Colonialism as a Broader Social Determinant of Health
Colonialism as a Broader Social Determinant of Health
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DOI：
10.18584/iipj.2011.2.1.5
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发表时间：
2011-01-01
影响因子：
1.3
通讯作者：
Czyzewski, Karina
中科院分区：
文献类型：
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作者：
Czyzewski, Karina
拟议的更广泛或本土化的健康社会决定因素框架包括“殖民主义”和其他全球进程。将加拿大殖民主义理解为土著健康的最终决定因素意味着什么？本文回顾了围绕加拿大土著心理健康的相关论述。在强调代际创伤这一概念的同时，个人内部的社会、政治和经济边缘化具有实际的健康影响，这些影响可以共同影响整个社区。殖民主义也可以在土著心理健康话语中被颁布和加强，从而影响学术和大众的看法。通过政策工作解决这一远端决定因素，必然要求改善土著健康与改善这些关系，即消除殖民关系和增加自决之间存在内在联系。
A proposed broader or Indigenized social determinants of health framework includes "colonialism" along with other global processes. What does it mean to understand Canadian colonialism as a distal determinant of Indigenous health? This paper reviews pertinent discourses surrounding Indigenous mental health in Canada. With an emphasis on the notion of intergenerational trauma, there are real health effects of social, political, and economic marginalization embodied within individuals, which can collectively affect entire communities. Colonialism can also be enacted and reinforced within Indigenous mental health discourse, thus influencing scholarly and popular perceptions. Addressing this distal determinant through policy work necessitates that improving Indigenous health is inherently related to improving these relationships, i.e. eliminating colonial relations, and increasing self-determination.