School of Health Sciences, Swinburne University of Technology, 12 Wakefield Street (Swinburne Place West), Hawthorn, Victoria, 3122, Australia; Centre of Urban Transitions, Swinburne University of Technology, 12 Wakefield Street (Swinburne Place West), Hawthorn, Victoria, 3122, Australia.
School of Population and Global Health, University of Melbourne, 207 Bouverie Street, Carlton, Victoria, 3010, Australia; Intergenerational Health, Murdoch Children's Research Centre, Flemington Rd, Parkville, Victoria, 3052, Australia.
Soc Sci Med. 2021 Aug;283:114217. doi: 10.1016/j.socscimed.2021.114217. Epub 2021 Jul 7.
Aboriginal 'gathering places' have been described as cultural hubs, healing centres, and social meeting places. This article explores a gap in the literature on the health and wellbeing outcomes of gathering places from the perspectives of Aboriginal people who attend them. The aim of this study was to develop a framework to articulate the enablers, principles, and outcomes of 'successful' Aboriginal gathering places. In this study, sixty-nine (n = 69) community members participated in qualitative interviews or focus group discussions across thirteen gathering place sites in Victoria (Australia). The research found that gathering places address social health disparities through the provision of a broad range of health and wellbeing programs that benefit Aboriginal community members accessing them. Gathering places were described by participants as providing connections to place, Aboriginal culture, and healing and mainstream health services that enhanced wellbeing. These findings contribute to a better understanding of how Aboriginal gathering places function and offer strategies for creating culturally safe and welcoming settings for Aboriginal peoples, with potential for consideration in international contexts. This research informed a best-practice framework and outlines different models for developing community empowering and culturally affirming gathering places for improving Aboriginal people's access to culturally appropriate health and support services, while simultaneously reducing health and social inequalities. Key elements of this framework that contribute to a successful gathering place include the people, place (location/facilities), programs and community themselves, whilst the principles that enable these places include elements like self-determination, respect of culture, sustainability and strong governance.
原住民“集会场所”被描述为文化中心、治疗中心和社交聚会场所。本文从参加这些集会场所的原住民的角度探讨了集会场所对健康和福利影响的文献中的一个空白。本研究的目的是从原住民的角度出发,制定一个框架来阐明“成功”的原住民集会场所的促成因素、原则和结果。在这项研究中,69 名(n=69)社区成员在维多利亚州(澳大利亚)的 13 个集会场所参加了定性访谈或焦点小组讨论。研究发现,集会场所通过提供广泛的健康和福利项目来解决社会健康差距问题,这些项目使受益的原住民社区成员受益。参与者将集会场所描述为提供了与地方、原住民文化、治疗以及主流健康服务的联系,从而增强了幸福感。这些发现有助于更好地了解原住民集会场所的运作方式,并为创造对原住民安全和欢迎的环境提供了策略,这在国际背景下可能值得考虑。这项研究提供了一个最佳实践框架,并概述了发展社区赋权和文化认同的集会场所的不同模式,以改善原住民获得文化适宜的健康和支持服务的机会,同时减少健康和社会不平等。这个框架的关键要素包括人、地点(位置/设施)、项目和社区本身,而促成这些场所的原则包括自决、尊重文化、可持续性和强有力的治理等要素。