Department of Anthropology, University of Connecticut, Storrs, 06269-2176, USA.
Health Promot J Austr. 2009 Dec;20(3):202-7. doi: 10.1071/he09202.
At the request of chronically-ill Aboriginal patients in Central Australia with whom I have worked for the past 25 years, ethnographic research was conducted to provide a better understanding of how diabetes sufferers cope with their illness in everyday life for the creation of more culturally sensitive health promotion initiatives.
Based on analyses of participant-observation data and semi-structured interviews over an eight month period with 84 Aboriginal diabetic sufferers and their kin, as well as conversations with medical staff working at the local clinic, this paper discusses contemporary Aboriginal contemporary dietary practices, postcolonial demand-sharing economy, deployment of various regimes of care and health promotion initiatives.
Diabetic patients lack access to what is determined key by health care providers to offset ill-health such as diabetic-friendly food. In order to cope and make sense of their chronic illness, diabetic patients oscillate between different regimes of care - biomedical, demand-sharing economy, and traditional and Christian religious institutions.
To ensure a certain measure of success, long-term health promotion initiatives need to be grounded in a Warlpiri caring praxis of 'looking after', and rely on realistic collaborations among patients and their kin, local health care providers, and other community-based organisations.
应澳大利亚中部地区长期患病的土著患者的要求，他们与我合作已有 25 年，为了更好地了解糖尿病患者在日常生活中如何应对疾病，以便制定出更具文化敏感性的健康促进倡议，进行了民族志研究。
本研究基于对 84 名土著糖尿病患者及其亲属进行为期 8 个月的参与式观察数据和半结构化访谈的分析，以及与当地诊所医务人员的对话，本文讨论了当代土著当代饮食实践、后殖民主义需求共享经济、各种护理制度和健康促进措施的部署。
糖尿病患者无法获得医疗保健提供者确定的关键因素来抵消健康不良，如糖尿病友好型食物。为了应对和理解他们的慢性疾病，糖尿病患者在生物医学、需求共享经济以及传统和基督教宗教机构之间的不同护理制度之间波动。
为了确保一定程度的成功，长期健康促进措施需要立足于 War lpiri 的“照顾”关怀实践，并依赖于患者及其亲属、当地医疗保健提供者和其他基于社区的组织之间的现实合作。
