Well Living House, MAP - Centre for Urban Health Solutions, St. Michael's Hospital, 209 Victoria St., 3rd Floor, Toronto, ON, M5C 1N8, Canada.
Native Youth Sexual Health Network, 2345 Yonge St., PO Box 26069 Broadway, Toronto, ON, M4P 0A8, Canada.
BMC Public Health. 2020 Dec 7;20(1):1871. doi: 10.1186/s12889-020-09863-3.
Research carried out in partnership with Indigenous youth at The Native Youth Sexual Health Network (NYSHN) demonstrates that Indigenous youth can (and do) develop and implement public health interventions amongst their peers and within their communities, when supported by non-youth allies and mentors.
Together, NYSHN and Well Living House researchers co-designed a qualitative case study to demonstrate and document how Indigenous youth can and do practice their own form of public health implementation research (PHIR) in the realm of mental health promotion for 2SLGBTTQQIA and Gender Non-Conforming Indigenous youth. Academic and Indigenous youth researchers were: participant observers; conducted a focus group; and designed and implemented an online survey with Indigenous youth project participants. Governance, intellectual property, financial terms and respective academic and NYSHN roles and responsibilities were negotiated using a customized community research agreement. The data were thematically analyzed using a critical decolonizing lens that recognizes the historic and ongoing marginalization of Indigenous peoples while also highlighting the unique and diverse strengths of Indigenous communities' knowledge and practice in maintaining their health and wellbeing.
Analysis revealed how colonialism and intergenerational trauma have impacted Indigenous youth identity and the value of self-determination as it relates to their identity, their relationships, health and wellbeing. We also learned how knowing and doing about and for Indigenous youth needs to be youth determined - 'nothing about us, without us' -- yet also supported by allies. Finally, our analysis shares some promising practices in knowing and doing for and with Indigenous youth.
This study provides a reminder of the need to centre Indigenous youth throughout PHIR in order to realize sustainable benefit from research, services and programming. It emphasizes the need to recognize Indigenous youth as leaders and partners in these initiatives, support their efforts to self-determine, compensate them as partners, and prioritize Indigenous youth-determined frameworks and accountability mechanisms.
与原住民青年合作开展的研究表明，在非青年盟友和导师的支持下，原住民青年能够（并且确实）在同龄人中和社区内制定和实施公共卫生干预措施。
NYSHN 和 Well Living House 的研究人员共同设计了一项定性案例研究，以展示和记录 2SLGBTTQQIA 和性别非规范原住民青年的心理健康促进领域，原住民青年如何实践自己的公共卫生实施研究（PHIR）。学术和原住民青年研究人员：参与者观察；进行焦点小组；并与原住民青年项目参与者一起设计和实施在线调查。使用定制的社区研究协议来协商治理、知识产权、财务条款以及各自的学术和 NYSHN 角色和责任。使用批判性去殖民化视角对数据进行主题分析，该视角认识到原住民的历史和持续边缘化，同时强调原住民社区在维护其健康和福祉方面的知识和实践的独特和多样化优势。
分析揭示了殖民主义和代际创伤如何影响原住民青年的身份认同以及与身份认同、人际关系、健康和幸福相关的自决价值观。我们还了解到，了解和为原住民青年做些什么需要由青年决定——“没有我们，就没有我们”——但也需要盟友的支持。最后，我们的分析分享了一些了解和为原住民青年做些什么的有希望的做法。
本研究提醒人们需要在 PHIR 中以原住民青年为中心，以便从研究、服务和计划中实现可持续的利益。它强调了需要承认原住民青年是这些倡议的领导者和合作伙伴，支持他们的自决努力，作为合作伙伴给予补偿，并优先考虑由原住民青年决定的框架和问责机制。
