Hulen Elizabeth, Hardy Lisa J, Teufel-Shone Nicolette, Sanderson Priscilla R, Schwartz Anna L, Begay R Cruz
J Health Care Poor Underserved. 2019;30(1):221-237. doi: 10.1353/hpu.2019.0017.
American Indians are disproportionately affected by factors that lead to health disparities, however many Native people demonstrate resilience when faced with health risks. Study objectives were to use a resilience framework to identify wellness strategies among American Indian people and to assess health care provider perceptions of American Indian wellness. Participants included 39 American Indian adults who self-reported resilient change and 22 health care providers who served American Indian patients. Thematic categories across American Indian and health care provider data were identified: 1) relationships inform resilience; 2) prejudice stymies resilience; and 3) place shapes resilience. Results indicated the salience of relationships in demonstrating resilience. Identified challenges and supporters of resilience are discussed.
美国印第安人受导致健康差距的因素影响尤为严重，然而许多原住民在面对健康风险时表现出了恢复力。研究目标是使用一个恢复力框架来确定美国印第安人群体中的健康策略，并评估医疗服务提供者对美国印第安人健康状况的看法。参与者包括39名自我报告有恢复性改变的美国印第安成年人以及22名服务于美国印第安患者的医疗服务提供者。确定了美国印第安人和医疗服务提供者数据中的主题类别：1）人际关系影响恢复力；2）偏见阻碍恢复力；3）环境塑造恢复力。结果表明人际关系在展现恢复力方面的重要性。文中讨论了已确定的恢复力面临的挑战和支持者。
