"Wherever I Go, I Have It Inside of Me": Indigenous Cultural Dance Narratives as Substance Abuse and HIV Prevention in an Urban Danza Mexica Community.
"Wherever I Go, I Have It Inside of Me": Indigenous Cultural Dance Narratives as Substance Abuse and HIV Prevention in an Urban Danza Mexica Community.
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DOI：
10.3389/fpubh.2021.789865
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发表时间：
2021
影响因子：
5.2
通讯作者：
Beltrán RE
中科院分区：
文献类型：
--
作者：
Fernandez AR;Beltrán RE
“墨西哥裔美国印第安人”（MAI）是一个庞大而多样化的人口，几乎没有关于酒精和其他药物（AOD）使用和艾滋病毒的实证研究，但有一个不成比例的风险。原住民健康叙述和对基于地点和环境的文化习俗的参与可以在原住民的慢性和共发疾病预防和健康促进方面发挥保护作用。本研究探讨了参与文化舞蹈中产生的预防和健康促进的叙事之间的样本迈斯从城市丹扎墨西哥社区（UDMC），框架内的非殖民化的健康叙事（DNOH）模型的作用。该次要数据分析（n = 9）来自对生活在太平洋西北部和落基山脉西部的UDMC（n = 21）的AOD和HIV健康需求的定性评估。本研究采用以社区为基础的参与式研究方法，采用叙事、本土化的方法，对成年顺性别女性（n = 5）和男性（n = 4）进行深度访谈。DNOH模型被开发为一个关系，分析框架，将土著故事与三个不同但相互关联的层面-个人，社区和更大世界中的印第安人-联系起来。这些层次的叙事分析功能的文化接地，关系的途径，通过阐明健康教育和促进的方法。叙事深入研究了参与者内部世界（个人），他们自己和他们的Danza社区（社区）之间的复杂和微妙的关系，以及他们自己和他们在社会中的复杂，交叉的土著身份（印第安人）之间的关系。丹扎圈内分享的关于健康和预防的祖先教导的故事创造了空间，参与者在其中进行复杂的对话，抵制压迫性的殖民叙事，重新连接并加强他们的土著身份，并努力实现健康和福祉的祖先愿景。这项研究有助于本土化的理论和方法的扩展和地方/设置为基础的，叙事，文化健康干预措施的发展，旨在预防慢性和共同发生的疾病，促进健康的人群中类似的UDMC。将文化习俗确定为促进非殖民化叙事的土著中心（关系性的、社会构建的地方），有助于通过承认土著知识体系和框架，提高对它们在公共卫生教育和促进方面作用的理解。
“Mexican American Indian” (MAI) is a large and diverse population for which little empirical research on alcohol and other drug (AOD) use and HIV is available, yet for which there is a disproportionate risk. Indigenous health narratives and participation in place- and settings-based cultural practices can be protective in chronic and co-occurring disease prevention and health promotion for Indigenous people. This study explores the role of participation in cultural dance in generating narratives of prevention and health promotion among a sample of MAIs from an Urban Danza Mexica Community (UDMC), framed within a decolonizing narratives of health (DNOH) model. This secondary data analysis (n = 9) is drawn from a qualitative AOD and HIV health needs assessment of UDMC living in the Pacific Northwest and the Rocky Mountain West (n = 21). This study uses a community-based participatory research approach and employs narrative, Indigenized methods to analyze in-depth interviews from adult cisgender females (n = 5) and males (n = 4). The DNOH model is developed as a relational, analytic framework that contextualizes Indigenous stories in relationship to three distinct yet interconnected levels—the personal, the communal, and Indigeneity in the larger world. These levels of narrative analysis function as culturally grounded, relational pathways through which to articulate health education and promotion approaches. Narratives delve into the complex and nuanced relationships within participants' internal worlds (personal), between themselves and their Danza community (communal), and between themselves and their complex, intersectional Indigenous identities within society (Indigeneity). Stories of ancestral teachings about health and prevention shared within the Danza circle create spaces wherein participants navigate complex conversations that resist oppressive colonial narratives, reconnect with and strengthen their Indigenous identities, and strive toward ancestral visions of health and well-being. This study contributes to Indigenized theoretical and methodological expansion and the development of place/settings-based, narrative, cultural health interventions aimed at preventing chronic and co-occurring disease and promoting wellness among populations similar to the UDMC. Identifying cultural practices as Native Hubs (relational, socially constructed places) that foster decolonizing narratives helps increase understanding of their role in public health education and promotion through recognition of Indigenous knowledge systems and frameworks.
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