Introduction

Johnston, Barbara Rose; Barker, Holly M.

doi:10.1201/9781315431819-1

Cited by 1 publication

(1 citation statement)

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“…The United States has narrowed reparative compensation to the Ri Majel by defining “legitimate damage” using temporal and spatial limits. Although the United States conducted multiple nuclear tests through 1958, it does not pay reparations to people exposed to residual nuclear contamination after the Bravo detonation on Bikini atoll in 1954 22. Johnston and Barker state that “political administrations come and go, but radiogenic contamination and disease present protracted, ulcerating, intergenerational problems.”22 (p245) They further explain that mitigating radioactive contamination of ecosystems and human life is complex and costly—especially considering the intergenerational health impacts on the Ri Majel.…”

Section: Ecological Impactsmentioning

confidence: 99%

“I've Never Been to a Doctor”

Narruhn

Espina

2022

Advances in Nursing Science

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The Ri Majel (Marshallese) migrants of Washington State have endured health inequities and unique laws dictating their access to health care once they arrive to the United States. These health inequities can be seen to be a result of historical trauma and militarization of their islands. The research question was an inquiry regarding access to health care for the Ri Majel in Washington State. We first provide detailed historical data in the background to contextualize our research inquiry. We interviewed 12 people and using manifest content analysis found 2 main themes regarding the health of the Ri Majel: (1) health care access and inequity and (2) historical trauma and embodiment. Health care access was impeded by (1) ongoing effects of radiation, (2) repeated denial of services, (3) lack of health care and insurance, (4) lack of language interpretation during health care visits, and (5) poverty. Historical trauma and embodiment were evidenced by these findings: (1) illness and early mortality; (2) provider lack of knowledge and understanding of the Ri Majel; (3) structural discrimination; (4) feelings of sadness and despair; (5) shyness and humility; and (6) a sense of "cannot/will not" and fatalism. Our findings demonstrate the need to examine structural factors when assessing health inequities and a need to understand and mitigate the effects of historical trauma enacted by structural racism, violence, and colonialism. Strategies to mitigate the embodiment of historical trauma require further investigation.

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Section: Ecological Impactsmentioning

confidence: 99%