Critical epidemiology in action: Research for and by indigenous peoples.
Critical epidemiology in action: Research for and by indigenous peoples.
复制标题
DOI：
10.1016/j.ssmph.2018.09.003
复制
发表时间：
2018-12
期刊：
影响因子：
--
通讯作者：
Prussing E
中科院分区：
文献类型：
--
作者：
Prussing E
全球社会正义运动，包括争取土著权利的跨国行动，正在努力通过改变公共卫生研究和政策来促进卫生公平。然而，很少有社会科学研究调查专业流行病学家如何在这些努力中发挥作用。然而，流行病学的关键部门正在讨论如何改善该专业对宣传的投入。在三个地区（新西兰奥特亚罗瓦、美国大陆、和夏威夷）展示了研究人员/从业人员如何通过以下方式将流行病学和宣传联系起来：（1）将量化方法较为人所知的合法性与不太为人所知的因果框架联系起来，后者将殖民主义定位为健康的社会政治决定因素，（2）提出技术性批评意见，旨在提高土著人口健康统计数据的准确性和可获得性，以及（3）采取务实的灵活性，以应对不断变化的政治条件，这些政治条件决定了流行病学调查结果何时、是否以及如何支持倡导土著卫生公平。密切关注这项工作中的可信度策略，以及从业人员的技能和敏感性，为未来关于流行病学对倡导健康公平的贡献的研究指明了新的方向。关键的方法是设法更好地将流行病学数据转化为对政策和实践的影响。为土著人民进行的研究和由土著人民进行的研究将流行病学数据与促进土著人民健康平等的努力结合起来。研究人员的技能和情感展示了可以支持成功宣传的可信度策略。
Global social justice movements, including transnational activism for indigenous rights, are working to promote health equity by transforming public health research and policy. Yet little social scientific research has examined how professional epidemiologists are figuring within such efforts. Discussions are unfolding, however, in critical sectors of epidemiology about how to improve the profession’s input into advocacy. Findings from a multi-sited ethnographic study of epidemiological research for and by indigenous peoples in three settings (Aotearoa/New Zealand, the continental U.S., and Hawai’i) demonstrate how researchers/practitioners connect epidemiology and advocacy by: (1) linking the better-known legitimacy of quantitative methods to a lesser-known causal framework that positions colonialism as a sociopolitical determinant of health, (2) producing technical critiques that aim to improve the accuracy and accessibility of indigenous population health statistics, and (3) adopting a pragmatic flexibility in response to the shifting political conditions that shape when, whether and how epidemiological findings support advocacy for indigenous health equity. Attending closely to the credibility tactics at hand in this work, and to the skills and sensibilities of its practitioners, charts new directions for future research about epidemiology’s contributions to advocacy for health equity. Critical approaches seek to better translate epidemiological data into impacts on policy and practice. Research for and by indigenous peoples integrates epidemiological data with efforts to promote indigenous health equity. Researcher skills & sensibilities demonstrate credibility tactics that can support successful advocacy.