INDIGENOUS HEALTH NETWORKS AND RESILIENCY

研究表明，网络的心理社会和行为过程可以改善非土著人口之间的健康状况。在澳大利亚、加拿大和新西兰，成立了土著保健组织和网络，以消除土著居民的保健差距，增加他们的机会。人们对“后殖民”环境中这些网络的社会、经济、文化和政治生活过程知之甚少，也不知道这些网络是否有助于卫生工作者、研究人员和政策制定者的“复原力”，从而改善土著居民的健康状况。从历史上看，弹性文献将弹性视为个人的固定属性。在界定相对于社会和文化集体背景的复原力方面取得了一些进展。然而，没有研究从土著的角度或在网络和弹性的背景下定义弹性一般。本研究将从非殖民化和非赤字的角度为土著卫生工作者，研究人员和政策制定者开发土著“弹性”结构，并将研究网络和“弹性”如何相交。它将进一步探讨土著卫生工作者、研究人员和政策制定者网络是否可以成为重要的调解人，为土著人民终身健康奠定基础。每个国家和各国的“复原力”结构将从关键信息提供者访谈中产生的主题中确定。将在每个国家设计比较项目，以评价这些网络对改善健康状况和防治糖尿病等健康问题的影响。这些“弹性”的土著结构将为ICIHRP旨在改善土著健康状况的研究计划提供信息。

Research has shown that psychosocial and behavioural processes of networks can result in better health status among and between non-Indigenous populations. In Australia, Canada and New Zealand Indigenous health organizations and networks have formed to combat health disparities and advance opportunities for Indigenous populations. Little is know about the social, economic, cultural and political life-course of such networks in a �post-colonial� environment, or whether these contribute to �resiliency� in health workers, researchers and policy developers that is translated into improved health for Indigenous populations. Historically the resiliency literature has viewed resilience as a fixed attribute of individuals. Some inroads have been made in defining resilience relative to social and cultural collective contexts. However, no study defines resiliency from an Indigenous perspective or within the context of networks and resilience generally. This study will develop Indigenous constructs of �resiliency� from a decolonized and non-deficit perspective for Indigenous health workers, researchers and policy developers, and will examine how networks and �resiliency� intersect. It will further explore whether Indigenous health worker, researcher and policy developer networks may be important mediators in laying a foundation for good health throughout life for Indigenous peoples. Constructs of �resiliency� specific to each country and across countries will be identified from themes that arise from key informant interviews. Comparative projects in each country will be designed to evaluate the impact of these networks on improving health status and combating health problems such as diabetes mellitus. These Indigenous constructs of �resiliency� will inform the ICIHRP research program intended to improve Indigenous health status.