衡量文化营地对原住民成年人健康和福祉的影响：来自Gaawaadhi Gadudha研究合作项目的初步证据。

Measuring the health and wellbeing impacts of cultural camps among Aboriginal adults: preliminary evidence from the Gaawaadhi Gadudha Research Collaborative.

作者信息

Brady Brooke, Zwi Anthony B, Kingsley Jonathan, O'Leary Michelle, Serova Nina, Topp Stephanie M, Biles Brett J, Fields Ted, Foster Warren, Yashadhana Aryati

机构信息

School of Psychology, University of New South Wales, Sydney, NSW, Australia.

Neuroscience Research Australia, Sydney, NSW, Australia.

出版信息

Lancet Reg Health West Pac. 2024 Nov 10;52:101200. doi: 10.1016/j.lanwpc.2024.101200. eCollection 2024 Nov.

DOI:10.1016/j.lanwpc.2024.101200

PMID:39664596

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11632748/

Abstract

BACKGROUND

Aboriginal and Torres Strait Islander peoples' have sustained their cultural practices for over 60,000 years which fundamentally impacts their health and wellbeing. Recent literature emphasizes cultural connection as a contributor to good public health, yet the mechanisms through which cultural engagement promotes health and wellbeing remain underexplored. This study investigates the health and wellbeing outcomes associated with Aboriginal peoples' participation in cultural camps in New South Wales (Australia), focusing on the role of cultural determinants of health.

METHODS

This cohort study, part of the larger Gaawaadhi Gadudha Research Collaborative, examines the impact of camp attendance on health indicators among Aboriginal adults. Participants (N = 43) completed surveys assessing individual cultural health, access to cultural resources, resilience, and health-related quality of life pre and post camp. Paired-samples t-tests and Wilcoxon related samples signed-rank tests were employed to analyze changes.

FINDINGS

Participants reported high engagement in cultural activities and positive experiences at camps. Post-camp responses indicated significant improvements in cultural health, including increased pride in cultural identity, knowledge of traditions, and connections to Country and community. However, measures of resilience and health-related quality of life showed no reliable changes.

INTERPRETATION

The findings suggest that camps play a crucial role in enhancing cultural health among Aboriginal peoples, reinforcing the importance of knowledge of cultural determinants of health. This study underscores the need for further research to explore the long-term impacts of cultural engagement on health and wellbeing and highlights the potential of cultural camps as a model for health promotion initiatives within Aboriginal communities.

FUNDING

This study was funded by the Australian Government's Medical Research Future Fund (MRF2009522).

摘要

背景

澳大利亚原住民和托雷斯海峡岛民的文化习俗已延续了6万多年，这从根本上影响着他们的健康和福祉。最近的文献强调文化联系对良好公共卫生的促进作用，但文化参与促进健康和福祉的机制仍未得到充分探索。本研究调查了澳大利亚新南威尔士州原住民参与文化营地活动所带来的健康和福祉成果，重点关注健康的文化决定因素所起的作用。

方法

这项队列研究是规模更大的Gaawaadhi Gadudha研究合作项目的一部分，考察了参加营地活动对原住民成年人健康指标的影响。参与者（N = 43）在参加营地活动前后完成了调查，评估个人文化健康、文化资源获取情况、复原力以及与健康相关的生活质量。采用配对样本t检验和威尔科克森相关样本符号秩检验来分析变化情况。