Gardner K, Graham S, Beadman M, Doyle M, Wilms J, Beetson K, Bryant J, Martin K, Treloar C, Murphy D, Bell S, Browne A, Aggleton P, Bolt R
Department of Infectious Diseases, Peter Doherty Institute for Infection and Immunity, University of Melbourne, Melbourne, Victoria, Australia.
Centre for Social Research in Health UNSW, Sydney, New South Wales, Australia.
Health Promot J Austr. 2025 Jan;36(1):e906. doi: 10.1002/hpja.906. Epub 2024 Sep 3.
Strengths-based approaches to health care are often seen as an alternative to deficit-based approaches and are common in Aboriginal health settings. Despite this, there is little existing research that describes Aboriginal peoples' perspectives about the strengths of their communities. This paper describes cultural strengths and resources as understood by Aboriginal people living in western Sydney.
In-depth interviews were used to collect qualitative data from two communities on Dharug and Dharrawal Country in western Sydney Australia. Data come from a larger study, which focused on how cultural strengths supported sexual well-being. Fifty-two interviews were conducted with Aboriginal young people (aged 16-24 years) by trained peer interviewers. Additionally, 16 interviews with Aboriginal adults (25 years and older) were conducted by members of the research team.
While opinions varied, four key areas of cultural strength were identified: (1) strong kinship relationships; (2) knowledge sharing; (3) shared experiences, identities, and values; and (4) knowing Country. Throughout these four themes, the sense of connection and belonging is viewed as an important overarching theme.
Communities are not homogenous with regard to what they view as cultural strengths. Knowing Country and practising culture meant different things to different individuals while providing a similar sense of belonging, connection, and identity.
Health service providers, policies, and programs can use this information to understand the continuing impacts of past policies and events whilst recognising that each community has strengths that can be drawn upon to improve service engagement, knowledge sharing, and health outcomes.
基于优势的医疗保健方法通常被视为基于缺陷的方法的替代方案,在原住民健康环境中很常见。尽管如此,现有的研究很少描述原住民对其社区优势的看法。本文描述了居住在悉尼西部的原住民所理解的文化优势和资源。
通过深入访谈从澳大利亚悉尼西部达鲁格和达拉瓦尔地区的两个社区收集定性数据。数据来自一项更大的研究,该研究关注文化优势如何支持性健康。由经过培训的同伴访谈员对52名原住民年轻人(16 - 24岁)进行了访谈。此外,研究团队成员对16名原住民成年人(25岁及以上)进行了访谈。
虽然观点各不相同,但确定了文化优势的四个关键领域:(1)强大的亲属关系;(2)知识共享;(3)共同的经历、身份和价值观;(4)了解家乡。在这四个主题中,联系感和归属感被视为一个重要的总体主题。
不同社区对于他们所认为的文化优势并非一致。了解家乡和践行文化对不同个体意味着不同的事情,同时提供了相似的归属感、联系感和身份认同感。
医疗服务提供者、政策和项目可以利用这些信息来理解过去政策和事件的持续影响,同时认识到每个社区都有优势可加以利用,以改善服务参与度、知识共享和健康结果。