加拿大的土著人民中与健康有关的耻辱:一个范围审查
Liam Rourke1, Ronald Damant1, Janice Y Kung1
1Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.
PloS one
|April 21, 2025
概括
加拿大的土著人民对与健康有关的耻辱的研究有限. 研究表明,污名化,通常作为社会距离,导致土著人隐藏条件,恶化健康结果.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 土著研究土著研究.
背景情况:
- 加拿大的土著社区面临着与污名相关的重大健康差异.
- 文化决定的耻辱需要专注的研究关注.
- 本研究回顾了有关第一民族,因纽特人和梅蒂斯人群体健康相关的耻辱现有研究.
研究的目的:
- 探索加拿大的土著人民中与健康有关的耻辱的研究范围.
- 确定土著参与者所经历的健康状况和污名的形式.
- 了解土著人对与健康有关的污名的反应.
主要方法:
- 使用Arksey和O'Malley的方法进行了范围审查.
- 搜索包括从1963年到现在的健康和社会科学数据库,使用关键词对加拿大的污名,健康和土著群体进行搜索.
- 25项涉及1187名参与者的研究符合纳入标准,重点关注健康状况和经历的耻辱感.
主要成果:
- 研究包括来自加拿大各省和地区的因纽特人,第一民族和梅蒂斯人.
- 在包括艾滋病毒,心理健康问题,结核病,性传播感染,2型糖尿病,关节炎,残疾,喘,物质使用障碍和FASD等疾病中报告了耻辱感.
- 实行耻辱,通常涉及社会/身体距离,是常见的,导致参与者隐藏条件并增加疾病负担.
结论:
- 关于加拿大土著社区与健康相关的耻辱的研究很少,往往是直接的.
- 几十年的研究已经不够地解决了耻辱作为土著健康中的构造.
- 进一步的研究至关重要,以了解污名对加拿大土著人民健康的影响.
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