Climate change influences on environment as a determinant of Indigenous health: Relationships to place, sea ice, and health in an Inuit community
Climate change influences on environment as a determinant of Indigenous health: Relationships to place, sea ice, and health in an Inuit community
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DOI：
10.1016/j.socscimed.2015.04.026
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发表时间：
2015-07-01
影响因子：
5.4
通讯作者：
Sheldon, Tom
中科院分区：
文献类型：
--
作者：
Durkalec, Agata;Furgal, Chris;Sheldon, Tom
本文通过研究气候变化背景下环境对因纽特人健康的作用，为土著健康，气候变化的人类层面和基于地方的健康层面提供文献。我们调查了一个关键因素的环境海冰和健康的各个方面在因纽特人社区在加拿大北方之间的关系，人口健康和健康地理学的方法。我们采用了案例研究设计和参与和协作的方法与社区Nain在北方拉布拉多，加拿大。焦点小组（n = 2），访谈（n = 22）和参与者观察在2010-11进行。我们发现，欣赏的地方是至关重要的了解海冰使用因纽特人的健康影响的全方位。据报道，海冰使用对身体健康的负面影响比对健康的正面影响要少，这主要与心理/情感、精神、社会和文化健康有关。我们发现，海冰意味着海冰使用者的自由，我们建议通过海冰使用，文化，知识和自治之间的关系影响个人和集体的健康。虽然海冰使用者报告了与环境条件变化相关的伤害和压力等负面身体健康影响的增加，但我们认为，与健康利益损失和对地方意义和地方依恋的破坏相关的不太明显的气候变化影响可能更为重要。我们的研究结果表明，气候变化正在导致并加剧因纽特人现有的环境剥夺。他们还表明，有必要考虑地方意义，文化和社会历史背景，以评估气候变化对土著环境健康影响的复杂性。(C)2015爱思唯尔有限公司版权所有。
This paper contributes to the literature on Indigenous health, human dimensions of climate change, and place-based dimensions of health by examining the role of environment for Inuit health in the context of a changing climate. We investigated the relationship between one key element of the environment sea ice and diverse aspects of health in an Inuit community in northern Canada, drawing on population health and health geography approaches. We used a case study design and participatory and collaborative approach with the community of Nain in northern Labrador, Canada. Focus groups (n = 2), interviews (n = 22), and participant observation were conducted in 2010-11. We found that an appreciation of place was critical for understanding the full range of health influences of sea ice use for Inuit. Negative physical health impacts were reported on less frequently than positive health benefits of sea ice use, which were predominantly related to mental/emotional, spiritual, social, and cultural health. We found that sea ice means freedom for sea ice users, which we suggest influences individual and collective health through relationships between sea ice use, culture, knowledge, and autonomy. While sea ice users reported increases in negative physical health impacts such as injuries and stress related to changing environmental conditions, we suggest that less tangible climate change impacts related to losses of health benefits and disruptions to place meanings and place attachment may be even more significant. Our findings indicate that climate change is resulting in and compounding existing environmental dispossession for Inuit. They also demonstrate the necessity of considering place meanings, culture, and socio-historical context to asess the complexity of climate change impacts on Indigenous environmental health. (C) 2015 Elsevier Ltd. All rights reserved.