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(重新)用“双重视角”方法来掌控我们的身体:健康体型(HAES®)和本土知识。

(Re)claiming our bodies using a Two-Eyed Seeing approach: Health-At-Every-Size (HAES®) and Indigenous knowledge.

机构信息

Department of Food and Human Nutritional Sciences, Faculty of Agricultural and Food Sciences, University of Manitoba, 209 Human Ecology Building, Winnipeg, MB, R3T 2N2, Canada.

Department of Community Health Sciences, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.

出版信息

Can J Public Health. 2021 Jun;112(3):493-497. doi: 10.17269/s41997-020-00445-9. Epub 2021 Jan 6.

Abstract

We originally proposed a study to examine changes in disparities in "obesity" between Indigenous and non-Indigenous Canadian populations, as called for in the Truth and Reconciliation Commission, Article 19 (2015), which calls for ongoing monitoring of disparities in health outcomes. Instead, we questioned the importance of reducing the prevalence of "obesity" as a health goal for Indigenous peoples. This critical commentary provides an overview of Canadian Indigenous populations' weight, its relationship with health outcomes, and weight stigma and discrimination, using an Indigenous feminist lens. We introduce the applicability of a Two-Eyed Seeing approach utilizing a Health-At-Every-Size (HAES®) model and Indigenous ways of knowing, as a starting point, to understand weight, health, and our bodies. A new paradigm is needed to identify and close health gaps as noted in Article 19 of the Truth and Reconciliation Calls to Action (2015). We respectfully call upon health professionals and public health bodies to acknowledge the harm of weight stigma and discrimination in their practice and policies, and we encourage Indigenous peoples to (re)claim and (re)vitalize body sovereignty.

摘要

我们最初提出了一项研究,旨在根据真相与和解委员会第 19 条(2015 年)的要求,审查加拿大原住民和非原住民人口中“肥胖”差距的变化情况,该条呼吁持续监测健康结果方面的差距。相反,我们质疑将“肥胖”患病率降低作为原住民人口健康目标的重要性。本批判性评论从原住民女权主义视角概述了加拿大原住民人口的体重、体重与健康结果的关系以及体重耻辱和歧视问题。我们介绍了利用健康体型(HAES®)模型和原住民知识的“双重视角”方法的适用性,作为理解体重、健康和身体的起点。正如《真相与和解委员会呼吁采取行动》第 19 条(2015 年)所指出的,需要一种新的模式来确定和缩小健康差距。我们恳请卫生专业人员和公共卫生机构在实践和政策中认识到体重耻辱和歧视的危害,并鼓励原住民人民(重新)拥有和(重新)恢复身体自主权。

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本文引用的文献

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Obesity in adults: a clinical practice guideline.成人肥胖:临床实践指南。
CMAJ. 2020 Aug 4;192(31):E875-E891. doi: 10.1503/cmaj.191707.
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What's in a Word? On Weight Stigma and Terminology.一个词里有什么?论体重歧视与术语
Front Psychol. 2016 Oct 5;7:1527. doi: 10.3389/fpsyg.2016.01527. eCollection 2016.

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