Department of Psychiatry, John A. Burns School of Medicine, University of Hawai`i at Mānoa, Honolulu, HI, USA.
J Prev (2022). 2022 Apr;43(2):167-190. doi: 10.1007/s10935-022-00666-3. Epub 2022 Jan 29.
This paper has two goals regarding cultural rigor, defined as privileging cultural ways of knowing and being as a means to achieving health and well-being for future generations. First, we move the continuum of health practices beyond cultural grounding to include Indigenous Culture-as-Health. Second, this project expands the concept of Indigenous Culture-as-Health in addiction and recovery to include a broader range of health, inclusive of prevention, to further understand this emerging model. Our review of the literature yielded an expanded cultural continuum that includes Indigenous Culture-as-Health, which appears to rely on four modalities: 1) Indigenous ways of knowing, 2) Indigenous cultural practices, 3) place-based/sacred sites, and 4) Indigenous spirituality. For Indigenous health, standards are defined by centuries of ancestral consciousness among Indigenous people across generations, in spite of settler-colonial systems that do not serve them. In other words, Indigenous Culture-as-Health practices contribute to self-determination, sovereignty, and liberation. Incorporating these strategies also will ameliorate other problems related to White supremacy and health, such as epistemic exploitation. Additional implications for prevention practice and policy are described.
本文在文化严谨性方面有两个目标，将文化认知和存在方式置于优先地位，以实现子孙后代的健康和福祉。首先，我们将健康实践的连续体从文化基础扩展到包括作为健康的本土文化。其次，这个项目将作为健康的本土文化的概念扩展到成瘾和康复领域，纳入更广泛的健康概念，包括预防，以进一步理解这个新兴模式。我们对文献的回顾产生了一个扩展的文化连续体，其中包括作为健康的本土文化，它似乎依赖于四种模式：1）本土认知方式，2）本土文化实践，3）基于地点/圣地，和 4）本土精神。对于本土健康，标准是由几代本土人民的祖先意识定义的，尽管存在不服务于他们的殖民定居者系统。换句话说，作为健康的本土文化实践有助于实现自决、主权和解放。纳入这些策略也将改善与白人至上和健康相关的其他问题，如认识论剥削。还描述了对预防实践和政策的其他影响。
