Walters Karina L, Simoni Jane M
School of Social Work, University of Washington, 4101 15th Avenue NE, Seattle, WA 98105-6299, USA.
Am J Public Health. 2002 Apr;92(4):520-4. doi: 10.2105/ajph.92.4.520.
This commentary presents an "indigenist" model of Native women's health, a stress-coping paradigm that situates Native women's health within the larger context of their status as a colonized people. The model is grounded in empirical evidence that traumas such as the "soul wound" of historical and contemporary discrimination among Native women influence health and mental health outcomes. The preliminary model also incorporates cultural resilience, including as moderators identity, enculturation, spiritual coping, and traditional healing practices. Current epidemiological data on Native women's general health and mental health are reconsidered within the framework of this model.
这篇评论文章提出了一种本土女性健康的“本土主义”模式,这是一种压力应对范式,将本土女性的健康置于她们作为被殖民群体这一更大背景之中。该模式基于实证证据,即本土女性中历史和当代歧视造成的诸如“心灵创伤”等创伤会影响健康和心理健康结果。该初步模式还纳入了文化复原力,包括作为调节因素的身份认同、文化适应、精神应对和传统治疗方法。在该模式的框架内重新审视了关于本土女性总体健康和心理健康的当前流行病学数据。