Department of Nutrition, Dietetics and Food, Monash University, Notting Hill, Australia.
Health Promot J Austr. 2021 Jul;32(3):532-540. doi: 10.1002/hpja.391. Epub 2020 Aug 15.
This study explored what it means to young Indigenous people to be healthy and how social media influences health behaviours.
Indigenous people (17-24 years) participated in face-to-face interviews or online Facebook conversations. Discussions were informed by the Integrated Model of Behaviour Change exploring perceptions of self, health and wellbeing, social media use, decision making around health and environmental influences on their health. Interviews and online conversations were analysed using thematic analysis.
Eighteen young Indigenous Australians participated. Three themes were identified (a) Family and community connection in constructing health beliefs; (b) Individual health-seeking behaviours, mental health status and the importance of physical activity; and (c) peers and others were key influencers of health behaviour on social media.
Social connection and social media may provide platforms for young Indigenous people to facilitate exchange of culturally relevant information and encourage behaviour change alongside family, peer and community support. SO WHAT?: Unless accompanied with environmental changes, young adults may struggle to assert their individual agency and realise healthful behaviours, therefore strategies to change the environment are urgently required.
本研究探讨了对于年轻的原住民而言，健康意味着什么，以及社交媒体如何影响健康行为。
原住民（17-24 岁）参与了面对面访谈或在线 Facebook 对话。讨论以探索行为变化综合模型为依据，该模型探讨了自我、健康和幸福感的认知、社交媒体的使用、围绕健康的决策以及对健康的环境影响。访谈和在线对话使用主题分析进行分析。
18 名年轻的澳大利亚原住民参与了研究。确定了三个主题：（a）家庭和社区联系在构建健康信仰中的作用；（b）个人健康寻求行为、心理健康状况和体育活动的重要性；（c）同龄人是社交媒体上健康行为的主要影响者。
社会联系和社交媒体可能为年轻的原住民提供平台，促进与家庭、同伴和社区支持一起，交流具有文化相关性的信息，并鼓励行为改变。
除非伴随着环境的改变，否则年轻人可能难以维护个人的代理机构并实现健康行为，因此迫切需要改变环境的策略。
