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加强偏远澳大利亚地区原住民和托雷斯海峡岛民男性的健康促进发展:北领地视角。

Strengthening health promotion development with Aboriginal and Torres Strait Islander males in remote Australia: A Northern Territory perspective.

机构信息

Rural and Remote Health NT, College of Medicine and Public Health, Flinders University, Darwin, NT, Australia.

Menzies School of Health Research, Charles Darwin University, Darwin, NT, Australia.

出版信息

Aust J Rural Health. 2022 Aug;30(4):540-543. doi: 10.1111/ajr.12878. Epub 2022 May 21.

Abstract

AIMS

To elucidate key considerations for effective health promotion with Aboriginal and Torres Strait Islander males in remote Northern Territory.

CONTEXT

Despite the significant disparities in health outcomes amongst Aboriginal and Torres Strait Islander males, particularly in remote Northern Territory, investment in health promotion policy and practice has been inadequate. Progressing towards self-determination with Aboriginal and Torres Strait Islander males, and to meet the unique health and well-being needs of this marginalised demographic, consideration for staff retention and training, strengths-based approaches, and implications of divergent masculinities must be considered when devising and delivering culturally responsive and appropriate health promotion interventions. Health promotion needs to be conducted in a collaborative manner, and in less conventional settings, to better engage Aboriginal and Torres Strait Islander males.

APPROACH

This commentary draws on the author's reflections about working in remote Aboriginal and Torres Strait Islander health policy, practice and research contexts in Northern Australia. It brings together diffuse strands of scholarship about Aboriginal and Torres Strait Islander male health; Aboriginal and Torres Strait Islander health promotion; and health promotion in rural and remote contexts. In doing so, we identify and discuss strategies that have potential to strengthen Aboriginal and Torres Strait Islander male health promotion in rural and remote Australia.

CONCLUSION

Health services and professionals in remote Northern Territory must leverage the inherent strengths of Aboriginal and Torres Strait Islander males to imbue service delivery with both meaning and capacity for self-determination. In doing so, this might ultimately help to alleviate the marginalisation of this demographic.

摘要

目的

阐明在北领地偏远地区促进与原住民和托雷斯海峡岛民男性有效健康的关键注意事项。

背景

尽管原住民和托雷斯海峡岛民男性的健康结果存在显著差异,尤其是在北领地偏远地区,但在健康促进政策和实践方面的投资却不足。要实现与原住民和托雷斯海峡岛民男性的自主,满足这一边缘化群体的独特健康和福祉需求,在制定和提供文化上响应和适当的健康促进干预措施时,必须考虑员工保留和培训、基于优势的方法以及不同男性气质的影响。健康促进需要以协作的方式在不太传统的环境中进行,以更好地吸引原住民和托雷斯海峡岛民男性。

方法

本评论借鉴了作者在澳大利亚北部偏远地区的原住民和托雷斯海峡岛民健康政策、实践和研究背景中工作的反思。它汇集了关于原住民和托雷斯海峡岛民男性健康、原住民和托雷斯海峡岛民健康促进以及农村和偏远地区健康促进的分散研究线索。通过这样做,我们确定并讨论了一些策略,这些策略有可能加强澳大利亚农村和偏远地区的原住民和托雷斯海峡岛民男性健康促进。

结论

北领地偏远地区的卫生服务和专业人员必须利用原住民和托雷斯海峡岛民男性的固有优势,为服务提供赋予意义和自主能力。这样做,最终可能有助于减轻这一群体的边缘化。

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