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确定美国境内原住民健康的殖民定居决定因素:一篇论述性论文。

Identifying Settler Colonial Determinants of Indigenous Health Within the United States: A Discursive Paper.

作者信息

Thomas Nicole A, Ersig Anne L, Nelson Lonnie A, Owen Brenda, Whyte Kyle Powys, Wispelwey Bram, Bratzke Lisa C

机构信息

School of Nursing, University of Wisconsin-Madison, Madison, Wisconsin, USA.

School of Nursing, Washington State University, Spokane, Washington, USA.

出版信息

Public Health Nurs. 2025 Mar-Apr;42(2):890-898. doi: 10.1111/phn.13523. Epub 2024 Dec 31.

DOI:10.1111/phn.13523
PMID:39741119
Abstract

AIM(S): This discursive article aims to examine how systemic factors (both) reproduce the structure of settler colonialism and influence health outcomes among Indigenous peoples in the United States through settler colonial determinants of Indigenous health (SCDoIH).

DESIGN

Discursive paper.

METHODS

This discursive paper demonstrates how settler colonialism and health relate to each other within a nursing context. The concept of settler colonialism that was consolidated into a scholarly field beginning in the late 1990s is used to identify and contextualize SCDoIH for individuals residing in the United States as an entry point to advance scholarship on settler colonialism and nursing.

RESULTS

A research framework that identifies factors of settler colonialism and SCDoIH within the United States is presented.

CONCLUSION

The structure of settler colonialism in the United States includes settler colonial determinants of health for Indigenous populations that have detrimental effects on health outcomes.

IMPLICATIONS FOR NURSING

To provide holistic nursing care, nurses must be aware of settler colonialism as a determinant of health. Nurses providing care to Indigenous peoples need to be attuned to the pathways and processes through which settler colonialism leads to exposures that may affect their patients' health.

摘要

目的

这篇论述性文章旨在探讨系统性因素如何通过定居者殖民主义对原住民健康的决定因素(SCDoIH)来重现定居者殖民主义的结构,并影响美国原住民的健康结果。

设计

论述性论文。

方法

这篇论述性论文展示了定居者殖民主义与健康在护理背景下是如何相互关联的。从20世纪90年代末开始整合到学术领域的定居者殖民主义概念,被用于识别和界定美国居民的SCDoIH,并以此作为推进定居者殖民主义与护理学术研究的切入点。

结果

提出了一个识别美国定居者殖民主义因素和SCDoIH的研究框架。

结论

美国定居者殖民主义的结构包括对原住民健康的定居者殖民主义决定因素,这些因素对健康结果有不利影响。

对护理的启示

为提供整体护理,护士必须意识到定居者殖民主义是一种健康决定因素。为原住民提供护理的护士需要关注定居者殖民主义导致可能影响其患者健康的暴露的途径和过程。

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