Nuya kankantawa (we are feeling healthy): Understandings of health and wellbeing among Shawi of the Peruvian Amazon
Nuya kankantawa (we are feeling healthy): Understandings of health and wellbeing among Shawi of the Peruvian Amazon
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DOI：
10.1016/j.socscimed.2021.114107
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发表时间：
2021-06-18
影响因子：
5.4
通讯作者：
Harper, Sherilee L.
中科院分区：
文献类型：
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作者：
Bussalleu, Alejandra;King, Nia;Harper, Sherilee L.
促进和支持土著人的健康包括确保保健服务反映当地的健康概念。因此，有必要更好地了解土著人对健康的具体理解，以便设计文化上适当的保健服务。为此，本研究描述了两个Shawi社区对健康意味着什么的理解。采用基于社区的参与性研究方法，进行了40次半结构化访谈和一系列非正式访谈，并采用不断比较的方法按主题进行分析。Shawi对健康的定义超越了个人的身体福利，并专注于情感，集体和环境福祉。沙威人对健康和福祉的看法的主要因素包括供养家庭、确保他人的福利、保持积极的社会关系、维护传统价值观和习俗以及与自然环境和谐相处。相反，Shawi根据病因或治疗方法对疾病进行分类。这些疾病包括巫术引起的疾病，森林之灵引起的疾病，以及“新疾病”，当他们与西方文明接触时，第一次出现在社区中，没有传统的治疗方法。因此，据Shawi说，社会文化、环境和气候变化正在对健康构成迫在眉睫的威胁。这项研究强调了生物医学和土著Shawi健康理解之间的差异，因此强调了在正式医疗保健系统中承认和拥抱Shawi文化和信仰的重要性。
Promoting and supporting Indigenous health includes ensuring health services reflect local concepts of health. There is, therefore, a need to better understand context-specific Indigenous understandings of health in order to design culturally appropriate health services. To this end, this study characterized two Shawi communities' understandings of what it means to be healthy. Using a community-based participatory research approach, 40 semi-structured interviews and a series of informal interviews were conducted and analysed thematically, using a constant comparative method. The Shawi definition of health extended beyond individual physical welfare and focused on emotional, collective, and environmental wellbeing. The primary factors underlying Shawi perceptions of health and wellbeing included providing for the family, ensuring the welfare of others, maintaining positive social relationships, preserving traditional values and practices, and living harmoniously with the natural environment. Conversely, Shawi classified illnesses according to their cause or treatment. These included illnesses caused by sorcery, those caused by spirits of the forest, and 'new diseases,' that first appeared in the communities when they were contacted by the Western civilization, for which no traditional remedies existed. Consequently, according to Shawi, sociocultural, environmental, and climatic changes are posing imminent health threats. This study highlights the differences between biomedical and Indigenous Shawi health understandings, and therefore emphasizes the importance of acknowledging and embracing Shawi culture and beliefs within the formal healthcare system.