Unsettling Settler Colonialism in Research: Strategies Centering Native American Experience and Expertise in Responding to Substance Misuse and Co-occurring Sexual Risk-Taking, Alcohol-Exposed Pregnancy, and Suicide Prevention Among Young People.

Unsettling Settler Colonialism in Research: Strategies Centering Native American Experience and Expertise in Responding to Substance Misuse and Co-occurring Sexual Risk-Taking, Alcohol-Exposed Pregnancy, and Suicide Prevention Among Young People.
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DOI:
10.1007/s42844-023-00100-5
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发表时间:
2023-12
期刊:
Adversity and resilience science
影响因子:
--
通讯作者:
Allen, James
Allen, James
中科院分区:
其他
文献类型:
--
作者:
Tuitt, Nicole R.;Wexler, Lisa M.;Kaufman, Carol E.;Whitesell, Nancy Rumbaugh;Rink, Elizabeth;Anastario, Michael;Ivanich, Jerreed D.;Belone, Lorenda;Moore, Roland S.;Huh, David;Campbell, Tessa Evans;Allen, James

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美国的美洲原住民(NA)群体(即美国原住民,包括阿拉斯加原住民、美洲印第安人和夏威夷原住民)面临着殖民者殖民主义所产生的独特的历史、社会政治和环境压力。长期处于社会和经济劣势的环境是物质滥用和共同发生的性冒险和自杀结果的关键决定因素,以及青少年(即青少年和年轻人)中暴露在酒精中的怀孕。尽管抵抗力和复原力代代相传,但与美国其他种族和民族相比,NA年轻人在物质滥用和共生结果方面仍存在差异。未能解决这些不平等问题是一系列复杂因素的结果;其中许多因素是结构性的,根植于定居者殖民主义。这些结构性因素之一包括旨在指导解决这些差异的解决方案的卫生公平研究中明显存在的障碍,但涉及维持已被证明对制定这些解决方案无效的研究现状。有明确或隐含偏见的价值观、观点和做法深深植根于当前的研究设计、方法论、分析以及传播和实施工作。在北美洲社区的历史、社会和文化背景下,经验或知识有限的研究人员和研究机构有意无意地支持了这一现状。我们提出了一个概念框架,说明了殖民者殖民主义对当前研究方法的影响,以及扰乱其影响的机会。此外,我们的框架说明了在研究中抵制定居者殖民主义的机会。然后,我们重点介绍由美国国立卫生研究院资助的干预研究改善美国原住民健康项目的案例,这些研究影响了NA年轻人的物质使用和共生健康状况。
Native American (NA) populations in the USA (i.e., those native to the USA which include Alaska Natives, American Indians, and Native Hawaiians) have confronted unique historical, sociopolitical, and environmental stressors born of settler colonialism. Contexts with persistent social and economic disadvantage are critical determinants of substance misuse and co-occurring sexual risk-taking and suicide outcomes, as well as alcohol exposed pregnancy among NA young people (i.e., adolescents and young adults). Despite intergenerational transmission of resistance and resiliencies, NA young people face continued disparities in substance misuse and co-occurring outcomes when compared to other racial and ethnic groups in the USA. The failure in progress to address these inequities is the result of a complex set of factors; many of which are structural and rooted in settler colonialism. One of these structural factors includes barriers evident in health equity research intended to guide solutions to address these disparities yet involving maintenance of a research status quo that has proven ineffective to developing these solutions. Explicitly or implicitly biased values, perspectives, and practices are deeply rooted in current research design, methodology, analysis, and dissemination and implementation efforts. This status quo has been supported, intentionally and unintentionally, by researchers and research institutions with limited experience or knowledge in the historical, social, and cultural contexts of NA communities. We present a conceptual framework illustrating the impact of settler colonialism on current research methods and opportunities to unsettle its influence. Moreover, our framework illustrates opportunities to resist settler colonialism in research. We then focus on case examples of studies from the Intervention Research to Improve Native American Health program, funded by the NIH, that impact substance use and co-occurring health conditions among NA young people.
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