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弥合原住民健康的商业决定因素和殖民化的遗留问题:批判性分析。

Bridging the commercial determinants of Indigenous health and the legacies of colonization: A critical analysis.

机构信息

Dalla Lana School of Public Health, University of Toronto, Canada.

Waakebiness Institute for Indigenous Health, Dalla Lana School of Public Health, University of Toronto, Canada.

出版信息

Glob Health Promot. 2024 Jun;31(2):15-22. doi: 10.1177/17579759231187614. Epub 2023 Jul 31.

Abstract

To date, there has been scarce effort to consider the intertwining of colonization and the commercial determinants of Indigenous health. This is a vital omission, and one that this paper proposes to address. We propose how four losses of tradition borne out of colonialism are intertwined with four respective commercial determinants of Indigenous health: 1) loss of traditional diets and the ultra-processed food industry; 2) loss of traditional ceremony and the tobacco industry; 3) loss of traditional knowledge and the infant formula industry; and 4) loss of traditional support networks and the alcohol industry. Building on Indigenous efforts to decolonize spaces and assert control over their own lives, we argue that analyzing the mechanisms through which industry activities intersect with colonial legacies will improve broader understandings of Indigenous health disparities.

摘要

迄今为止,人们很少努力考虑殖民化和影响原住民健康的商业决定因素之间的相互交织。这是一个至关重要的遗漏,本文旨在解决这一问题。我们提出了由于殖民主义而产生的四种传统的丧失是如何与影响原住民健康的四个相应的商业决定因素交织在一起的:1)传统饮食的丧失与超加工食品行业;2)传统仪式的丧失与烟草行业;3)传统知识的丧失与婴儿配方奶粉行业;4)传统支持网络的丧失与酒精行业。我们认为,基于原住民为使空间非殖民化和争取对自己生活的控制权而做出的努力,分析行业活动与殖民遗留问题相互交织的机制,将有助于更全面地了解原住民健康方面的差异。

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