Montana State University, Bozeman, Montana, USA.
Florida International University, Miami, Florida, USA.
Sociol Health Illn. 2021 Sep;43(8):1774-1788. doi: 10.1111/1467-9566.13355. Epub 2021 Jul 22.
Emerging evidence suggests that the historical trauma associated with settler colonialism affects the sexual and reproductive health (SRH) of American Indian (AI) communities today. This article examines how one AI community narratively frames the influence of historical trauma within the context of community-based participatory research (CBPR) and the implications of this framing for health behaviours, internalized oppression, SRH outcomes, and future CBPR interventions. We found that AIs framed the SRH consequences of historical trauma with renderings that favoured personal choice over structural explanations. Our findings suggest future interventions could: (1) include educational components on historical trauma and the continued role settler colonialism plays in structural violence against AI bodies and communities; and (2) recognize the role that the individualized logic of westernized/white culture may play in the erasure of traditional collectivist AI culture, internalized oppression, and SRH.
新兴证据表明，与殖民主义有关的历史创伤会影响当今美洲印第安人（AI）社区的性与生殖健康（SRH）。本文探讨了一个 AI 社区如何在基于社区的参与性研究（CBPR）的背景下叙述历史创伤的影响，以及这种叙述对健康行为、内化压迫、SRH 结果和未来 CBPR 干预的影响。我们发现，AI 们以个人选择而不是结构解释为主的表述方式来阐述历史创伤对 SRH 的影响。我们的研究结果表明，未来的干预措施可以：（1）包括有关历史创伤的教育内容，以及定居者殖民主义在针对 AI 身体和社区的结构性暴力中继续发挥的作用；（2）认识到西方化/白人文化的个体化逻辑在消除传统的 AI 文化、内化压迫和 SRH 方面可能发挥的作用。
