Cultural efficacy as a novel component of understanding linkages between culture and mental health in Indigenous communities.
Cultural efficacy as a novel component of understanding linkages between culture and mental health in Indigenous communities.
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DOI：
10.1002/ajcp.12594
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发表时间：
2022-09
影响因子：
3.1
通讯作者：
Walls, Melissa L
中科院分区：
文献类型：
--
作者：
Gonzalez, Miigis B;Sittner, Kelley J;Walls, Melissa L
我们使用了一种新的文化效能测量方法来检验文化适应、效能和两种幸福结果之间的经验途径。在学术文献中，文化因素并不总是与更好的幸福感联系在一起，尽管土著社区对这些过程有广泛的了解。愈合路径是一项基于社区的参与性研究，在中西部和加拿大的八个保留地/保护区进行。本研究使用2017-2018年收集的数据（n = 453, 58.1%的女性，平均年龄= 26.3岁）和结构方程模型来检验文化适应、文化效能和心理健康之间的关系。文化适应对焦虑的直接影响为正。文化效能的间接影响与焦虑负相关，与积极心理健康正相关。文化效能是一个重要的联结变量，文化的保护作用通过它得以体现。面对文化的复杂性，必须采取创新措施并深刻了解土著人民，以充分发挥文化的保护作用。经验证据往往不能反映土著社区内在的智慧。文化效能考虑的是殖民对一个人参与文化的个人能动性的影响。在促进土著居民的心理健康时，文化效能是很重要的考虑因素。
We used a novel measure of cultural efficacy to examine empirical pathways between enculturation, efficacy, and two wellbeing outcomes. Cultural factors are not consistently linked to better wellbeing in the academic literature despite widespread understanding of these processes in Indigenous communities. Healing pathways is a community‐based participatory study with eight reservations/reserves in the upper Midwest and Canada. This study uses data collected in 2017–2018 (n = 453, 58.1% women, mean age = 26.3 years) and structural equation modeling to test the relationships between enculturation, cultural efficacy, and mental health. The direct effect of enculturation on anxiety was positive. The indirect effect of enculturation via cultural efficacy was negatively associated with anxiety and positively associated with positive mental health. Cultural efficacy is an important linking variable through which the protective effects of culture manifest. The complex nature of culture must be met with innovative measures and deep understanding of Indigenous peoples to fully capture the protective role of culture. Empirical evidence often fails to reflect the innate wisdom within Indigenous communities. Cultural efficacy considers the colonial impact on one's personal agency to engage culturally. Cultural efficacy is important to consider when promoting Indigenous mental wellbeing.