Waterworth Pippa, Dimmock James, Pescud Melanie, Braham Rebecca, Rosenberg Michael
The University of Western Australia, Perth, Western Australia, Australia
The University of Western Australia, Perth, Western Australia, Australia.
Qual Health Res. 2016 Jan;26(1):55-68. doi: 10.1177/1049732315580301. Epub 2015 Apr 6.
The factors driving the disparity in health outcomes between Indigenous and non-Indigenous Australians include socio-economic factors, racism, and history. The current study focused on exploring Indigenous participants' perspectives of the factors that affect the health behavior of their community members. Participatory action research methodology and a grounded theory approach were utilized. In total, 120 members of two urban West Australian Indigenous communities participated in focus group discussions. There was substantial similarity between the themes that emerged within the discussions held in the two communities. Factors relating to culture, social connections, racism, communication, and personal aspects were particularly salient to health behavior of the participants. Several of the themes including culture, racism, communication, and distrust highlight the tension caused by being a member of a minority cultural group that has been marginalized by the practices and attitudes of the dominant cultural group. Personal choice was sometimes prioritized over health.
导致澳大利亚原住民和非原住民健康结果存在差异的因素包括社会经济因素、种族主义和历史。当前的研究聚焦于探究原住民参与者对影响其社区成员健康行为的因素的看法。采用了参与式行动研究方法和扎根理论方法。西澳大利亚州两个城市原住民社区的120名成员参与了焦点小组讨论。两个社区讨论中出现的主题有很大相似性。与文化、社会联系、种族主义、沟通和个人方面相关的因素对参与者的健康行为尤为显著。包括文化、种族主义、沟通和不信任在内的几个主题凸显了作为一个被主流文化群体的行为和态度边缘化的少数文化群体成员所产生的紧张关系。个人选择有时优先于健康。
