scholarly journals RADICAL CARE AND DECOLONIAL FUTURES: CONVERSATIONS ON IDENTITY, HEALTH, AND SPIRITUALITY WITH INDIGENOUS QUEER, TRANS, AND TWO-SPIRIT YOUTH

2021 ◽  
Vol 12 (3-4) ◽  
pp. 74-103
Author(s):  
Jeffrey Ansloos ◽  
Deanna Zantingh ◽  
Katelyn Ward ◽  
Samantha McCormick ◽  
Chutchaya Bloom Siriwattakanon

The spirituality and health of Indigenous queer, trans, and two-spirit people occurs within and responds to contexts of extreme colonial violence. However, few studies have examined the relationships among the identity, health, and spirituality of Indigenous queer, trans, and two-spirit youth and their perspectives and activism work in relation to the context of this violence. This study aims to better understand the importance of the connections among identity, health, and spirituality and their role in supporting Indigenous queer, trans, and two-spirit leadership in the enactment of care practices to promote health amidst colonial violence and the worlding of decolonial futures beyond and outside it. Informed by key insights from the grassroots movements and fields of Indigenous feminism, Indigenous queer thought, and radical resurgence, this study brings these insights into conversation, via qualitative interviews with five Indigenous youth activists (18 to 35 years old) from across the part of Turtle Island now known as Canada. Our analysis results in four themes: (1) identity, (2) spirituality, (3) the multidimensional nature of colonial violence, and (4) radical care. We delineate activating practices for decolonial futures, and signal the value of grounded, context-reflective, culturally safe, and intersectional health and youth services. This research demonstrates that spirituality is constitutive of and foundational to the identity and health of Indigenous queer, trans, and two-spirit youth, and shows that health promotion and youth services must address the multidimensional nature of these needs if they are to truly support Indigenous young people, their movements of radical care, and the creation of a decolonial elsewhere marked by belonging, love, self-determinism, responsibility, and joy.

Author(s):  
Karina Gerhardt-Strachan

Abstract The field of health promotion advocates a socioecological approach to health that addresses a variety of physical, social, environmental, political and cultural factors. Encouraging a holistic approach, health promotion examines many aspects of health and wellbeing, including physical, mental, sexual, community, social and ecological health. Despite this holism, there is a noticeable absence of discussion surrounding spirituality and spiritual health. This research study explored how leading scholars in Canadian health promotion understand the place of spirituality in health promotion. Using the fourth edition of Health Promotion in Canada (Rootman et al., 2017) as the sampling frame of recognized leaders in the field, 13 semi-structured qualitative interviews were conducted with authors from the book. This study is situated within a critical health promotion approach that utilizes methodologies aiming for social justice, equity and ecological sustainability. I argue that by avoiding spirituality within health promotion frameworks and education, the secularism of health promotion and its underlying values of Eurocentric knowledge production and science remain invisible and rarely critiqued. This study intends to open up possibilities for centering spiritual and non-Western epistemologies and ways of knowing that have been marginalized, such as Indigenous understandings of health and wellbeing. Restoring right relations with Indigenous peoples in Canada has taken on new urgency with the calls to action of the Truth & Reconciliation Commission report (NCTR, 2015). This is one important way that health promotion can fulfill its promise of being inclusive, relevant and effective for human and planetary wellbeing.


2009 ◽  
pp. 17-35
Author(s):  
Antonio Maturo

- While medicalization is the process of extending the medical gaze on human conditions through the mechanism of pathologization, human enhancement actions are implemented towards normal conditions. In this sense, human enhancement can not be considered either health care or health promotion because its aim is optimization, not healing nor prevention. As the borders between normality and pathology are blurred, biomedical interventions aiming at improving a normal individual today could be conceived as health care practices directed towards a sick person tomorrow. Therefore, human enhancement actions should be analyzed through the lenses of the medicalization-theory proposed by Conrad - but on a long-term scale. Under an ethical perspective, human enhancement interventions - being very heterogeneous - should be analyzed case-by-case.Keywords: medicalization, human enhancement, medicine, normality, health promotion, disease.Parole chiave: medicalizzazione, miglioramento umano, medicina, normalitÀ, promozione della salute, malattia.


Author(s):  
Krishnamoorthy Yuvaraj ◽  
Dinesh Kumar ◽  
Shanthosh Priyan ◽  
Lakshminarayanan Subitha ◽  
Gokhale Tanmay ◽  
...  

Abstract Background The health of children and adolescents can be promoted through schools as they spend most of their time in school. The Health Promoting Schools (HPS) framework provides a set of policies to be followed in schools for improving the health status of school-going children and adolescents. The current study was done to assess this framework among schools in rural Puducherry. Methods Key informant interviews were done with the teachers under the six World Health Organisation (WHO) HPS framework domains to develop an observation checklist for the assessment of schools in the study area. After the survey, in-depth interviews were conducted as an approach to explore the existing health promotion activities, facilitating or hindering factors in the implementation of health promotion framework and suggestions for improving the same. Results A quantitative survey on nine schools showed that almost all the schools were lacking in domains such as health promotion policy, behaviour counselling and mental and social support. Physical education, facilities and policies for nutrition and community collaboration exist in only some of the schools. Qualitative interviews also showed similar findings and most of the teachers suggested to include training for general health emergencies and behaviour counselling. Conclusion The current study showed that most of the schools were lacking in almost all the domains under the HPS framework. Hence, stakeholders at all levels should be made aware of this framework and develop a strategy for uniform implementation of it in all the schools in the region.


2019 ◽  
Vol 35 (6) ◽  
pp. 1273-1282
Author(s):  
Amy Bestman ◽  
Samantha L Thomas ◽  
Melanie Randle ◽  
Hannah Pitt ◽  
Rebecca Cassidy ◽  
...  

Abstract In regional Australia, families (including children), attend community venues that contain gambling products, such as electronic gambling machines (EGMs), for a range of non-gambling reasons. However, there is a gap in research that seeks to understand how these venues may become embedded into family social practices. Drawing on Bourdieu’s concepts of habitus and cultural capital, this paper aimed to explore factors that influence family decisions to attend venues and perceptions of risk associated with children’s exposure to gambling products. Face-to-face qualitative interviews were conducted with 31 parents who attended community gambling venues with their children, in New South Wales, Australia. Families attended venues for three key reasons, first because of the influence of others in their social networks, second for regular social activities and third because of structural factors such as a lack of alternative, affordable, family friendly environments in their local area. Despite recognizing the harm associated with EGMs, parents distanced themselves from EGM harm with all parents perceiving venues to be an appropriate space for families. Research in this study indicates that family social practices within venues affect perceptions of risk associated with community gambling venues. The impact of these practices on longer-term health requires more investigation by public health and health promotion researchers and practitioners. Health promotion initiatives should consider identifying alternative sources of support and/or developing alternative social spaces for families in regional communities that do not contain gambling products.


2020 ◽  
pp. 152483992091037
Author(s):  
Rebecca Hasdell ◽  
Blake Poland ◽  
Donald Cole ◽  
Flo Sheppard ◽  
Laurel Burton ◽  
...  

Retail food environments are an important setting for promoting healthier diets and reducing the global burden of diet-related disease. The purpose of this 2-year community–university partnership was to develop a health promotion intervention for stores in a rural and remote region of British Columbia, Canada. This article reports on the qualitative interviews that were conducted with retail operators as part of an intervention planning process. Seven in-depth, semistructured interviews were conducted with store owners and managers of small- and medium-sized stores in a rural and remote region. Interviews were analyzed using thematic analysis to identify business operations and practices relevant to intervention planning and implementation. Relevant considerations for health promotion planners included the unique business models of rural stores; the prominence of regional travel and “outshopping” in rural and remote regions; challenges balancing between choice, value, and profitability; relationships with suppliers; and using local products to attract and retain customers. Involving retailers in settings-based approaches to improve population nutrition may help to mobilize existing practices and ensure that interventions are responsive to local context.


2012 ◽  
Vol 2012 ◽  
pp. 1-12 ◽  
Author(s):  
Renée L. Beard ◽  
Sasha Sakhtah ◽  
Vanessa Imse ◽  
James E. Galvin

To understand the impact of memory loss on aging in place, this paper investigated dyads where one spouse had been diagnosed with memory loss. In-depth qualitative interviews were conducted with ten couples (N=20). Grounded theory methods were used to collect, code, and analyze data into themes. Data revealed consensus among and between dyads that it was best to focus on living, rather than what had been or might someday be lost. Nonetheless, differences according to gender and cognitive status (e.g., diagnosed or spouse) were reported. Given population aging, identifying the impact of gender roles and social norms on the potential for aging in place with memory loss is critical. Community services and care practices must be sensitive to the ways that couples prioritized and organized their relationship prior to diagnosis in order to encourage positive patterns of care between couples, foster successful adaptation to changing needs, and support in-home arrangements as long as possible.


2019 ◽  
pp. 003022281989045
Author(s):  
Gülnur Temelli ◽  
Birgül Cerit

This study has been conducted with the purpose of identifying the perceptions of palliative nurses about death and determining palliative care practices. We conducted qualitative interviews with 23 palliative care nurses in Turkey. Content analysis was used in the evaluation of the data. Three themes have been identified about perception of death. Furthermore, three themes have been identified about palliative care practices. It was concluded that the palliative nurses perceive death as a natural and inevitable process and that as long as their working period increases, they become desensitized. It was identified that the participants generally perform the following procedures in palliative care practices.


2011 ◽  
Vol 71 (6) ◽  
pp. 670-677 ◽  
Author(s):  
Suparna Chakrabarti ◽  
Stephen Abbott

Objectives: To explore attitudes to and beliefs about childhood overweight and obesity among Bangladeshi mothers and to check maternal perceptions of their children’s weight status. Design: Mixed methods cross-sectional study. Setting: A general practice in East London, UK. Methods: Qualitative interviews with 14 mothers; weighing and measuring 22 children. Results: Mothers were generally aware of broad health promotion messages about diet and exercise, but many tended to under-estimate their children’s weight status. Differences in view did not reflect in any simple way English language skills, and the range of views reflected those in the majority population. Conclusion: Health promotion initiatives should assess individual needs; membership of a Bangladeshi community does not necessarily predict knowledge, beliefs or behaviour, and assumptions that this community is different from others are misleading.


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