Hedges Joanne, Poirier Brianna, Soares Gustavo, Haag Dandara, Sethi Sneha, Santiago Pedro Ribeiro, Cachagee Madison, Jamieson Lisa
Indigenous Oral Health Unit, Australian Research Centre for Population Oral Health, Adelaide Dental School, University of Adelaide, Adelaide, Australia.
Community Dent Oral Epidemiol. 2023 Dec;51(6):1232-1240. doi: 10.1111/cdoe.12881. Epub 2023 Jun 9.
Arguably, the deficit narrative of oral health inequities, perpetuated by colonial re-search agendas, media and sociopolitical discourse, contributes to oral disease burden and fatalism among Aboriginal and Torres Strait Islander Peoples. There remains a need to evolve the way oral health is understood, in a manner that reflects the lived experiences of Aboriginal and Torres Strait Islander Peoples.
This paper proposes decolonising methodologies as a strategy to ensure oral health re-search creates more equitable oral health outcomes and realities for Aboriginal and Torres Strait Islander Communities. Anchored by a critical reflection of the failure of dominant oral health inequity re-search practices to address Indigenous oral health, both in Australia and internationally, we propose five explicit pathways for decolonising Aboriginal and Torres Strait Islander oral health re-search.
We argue the need for (1) positionality statements in all re-search endeavours, (2) studies that honour reciprocal relationships through the development of proposals that ask questions and follow models based on Traditional Knowledges, (3) the development of culturally secure and strengths-based data capturing tools, (4) frameworks that address the intersection of multiple axes of oppression in creating inequitable conditions and (5) decolonising knowledge translation techniques.
Importantly, we recognize that re-search will never be entirely 'decolonised' due to the colonial foundations upheld by academic institutions and society more broadly; however, as oral health re-searchers, we ascertain that there is an ethical compulsion to drive decolonising re-search pursuits that produce equitable oral health outcomes for Aboriginal and Torres Strait Islander Communities.
可以说,由殖民研究议程、媒体和社会政治话语延续下来的口腔健康不平等的缺陷叙事,加剧了原住民和托雷斯海峡岛民的口腔疾病负担和宿命论。仍然需要以一种反映原住民和托雷斯海峡岛民生活经历的方式来改进对口腔健康的理解。
本文提出将去殖民化方法作为一种策略,以确保口腔健康研究为原住民和托雷斯海峡岛民社区创造更公平的口腔健康结果和现实。基于对澳大利亚和国际上主流口腔健康不平等研究实践未能解决原住民口腔健康问题的批判性反思,我们提出了五条明确的途径,以使原住民和托雷斯海峡岛民的口腔健康研究去殖民化。
我们认为需要(1)在所有研究工作中发表立场声明;(2)通过制定提出问题并遵循基于传统知识的模式的提案,开展尊重互惠关系的研究;(3)开发具有文化安全性和基于优势的数据收集工具;(4)建立框架,以解决在造成不平等状况时多种压迫轴的交叉问题;(5)使知识转化技术去殖民化。
重要的是,我们认识到,由于学术机构和更广泛的社会所秉持的殖民基础,研究永远不会完全“去殖民化”;然而,作为口腔健康研究人员,我们确定有道德义务推动去殖民化的研究工作,为原住民和托雷斯海峡岛民社区带来公平的口腔健康结果。