Chief Carmenlita, Sabo Samantha, Clark Hershel, Nez Henderson Patricia, Yazzie Alfred, Nahee Jacqueline, Leischow Scott J
Department of Health Promotion Sciences, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona, USA.
Black Hills Center for American Indian Health, Rapid City, South Dakota, USA.
Tob Control. 2016 Oct;25(Suppl 1):i19-i25. doi: 10.1136/tobaccocontrol-2016-053081.
Indigenous worldviews and research approaches are fundamental to make meaning of complex health issues and increase the likelihood of identifying existing cultural protective factors that have contributed to the resilience and survival of Indigenous people worldwide.
We describe the process for applying the Diné (Navajo) paradigm of Są'áh Naagháí Bik'eh Hózhóó (SNBH), a belief system that guides harmonious living, and demonstrate how the application of SNBH enhances understanding of Navajo principles for well-being. Specifically, we juxtapose this analysis with a conventional qualitative analysis to illuminate and interpret Diné perspectives on the health and economic impact of commercial secondhand smoke and smoke-free policy.
Focus groups were conducted throughout Navajo Nation to assess the appeal and impact of several evidence-based messages regarding the health and economic impact of smoke-free policy.
Diné perspectives have shifted away from family and cultural teachings considered protective of a smoke-free life, and struggle to balance the ethical and economics of respect for individual and collective rights to live and work in smoke-free environments.
Indigenous-centred approaches to public health research and policy analysis contribute to understanding the cultural knowledge, practices and beliefs that are protective of the health and well-being of Indigenous people.
本土世界观和研究方法对于理解复杂的健康问题以及增加识别有助于全球原住民恢复力和生存的现有文化保护因素的可能性至关重要。
我们描述了应用迪内（纳瓦霍）族的“萨阿赫·纳阿盖·比克埃·霍佐奥”（SNBH）范式的过程，这是一种指导和谐生活的信仰体系，并展示了SNBH的应用如何增强对纳瓦霍族幸福原则的理解。具体而言，我们将这种分析与传统的定性分析并列，以阐明和解读迪内族对商业二手烟和无烟政策的健康及经济影响的观点。
在整个纳瓦霍族地区开展了焦点小组讨论，以评估关于无烟政策的健康和经济影响的若干循证信息的吸引力和影响。
迪内族的观点已偏离那些被认为有助于无烟生活的家庭和文化教义，并且在平衡尊重个人和集体在无烟环境中生活和工作权利的伦理与经济问题上存在困难。
以原住民为中心的公共卫生研究和政策分析方法有助于理解保护原住民健康和福祉的文化知识、实践和信仰。
