澳大利亚10年预防性健康. 第二部分 - - 以第一民族主权为中心
Khwanruethai Ngampromwongse1, Alana Gall2
1Yardhura Walani, National Centre for Aboriginal and Torres Strait Islander Wellbeing Research, The Australian National University, Acton, ACT 2601, Australia; and Public Health Association of Australia, Deakin, ACT 2600, Australia.
Public health research & practice
|June 2, 2025
概括
国家预防卫生战略 (NPHS) 忽视了殖民对第一民族人民健康的影响. 真正的进步需要将原住民的自决权和社区主导的健康公平解决方案放在中心.
科学领域:
- 公共卫生 公共卫生
- 土著健康土著健康
- 健康 公平 卫生 公平
背景情况:
- 从第一民族公共卫生专业人员的角度批判性地检查了2021-2030年国家预防卫生战略 (NPHS).
- 强调NPHS在解决影响土著和托雷斯海峡岛民 (第一民族人民) 的健康不平等的结构性决定因素方面的缺陷.
- 注意到NPHS的愿望是基于系统和公平的方法,但认为它未能参与殖民化,系统种族主义和代际创伤的影响.
研究的目的:
- 批评NPHS主要关注个体行为风险因素.
- 认为该战略忽视了推动第一民族社区健康不平等的社会政治和文化背景.
- 倡导预防性健康策略的根本性转变.
主要方法:
- 对2021-2030年国家预防性健康战略的批判性审查.
- 分析该战略与健康的结构性决定因素的接触.
- 由第一民族公共卫生专业人员提供的观点.
主要成果:
- 该NPHS主要关注个人行为风险因素,忽视了更广泛的社会政治和文化背景.
- 该战略未能有意义地解决殖民化,系统性种族主义和代际创伤对第一民族健康的影响.
- 目前的方法没有充分集中第一民族的自决权或社区主导的解决方案.
结论:
- 预防性健康的真正进展需要将第一民族的自决权,土著知识和社区主导的解决方案放在中心.
- 呼吁将卫生系统重新定居本土,以此作为主权和领导权的肯定.
- 为决策者提供可行的建议,重点关注由第一民族人民领导的结构性改革和系统转型.
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