"它改变了一切":在COVID-19大流行期间,土著恢复实践面临的挑战
Melinda S Smith1, Andria B Begay1, Chesleigh Keene1
1Center for Community Health and Engaged Research, Northern Arizona University, Flagstaff, AZ 86011, USA.
概括
随着COVID-19的流行,美国原住民面临的成恢复挑战更加严重. 影响心理健康的关键因素包括获得医疗保健,文化习惯,历史创伤和人际关系.
科学领域:
- 公共卫生 公共卫生
- 心理健康 心理健康
- 土著研究土著研究.
背景情况:
- COVID-19 疫情加剧了美洲原住民社区的健康不平等.
- 对于土著人口来说,获得成和康复服务的机会得到了加强.
- 亚利桑那州的一个部落与大学的合作探索了大流行对土著恢复社区福祉和恢复能力的影响.
研究的目的:
- 探索COVID-19大流行对心理健康和恢复能力的影响.
- 了解影响本土物质使用恢复社区心理健康和弹性因素.
- 为了确定挑战和保护因素,原住民个人在疫情期间恢复.
主要方法:
- 对转录的个人采访进行定性分析 (n=19).
- 包括西方成治疗服务提供者和在康复中的土著社区成员.
- 专注于COVID-19大流行期间的经验.
主要成果:
- 四个主要主题影响了心理健康:医疗保健障碍,恢复中的文化,殖民/历史创伤的影响以及人际关系的重要性.
- 确定了土著恢复社区面临的具体挑战.
- 强调文化因素和社会联系在弹性方面的作用.
结论:
- 该研究提供了对COVID-19大流行对土著和脆弱恢复人口不成比例的影响的见解.
- 调查结果强调需要以土著为基础和文化为基础的恢复干预措施.
- 强调在成恢复支持中解决系统性不平等和历史创伤的重要性.
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