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Journal article
Living with rheumatic heart disease at the intersection of biomedical and Aboriginal worldviews
International Journal of Environmental Research and Public Health, Vol.19(8), 4650
2022
Abstract
Rheumatic heart disease (RHD) significantly impacts the lives of First Nations Australians. Failure to eliminate RHD is in part attributed to healthcare strategies that fail to understand the lived experience of RHD. To rectify this, a PhD study was undertaken in the Northern Territory (NT) of Australia, combining Aboriginal ways of knowing, being and doing with interviews (24 participants from clinical and community settings) and participant observation to privilege Aboriginal voices, including the interpretations and experiences of Aboriginal co-researchers (described in the adjunct article). During analysis, Aboriginal co-researchers identified three interwoven themes: maintaining good feelings; creating clear understanding (from good information); and choosing a good djalkiri (path). These affirm a worldview that prioritises relationships, positive emotions and the wellbeing of family/community. The findings demonstrate the inter-connectedness of knowledge, choice and behaviour that become increasingly complex in stressful and traumatic health, socioeconomic, political, historical and cultural contexts. Not previously heard in the RHD domain, the findings reveal fundamental differences between Aboriginal and biomedical worldviews contributing to the failure of current approaches to communicating health messages. Mitigating this, Aboriginal co-researchers provided targeted recommendations for culturally responsive health encounters, including: communicating to create positive emotions; building trust; and providing family and community data and health messages (rather than individualistic).
Details
- Title
- Living with rheumatic heart disease at the intersection of biomedical and Aboriginal worldviews
- Authors/Creators
- E. Haynes (Author/Creator) - The University of Western AustraliaM. Marawili (Author/Creator) - Menzies School of Health ResearchM.B. Marika (Author/Creator) - Menzies School of Health ResearchA. Mitchell (Author/Creator) - Menzies School of Health ResearchR. Walker (Author/Creator) - Murdoch University, Ngangk Yira Institute for ChangeJ.M. Katzenellenbogen (Author/Creator) - The University of Western AustraliaD. Bessarab (Author/Creator) - The University of Western Australia
- Publication Details
- International Journal of Environmental Research and Public Health, Vol.19(8), 4650
- Publisher
- Molecular Diversity Preservation International
- Identifiers
- 991005544854107891
- Copyright
- © 2022 The Authors.
- Murdoch Affiliation
- Ngangk Yira Aboriginal Health Research Centre; Ngangk Yira Institute for Change
- Language
- English
- Resource Type
- Journal article
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- Collaboration types
- Domestic collaboration
- Citation topics
- 1 Clinical & Life Sciences
- 1.23 Antibiotics & Antimicrobials
- 1.23.1051 Streptococcal Infections
- Web Of Science research areas
- Environmental Sciences
- Public, Environmental & Occupational Health
- ESI research areas
- Environment/Ecology