重新定义原住民健康差距:从赤字到文化联系
Ted Fields1,2, Warren Foster1,2, Brett J Biles1,3
1School of Population Health, University of New South Wales, Sydney, NSW, Australia.
The Lancet regional health. Western Pacific
|December 12, 2024
概括
聚焦原住民文化对于改善健康和福祉至关重要. 了解文化健康,包括国家,人民和文化,需要基于力量的方法来解决差异.
科学领域:
- 土著研究土著研究.
- 公共卫生 公共卫生
- 文化人类学 文化人类学
背景情况:
- 原住民的健康和福祉受到殖民的影响.
- 当前的健康方法往往无法将土著文化作为中心.
- 卫生结果的差异 ("差距") 仍然存在.
研究的目的:
- 从土著人的角度探索文化健康的概念.
- 倡导将文化作为原住民健康和福祉战略的中心.
- 确定文化健康的关键要素.
主要方法:
- 对文化健康概念的定性探索.
- 借鉴Yuwaalaraay/Gamilaraay和Yuin Djirringanj文化知识持有者的观点.
- 分析殖民对文化健康的影响.
主要成果:
- 文化健康是由三个相互关联的要素定义的:国家,人民和文化.
- 侵略和殖民破坏了文化健康,导致健康结果的不平等.
- 现有的关于"差距"的数据往往忽略了文化健康,并采用基于赤字的模型.
结论:
- 将重点转移到文化健康方面对于改善土著人的福祉至关重要.
- 需要基于实力的方法来收集关于文化健康的数据.
- 将文化集中在政策和实践中对于解决健康不平等至关重要.
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