Diet, diabetes and relatedness in a central Australian Aboriginal settlement: some qualitative recommendations to facilitate the creation of culturally sensitive health promotion initiatives
Diet, diabetes and relatedness in a central Australian Aboriginal settlement: some qualitative recommendations to facilitate the creation of culturally sensitive health promotion initiatives
复制标题
DOI：
10.1071/he09202
复制
发表时间：
2009-12-01
影响因子：
1.9
通讯作者：
Dussart, Francoise
中科院分区：
文献类型：
--
作者：
Dussart, Francoise
解决的问题：应我在过去25年中与之共事的澳大利亚中部慢性病原住民患者的要求，进行了人种学研究，以更好地了解糖尿病患者如何在日常生活中科普疾病，从而制定更具文化敏感性的健康促进计划。方法：根据对84名原住民糖尿病患者及其亲属八个月的参与观察数据和半结构式访谈的分析，以及与当地诊所医务人员的对话，本文讨论了当代土著当代饮食习惯，后殖民需求分享经济，各种护理制度的部署和健康促进举措。结果：糖尿病患者无法获得医疗保健提供者确定的关键，以抵消健康状况不佳，如糖尿病友好食品。为了科普和理解他们的慢性病，糖尿病患者在不同的护理制度之间摇摆-生物医学，需求分享经济，以及传统和基督教宗教机构。为了确保取得一定程度的成功，长期的健康促进举措需要以“照顾”的瓦尔皮里关怀实践为基础，并依赖于患者及其亲属之间的现实合作，当地医疗保健提供者和其他社区组织。
Issue addressed: At the request of chronically-ill Aboriginal patients in Central Australia with whom I have worked for the past 25 years, ethnographic research was conducted to provide a better understanding of how diabetes sufferers cope with their illness in everyday life for the creation of more culturally sensitive health promotion initiatives.Methods: Based on analyses of participant-observation data and semi-structured interviews over an eight month period with 84 Aboriginal diabetic sufferers and their kin, as well as conversations with medical staff working at the local clinic, this paper discusses contemporary Aboriginal contemporary dietary practices, post-colonial demand-sharing economy, deployment of various regimes of care and health promotion initiatives.Results: Diabetic patients lack access to what is determined key by health care providers to offset ill-health such as diabetic-friendly food. In order to cope and make sense of their chronic illness, diabetic patients oscillate between different regimes of care - biomedical, demand-sharing economy, and traditional and Christian religious institutions.Conclusion: To ensure a certain measure of success, long-term health promotion initiatives need to be grounded in a Warlpiri caring praxis of 'looking after', and rely on realistic collaborations among patients and their kin, local health care providers, and other community-based organisations.