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Indigenous Perspectives on Strengths, Resilience, and Well-being 原住民对优势、复原力和福祉的看法
IF 1.5 Pub Date : 2024-03-17 DOI: 10.32799/ijih.v19i1.41134
Melissa Walls, Nikki Crowe, Vicki Oberstar, Joseph Gone, Marcia Kitto, Colleen Bernu, Nicole Weiss
Indigenous communities consistently call for strengths-based, assets-driven approaches to promoting health equity. This includes efforts to expand well-being and resilience frameworks to reflect cultural understandings and perspectives. This study describes community-based participatory research (CBPR) involving focus groups with four diverse groups of Indigenous community members in a single reservation community in the United States. Data were analyzed using inductive and deductive multi-coder processes. Our collaborative efforts led to innovations in planned methods and focal areas of study, including a reframing of “resilience” as one that brings hearts and community together. This approach also yielded a unique, intensive qualitative coding structure that represents a substantive effort to democratize and Indigenize research methods. Community members who participated in focus groups identified Indigenous cultural practices, beliefs, and community as critical components to well-being.
土著社区一直呼吁采取以优势为基础、以资产为驱动的方法来促进健康公平。这包括努力扩展福祉和复原力框架,以反映文化理解和观点。本研究介绍了以社区为基础的参与式研究(CBPR),其中包括与美国一个保留地社区中四个不同群体的土著社区成员组成的焦点小组。数据分析采用了归纳和演绎的多重编码过程。我们的合作努力促成了计划方法和重点研究领域的创新,包括将 "复原力 "重新定义为一种将心灵和社区凝聚在一起的能力。这种方法还产生了一种独特的、密集的定性编码结构,体现了研究方法民主化和本土化的实质性努力。参与焦点小组的社区成员认为,土著文化习俗、信仰和社区是福祉的重要组成部分。
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引用次数: 0
Navigating two worlds: developing a learning map to visualise the knowledge and skills required for culturally informed shared decision making with Aboriginal people in New South Wales Australia 驾驭两个世界:绘制学习地图,直观展示与澳大利亚新南威尔士州原住民进行文化知情共同决策所需的知识和技能
IF 1.5 Pub Date : 2024-03-17 DOI: 10.32799/ijih.v19i1.41457
Tara Dimopoulos-Bick, David Follent, Cory Paulson, Sharon Taylor, Melissa Cawley, Regina Osten, Belinda Co, L. Trevena
Finding Your Way is a shared decision making (SDM) resource created with and for Aboriginal people in 2021. It is the only culturally adapted SDM resource for Aboriginal people in Australia and one of few examples developed with First Nations people internationally. A two-round modified e-Delphi approach, incorporating yarning methods, was used to gather expert opinions and reach a consensus on the capabilities (knowledge and skills) required to effectively use Finding Your Way and engage in SDM with Aboriginal people. 29 predefined capabilities were gleaned from the research evidence and yarning sessions to form the basis of the e-Delphi. 138 panel members completed round one of the e-Delphi between 19/01/2023 and 27/01/2023, and 113 completed round two between 09/02/2023 and 20/02/2023. There was 82% panel member retention rate across the two-e Delphi rounds and the consensus threshold was 75% strongly agree. Consensus was reached for ten capabilities, and a learning map was developed to reflect Aboriginal valuing, being, knowing and doing as represented in the Aboriginal 8 Ways of Learning pedagogy. Cultural imagery was used to create the learning map representing key knowledge and skills required ton use Finding Your Way, presenting this information in a symbolic and non-linear way.
找到你的路 "是 2021 年与原住民共同开发的共享决策 (SDM) 资源。它是澳大利亚唯一针对原住民进行文化调整的 SDM 资源,也是国际上为数不多的与原住民共同开发的实例之一。我们采用了两轮修改后的电子德尔菲方法(e-Delphi approach),并结合了学习方法(yarning methods),以收集专家意见,并就有效使用 "Finding Your Way "和与原住民一起参与 SDM 所需的能力(知识和技能)达成共识。从研究证据和学习课程中收集了 29 项预定义能力,作为电子德尔菲的基础。138 名小组成员在 2023 年 1 月 19 日至 2023 年 1 月 27 日期间完成了第一轮电子德尔菲,113 名成员在 2023 年 2 月 9 日至 2023 年 2 月 20 日期间完成了第二轮电子德尔菲。在两轮电子德尔菲中,小组成员保留率为 82%,共识阈值为 75%"非常同意"。就十种能力达成了共识,并绘制了学习地图,以反映原住民八种学习方法教学法中体现的原住民价值观、存在、认知和行动。在绘制学习地图时使用了文化图像,代表了使用 "找到你的路 "所需的关键知识和技能,并以象征性和非线性的方式展示了这些信息。
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引用次数: 0
Skookum Health 斯库库姆健康
IF 1.5 Pub Date : 2024-03-17 DOI: 10.32799/ijih.v19i1.41320
Lyana Patrick, Tsatia Adzich, Krystal Dumais
This article presents findings of a collaborative, community-based project that established partnerships between researchers at Simon Fraser University and Indigenous community members and organizations in Surrey, British Columbia. In Metro Vancouver, Surrey saw the biggest increase in its Indigenous population, which grew 77 per cent between 2006 and 2016 to 13,460. This was a timely project given that community research partners were interested in focusing on health issues and that traditional health and social service models geared towards Indigenous populations tend to focus on on-reserve populations. Research objectives included: 1) to identify the health needs and priorities of Indigenous peoples in Surrey; 2) to determine what methodologies should be used when researching culture and health; and 3) to explore how existing data connected to Surrey’s Indigenous population can be accessed to better align research priorities with the health status of Indigenous peoples in Surrey. Data was gathered through two community talking circles (n=30) and one-to-one interviews with health and social service providers (n=12). Findings from the project included: the importance of culturally safe care and support in health and social service systems; the need for training and education among health and social service providers on the history and contemporary experiences of Indigenous peoples; and the importance of having access to Elder-led cultural teachings and land-based activities that support health and wellbeing of families and communities.
西蒙弗雷泽大学的研究人员与不列颠哥伦比亚省素里市的原住民社区成员和组织建立了合作关系。在大温哥华地区,素里的原住民人口增幅最大,在 2006 年至 2016 年间增长了 77%,达到 13,460 人。鉴于社区研究合作伙伴有兴趣关注健康问题,而且面向原住民的传统健康和社会服务模式往往侧重于保留地人口,因此该项目非常及时。研究目标包括1) 确定素里原住民的健康需求和优先事项;2) 确定在研究文化和健康时应使用的方法;3) 探索如何获取与素里原住民相关的现有数据,以便更好地将研究重点与素里原住民的健康状况相结合。数据是通过两个社区谈话圈(人数=30)以及与卫生和社会服务提供者(人数=12)的一对一访谈收集的。该项目的研究结果包括:在卫生和社会服务系统中提供文化上安全的护理和支持的重要性;在卫生和社会服务提供者中开展有关土著居民的历史和当代经历的培训和教育的必要性;以及获得由长者主导的文化教义和基于土地的活动以支持家庭和社区的健康和福祉的重要性。
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引用次数: 0
kiwētotētan: ininiw kiskinomākēwin a framework for decolonial education kiwētotētan: ininiw kiskinomākēwin 非殖民化教育框架
IF 1.5 Pub Date : 2024-03-17 DOI: 10.32799/ijih.v19i1.41253
Becky Cook, Ron Cook, Gordon Walker, Madeline Walker, Floyd Sutherland, Faylene Sutherland, Dave Swanson, C. Thomas
Pre-contact Indigenous Nations were vibrant with their own legal, government, and education systems. Indigenous education was community-led and grounded in the spiritual, emotional, physical and mental development of the child. Teachings were tied to the land following the natural cycles, and language was passed down through ceremony and time on the land. Following the creation of the Canadian state, Indigenous education systems were eroded, leaving detrimental impacts on communities and youth that are ongoing today. In recent decades, many communities have taken the initiative to restore community-led Indigenous education systems. The work presented here, Ininiw kiskinomākēwin, was collectively built with both Ininiwak and Anishinabe Elders and educators from Northern Manitoba and can be adapted to fit other First Nations groups across Canada. Ininiw kiskinomākēwin conveys the pre-contact methods for ensuring children and youth grow and become healthy, contributing members of society, and includes teachings involving family, community, language, land, and spirit. The implementation of this work is ongoing; critical components related to building a local teacher workforce, engaging Elders, supporting parents and having access to the land will shape how we choose to educate current and future generations.
接触前的土著民族拥有自己的法律、政府和教育体系,充满活力。土著教育以社区为主导,以儿童的精神、情感、身体和智力发展为基础。教育与土地息息相关,遵循自然周期,语言通过仪式和在土地上的时间传承。加拿大建国后,土著教育体系受到侵蚀,对社区和青少年造成的有害影响一直持续到今天。近几十年来,许多社区主动恢复了社区主导的土著教育体系。本文介绍的作品 "Ininiw kiskinomākēwin "是由来自北马尼托巴省的伊尼瓦克长老和阿尼西纳比长老以及教育工作者共同完成的,可根据加拿大其他原住民群体的情况进行调整。Ininiw kiskinomākēwin "传达了接触前确保儿童和青少年健康成长并成为对社会有贡献的成员的方法,包括涉及家庭、社区、语言、土地和精神的教义。这项工作的实施仍在进行中;与建立当地教师队伍、让长老参与、支持家长和使用土地有关的关键要素将决定我们选择如何教育当代人和后代人。
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引用次数: 0
Could Adequate and More Appropriate Housing for Aboriginal and Torres Strait Islander People in New South Wales, Australia, Reduce the Risk of Poorer Health Outcomes? 为澳大利亚新南威尔士州的土著居民和托雷斯海峡岛民提供充足且更合适的住房能否降低健康状况恶化的风险?
IF 1.5 Pub Date : 2024-03-17 DOI: 10.32799/ijih.v19i1.41293
Michael F. Doyle, Lisa Jackson-Pulver, Samuel Harley, Ian Ring, Emma McBryde
Objective: Indigenous Australians are estimated to be 3.7 times more likely to be living in overcrowded conditions and are more likely to have poorer health outcomes. To investigate correlations between housing, health and age of death, we used data from the Public Health Information Development Unit (PHIDU) on the 105 Indigenous Areas (IAREs) within New South Wales (NSW).   Methods: Univariant and multivariant linear regression analysis of the Public Health Information Development Unit (PHIDU) database.   Results: Our results indicate that for every 1% increase in crowded households in an IARE, avoidable hospital admissions increased by 130 cases per 100,000.   Conclusion: We conclude that this finding is consistent with the view that decreased overcrowding could improve the health of Aboriginal people in NSW.   Implications for public health: Increased housing availability could reduce the demand for health services, including public hospitals.
目标:据估计,澳大利亚原住民居住在过度拥挤环境中的几率是普通人的 3.7 倍,而且他们的健康状况更差。为了研究住房、健康和死亡年龄之间的相关性,我们使用了公共卫生信息开发部(PHIDU)提供的有关新南威尔士州(NSW)105 个土著地区(IAREs)的数据。 研究方法对公共卫生信息开发部(PHIDU)数据库进行单变量和多变量线性回归分析。 结果我们的结果表明,IARE 中的拥挤家庭每增加 1%,每 10 万人中可避免的入院人数就会增加 130 例。 结论我们的结论是,这一发现与减少过度拥挤现象可改善新南威尔士州原住民健康状况的观点一致。 对公共卫生的影响:增加住房供应可减少对医疗服务(包括公立医院)的需求。
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引用次数: 0
Conversations on Cannabis and Mental Health: Recommendations for Health and Social Care Providers from Indigenous 2SLGTBQQIA+ People in Canada 关于大麻和心理健康的对话:加拿大土著2SLGTBQQIA+人民对保健和社会保健提供者的建议
Pub Date : 2023-09-18 DOI: 10.32799/ijih.v18i2.39270
Marisa Blake, Jessica Webb, Lee Allison Clark, Chaneesa Ryan, Abrar Ali, Lynne Groulx
With the recent legalization of cannabis in Canada, there is an urgent need for information about its effects on Indigenous populations due to the impact of cannabis on the mental health of Indigenous Peoples in Canada being largely unknown. Using the guiding principles of Etuaptmumk (Two-Eyed Seeing), Sharing Circles were held to hear the needs and experiences of Indigenous People in relation to their mental health and cannabis use. From these engagements and using gender-based and distinctions-based analysis, four recommendations were developed for academic institutions, medical regulatory authorities and health and social care providers (HSCPs) to consider when caring for Indigenous People living with mental health issues. The findings point to the disconnection between recent research on medical cannabis and its availability to Indigenous People through accessible mediums, HSCPs, and the lack of cultural safety in health and social services. The four recommendations provided are helpful to both educate frontline HSCPs about the needs and experiences of Indigenous People and improve access to current information and best practices for Indigenous People who use cannabis for mental health from the regulatory and representation perspective.
随着加拿大最近将大麻合法化,迫切需要了解大麻对土著人口的影响,因为大麻对加拿大土著人民心理健康的影响在很大程度上是未知的。根据Etuaptmumk(两只眼睛看)的指导原则,举办了交流圈,以听取土著人民在心理健康和大麻使用方面的需求和经验。根据这些接触,并利用基于性别和基于差异的分析,提出了四项建议,供学术机构、医疗监管当局以及卫生和社会保健提供者在照顾有精神健康问题的土著人民时考虑。调查结果指出,最近关于医用大麻的研究与土著人民通过无障碍媒介、hsps获得大麻之间存在脱节,而且卫生和社会服务中缺乏文化安全。提出的四项建议既有助于教育第一线卫生服务人员了解土著人民的需求和经验,又有助于从管理和代表的角度改善使用大麻促进精神健康的土著人民获得当前信息和最佳做法的机会。
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引用次数: 0
My Mother Wild 我的狂野母亲
Pub Date : 2023-09-08 DOI: 10.32799/ijih.v18i2.39572
Mikaela Gabriel
Indigenous land relationships are central for Indigenous wellness, ceremonies, language, and cultural resurgence; as original caretakers of Turtle Island, the relationship with land is a profoundly spiritual one. This same relationship has also been the focus of colonial forces’ division, separation, and control, resulting in dislocation from traditional territories and ensuing impacts across all domains of Indigenous health and wellbeing. This article reviews existing literature that centralizes Indigenous land relationships, and contributes the reflections and stories of Indigenous youth that participated in this author’s dissertation study. Employing a narrative inquiry methodology with oral storytelling traditions, nine Indigenous youth and four traditional knowledge keepers were interviewed and shared their experiences on urban migrations, employment, education, and mental health. Their connections and reflections on land are included here, with key reflections, proposed connections to existing literature, and in-depth exploration that centers and promotes Indigenous land-based healing and education efforts.
土著土地关系是土著健康、仪式、语言和文化复兴的核心;作为龟岛最初的守护者,他们与土地的关系是一种深刻的精神关系。这一关系也是殖民势力分裂、分离和控制的焦点,导致土著人民脱离传统领土,并对土著人民健康和福利的所有领域产生影响。这篇文章回顾了现有的文献,这些文献集中了原住民的土地关系,并提供了参与作者论文研究的原住民青年的思考和故事。采用具有口头讲故事传统的叙述调查方法,对9名土著青年和4名传统知识保持者进行了访谈,并分享了他们在城市移民、就业、教育和心理健康方面的经验。他们在土地上的联系和反思,包括关键的反思,与现有文献的拟议联系,以及以促进土著土地治疗和教育努力为中心的深入探索。
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引用次数: 0
COVID-19 Containment in Indigenous Communities in North-West Saskatchewan: Community and Multi-Sectoral Stakeholder Perspectives 萨斯喀彻温省西北部土著社区防控COVID-19:社区和多部门利益攸关方视角
Pub Date : 2023-09-08 DOI: 10.32799/ijih.v18i2.39431
Tracey Carr, Stephanie Witham, Anum Ali, Erin Lashta, Teddy Clark, Leonard Montgrand, Martha Morin, Robert St. Pierre, Marissa Evans, Gary Groot
In the spring of 2020, remote Indigenous communities in the far north-western region of Saskatchewan, Canada, experienced a COVID-19 outbreak that required the collaboration of local leaders, Indigenous governments, and other multi-sectoral organizations. This study shares the stories of those involved in the response and illustrates the challenges, successes, and recommendations for future emergency preparedness. A total of 22 participants were interviewed from the impacted communities, government agencies, and organizations in public health, public safety, and law enforcement between May and August of 2021. Qualitative interviews were analyzed using thematic analysis resulting in the following themes: 1) Challenges, 2) Consequences, 3) Successes, and 4) Recommendations. A final knowledge translation event was held with key stakeholders, including public health professionals and community members, to co-create final recommendations for future public health responses in remote Indigenous communities. Our findings underscored the importance of community leadership, local investment, public health preparedness, and relationship building between organizations and jurisdictions. Lessons and recommendations from these stories can be applied to future pandemic preparedness in the province.
2020年春季,加拿大萨斯喀彻温省偏远西北地区的偏远土著社区爆发了COVID-19疫情,需要当地领导人、土著政府和其他多部门组织的合作。本研究报告分享了参与应对工作的人员的故事,说明了面临的挑战、取得的成功以及对未来应急准备的建议。在2021年5月至8月期间,共有22名参与者接受了来自受影响社区、政府机构和公共卫生、公共安全和执法组织的采访。定性访谈采用专题分析方法进行分析,得出以下主题:1)挑战,2)后果,3)成功,4)建议。与包括公共卫生专业人员和社区成员在内的主要利益攸关方举行了一次最后的知识翻译活动,共同为偏远土著社区未来的公共卫生对策提出最后建议。我们的调查结果强调了社区领导、地方投资、公共卫生准备以及组织和司法管辖区之间建立关系的重要性。这些故事的教训和建议可应用于该省未来的大流行防范工作。
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引用次数: 0
Mental Health & Educational Attainment: Learning From Indigenous Youth Who Are Homeless 心理健康;教育程度:向无家可归的土著青年学习
Pub Date : 2023-09-08 DOI: 10.32799/ijih.v18i2.39571
Sabina Mirza
Indigenous youth who experience homelessness are faced with multilevel challenges related to family, health, service access, support, employment and education. Navigating racism, ageism and other forms of discrimination complicates the search for pathways out of homelessness, especially when attempted without systematic adult support. In this study, the educational experiences of homeless youth across the York Region of Toronto were explored in depth. The narratives shared by 11 Indigenous youth convey their perspectives on education, health and mental health, and other life contexts affected by homelessness. Analyses of their dialogues can help educators, researchers and service providers better understand their health and mental health challenges. Despite desires to continue with their educational pursuits, they are often forced to drop out of school prematurely. Their perspectives, especially about mental health and education, can raise awareness about youth homelessness in suburban areas surrounding Toronto.
无家可归的土著青年面临着与家庭、保健、获得服务、支助、就业和教育有关的多层次挑战。种族主义、年龄歧视和其他形式的歧视使寻找摆脱无家可归的途径变得复杂,特别是在没有成年人系统支持的情况下。本研究以多伦多约克区的流浪青少年为研究对象,深入探讨流浪青少年的教育经验。11名土著青年分享的叙述表达了他们对受无家可归影响的教育、健康和心理健康以及其他生活环境的看法。分析他们的对话可以帮助教育工作者、研究人员和服务提供者更好地了解他们的健康和心理健康挑战。尽管渴望继续他们的教育追求,他们往往被迫过早辍学。他们的观点,特别是关于心理健康和教育的观点,可以提高人们对多伦多周边郊区青少年无家可归问题的认识。
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引用次数: 0
Role of Self-Determination in Health and Wellness: A qualitative study with Indigenous youth health leaders across Canada 自决在健康和保健中的作用:对加拿大各地土著青年健康领袖的定性研究
Pub Date : 2023-09-08 DOI: 10.32799/ijih.v18i2.39519
Rachel Thorburn, Jeffrey Ansloos, Sam McCormick, Deanna Zantingh
This work centers the voices of Indigenous young people to explore how they are defining and enacting self-determination, and how these expressions of self-determination influence the wellness of these young people and their communities. Thematic analysis was used to analyze 15 interviews with Indigenous young people about how they understood wellness in the context of their community work. Interview transcripts were analyzed to understand how young people conceptualized and enacted self-determination and its relationship to wellness, and to identify underlying connections to Indigenous self-determination theory. Results indicate that Indigenous young people define and enact self-determination through traditional healing and embracing cultural wellness practices; through sharing lived experience and meeting people where they are at; and. through community inclusion and intuitive practice. Implications for researchers, policymakers, and care providers who work with Indigenous young people are considered.
这项工作以土著青年的声音为中心,探索他们如何定义和实施自决,以及这些自决的表达如何影响这些年轻人及其社区的健康。专题分析用于分析对土著青年的15次访谈,了解他们如何在社区工作的背景下理解健康。对访谈记录进行分析,以了解年轻人如何概念化和实施自决及其与健康的关系,并确定与土著自决理论的潜在联系。结果表明,土著青年通过传统治疗和拥抱文化健康实践来定义和制定自决;通过分享生活经验和了解他们所在的地方;和。通过社区包容和直觉实践。对研究人员、政策制定者和与土著青年一起工作的护理提供者的影响进行了考虑。
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引用次数: 0
期刊
International Journal of Indigenous Health
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