Wellbeing of Indigenous Peoples in Canada, Aotearoa (New Zealand) and the United States: A Systematic Review.

Wellbeing of Indigenous Peoples in Canada, Aotearoa (New Zealand) and the United States: A Systematic Review.
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DOI:
10.3390/ijerph18115832
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发表时间:
2021-05-28
影响因子:
--
通讯作者:
Garvey G
Garvey G
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Gall A;Anderson K;Howard K;Diaz A;King A;Willing E;Connolly M;Lindsay D;Garvey G

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尽管加拿大、奥特罗阿(新西兰)和美国的非土著人民的健康状况有所改善,但这些国家的土著人民的死亡率和发病率仍然高得不成比例。土著人民对健康和福祉的概念和理解是整体的;然而,由于各国国内和各国的社会、政治、文化、环境和经济背景各不相同,并非所有土著人口都能均匀地体验到幸福。我们的目标是确定对加拿大,奥特罗阿和美国土著人民重要的福利方面。我们检索了CINAHL、Embase、PsycINFO和PubMed数据库,从数据库建立到2020年4月,检索了包含关键土著和福祉搜索词的论文。研究对象为居住在加拿大、澳大利亚和美国的成年原住民,并包含至少一个方面描述幸福感的实证定性数据的论文才符合条件。使用Thomas和Harden推荐的专题发展阶段对数据进行分析,以进行定性研究的专题综合。我们的搜索结果是2669篇论文被筛选为合格。经过全文筛选,100篇论文被认为符合纳入条件(Aotearoa(新西兰)n = 16,加拿大n = 43,美国n = 41)。各国的主题各不相同;然而,身份、联系、平衡和自我决定是幸福的共同方面。在这些文化中对健康有了更广泛的了解,可以为有关公共卫生行动和资源的决策提供信息。
Despite the health improvements afforded to non-Indigenous peoples in Canada, Aotearoa (New Zealand) and the United States, the Indigenous peoples in these countries continue to endure disproportionately high rates of mortality and morbidity. Indigenous peoples’ concepts and understanding of health and wellbeing are holistic; however, due to their diverse social, political, cultural, environmental and economic contexts within and across countries, wellbeing is not experienced uniformly across all Indigenous populations. We aim to identify aspects of wellbeing important to the Indigenous people in Canada, Aotearoa and the United States. We searched CINAHL, Embase, PsycINFO and PubMed databases for papers that included key Indigenous and wellbeing search terms from database inception to April 2020. Papers that included a focus on Indigenous adults residing in Canada, Aotearoa and the United States, and that included empirical qualitative data that described at least one aspect of wellbeing were eligible. Data were analysed using the stages of thematic development recommended by Thomas and Harden for thematic synthesis of qualitative research. Our search resulted in 2669 papers being screened for eligibility. Following full-text screening, 100 papers were deemed eligible for inclusion (Aotearoa (New Zealand) n = 16, Canada n = 43, United States n = 41). Themes varied across countries; however, identity, connection, balance and self-determination were common aspects of wellbeing. Having this broader understanding of wellbeing across these cultures can inform decisions made about public health actions and resources.
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