Reconceptualizing native women's health: An "indigenist" stress-coping model

Reconceptualizing native women's health: An "indigenist" stress-coping model
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DOI:
10.2105/ajph.92.4.520
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发表时间:
2002-04-01
影响因子:
12.7
通讯作者:
Simoni, JM
Simoni, JM
中科院分区:
医学2区
文献类型:
--
作者:
Walters, KL;Simoni, JM

文献摘要

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本评论提出了土著妇女健康的“土著主义”模式,这是一种将土著妇女健康置于其作为殖民地人民地位这一更大背景下的压力应对范式。该模型基于经验证据,即土著妇女遭受的历史和当代歧视所造成的“灵魂创伤”等创伤会影响健康和精神健康结果。初步模型还纳入了文化弹性,包括作为调节因素的身份、文化适应、精神应对和传统治疗实践。目前关于土著妇女一般健康和精神健康的流行病学数据在这一模式的框架内得到重新考虑。
This commentary presents an "indigenist" model of Native women's health, a stress-coping paradigm that situates Native women's health within the larger context of their status as a colonized people. The model is grounded in empirical evidence that traumas such as the "soul wound" of historical and contemporary discrimination among Native women influence health and mental health outcomes. The preliminary model also incorporates cultural resilience, including as moderators identity, enculturation, spiritual coping, and traditional healing practices.Current epidemiological data on Native women's general health and mental health are reconsidered within the framework of this model.