Principal Academic Department of Nursing and Clinical Science, Faculty of Health and Social Science, Bournemouth University, UK; Department of Social Studies, University of Stavanger, Norway.
Māori Health, Taupua Waiora Centre for Māori Health Research, Faculty of Health and Environmental Sciences, Auckland University of Technology, New Zealand.
Public Health. 2019 Nov;176:43-49. doi: 10.1016/j.puhe.2019.02.020. Epub 2019 May 10.
Across Europe, large numbers of Gypsy Roma Traveller communities experience significant health inequities such as higher morbidity, mortality and infant mortality. This health inequity is perpetuated by wider determinants such as a lower social status, lower educational attainment and substandard accommodation. This is not dissimilar to other indigenous peoples, even though many Gypsy Roma Traveller communities are not identified as indigenous.
This article presents contemporary literature and research alongside the internationally agreed principles of indigenous peoples, examining similarities between Gypsy Roma Traveller communities and other indigenous peoples.
We argue that Gypsy Roma Traveller communities could be recognised as indigenous in terms of the internationally agreed principles of indigeneity and shared experiences of health inequity, colonisation and cultural genocide. Doing so would enable a more robust public health strategy and development of public health guidelines that take into account their cultural views and practices.
Recognising Gypsy Roma Traveller communities in this way is important, especially concerning public health, as formal recognition of indigeneity provides certain rights and protection that can be used to develop appropriate public health strategies. Included within this are more nuanced approaches to promoting health, which focus on strengths and assets rather than deficit constructs that can perpetuate problematising of these communities.
在整个欧洲,大量吉普赛和罗姆族旅行者群体经历着严重的健康不平等,例如更高的发病率、死亡率和婴儿死亡率。这种健康不平等是由社会地位较低、教育程度较低和住宿条件较差等更广泛的决定因素所导致的。这与其他原住民群体并无不同,尽管许多吉普赛和罗姆族旅行者群体并未被认定为原住民。
本文呈现了当代文献和研究,并结合了国际公认的原住民原则,探讨了吉普赛和罗姆族旅行者群体与其他原住民群体之间的相似之处。
我们认为,吉普赛和罗姆族旅行者群体可以根据国际公认的原住民原则以及在健康不平等、殖民化和文化灭绝方面的共同经历,被认定为原住民。这样做将使更有力的公共卫生战略和公共卫生准则的制定成为可能,这些准则将考虑到他们的文化观点和实践。
以这种方式承认吉普赛和罗姆族旅行者群体是很重要的,尤其是在公共卫生方面,因为对原住民身份的正式承认提供了某些权利和保护,可以用来制定适当的公共卫生战略。其中包括更细致入微的促进健康方法,这些方法侧重于优势和资产,而不是可能使这些社区问题化的缺陷结构。