Centre for Remote Health, a Joint Centre of Flinders University and Charles Darwin University, Alice Springs, NT, Australia.
Ninti One Limited and the Cooperative Research Centre for Remote Economic Participation (CRC-REP), Alice Springs, NT, Australia.
Int J Equity Health. 2017 May 3;16(1):68. doi: 10.1186/s12939-017-0563-5.
Wellbeing has been difficult to understand, measure and strengthen for Aboriginal people in remote Australia. Part of the challenge has been genuinely involving community members and incorporating their values and priorities into assessment and policy. Taking a 'shared space' collaborative approach between remote Aboriginal communities, governments and scientists, we merged Aboriginal knowledge with western science - by bringing together stories and numbers. This research aims to statistically validate the holistic Interplay Wellbeing Framework and Survey that bring together Aboriginal-identified priorities of culture, empowerment and community with government priorities including education, employment and health.
Quantitative survey data were collected from a cohort of 842 Aboriginal people aged 15-34 years, recruited from four different Aboriginal communities in remote Australia. Aboriginal community researchers designed and administered the survey.
Structural equation modeling showed good fit statistics (χ/df = 2.69, CFI = 0.95 and RMSEA = 0.045) confirming the holistic nature of the Interplay Wellbeing Framework. The strongest direct impacts on wellbeing were 'social and emotional wellbeing' (r = 0.23; p < 0.001), 'English literacy and numeracy' (r = 0.15; p < 0.001), 'Aboriginal literacy' (r = 0.14; p < 0.001), 'substances' (lack thereof; r = 0.13; p = 0.003), 'work' (r = 0.12; p = 0.02) and 'community' (r = 0.08; p = 0.05). Correlation analyses suggested cultural factors have indirect impacts on wellbeing, such as through Aboriginal literacy. All cultural variables correlated highly with each other, and with empowerment and community. Empowerment also correlated highly with all education and work variables. 'Substances' (lack thereof) was linked with positive outcomes across culture, education and work. Specific interrelationships will be explored in detail separately.
The Interplay Wellbeing Framework and Survey were statistically validated as a collaborative approach to assessing wellbeing that is inclusive of other cultural worldviews, values and practices. New community-derived social and cultural indicators were established, contributing valuable insight to psychometric assessment across cultures. These analyses confirm that culture, empowerment and community play key roles in the interplay with education, employment and health, as part of a holistic and quantifiable system of wellbeing. This research supports the holistic concept of wellbeing confirming that everything is interrelated and needs to be considered at the 'whole of system' level in policy approaches.
在澳大利亚偏远地区,原住民的幸福感很难理解、衡量和增强。部分挑战在于真正让社区成员参与进来,并将他们的价值观和优先事项纳入评估和政策中。通过偏远原住民社区、政府和科学家之间的“共享空间”合作方法,我们将原住民知识与西方科学相结合——将故事和数字结合起来。这项研究旨在从统计学上验证整体相互作用的幸福感框架和调查,该框架将原住民确定的文化、赋权和社区优先事项与政府优先事项(包括教育、就业和健康)结合起来。
从澳大利亚偏远地区的四个不同的原住民社区招募了 842 名年龄在 15-34 岁的原住民,收集了他们的定量调查数据。原住民社区研究人员设计并管理了该调查。
结构方程模型显示出良好的拟合统计数据(χ/df=2.69,CFI=0.95 和 RMSEA=0.045),证实了相互作用的幸福感框架的整体性。对幸福感的最直接影响是“社会和情感幸福感”(r=0.23;p<0.001)、“英语读写和计算能力”(r=0.15;p<0.001)、“原住民读写能力”(r=0.14;p<0.001)、“物质”(缺乏物质;r=0.13;p=0.003)、“工作”(r=0.12;p=0.02)和“社区”(r=0.08;p=0.05)。相关分析表明,文化因素通过原住民读写能力等方式对幸福感产生间接影响。所有文化变量彼此高度相关,与赋权和社区也高度相关。赋权也与所有教育和工作变量高度相关。“物质”(缺乏物质)与文化、教育和工作中的积极结果相关。具体的相互关系将在单独的部分中进行详细探讨。
相互作用的幸福感框架和调查在统计学上是有效的,是一种评估幸福感的合作方法,其中包括其他文化世界观、价值观和实践。建立了新的社区衍生的社会和文化指标,为跨文化心理测量评估提供了有价值的见解。这些分析证实,文化、赋权和社区在与教育、就业和健康的相互作用中扮演着关键角色,是幸福感的整体和量化系统的一部分。这项研究支持幸福感的整体概念,确认一切都是相互关联的,需要在政策方法的“整个系统”层面上加以考虑。