用土著非殖民化框架的重点人种学研究,主要通过采访15名6至17岁的参与者收集数据。温尼威的儿童和青年认为他们的健康和福祉是多方面的,并将自己视为健康和福祉选择的决策者。他们的主要健康和福祉问题包括不良的饮食选择、难以表达情感和精神关切、儿童和青年如何对待他人以及青年参与不健康行为。这些调查结果揭示了土著儿童和青年对其健康和福祉的宝贵看法。他们还建议,今后针对土著儿童和青年的健康和福祉干预措施应寻求并尊重儿童和青年对其健康和福祉的了解和看法。
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引用次数: 1
Micro-Reconciliation as a Pathway for Transformative Change 微观和解是变革的途径
IF 1.5 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2019-06-06 DOI: 10.32799/ijih.v14i2.31928
Caroline L. Tait, William Mussell, Robert Henry
This paper introduces the concept of micro-reconciliation as a pragmatic action to support cultural safety and humility work.  Similar to cultural safety and humility, micro-reconciliation practices aim to challenge and diminish racism, inequality and inequity experienced by Indigenous peoples. In arguing for changes to the human service sector, micro-reconciliation exists at the intersections between entrenched structural racism and the psychological and emotional roots of discrimination that play out in every day service delivery. Three organizing practices are discussed; acknowledment, witnessing and moral courage, as the basis of micro-reconciliaion work and the advancement of cultural safety and reconciliaton. 
本文介绍了微观和解的概念,将其作为支持文化安全和谦逊工作的务实行动。与文化安全和谦逊类似,微和解做法旨在挑战和减少土著人民所经历的种族主义、不平等和不平等。在主张改变人类服务部门的过程中,在根深蒂固的结构性种族主义与日常服务中歧视的心理和情感根源之间的交叉点上存在着微观和解。讨论了三种组织实践;认识、见证和道德勇气,作为微观和解工作的基础,推进文化安全与和解。
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引用次数: 4
Indigenous factors relevant for Safe Birth in Cultural Safety among Nancue ñomndaa communities in Guerrero, Mexico 墨西哥格雷罗州Nancueñomndaa社区文化安全中与安全生育相关的土著因素
IF 1.5 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2019-06-03 DOI: 10.32799/ijih.v14i2.31946
Iván Sarmiento
Culturally unsafe approaches have governed the study of Indigenous birthing systems in the South of Mexico. The actions that these approaches promote tend to perpetuate the dominance of Western views in the shaping of health care systems; thus, reducing their cultural pertinence and quality. In this protocol, we propose a methodology to understand the most relevant factors associated with safe birth according to the knowledge of traditional Indigenous midwives. We propose to use conversations as a methodology to promote intercultural dialogue. Conversations recognize mutual interaction and construction of meaning, thus allowing for Western and Indigenous practitioners to interchange knowledge and mutually enrich each other. Three experienced traditional midwives will participate in one-to-one conversations with an indigenous researcher. They will provide the first level of understanding on the meaning of relevant factors for safe birth in their communities. A group of non-indigenous Academic researchers will participate in the process sharing their knowledge about the issue and support the analysis process. These initial results will go to a group session with traditional midwives and their apprentices to check the content, suggest additional elements and share the knowledge among them. This study is part of a bigger effort to support and strength the practices of the traditional midwives in these communities.
墨西哥南部土著生育制度的研究采用了文化上不安全的方法。这些方法所促进的行动往往会使西方观点在医疗保健系统的形成中占据主导地位;从而降低了他们的文化针对性和文化素质。在本协议中,我们提出了一种方法,根据传统土著助产士的知识,了解与安全分娩相关的最相关因素。我们建议将对话作为促进文化间对话的一种方法。对话承认相互作用和意义的构建,从而使西方和土著从业者能够交流知识,相互丰富。三名经验丰富的传统助产士将与一名土著研究人员进行一对一的对话。他们将对社区中安全分娩的相关因素的含义提供第一层次的理解。一组非土著学术研究人员将参与这一过程,分享他们对这一问题的知识,并支持分析过程。这些初步结果将与传统助产士及其学徒进行小组会议,以检查内容,提出其他元素,并在他们之间分享知识。这项研究是支持和加强这些社区传统助产士做法的更大努力的一部分。
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引用次数: 1
Moving Systems to Cultural Safety 将系统推向文化安全
IF 1.5 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2019-05-28 DOI: 10.32799/IJIH.V14I1.32731
S. Stewart, Angela Mashford‐Pringle
All Indigenous peoples across the globe have experienced multiple historical colonial aggression and assaults. In Canada and the USA for example, education was used as a tool of oppression for Indigenous peoples through residential school. Child welfare, health and health care, and forced land relocation are also sites of intensive and invasive harms.
全球所有土著人民都经历了多次历史性的殖民侵略和袭击。例如,在加拿大和美国,教育被用作通过寄宿学校压迫土著人民的工具。儿童福利、保健和医疗保健以及强迫土地迁移也是造成严重和侵入性伤害的场所。
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引用次数: 0
Moving and Enhancing System Change 推动和加强制度变革
IF 1.5 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2019-05-27 DOI: 10.32799/IJIH.V14I1.32726
S. Stewart, Angela Mashford‐Pringle
All Indigenous peoples across the globe have experienced multiple historical colonial aggression and assaults. In Canada and the USA for example, education was used as a tool of oppression for Indigenous peoples through residential school. Child welfare, health and health care, and forced land relocation are also sites of intensive and invasive harms. Health services continue to be a site of systemic and personal oppression for Indigenous peoples across Canada and the world (Reading 2013). For many years, Indigenous peoples have faced discrimination and racism when accessing biomedical health care. Implementation of colonization in Canada, Australia, New Zealand, and elsewhere, have been well documented to adversely influence aspects of health in many Indigenous communities worldwide and linked to high rates of mental health, education, and employment challenges (see Loppie & Wein, 2009; Mowbray, 2007; Paradies, Harris, & Anderson, 2008); these traumas are rooted attempts in cultural extermination and deep-set pains in regard to identity and well-being (Stout & Downey, 2006; Thurston & Mashford-Pringle, 2015).
全球所有土著人民都经历了多次历史性的殖民侵略和袭击。例如,在加拿大和美国,教育被用作通过寄宿学校压迫土著人民的工具。儿童福利、保健和医疗保健以及强迫土地迁移也是造成严重和侵入性伤害的场所。卫生服务仍然是加拿大和世界各地土著人民遭受系统性和个人压迫的场所(Reading 2013)。多年来,土著人民在获得生物医学保健时一直面临歧视和种族主义。加拿大、澳大利亚、新西兰和其他地方的殖民化对世界各地许多土著社区的健康产生了不利影响,并与高比率的心理健康、教育和就业挑战有关(见Loppie&Wein,2009;莫布雷,2007年;Paradies、Harris和Anderson,2008年);这些创伤源于文化灭绝的尝试,以及身份和幸福感方面的深层次痛苦(Stout&Downey,2006;瑟斯顿和马什福德-普林格尔,2015年)。
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引用次数: 0
Building on Strengths: Collaborative Intergenerational Health Research with Urban First Nations and Métis Women and Girls 加强优势:与城市原住民和梅蒂斯妇女和女孩开展代际健康合作研究
IF 1.5 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2019-05-07 DOI: 10.32799/IJIH.V14I1.31932
E. Cooper, S. Driedger, J. Lavoie
Little research has focused on how Indigenous girls and their familial female caregivers negotiate issues pertaining to wellbeing and decision-making practices. To address this gap, we employed a novel intergenerational Indigenous partnership methods using various decolonizing action and arts-based activities, to allow participants to guide and modify the direction of the research throughout data collection. We report on three separate activities: a physical game to address concepts of wellness, a memory game that focused on harm reduction and an art project that explored self-esteem. Within each of these activities, female family members and girls worked together to unpack issues of importance within their lives. We conclude that a flexible participatory research design within an intergenerational setting can meet not only the proposed research objectives, but participants’ ever-changing questions and concerns pertaining to health and wellbeing, while still producing rich data to answer important research questions.
很少有研究关注土著女孩及其家庭女性照顾者如何协商与福祉和决策实践有关的问题。为了解决这一差距,我们采用了一种新的代际土著伙伴关系方法,使用各种非殖民化行动和基于艺术的活动,让参与者在数据收集过程中指导和修改研究方向。我们报告了三个独立的活动:一个是解决健康概念的物理游戏,一个是专注于减少伤害的记忆游戏,一个是探索自尊的艺术项目。在每一项活动中,女性家庭成员和女孩一起工作,解开她们生活中重要的问题。我们的结论是,在代际环境中灵活的参与性研究设计不仅可以满足拟议的研究目标,而且可以满足参与者不断变化的与健康和福祉有关的问题和关注点,同时仍然可以产生丰富的数据来回答重要的研究问题。
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引用次数: 4
期刊
International Journal of Indigenous Health
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