结束加拿大对土著人民的暴力:医疗保健责任
1Faculty of Medicine and Dentistry, University of Alberta, 2-07 Heritage Medical Research Centre, Edmonton, AB, T6G 2S2, Canada.
Lancet regional health. Americas
|October 21, 2024
概括
这项研究认为,加拿大医疗保健必须面对殖民暴力,而不仅仅是健康差距. 解决根本原因,即殖民暴力,对于土著人民的福祉至关重要.
科学领域:
- 公共卫生 公共卫生
- 土著研究土著研究.
- 卫生社会学 卫生社会学
背景情况:
- 殖民剥夺对土著人民的身体和情感经历产生了深远的影响.
- 目前加拿大的土著化政策和健康研究往往只关注和解和健康差距.
研究的目的:
- 在加拿大医疗保健系统中理论化对土著人民的殖民暴力.
- 批评和解话语在解决土著健康不平等的根本原因方面的局限性.
- 将土著健康从赤字模式重新定位到承认和对抗殖民暴力.
主要方法:
- 对有关土著健康,殖民暴力和和解的现有文献进行批判性分析.
- 从批判性土著研究奖学金中绘制理论框架.
- 检查公共卫生机构的角色和责任.
主要成果:
- 殖民暴力,而不仅仅是健康差异,是影响土著人民健康的根本问题.
- "缩小土著健康差距"的概念在不解决潜在的殖民暴力的情况下是不够的.
- 加拿大的医疗保健有公共卫生责任,即认识到和应对殖民暴力.
结论:
- 医疗保健系统必须承认并积极打击殖民暴力作为公共卫生的必要条件.
- 落实"失踪和谋杀的土著妇女和女童国家调查"中的"寻求正义"的呼吁是关键的第一步.
- 需要一个范式的转变,以超越基于赤字的方法在土著健康研究和政策.
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