健康的文化指南:加利福尼亚多样化的土著社区的危机响应评估框架
Krista Armenta-Belen1, LittleDove Rey2, Joshua Severns3
1American Indian Health and Services, Inc., Santa Barbara, CA, USA.
Journal of public health research
|January 23, 2026
概括
美国印第安人和阿拉斯加原住民社区面临着健康差异. 一个新的框架,健康的文化指南,整合了土著的治疗实践,用于各种部落社区的危机应对和评估.
科学领域:
- 土著研究土著研究.
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
背景情况:
- 美国印第安人和阿拉斯加原住民 (AI/AN) 社区经历了不成比例的创伤,导致健康不平等.
- 西方医学经常忽视AI/AN传统的健康实践,其根源在于性.
- 现有的卫生框架可能无法充分满足不同AI/AN人群的独特需求.
研究的目的:
- 为加利福尼亚的AI/AN社区开发一个文化适应性的危机响应评估框架.
- 将原住民对健康,治疗和健康的定义整合到一个实际的模型中.
- 创建一个尊重和整合传统AI/AN实践的工具.
主要方法:
- 文化作为健康范式的适应.
- 召集一个由传统治疗师,知识守护者,研究人员和社区成员组成的指导联盟.
- 利用土著对话的代过程来开发模型.
主要成果:
- 制定"健康文化指南"框架和工具包.
- 纳入土著灵性,文化实践,世界观和基于地点的神圣遗址.
- 一种适应各种AI/AN社区的危机应对模式.
结论:
- 该工具包为评估危机应对和干预提供了一个框架.
- 该框架可以适应各种地理和组织背景.
- 未来的工作包括试点测试和探索框架作为评估工具的实用性.
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