Tulane University, New Orleans, LA, USA.
Florida State University, Tallahassee, FL, USA.
Transcult Psychiatry. 2020 Apr;57(2):288-303. doi: 10.1177/1363461520909605. Epub 2020 Mar 13.
Indigenous peoples of the United States are distinct from other ethnic minorities because they have experienced colonization as the original inhabitants. Social and health disparities are connected to a context of historical oppression-the chronic, pervasive, and intergenerational experiences of oppression that, over time, may be normalized, imposed, and internalized into the daily lives of many Indigenous peoples (including individuals, families, and communities). As part of the critical Framework of Historical Oppression, Resilience, and Transcendence (FHORT), in this article, we introduce the Historical Oppression Scale (HOS), a scale assessing internalized and externalized oppression. Our study reports on survey data ( = 127) from a larger convergent mixed-methodology study with scale items derived from thematic analysis of qualitative data ( = 436), which informed the resultant 10-item scale. After six cases were removed from the 127 participants who participated in the quantitative component to the study due to missing data across two tribes, the sample size for analysis was 121. Confirmatory factor analysis testing of the hypothesized unidimensional construct indicated acceptable model fit ( = 58.10, 1.94, CFI = .98, TLI = .97, RMSEA = .088, 90% CI = .05, .12). Reliability of the 10-item scale was excellent (α = .97) and convergent and discriminant validity were established. The HOS explicates complex associations between historical oppression and health and social disparities and may be an important clinical and research tool in an understudied area.
美国的土著人民与其他少数族裔不同,因为他们是作为原住民经历了殖民化的。社会和健康差距与历史压迫的背景有关——长期、普遍和代际的压迫经历,随着时间的推移,可能会被正常化、强加和内化到许多土著人民的日常生活中(包括个人、家庭和社区)。作为历史压迫、韧性和超越性的关键框架(FHORT)的一部分,在本文中,我们介绍了历史压迫量表(HOS),这是一种评估内化和外化压迫的量表。我们的研究报告了一项更大的收敛混合方法研究的调查数据(n=127),该研究的量表项目来源于对定性数据(n=436)的主题分析,这为最终的 10 项量表提供了信息。在由于两个部落的数据缺失而从参与研究的定量部分的 127 名参与者中删除了 6 个案例后,分析的样本量为 121。对假设的单维结构进行验证性因子分析测试表明,模型拟合良好(n=58.10,1.94,CFI=0.98,TLI=0.97,RMSEA=0.088,90%置信区间=0.05,0.12)。10 项量表的可靠性非常好(α=0.97),并且建立了收敛和判别有效性。HOS 阐明了历史压迫与健康和社会差距之间的复杂关联,并且可能是一个在研究不足的领域中非常重要的临床和研究工具。