Waterworth Pippa, Pescud Melanie, Braham Rebecca, Dimmock James, Rosenberg Michael
School of Sport Science, Exercise and Health (M408), University of Western Australia, Crawley, Australia.
Regulatory Institutions Network, Australian National University, Canberra, Australia.
PLoS One. 2015 Nov 24;10(11):e0142323. doi: 10.1371/journal.pone.0142323. eCollection 2015.
Disparities between the health of Indigenous and non-Indigenous populations continue to be prevalent within Australia. Research suggests that Indigenous people participate in health risk behaviour more often than their non-Indigenous counterparts, and that such behaviour has a substantial impact on health outcomes. Although this would indicate that reducing health risk behaviour may have positive effects on health outcomes, the factors that influence Indigenous health behaviour are still poorly understood. This study aimed to interview people who support Indigenous groups to gain an understanding of their views on the factors influencing health behaviour within Indigenous groups in Western Australia. Twenty nine people participated in the study. The emergent themes were mapped against the social ecological model. The results indicated that: (1) culture, social networks, history, racism, socioeconomic disadvantage, and the psychological distress associated with some of these factors interact to affect health behaviour in a complex manner; (2) the desire to retain cultural identity and distinctiveness may have both positive and negative influence on health risk behaviour; (3) strong social connections to family and kin that is intensified by cultural obligations, appears to affirm and disrupt positive health behaviour; (4) the separation between Indigenous and non-Indigenous social connection/networks that appeared to be fostered by marginalisation and racism may influence the effect of social networks on health behaviour; and (5) communication between Indigenous and non-Indigenous people may be interrupted by distrust between the groups, which reduces the influence of some non-Indigenous sources on the health behaviour of Indigenous people.
在澳大利亚，原住民与非原住民的健康差异依然普遍存在。研究表明，原住民比非原住民更常参与健康风险行为，且此类行为对健康结果有重大影响。尽管这表明减少健康风险行为可能对健康结果产生积极影响，但影响原住民健康行为的因素仍未得到充分理解。本研究旨在采访支持原住民群体的人士，以了解他们对西澳大利亚原住民群体中影响健康行为因素的看法。29人参与了该研究。将新出现的主题与社会生态模型进行了映射。结果表明：（1）文化、社会网络、历史、种族主义、社会经济劣势以及与其中一些因素相关的心理困扰相互作用，以复杂的方式影响健康行为；（2）保留文化身份和独特性的愿望可能对健康风险行为产生积极和消极影响；（3）因文化义务而强化的与家庭和亲属的紧密社会联系，似乎既肯定又扰乱积极的健康行为；（4）边缘化和种族主义似乎促成的原住民与非原住民社会联系/网络之间的分离，可能会影响社会网络对健康行为的作用；（5）原住民与非原住民之间的沟通可能因群体间的不信任而中断，这减少了一些非原住民来源对原住民健康行为的影响。
