Menzies School of Health Research, Charles Darwin University, Darwin 0810, Australia.
School of Public Health, University of Queensland, Brisbane 4000, Australia.
Int J Environ Res Public Health. 2021 Jun 8;18(12):6193. doi: 10.3390/ijerph18126193.
Aboriginal and Torres Strait Islander people experience a greater range of health and social disadvantages compared to other Australians. Wellbeing is a culturally-bound construct, and to date, a national evidence base around the components of wellbeing for Aboriginal and Torres Strait Islander people is lacking. Understanding and measurement of wellbeing for this population is critical in achieving health equity. This paper aims to identify and describe the foundations of wellbeing for Aboriginal and Torres Strait Islander adults. This national qualitative study was underpinned by an Indigenist research approach which privileges the voices of Aboriginal and Torres Strait Islander people. Aboriginal and Torres Strait Islander adults were purposively recruited from around Australia between September 2017 and September 2018 to participate in Yarning Circles, led by Aboriginal and Torres Strait Islander researchers. Yarning Circles were audio recorded, transcribed and analyzed. A Collaborative Yarning Methodology was used, which incorporated reflexive thematic analysis to identify and describe the foundations of wellbeing reported by participants. A total of 359 Aboriginal and Torres Strait Islander adults participated. Our analysis revealed five foundations of wellbeing: belonging and connection; holistic health; purpose and control; dignity and respect; and basic needs. These foundations were deeply interwoven by three interconnected aspects of Aboriginal and Torres Strait Islander life: family, community and culture. The findings of this study will substantially aid our efforts to develop a new wellbeing measure for Aboriginal and Torres Strait Islander adults. The iterative Indigenist methods used in this study provide a robust research methodology for conducting large-scale, nationally-relevant qualitative research with Aboriginal and Torres Strait Islander people. Policies and practices that are informed by our results have the potential to address outcomes that are meaningful for Aboriginal and Torres Strait Islander people.
与其他澳大利亚人相比，原住民和托雷斯海峡岛民在健康和社会福利方面面临更大的挑战。幸福是一种文化建构，迄今为止，关于原住民和托雷斯海峡岛民幸福构成要素的全国性证据基础还很缺乏。了解和衡量这一人群的幸福感对于实现健康公平至关重要。本文旨在确定并描述原住民和托雷斯海峡岛民成年人幸福感的基础。这项全国性的定性研究是基于一种本土主义研究方法，这种方法优先考虑原住民和托雷斯海峡岛民的声音。2017 年 9 月至 2018 年 9 月期间，我们从澳大利亚各地有目的地招募了原住民和托雷斯海峡岛民成年人参加由原住民和托雷斯海峡岛民研究人员领导的 Yarning Circles。Yarning Circles 进行了录音、转录和分析。采用了协作式 Yarning 方法，其中包含反思性主题分析，以确定并描述参与者报告的幸福感基础。共有 359 名原住民和托雷斯海峡岛民成年人参与了这项研究。我们的分析揭示了幸福感的五个基础：归属感和联系、整体健康、目标和控制、尊严和尊重、基本需求。这些基础由原住民和托雷斯海峡岛民生活的三个相互关联的方面深深交织在一起：家庭、社区和文化。这项研究的结果将极大地帮助我们努力为原住民和托雷斯海峡岛民成年人开发新的幸福感衡量标准。本研究中使用的迭代式本土主义方法为与原住民和托雷斯海峡岛民进行大规模、全国性的定性研究提供了一种强大的研究方法。受我们研究结果启发的政策和实践有可能解决对原住民和托雷斯海峡岛民有意义的结果。
