Faculty of Land and Food Systems, University of British Columbia, 2357 Main Mall, Vancouver, BC, Canada.
Health Promot Int. 2010 Jun;25(2):166-73. doi: 10.1093/heapro/daq016. Epub 2010 Mar 2.
Aboriginal people in Canada suffer ill-health at much higher rates compared with the rest of the population. A key challenge is the disjuncture between the dominant biomedical approach to health in Canada and the holistic and integrative understandings of and approaches to health in many Aboriginal cultures. More fundamentally, colonization is at the root of the health challenges faced by this population. Thus, effective approaches to health promotion with Aboriginal people will require decolonizing practices. In this paper, we look at one case study of a health promotion project, the Urban Aboriginal Community Kitchen Garden Project in Vancouver, Canada, which, guided by the teachings of the Medicine Wheel, aims to provide culturally appropriate health promotion. By drawing on Aboriginal approaches to healing, acknowledging the legacy of colonization and providing a context for cultural celebration, we suggest that the project can be seen as an example of what decolonizing health promotion could look like. Further, we suggest that a decolonizing approach to health promotion has the potential to address immediate needs while simultaneously beginning to address underlying causes of Aboriginal health inequities.
加拿大原住民的健康状况远逊于其他人群。一个主要的挑战是加拿大主流的生物医学健康方法与许多原住民文化中整体的、综合的健康观念和方法之间存在脱节。更根本的是,殖民化是该人群面临健康挑战的根源。因此,要想为原住民提供有效的健康促进方法,就必须实现去殖民化。本文以加拿大温哥华的原住民社区城市菜园项目为例,探讨健康促进项目。该项目以药轮教为指导,旨在提供文化适宜的健康促进。通过借鉴原住民的治疗方法,承认殖民化的遗留问题,并为文化庆祝提供背景,我们认为该项目可以被视为去殖民化健康促进的一个范例。此外,我们还认为,去殖民化的健康促进方法有可能在解决当前需求的同时,开始着手解决原住民健康不平等的根本原因。