Water (in)security and American Indian health: social and environmental justice implications for policy, practice, and research

Water (in)security and American Indian health: social and environmental justice implications for policy, practice, and research
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DOI:
10.1016/j.puhe.2018.10.010
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发表时间:
2019-11-01
期刊:
影响因子:
5.2
通讯作者:
Mitchell, F. M.
Mitchell, F. M.
中科院分区:
医学3区
文献类型:
--
作者:
Mitchell, F. M.

文献摘要

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目的:本研究的目的是探讨水不安全和土著健康之间的关系,并强调社会和环境正义的影响,水不安全的做法,政策和研究与土著communities.Study design:A literary search design was used.Methods:A review of the concepts of water insecurity within an Indigenous context is described through three illustrative case studies.Results:对土著人民来说,水的重要性要大得多,因为它与土著社区的文化、身份和生计有关。虽然一个巨大的范围内的决定因素影响土著人的健康,水仍然是土著人健康的一个组成部分global.Conclusions:水是一种有限的资源,预计水不安全将增长水资源的压力,并成为全球稀缺。拥有安全可持续的水资源本身并不一定会显著改善健康状况,因为还涉及许多其他因素。然而,安全、可持续的水资源是健康的必要条件,健康公平是土著人民社会和环境正义的先决条件。(C)2018年皇家公共卫生学会。由爱思唯尔有限公司出版。保留所有权利。
Objectives: The objectives of this research were to examine the relationship between water insecurity and Indigenous health and highlight the social and environmental justice implications water insecurity has for practice, policy, and research with Indigenous communities.Study design: A literature search design was used.Methods: A review of the concepts of water insecurity within an Indigenous context is described through three illustrative case studies.Results: For Indigenous people, water takes on a much greater significance as it is connected to the culture, identity, and livelihoods of Indigenous communities. Although a vast range of determinants influence Indigenous health, water continues to be an integral component of Indigenous health globally.Conclusions: Water is a finite resource, and it is anticipated that water insecurity will grow as water resources are stressed and become scarcer globally. Having safe sustainable water resources by itself will not necessarily result in significant health improvements as there are many other factors involved. However, safe, sustainable water resources are a necessity for health, and health equity is a prerequisite for social and environmental justice for Indigenous people. (C) 2018 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.