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理解殖民历史创伤对原住民青年健康和福祉的影响:系统范围综述。

Understanding the Impact of Historical Trauma Due to Colonization on the Health and Well-Being of Indigenous Young Peoples: A Systematic Scoping Review.

机构信息

University of New England, Armidale, New South Wales, Australia.

University of Technology Sydney, Broadway, New South Wales, Australia.

出版信息

J Transcult Nurs. 2021 Jan;32(1):59-68. doi: 10.1177/1043659620935955. Epub 2020 Jun 21.

Abstract

Indigenous Peoples are experiencing the ongoing effects of colonization. This phenomenon, historical trauma (HT), helps to address the current ill-health disparity. Aim of this scoping review was to identify sources of evidence available to understand the impact of HT on Indigenous young peoples. A scoping review was conducted on available evidence-based literature. Article quality was assessed using validated quality appraisal tools. Synthesis was conducted with predefined levels of impact. Consistent with the literature, the themes and levels of impact were interrelated. Despite this, studies predominately reported a singular focus with limited discussion of protective factors. HT continues to have a profound impact on Indigenous young peoples across Canada, Australia, New Zealand, and the United States. Protective factors for HT were evident within Indigenous research designs. Future research should ensure a multilevel focus to explore intergenerational strength and how this influences culturally congruent health care.

摘要

原住民正在经历殖民化的持续影响。这种现象,即历史创伤(HT),有助于解决当前健康不平等的问题。本范围综述的目的是确定现有证据的来源,以了解 HT 对原住民年轻人的影响。 对现有循证文献进行了范围综述。使用经过验证的质量评估工具评估文章质量。根据预先设定的影响水平进行综合分析。与文献一致,主题和影响水平相互关联。尽管如此,研究主要还是集中在单一焦点上,对保护因素的讨论有限。HT 继续对加拿大、澳大利亚、新西兰和美国的原住民年轻人产生深远影响。在原住民的研究设计中,存在 HT 的保护因素。未来的研究应该确保多层次的关注,以探索代际力量以及这如何影响文化上一致的医疗保健。

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