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城市环境中老年人使用交通系统的体验:交通可达性作为健康的社会决定因素的原住民视角。

Experiences of Older Aboriginal People in Navigating Transport Systems in an Urban Setting: An Indigenous Perspective on Transport Access, a Social Determinant of Health.

机构信息

School of Population Health, UNSW Sydney, Sydney, NSW 2052, Australia.

Healthy Urban Environments Collaboratory, Maridulu Budyari Gumal SPHERE, Liverpool, NSW 2170, Australia.

出版信息

Int J Environ Res Public Health. 2022 Oct 23;19(21):13778. doi: 10.3390/ijerph192113778.

DOI:10.3390/ijerph192113778
PMID:36360658
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9655690/
Abstract

BACKGROUND

In Australia, Aboriginal people are underserved by the transport system and are less able to easily get to places they need to go than others. This is a part of a larger pattern of exclusion and inequity for Aboriginal people which affects their health, wellbeing, and social participation. Guided by a decolonising framework, this research explored how older Aboriginal people, whose pivotal roles in their families and communities require their mobility, experience the transportation system, providing an Indigenous-centred view of the accessibility of transportation options in society.

METHODS

Interviews drawing from the yarning technique were conducted with ten older Aboriginal people living in Greater Western Sydney and analysed qualitatively.

RESULTS

In addition to the cognitive labour required to decipher the rules of the transport system and organise commitments to match the scheduling of transport services, older Aboriginal people in this study experienced stigmatising attitudes and condescending treatment from service professionals and the public when traveling.

CONCLUSIONS

This study suggests three potential ways that the current trajectory that underserves older Aboriginal people could be disrupted, relating to service design, the diversity and inclusion agenda, and the social determinants of Indigenous health.

摘要

背景

在澳大利亚,原住民在交通系统中得不到充分服务,他们比其他人更难轻松到达他们需要去的地方。这是原住民被排斥和不平等的更大模式的一部分,影响了他们的健康、福祉和社会参与。本研究以去殖民化框架为指导,探讨了在家庭和社区中发挥关键作用、需要出行的老年原住民是如何体验交通系统的,为了解社会中交通选择的可及性提供了一种以原住民为中心的视角。

方法

对居住在大悉尼西部地区的 10 名老年原住民进行了访谈,这些访谈借鉴了闲聊技术,并进行了定性分析。

结果

除了需要认知劳动来解读交通系统的规则并安排承诺以匹配交通服务的时间表外,本研究中的老年原住民在出行时还经历了来自服务专业人员和公众的污名化态度和屈尊俯就的待遇。

结论

本研究提出了三种可能的方式来打破目前服务不足老年原住民的现状,这与服务设计、多样性和包容性议程以及原住民健康的社会决定因素有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/823d/9655690/af467d0d0921/ijerph-19-13778-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/823d/9655690/af467d0d0921/ijerph-19-13778-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/823d/9655690/af467d0d0921/ijerph-19-13778-g001.jpg

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本文引用的文献

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Towards health equity and social justice: an applied framework of decolonization in health promotion.走向健康公平与社会正义:健康促进领域中的去殖民化应用框架。
Health Promot Int. 2020 Aug 1;35(4):831-840. doi: 10.1093/heapro/daz053.
2
Colonisation - it's bad for your health: the context of Aboriginal health.殖民化——对你的健康有害:原住民健康的背景情况
Contemp Nurse. 2013 Dec;46(1):28-40. doi: 10.5172/conu.2013.46.1.28.
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Yarning/Aboriginal storytelling: towards an understanding of an Indigenous perspective and its implications for research practice.
编织故事/原住民叙事:迈向对原住民视角及其对研究实践影响的理解
Contemp Nurse. 2013 Dec;46(1):13-7. doi: 10.5172/conu.2013.46.1.13.
4
Indigenous Māori perspectives on urban transport patterns linked to health and wellbeing.与健康和福祉相关的城市交通模式的毛利原住民观点。
Health Place. 2013 Sep;23:54-62. doi: 10.1016/j.healthplace.2013.04.007. Epub 2013 May 18.
5
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Med J Aust. 2011 May 16;194(10):512-3. doi: 10.5694/j.1326-5377.2011.tb03086.x.
6
Choose your method: a comparison of phenomenology, discourse analysis, and grounded theory.选择你的方法:现象学、话语分析和扎根理论的比较。
Qual Health Res. 2007 Dec;17(10):1372-80. doi: 10.1177/1049732307307031.