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加瓦迪加杜德哈:探索文化营地如何支持澳大利亚新南威尔士州原住民成年人的健康与福祉,一项定性研究。

Gaawaadhi Gadudha: exploring how cultural camps support health and wellbeing among Aboriginal adults in New South Wales Australia, a qualitative study.

作者信息

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

机构信息

School of Population Health, University of New South Wales, Sydney, NSW, Australia.

Centre for Primary Health Care & Equity, University of New South Wales, Sydney, NSW, Australia.

出版信息

Lancet Reg Health West Pac. 2024 Nov 10;52:101208. doi: 10.1016/j.lanwpc.2024.101208. eCollection 2024 Nov.

Abstract

BACKGROUND

Culture and its practice is a recognised, but not well understood factor, in Aboriginal health and wellbeing. Our study aimed to explore how health and wellbeing are phenomenologically connected to cultural practices, foods, medicines, languages, and Country, through the platform of 'on-Country' camps facilitated by Aboriginal cultural knowledge holders in NSW, Australia.

METHODS

Our study is based on a collaboration between knowledge holders from freshwater and saltwater cultures, and Aboriginal and non-Aboriginal researchers. Three existing cultural camps on Yuwaalaraay, Gamilaraay, and Yuin-Djirringanj Country were observed as part of the study. Within the camps, eight yarning circles were conducted with 76 participants. Data were analysed inductively using literal code descriptors which were cross tabulated to identify emergent patterns relevant to the study aims.

FINDINGS

Three key areas emerged from our analysis: 1) what constitutes cultural health; 2) the way in which cultural camps provide a mechanism for improved cultural health and; 3) the key elements needed to deliver a cultural camp that provides therapeutic benefits. Camps had a positive effect on participants' social, emotional, and spiritual health and wellbeing, often described through experiences of healing or stress relief, connection with Country and each other, and engaging in cultural practices.

INTERPRETATION

'On-Country' camps that are facilitated by place-based knowledge holders, provide a unique and promising platform that supports Aboriginal health and wellbeing through therapeutic, sensory experiences that strengthen cultural health; including cultural identity, knowledge gain and sharing, connection to Country, mob, and ancestors, and engagement in cultural practices. Access to Country and land to conduct camps remains a barrier to their delivery.

FUNDING

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

摘要

背景

文化及其实践在原住民的健康和幸福中是一个已被认可但尚未被充分理解的因素。我们的研究旨在通过由澳大利亚新南威尔士州的原住民文化知识持有者推动的“在乡村”营地这一平台,探讨健康和幸福在现象学上如何与文化实践、食物、药物、语言及乡村相联系。

方法

我们的研究基于淡水和咸水文化的知识持有者与原住民和非原住民研究人员之间的合作。作为研究的一部分,观察了尤瓦拉拉伊、加米拉赖和尤因 - 吉林根乡村现有的三个文化营地。在营地内,与76名参与者进行了8次围坐交流活动。使用文字代码描述符对数据进行归纳分析,并交叉制表以识别与研究目标相关的新出现模式。

结果

我们的分析得出了三个关键领域:1)构成文化健康的要素;2)文化营地为改善文化健康提供机制的方式;3)举办具有治疗益处的文化营地所需的关键要素。营地对参与者的社会、情感和精神健康及幸福产生了积极影响,这通常通过治愈或缓解压力的体验、与乡村及彼此的联系以及参与文化实践来描述。

解读

由基于地方的知识持有者推动的“在乡村”营地提供了一个独特且有前景的平台,通过强化文化健康的治疗性感官体验来支持原住民的健康和幸福;这些体验包括文化认同、知识获取与分享、与乡村、群体和祖先的联系以及参与文化实践。获得乡村和土地来举办营地仍然是营地实施的一个障碍。

资金来源

本研究由澳大利亚政府的医学研究未来基金(MRF2009522)资助。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8622/11632835/0f335c0cb975/gr1.jpg

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