在COVID-19期间,风险因素扰乱了土著家庭的整体健康
Kya Locklear1, Kristi Ka'apu2, Catherine E O'Connor2
1Tulane University School of Medicine, New Orleans, Louisiana, USA.
Family process
|February 7, 2026
概括
COVID-19不成比例地影响了美国的土著人民. 历史上的压迫和系统的不平等加剧了风险,突出了需要文化一致的干预措施,促进原住民整体健康的传统保护因素.
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:
- COVID-19对美国土著人口产生了重大影响,导致不成比例的高感染率和死亡率.
- 历史上的压迫和系统的不平等导致了土著人民之间的健康差异.
- 历史压迫,性和超越 (FHORT) 的框架提供了一个文化相关的镜头,以了解大流行期间的土著经历.
研究的目的:
- 通过FHORT框架检查美国东南部土著人民如何在COVID-19大流行中进行导航.
- 在疫情期间评估结构不平等,历史压迫和土著整体健康之间的相互联系.
- 在土著参与者中确定与COVID-19结果相关的风险因素.
主要方法:
- 进行了31次以社区为基础的,批判性的民族学访谈.
- 利用土著工具包进行道德和文化敏感的研究.
- 分析了包括种族主义,创伤,财务压力,暴力,破坏团结和解体支持网络在内的主题.
主要成果:
- 系统性不平等,包括种族主义和歧视,被确定为重大风险因素.
- 原住民家庭价值观和公共卫生协议 (例如,身体距离) 之间的不一致性带来了挑战.
- 创伤,财务压力,暴力和亲属关系网络的破坏对土著人的整体健康产生了负面影响.
- 在社区内观察到受损的集体主义和团结.
结论:
- 对于土著人民来说,COVID-19的危险因素在很大程度上植根于系统不平等和历史压迫.
- 需要文化一致的危机干预措施来支持土著整体健康.
- 促进与FHORT框架一致的传统保护因素对于未来的弹性和恢复至关重要.
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