The field of Indigenous health and the role of colonisation and history

Axelsson, Per; Kukutai, Tahu; Kippen, Rebecca

doi:10.1007/s12546-016-9163-2

Cited by 83 publications

(59 citation statements)

References 22 publications

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“…One should also have in mind that the concept of health may vary between Indigenous people and the majority people. Western methods of understanding health, and preventing poor health, tend to be focused on the individual; which is also how nation states' systems of collecting data and relevant information are built [44,45]. Langås-Larsen et al (2018) argue that traditional social networks still exist in northern communities, and that they, especially in Sami context, are important when persons become ill.…”

Section: Discussionmentioning

confidence: 99%

Somatic health in the Indigenous Sami population - a systematic review

Mienna

Axelsson

2019

International Journal of Circumpolar Health

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The objective of this systematic review was to survey the current scientific knowledge regarding the state of somatic health among the Indigenous Sami people in Norway, Finland, Sweden and the Kola Peninsula in Russia; and assess the quality of the identified studies. A systematic search in the databases Pubmed, EBSCOhost (AMED, Medline, Cinahl) and Svemed was conducted from January 2000, through December 2017. This systematic search identified 399 articles. After screening abstracts, 93 articles were reviewed in full text, 32 of which met the inclusion criteria. The scientific quality of the evidence was rated according to the Newcastle-Ottawa scale. Based on the studies with moderate to high scientific quality, there is evidence for stating that the majority of the Sami included in this review experience good health. Mortality and life expectancy are similar, with only minor differences, to those of a non-Sami population. The cancer risk rate among Sami was lower than that of the general population of Norway, Sweden and Finland. Self-reported myocardial infarction prevalence was similar between Sami and non-Sami, but Angina pectoris was more prevalent among Sami. In Sweden, cardiovascular disease rates were similar between Sami and non-Sami. Musculoskeletal pain symptoms are common among the Sami population, as are obesity and overweight. To conclude, there are knowledge gaps in regard to the somatic health situation of the Indigenous Sami in the circumpolar area, especially in Russia, Finland and Sweden; as current knowledge is mainly based on publications from the SAMINOR study in Norway. No study obtained the highest quality score, suggesting a need to implement longitudinal prospective studies.

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Section: Discussionmentioning

confidence: 99%

Somatic health in the Indigenous Sami population - a systematic review

Mienna

Axelsson

2019

International Journal of Circumpolar Health

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“…Colonial displacement from traditional lands ('country') resulted in a loss of traditions and traditional culture, and is contributing to social and health problems of Indigenous Australians [29,30]. The disruption to well established patterns of living, dispossession of land, marginalisation through various government acts and discrimination, has led to trauma (see for example [27,31,32].…”

Section: Discussionmentioning

confidence: 99%

Indigenous Land and Sea Management Programs (ILSMPs) Enhance the Wellbeing of Indigenous Australians

Larson

Stoeckl

Jarvis

et al. 2019

IJERPH

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Conservation and environmental management have been reported as offering opportunities to substantially improve the wellbeing of Indigenous people. Using the holistic wellbeing impact evaluation (W-IE) approach—well suited for use in Indigenous communities—we interviewed 190 Indigenous Australians across four communities. All communities were involved in the Indigenous land and sea management programs (ILSMPs). Our study explored the conceptualisation of ‘wellbeing’ by participants. In particular, we were interested in the aspects of wellbeing perceived to be affected by ILSMPs. Out of the 26 wellbeing factors explored, ‘Health centres’; ‘Language’; ‘Schools’; and ‘Safe community’ emerged as being of highest importance to the largest percentage of the respondents. When grouped using principle components analysis (PCA), the ‘Community and society’ domain emerged as the most important; accounting for 52% of the overall importance of all wellbeing factors. The second most important domain was the ‘Country and culture’, contributing 31%. Lastly, ‘Economic aspects’ contributed only 17%. Respondents believed that ILSMPs have played a considerable causal role in improving wellbeing, by positively changing factors most important to them. Specifically, 73% of perceived causal links were related to improvements in the ‘Country and Culture’ and 23% to ‘Community and Society’ domain. We thus conclude that land management for Indigenous people is much more than ecological or environmental management with ILSMPs, perceived to cause a wide range of cultural and social benefits. We also propose ways in which the future design of such programs could be improved to further increase benefits.

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“…The importance of recognizing linkages among culture, and mental and physical well-being are underscored by contemporary challenges in improving health measures in Aboriginal groups worldwide [e.g., Canada (Bennett et al, 2018) and Australia (Burgess et al, 2005), or see Stephens et al, 2006;Axelsson et al, 2016 for global reviews]. Ahead of colonialization, the dependency of these groups upon a healthy environment was reflected in a strong stewardship ethic, via active management of their natural resources.…”

Section: Quality Of Life Through Restoring "Lost Connections" To Valuesmentioning

confidence: 99%

Introducing Relational Values as a Tool for Shark Conservation, Science, and Management

2019

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Relational values (RV) are values that arise from a relationship with nature, encompassing a sense of place, feelings of well-being (mental and physical health), and cultural, community, or personal identities. With sharks, such values are formed by diverse groups that interact with these animals and their ecosystems, either physically or virtually, whether a scientist, student, fisher, or media-viewer. Further, these user groups may overlap or come into conflict over management plans, media portrayals of sharks, and their conservation status. Although scientists have not explicitly aimed to assess RV through sharks, qualitative studies of shark fishers, tourism operators, tourists, and the public, as well as historical and archeological accounts, can be interpreted through an analytical lens to reveal values which can also be defined as relational. To this end, this review considers studies capturing RV alongside those of economic value (increasingly, the value of a shark is appraised by their financial value in shark tourism) and the social and cultural roles of sharks. Based on these studies and the broader RV literature, we then outline a workflow for how RV can be leveraged in scientific inquiry, equitable resource management, and education. We conclude that via collaborative assessments of RV, with implicit inclusion of multiple values of sharks and by acknowledging their importance to all parties involved in user conflicts, the RV framework can lead to a constructive dialog on polarizing conservation and management issues. By illuminating shared values, and/or revealing dichotomies of values ascribed toward certain areas or objects, this framework can provide inroads to mediation, seeking to conserve or even restore relationships with nature, and their derived values as much as is possible. This approach can yield unexpected knowledge, solutions, and compromises in an increasingly complex conservation landscape.

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The field of Indigenous health and the role of colonisation and history

Cited by 83 publications

References 22 publications

Somatic health in the Indigenous Sami population - a systematic review

Somatic health in the Indigenous Sami population - a systematic review

Indigenous Land and Sea Management Programs (ILSMPs) Enhance the Wellbeing of Indigenous Australians

Introducing Relational Values as a Tool for Shark Conservation, Science, and Management

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