An indigenous framework of the cycle of fetal alcohol spectrum disorder risk and prevention across the generations: historical trauma, harm and healing
An indigenous framework of the cycle of fetal alcohol spectrum disorder risk and prevention across the generations: historical trauma, harm and healing
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DOI：
10.1080/13557858.2018.1495320
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发表时间：
2021-02-17
影响因子：
3.1
通讯作者：
Kuerschner, Suzie
中科院分区：
文献类型：
--
作者：
Gonzales, Kelly L.;Jacob, Michelle M.;Kuerschner, Suzie
目的：以Evans-Campbell的[2008.“美国印第安人/阿拉斯加原住民社区的历史创伤：探索对个人，家庭和社区影响的多层次框架。"Journal of Interpersonal Violence 23（3）：316 - 338. doi：.]多层次框架的历史创伤和健康的关注胎儿酒精谱系障碍（FASD）的社会文化，历史和人际背景下的创伤共享的美洲印第安人和阿拉斯加原住民（AI/AN）people. Methods：我们分析了定性数据的焦点小组与74个城市AI/AN谁是15岁及以上。数据收集和分析采用了基于社区的参与性研究方法。我们的研究探讨了对FASD的知识和态度，对FASD风险因素的看法，以及与FASD预防和医疗保健相关的文化方法。根据我们的研究参与者的说法，解决城市AI/AN中FASD的努力应该与社区价值观保持一致，促进愈合，考虑影响行为的更广泛背景，并反映了社区对FASD危险行为与历史和当代创伤有着千丝万缕的联系的理解。有效的，多层次的FASD预防方法AI/AN可能包括优先考虑土著文化，支持代际凝聚力，专注于创伤的非污名化愈合，并真正参与社区知识。这项工作利用社区和文化优势，努力减少物质暴露怀孕的发生，并鼓励为AI/AN人民服务的系统发生转型变革，以促进健康和繁荣的社区和后代。
Objective: To build on Evans-Campbell's [2008. "Historical Trauma in American Indian/Native Alaska Communities: A Multilevel Framework for Exploring Impacts on Individuals, Families, and Communities." Journal of Interpersonal Violence 23 (3): 316-338. doi:.] multilevel framework of historical trauma and health by focusing on the cycle of fetal alcohol spectrum disorders (FASD) in the socio-cultural, historical, and interpersonal context of trauma shared by American Indian and Alaska Native (AI/AN) peoples.Methods: We analyzed qualitative data from focus groups with seventy four urban AI/ANs who were 15 years of age and older. Community-based participatory research methods were used for data collection and analysis. Our study explored knowledge and attitudes about FASD, perspectives on FASD risk factors, and culturally relevant approaches to FASD prevention and healthcare.Results: According to our study's participants, efforts to address FASD among urban AI/ANs should align with and emerge from community values, promote healing, consider the broader context that influences behaviors, and reflect the community's understanding that FASD risk behaviors are inextricably linked with historical and contemporary trauma.Conclusion: Effective, multiple-level FASD prevention approaches for AI/ANs may include prioritizing Indigenous culture, supporting intergenerational cohesion, focusing on non-stigmatic healing of traumas, and authentically engaging community knowledge. This work draws on community and cultural strengths in an effort to reduce the occurrence of substance-exposed pregnancies, and encourages transformational changes in systems that serve AI/AN peoples to promote a healthy and thriving community and future generations.