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“我们身处一个充满活力的文化之中”:在澳大利亚维多利亚州的原住民聚居地理解健康的文化决定因素。

"Here we are part of a living culture": Understanding the cultural determinants of health in Aboriginal gathering places in Victoria, Australia.

机构信息

School of Health Sciences, Swinburne University of Technology, 12 Wakefield Street (Swinburne Place West), Hawthorn, Victoria 3122, Australia; School of Population and Global Health, University of Melbourne, 207 Bouverie Street, Carlton, Victoria 3053, Australia.

School of Population and Global Health, University of Melbourne, 207 Bouverie Street, Carlton, Victoria 3053, Australia.

出版信息

Health Place. 2018 Nov;54:210-220. doi: 10.1016/j.healthplace.2018.10.001. Epub 2018 Oct 24.

Abstract

This article provides an exploration of the cultural determinants of health, based on a research evaluation investigating a number of Aboriginal gathering places in Victoria (Australia). Gathering places are recognised as settings in which people practice and learn about local Aboriginal culture, history and place. Academic literature on gathering places is sparse. Thirteen gathering places were evaluated in this research. Each site is unique and has a specific story that connects it to the history and geography of the place in which it is located. Sixty-nine gathering place members participated in qualitative semi-structured interviews or focus groups. Using thematic analysis, the findings were divided into four key themes associated with cultural determinants of health (social networks; inclusiveness; empowerment; connections). These elements create a safe place to learn about culture and Country, and support an environment for strengthening identity, improving health and building resilience. The findings from this study highlight the benefits of using gathering places to explore the cultural determinants of health.

摘要

本文基于对澳大利亚维多利亚州多个原住民聚集区的研究评估,探讨了健康的文化决定因素。聚集区被认为是人们实践和了解当地原住民文化、历史和地方的场所。关于聚集区的学术文献很少。本研究评估了 13 个聚集区。每个地点都是独特的,都有一个特定的故事,将其与所在地点的历史和地理联系起来。69 名聚集区成员参加了定性半结构化访谈或焦点小组。使用主题分析,研究结果分为与健康的文化决定因素相关的四个关键主题(社会网络;包容性;赋权;联系)。这些元素创造了一个学习文化和了解土地的安全场所,支持一个增强身份、改善健康和培养韧性的环境。这项研究的结果强调了利用聚集区来探索健康的文化决定因素的好处。

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