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The health impacts of social distancing among Indigenous People in Ontario during the first wave of COVID-19 第一波COVID-19期间安大略省土著居民保持社会距离对健康的影响
IF 1.5 Pub Date : 2022-07-05 DOI: 10.32799/ijih.v17i1.36933
Chantelle Richmond, Veronica Reitmeier, Katie Big-Canoe, Erik Mandawa, R. Mohammed, Hallie Abrams
Among Indigenous People in Canada and around the world, the health impacts of COVID-19 have been measured largely through biological, social, and psychological impacts. Our study draws from a relational concept of health to examines two objectives: 1) how social distancing protocols have shaped Indigenous connections with self, family, wider community, and nature; and 2) to exploring what these changing relationships mean for perceptions of health. Carried out by an Indigenous team of scholars, community activists and students, this research draws from a decolonizing methodology and qualitative interviews (n=16) with Indigenous health and social care providers in urban and reserve settings. Our results illustrate a considerable decline in interpersonal connections, such as with family, community organizations, and larger social networks, as a result of social distancing. Among those already vulnerable, underlying health, social, and economic inequities have been exacerbated. While the health impacts of COVID-19 have been overwhelmingly negative, participants noted the importance of this time for self-reflection and reconnection of human-kind and with mother earth. This paper offers an alternative perspective to popularized views of Indigenous experiences of COVID-19 as they relate to vulnerability and resilience.
在加拿大和世界各地的土著人民中,COVID-19对健康的影响主要通过生物、社会和心理影响来衡量。我们的研究从健康的关系概念出发,考察了两个目标:1)社会距离协议如何塑造土著与自我、家庭、更广泛的社区和自然的联系;2)探索这些变化的关系对健康观念意味着什么。这项研究由土著学者、社区活动家和学生组成的小组开展,采用了非殖民化方法,并对城市和保留地的土著保健和社会保健提供者进行了定性访谈(n=16)。我们的研究结果表明,由于社会距离,人际关系(如与家庭、社区组织和更大的社会网络)显著下降。在本已脆弱的人群中,潜在的健康、社会和经济不平等现象进一步加剧。尽管2019冠状病毒病对健康的影响极为负面,但与会者指出,这一时刻对于自我反思和人类与地球母亲的重新联系至关重要。本文提供了一种与脆弱性和复原力相关的关于COVID-19土著经验的流行观点的替代观点。
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引用次数: 1
The TE RANGA TUPUA COVID-19 RESPONSE: the strength of Māori relationships and Iwi networks in Aotearoa New Zealand TE RANGA TUPUA COVID-19应对措施:新西兰奥特罗阿Māori关系和Iwi网络的力量
IF 1.5 Pub Date : 2022-07-05 DOI: 10.32799/ijih.v17i1.36718
T. Devine, A. Boulton, Katie McMennamin, Wheturangi Walsh-Tapiata
“Ko te pae tawhiti whāia kia tata, ko te pae tata whakamaua kia tina; seek to bring distant horizons closer and sustain and cherish those that have been arrived at”.   This whakatauāki or proverb, from Dr Whakaari Te Rangitakuku Metekingi (LLD, CBE) of Whanganui and Ngāti Hauiti tribes reminds us that, while we must have a vision to aspire towards, we must also tend to the here and now, to the issues that are up front and close to home. It exhorts us to strengthen what has already been achieved and find ways of creating benefits for others. This paper presents the collaborative response to COVID-19 by Iwi (tribes) within Te Ranga Tupua (TRT), a collective of Iwi from the South Taranaki/Whanganui/Rangitīkei/Ruapehu regions of Aotearoa New Zealand. The research employs a mixed methods design, based on a Kaupapa Maori approach. The quantitative section identifies the population served and quantum of support provided, while the qualitative data presents the processes and associated learnings from the perspective of those tasked with the response. TRTs response to the threat of COVID-19 is shown to have been grounded in Māori values (tikanga), whānau (family) based and holistic, taking into account the mental, emotional, social, cultural and spiritual elements of safety and wellbeing, rather than just the absence or presence of the virus . The extensive relationships and networks that existed between tribes represented in the TRT collective were key to the timely distribution of care and support to Iwi members, to appropriate and relevant information dissemination and to the overall wellbeing of the people during the most difficult times of the COVID-19 response.
“Ko te pae tawhiti whāia kia tata,Ko te pae tata whakamaua kia tina;寻求拉近遥远的地平线,并维持和珍惜那些已经到达的人”。这句来自旺加尼和Ngāti Hauiti部落的Whakaari Te Rangitakuku Metekingi博士(LLD,CBE)的whakatauāki或谚语提醒我们,虽然我们必须有一个向往的愿景,但我们也必须关注此时此地,关注眼前和国内的问题。它敦促我们加强已经取得的成就,并找到为他人创造利益的方法。本文介绍了新西兰奥泰罗阿南塔拉纳基/旺加努伊/朗吉特凯伊/鲁阿佩胡地区的伊维人集体Te Ranga Tupua(TRT)内伊维人(部落)对新冠肺炎的合作应对。这项研究采用了一种混合方法设计,基于考帕帕毛利语的方法。定量部分确定了所服务的人群和所提供的支持数量,而定性数据则从负责响应的人的角度介绍了过程和相关的学习。TRT对新冠肺炎威胁的反应被证明是基于毛利人的价值观(tikanga)、whānau(家庭)和整体性的,考虑到了安全和福祉的精神、情感、社会、文化和精神因素,而不仅仅是病毒的存在或不存在。在新冠肺炎应对最困难的时期,TRT集体中代表的部落之间存在的广泛关系和网络对于及时向Iwi成员分发护理和支持、适当和相关的信息传播以及人民的整体福祉至关重要。
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引用次数: 1
Two-Spirits’ response to COVID-19: Survey Findings in Atlantic Canada identify Priorities and Developing Practices Two-Spirits应对新冠肺炎:加拿大大西洋地区的调查结果确定了优先事项和发展实践
IF 1.5 Pub Date : 2022-07-05 DOI: 10.32799/ijih.v17i1.36724
J. Sylliboy, N. Bird, Evan Butler, Kehisha Wilmot, Gage Perley
The Wabanaki Two-Spirit Alliance (W2SA), a regional Two-Spirit organization, administered an online survey in May of 2020 to identify priorities and concerns of Two-Spirit (2S) individuals and Indigenous 2SLGBTQQIA+ people in Atlantic Canada during the novel coronavirus (COVID-19) pandemic. The respondents (n=149) shared health concerns including deterioration(s) of mental health (56.32%) and described mental health supports (68.42%), health supports for Two-Spirit individuals (57.89%), healing gatherings (46.05%) and trans-specific supports (44.74%) as critical interventions in fostering Two-Spirit health. The Alliance’s immediate response was to develop community-led responses to address urgent concerns. Our key promising practice has been hosting Two-Spirit gatherings as community-based health/cultural supports; the gatherings also serve as an opportunity for the Alliance to consult the Two-Spirit community about priorities and concerns. During the COVID-19 pandemic, the Alliance explored ways to keep the Two-Spirit community safe while maintaining critical social support(s) and gaining invaluable knowledge from the Two-Spirit community. We designed a survey that provided critical feedback resulting in the Alliance shifting priorities towards developing ways to bring Two-Spirit people together safely by virtual means, seeking sustainable resources to address emerging health concerns, and increasing capacity development of the Alliance.
2020年5月,Wabanaki Two-Spirit联盟(W2SA),一个地区Two-Spirity组织,进行了一项在线调查,以确定新型冠状病毒大流行期间加拿大大西洋地区Two-Spirit(2S)个人和土著2SLGBTQQIA+人的优先事项和担忧。受访者(n=149)共有健康问题,包括心理健康恶化(56.32%),并将心理健康支持(68.42%)、双精神个体健康支持(57.89%)、康复聚会(46.05%)和跨性别支持(44.74%)描述为促进双精神健康的关键干预措施。联盟的直接对策是制定社区主导的对策,以解决紧迫关切。我们的主要有希望的做法是举办“两个精神”聚会,作为社区健康/文化支持;这些集会也为联盟提供了一个机会,就优先事项和关切事项咨询两个精神社区。在新冠肺炎大流行期间,联盟探索了保持Two-Spirit社区安全的方法,同时保持关键的社会支持,并从Two-Spirity社区获得宝贵的知识。我们设计了一项调查,提供了关键的反馈,导致联盟将优先事项转向开发通过虚拟方式将两个精神人安全地聚集在一起的方法,寻求可持续的资源来解决新出现的健康问题,并加强联盟的能力发展。
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引用次数: 2
The COVID-19 Pandemic: Challenges and Needs Experienced by Indigenous People of Urban Areas 新冠肺炎大流行:城市地区土著人民面临的挑战和需求
IF 1.5 Pub Date : 2022-07-05 DOI: 10.32799/ijih.v17i1.36676
Marie-Eve Poitras, Amanda Canapé, K. Bacon, Vanessa T. Vaillancourt, Sharon N. Hatcher, Amélie Boudreault
The world was caught off guard by the swift spread of the COVID-19 pandemic at the beginning of 2020. For vulnerable populations such as the urban Indigenous, the first wave of the pandemic was even more challenging for multiple reasons. Many of their usual culturally safe services were interrupted, thus they found themselves struggling on different levels. Our team conducted a needs assessment to shed light on how urban Indigenous people living in the X region, in the province of Quebec, Canada, dealt with this situation and what were the most important services regarding holistic health they wished they could have relied on. To respect Indigenous culture, data collection was completed through sharing circles in addition to a web-based survey. The results indicated that participants experienced anxiety and psychological distress during the pandemic. They identified unmet needs related to family services, support in homeschooling, access to traditional medicine and spiritual and cultural practices to name a few. Future work should involve the implementation of culturally safe services, adapted to the pandemic era, for Indigenous people living in urban areas
2020年初,新冠肺炎疫情迅速蔓延,令世界措手不及。对于城市土著等弱势群体来说,由于多种原因,第一波疫情更具挑战性。他们通常的文化安全服务被中断,因此他们发现自己在不同的层面上挣扎。我们的团队进行了一项需求评估,以了解生活在加拿大魁北克省X地区的城市土著人是如何应对这种情况的,以及他们希望能够依赖的关于整体健康的最重要的服务是什么。为了尊重土著文化,除了网络调查外,还通过共享圈子完成了数据收集。结果表明,参与者在疫情期间经历了焦虑和心理困扰。他们确定了与家庭服务、在家上学的支持、获得传统医学以及精神和文化实践等相关的未满足需求。未来的工作应包括为生活在城市地区的土著人提供适应疫情时代的文化安全服务
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引用次数: 2
Community and Public Health Responses to a COVID-19 Outbreak in North-west Saskatchewan: Challenges, Successes, and Lessons Learned 萨斯喀彻温省西北部社区和公共卫生部门应对COVID-19疫情:挑战、成功和经验教训
IF 1.5 Pub Date : 2022-07-05 DOI: 10.32799/ijih.v17i1.36703
M. Khaketla, Tracey Carr, Nnamdi Dubuka, Brian Quinn, Bruce Reeder, K. Sarker, Angela E. Addae, Anum Ali, G. Groot, Nazmi Sari, J. Vanstone, Collin Hartness, Rim Zayed
In spring 2020, Indigenous communities in north-west Saskatchewan, Canada, experienced the first significant outbreak of COVID-19. Through the collective efforts of public health measures by local, provincial, federal, and community partners, COVID-19 impacts were mitigated, and the severity of the outbreak in north-west Saskatchewan was limited. This article outlines the epidemiological profile of COVID-19 in the area during this period, and the concomitant narrative of the public health control measures. The narrative connects specific culturally grounded and strength-based approaches that were taken by community leaders and public health officials to moderate the pandemic’s impacts and contain the outbreak. Among the lessons learned from these multi-jurisdictional efforts were the need to customize interventions to individual community characteristics and the benefits of continuous consultation and communication with community leadership. These findings suggest that long term monetary investment in the strengths, assets and capacity of communities can contribute towards sustainable solutions for existing structural inequities that have been amplified by the pandemic.  The collaboration that resulted from local, provincial, and federal partnerships informed other pandemic response measures for subsequent outbreaks that have affected the region during the evolution of the COVID-19 pandemic.
2020年春季,加拿大萨斯喀彻温省西北部的土著社区经历了第一次重大的COVID-19疫情。通过地方、省、联邦和社区合作伙伴共同努力采取公共卫生措施,减轻了COVID-19的影响,萨斯喀彻温省西北部疫情的严重程度得到了限制。本文概述了这一时期该地区COVID-19的流行病学概况,并介绍了相应的公共卫生控制措施。该叙述将社区领导人和公共卫生官员为缓和大流行的影响和控制疫情而采取的基于文化和基于力量的具体方法联系起来。从这些跨司法管辖区的努力中吸取的经验教训包括,需要根据个别社区的特点制定干预措施,以及与社区领导不断协商和沟通的好处。这些调查结果表明,对社区的优势、资产和能力进行长期货币投资,有助于为解决因疫情而加剧的现有结构性不平等问题提供可持续的解决办法。由地方、省和联邦伙伴关系产生的合作为在COVID-19大流行演变期间影响该地区的后续疫情的其他大流行应对措施提供了参考。
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引用次数: 0
Wiingushk Okaadenige (Sweetgrass Braid): A Braided Approach to Indigenous Youth Mental Health Support during COVID-19 Wiingushk Okaadenige(甜草编):2019冠状病毒病期间土著青年心理健康支持的编织方法
IF 1.5 Pub Date : 2022-07-05 DOI: 10.32799/ijih.v17i1.36721
Nicole Ineese-Nash, M. Stein, Kruti Patel
This paper introduces an integrative (or braided) approach to Indigenous youth mental health, designed in response to a synthesis of knowledge from three systematic literature reviews and four informant consultations with mental health providers in various disciplines. The braided approach includes core principles of Indigenous Healing models (IH), Child and Youth Care (CYC) approaches, and Dialectical Behaviour Therapy (DBT) practices. The purpose of this approach is to best serve the mental and spiritual health needs of Indigenous youth across Canada during the COVID-19 pandemic. Findings of this research project informed the design and implementation of an online Indigenous youth mental health program, which is discussed in relation to the research. 
本文介绍了一种针对土著青年心理健康的综合(或编织)方法,该方法是根据三项系统文献综述和四项与各学科心理健康提供者的信息咨询中的知识综合而设计的。编织方法包括土著治疗模式(IH)、儿童和青年护理(CYC)方法以及辩证行为治疗(DBT)实践的核心原则。这种方法的目的是在新冠肺炎大流行期间,最好地满足加拿大各地土著青年的心理和精神健康需求。该研究项目的发现为在线土著青年心理健康计划的设计和实施提供了信息,该计划将与研究相关进行讨论。
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引用次数: 0
Introduction 介绍
IF 1.5 Pub Date : 2021-02-12 DOI: 10.32799/ijih.v16i2.36040
R. Jock, Colleen Erickson
On behalf of the First Nations Health Authority (FNHA) in British Columbia (BC), and FNHA’s Board of Directors, we welcome you to this two-part guest edition of the International Journal of Indigenous Health (IJIH): “Health Systems Innovation: Privileging Indigenous Knowledge, Ensuring Respectful Care, and Ending Racism toward Indigenous Peoples in Service Delivery.” This guest edition encompasses two issues, “Honouring the Sacred Fire: Ending SystemicRacism toward Indigenous Peoples” and “Wisdom of the Elders: Honouring Spiritual Laws in Indigenous Knowledge,” which address significant determinants of Indigenous Peoples’ health, and issues in health systems here in Canada and globally.
我们代表不列颠哥伦比亚省第一民族卫生局(FNHA)和FNHA董事会欢迎您参加《国际土著卫生杂志》(IJIH)的两部分客座版:“卫生系统创新:特权土著知识,确保尊重护理,并在服务提供中结束对土著人民的种族主义。“本期客座版包括两期,《尊重圣火:终结对土著人民的系统性种族主义》和《长者的智慧:尊重土著知识中的精神法则》,它们涉及土著人民健康的重要决定因素,以及加拿大和全球卫生系统中的问题。
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引用次数: 0
Editorial 社论
IF 1.5 Pub Date : 2021-02-12 DOI: 10.32799/ijih.v16i1.36037
Sonia Isaac-Mann, Evan M. Adams, Ted Mala
Welcome to this two-part guest edition of the International Journal of Indigenous Health (IJIH), produced by the First Nations Health Authority (FNHA) in the province of British Columbia (BC), Canada. As guest co-editors, we are pleased to present to you this collection of research, promising and wise practices, innovations, and Indigenous Knowledge on health and wellness. These papers constitute a substantive contribution to, as our call for submissions framed it, “Health Systems Innovation: Privileging Indigenous Knowledge, Ensuring Respectful Care, and Ending Racism toward Indigenous Peoples in Service Delivery.”
欢迎收看由加拿大不列颠哥伦比亚省第一民族卫生局制作的由两部分组成的《国际土著卫生杂志》客座版。作为客座联合编辑,我们很高兴向您展示这本关于健康和身心健康的研究、有前途和明智的实践、创新和土著知识集。正如我们对提交材料的呼吁所阐述的那样,这些文件对“卫生系统创新:尊重土著知识,确保尊重护理,并在服务提供中结束对土著人民的种族主义”做出了实质性贡献
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引用次数: 0
Editorial 编辑
IF 1.5 Pub Date : 2021-02-12 DOI: 10.32799/ijih.v16i2.36039
Sonia Isaac-Mann, Evan M. Adams, Ted Mala
Welcome to this two-part guest edition of the International Journal of Indigenous Health (IJIH), produced by the First Nations Health Authority (FNHA) in the province of British Columbia (BC), Canada. As guest co-editors, we are pleased to present to you this collection of research, promising and wise practices, innovations, and Indigenous Knowledge on health and wellness. These papers constitute a substantive contribution to, as our call for submissions framed it, “Health Systems Innovation: Privileging Indigenous Knowledge, Ensuring Respectful Care, and Ending Racism toward Indigenous Peoples in Service Delivery.”
欢迎阅读由加拿大不列颠哥伦比亚省第一民族卫生局编印的《国际土著卫生杂志》特约两部分。作为客座共同编辑,我们很高兴向您介绍这一系列关于健康和保健的研究、有前途和明智的做法、创新和土著知识。这些论文对“卫生系统创新:在服务提供中给予土著知识特权、确保尊重和结束对土著人民的种族主义”这一主题做出了实质性贡献。
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引用次数: 0
Gum yan asing Kaangas giidaay han hll guudang gas ga. I Will Never Again Feel That I Am Less Than: Indigenous Health Care Providers’ Perspectives on Ending Racism in Health Care 甘甘斯基德汉山古当气气气。我再也不会觉得我比:土著卫生保健提供者关于结束卫生保健中的种族主义的观点
IF 1.5 Pub Date : 2021-02-04 DOI: 10.32799/IJIH.V16I1.36021
Madeleine Stout, Cornelia Wieman, Lisa Bourque Bearskin, B. Palmer, L. Brown, Monica Brown, N. Marsden
Racism toward Indigenous Peoples continues to permeate throughout the health care system, a reality the authors know all too well in their shared and yet unique personal and professional experiences. Although acknowledging and speaking up against racial injustice is daunting, and is often met with disregard or inaction, the authors contend that this is a necessary undertaking to redress the ongoing harms of colonialism. Correspondingly, those who do not speak up must not have their voices silenced. Instead, the perspectives that Indigenous Peoples have regarding their own experiences of racism must be heeded seriously and produce real and tangible solutions. In narrating their own encounters of confronting and challenging racism, the authors juxtapose activism and resistance with the preservation of Indigenous Knowledge as a catalyst for propelling the necessary changes forward within health care to end racism. To be truly impactful, all efforts taken to address racism must occur alongside advancing equity of care and human rights for and by Indigenous Peoples at individual, community, and systemic levels. Changes are not needed after more evidence. The time to act is now.
针对土著人民的种族主义继续渗透在整个医疗保健系统中,这是作者在他们共同而又独特的个人和专业经历中非常了解的现实。虽然承认和公开反对种族不公正是令人生畏的,而且经常遭到忽视或不作为,但作者认为,这是纠正殖民主义持续危害的必要努力。相应地,那些不大声疾呼的人也不能被压制他们的声音。相反,必须认真注意土著人民对其自身种族主义经历的看法,并提出切实可行的解决办法。在叙述他们自己面对和挑战种族主义的遭遇时,作者将激进主义和抵抗与保护土著知识并列,作为推动医疗保健领域必要变革的催化剂,以结束种族主义。要真正发挥作用,解决种族主义问题的所有努力必须同时在个人、社区和系统层面推进土著人民的平等关怀和人权。在更多的证据之后,就不需要改变了。现在是行动的时候了。
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引用次数: 7
期刊
International Journal of Indigenous Health
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