Journal articles: 'Aboriginal women's health'

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Basinski, Dee, and Debra Parkinson. ""We Saw We Could Do It Ourselves": Koorie Cultural Regeneration Project." Australian Journal of Primary Health 7, no. 1 (2001): 111. http://dx.doi.org/10.1071/py01019.

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The Koorie Cultural Regeneration Project was the result of a partnership between Women's Health Goulburn North East and Mungabareena Aboriginal Corporation. The project was located in Wodonga and aimed to strengthen the community in terms of its Aboriginal identity. A range of activities provided opportunities for elders to share traditional skills and knowledge about Aboriginal culture particularly beliefs, men's business and women's business, dance and bush knowledge. A further dimension of the project was education of the mainstream community through presentations and workshops at schools, childcare centres, workplaces, festivals and universities. Immediate outcomes of the project included clear evidence of the power of experiential learning, a deepening understanding of culture, and the importance of story and connectedness. Eighteen months after the conclusion of the project, members of Mungabareena Aboriginal Corporation met with Women's Health Goulburn North East workers to reflect on the long term outcomes of the project. The value of cultural regeneration was affirmed and it was identified that the project raised the profile of the Koorie community in Wodonga and beyond. While the Koorie Cultural Regeneration Project has increased community understanding and pride in Aboriginal heritage and is working well, the lack of continued funding means it is not ongoing. The challenge now is to move forward with cultural regeneration with respect, integrity, care and wisdom.

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de Crespigny, Charlotte, Carol Grbich, and Jennifer Watson. "Older Aboriginal Women's Experiences of Medications in Urban South Australia." Australian Journal of Primary Health 4, no. 4 (1998): 6. http://dx.doi.org/10.1071/py98057.

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Older women are more likely to live alone in poverty than others in the community. They are also likely to maintain their independence well into older life. Recent Australian research into women's health issues has not investigated older women's direct experiences associated with their medication use, or any related interactions with health professionals such as general practitioners, pharmacists or registered nurses. This is despite significant funding, policy and research in most other areas of women's health in the 1990s. Similarly, the medication experiences of older Aboriginal women have been neglected. This paper reports on a cohort of older Aboriginal women (N-10) from a recent South Australian qualitative study into medication use of diverse groups of older women (N-142). In-depth, semi-structured, face to face interviews were conducted, predominantly in participants' suburban homes, and in a community setting. Thematic analysis of the data was undertaken, and comparisons were made with other cohorts in the overall study. Results showed that the experiences and perspectives of the urban Aboriginal women highlighted their connectedness with family, services and community, and that this was largely due to their access to particular Aboriginal services, and to indigenous cultural affiliations and practices. Despite this connectedness, and regular contact with general practitioners and pharmacists, there were significant deficits in their knowledge and skills in managing their medication. It became clear that there is an urgent need for culturally safe medication information, education and support for older Aboriginal women. There is also an urgent need for better education, training and support of all health workers who have critical roles and responsibilities in assisting this group in the community.

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de Crespigny, Charlotte, Mette Groenkjaer, Wendy Casey, Helen Murray, and Warren Parfoot. "Racism and Injustice: Urban Aboriginal Women's Experiences when Patronising Licensed Premises in South Australia." Australian Journal of Primary Health 9, no. 1 (2003): 111. http://dx.doi.org/10.1071/py03014.

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This paper presents the findings regarding urban, predominantly young, Aboriginal women's experiences of patronising licensed premises in South Australia. This research aimed to tap new information directly from the experiences of participants who lived in the southern metropolitan region of South Australia. It focused on their experiences of socialising at licensed premises such as pubs and clubs, locally, and in the city of Adelaide. A qualitative research design within the critical social Scientific paradigm was applied using semi-structured interviews and thematic analysis. The recommendations developed from the findings, and the final community report, were developed collaboratively with participants and other Aboriginal women from their local community. Consistent with the experiences of other young non-Aboriginal women in South Australia, as reported by the chief investigator of this study, the findings of this research show that Aboriginal women try to enjoy socialising with friends and family in licensed premises such as pubs and clubs. However, the Aboriginal women were constrained by frequently experiencing racism and injustices when they tried to enter, or when inside, pubs and clubs. Being accused of stealing, prevented from entering or being expelled from venues, racist comments and being subjected to physical violence, conflict with bar and security staff and non-Aboriginal patrons, as well as lack of safety, were some of the issues these Aboriginal women have experienced in licensed premises in urban and suburban South Australia. This research now offers recommendations from the women that call for important changes in policy and service provision that can improve the conditions of Aboriginal women when they are visiting licensed premises.

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Fredericks, Bronwyn. "Australian Aboriginal Women's Health: Reflecting on the Past and Present." Health and History 9, no. 2 (2007): 93–113. http://dx.doi.org/10.1353/hah.2007.0008.

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Fredericks, Bronwyn. "Australian Aboriginal Women's Health: Reflecting on the Past and Present." Health and History 9, no. 2 (2007): 93. http://dx.doi.org/10.2307/40111577.

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BOYLE, Jacqueline, Alice R. RUMBOLD, Marilyn CLARKE, Chris HUGHES, and Simon KANE. "Aboriginal and Torres Strait Islander women's health: Acting now for a healthy future." Australian and New Zealand Journal of Obstetrics and Gynaecology 48, no. 6 (December 2008): 526–28. http://dx.doi.org/10.1111/j.1479-828x.2008.00962.x.

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Fiske, Jo-Anne, and Annette J. Browne. "Aboriginal citizen, discredited medical subject: Paradoxical constructions of Aboriginal women's subjectivity in Canadian health care policies." Policy Sciences 39, no. 1 (March 2006): 91–111. http://dx.doi.org/10.1007/s11077-006-9013-8.

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GREEN, B. L. "Applying interdisciplinary theory in the care of Aboriginal women's mental health." Journal of Psychiatric and Mental Health Nursing 17, no. 9 (June 29, 2010): 797–803. http://dx.doi.org/10.1111/j.1365-2850.2010.01593.x.

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Thackrah, Rosalie D., Sandra C. Thompson, and Angela Durey. "Promoting women's health in remote Aboriginal settings: Midwifery students' insights for practice." Australian Journal of Rural Health 23, no. 6 (December 2015): 327–31. http://dx.doi.org/10.1111/ajr.12247.

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Bainbridge, Roxanne. "Becoming Empowered: A Grounded Theory Study of Aboriginal Women's Agency." Australasian Psychiatry 19, no. 1_suppl (July 2011): S26—S29. http://dx.doi.org/10.3109/10398562.2011.583040.

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Campbell, Sandra, and Stephanie Brown. "Maternity care with the Women's Business Service at the Mildura Aboriginal Health Service." Australian and New Zealand Journal of Public Health 28, no. 4 (August 2004): 376–82. http://dx.doi.org/10.1111/j.1467-842x.2004.tb00447.x.

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Mitchell, Dundi. "Sickening Bodies: How Racism and Essentialism Feature in Aboriginal Women's Discourse about Health." Australian Journal of Anthropology 7, no. 1 (April 1996): 258–74. http://dx.doi.org/10.1111/j.1835-9310.1996.tb00331.x.

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Stark, Astrid M., and Alex Hope. "Aboriginal women's stories of sexually transmissible infection transmission and condom use in remote central Australia." Sexual Health 4, no. 4 (2007): 237. http://dx.doi.org/10.1071/sh07009.

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Background: Sexually transmissible infection (STI) rates are persistently high in central Australia, creating conditions for a potential HIV pandemic in the area. There is a shortage of qualitative research examining the underlying factors affecting STI transmission in this region. The present study investigates Aboriginal women’s current levels of knowledge regarding STI and their transmission, perception of risk for STI, patterns of condom use, access to condoms and experiences of condom negotiation with their partners. It also explores the sociocultural context of their sexual health. Methods: The present study used qualitative methods with a semistructured questionnaire. Twenty-four women aged 18–35 years from one remote central-Australian Aboriginal community were recruited. Results: The results revealed poor understandings of STI transmission, limited access to condoms and low levels of condom use despite a high perception of risk to STI. They also identified specific issues facing these women regarding the sociocultural context of their condom use, their access to condoms and the transmission of STI. The perceived effects of alcohol abuse, infidelity, sexual assault and shame on the acquisition of STI were significant issues for the women. Conclusion: This research has identified an urgent need for further qualitative research into the sociocultural factors that facilitate the spread of STI among Aboriginal people of remote central Australia. Implications include the need to increase their knowledge regarding STI and STI transmission, to increase women’s access to condoms and to incorporate the teaching of skills to deal with sexual assault and violence into sexual-health education.

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Hedges, S., M. Davidson, S. Forrester, A. Casey, V. Pridmore, A. Cooper, A. Beauchamp, and N. McGrath. "A Breast Screening Shawl to Help Aboriginal Women Feel More Comfortable and Culturally Safe." Journal of Global Oncology 4, Supplement 2 (October 1, 2018): 40s. http://dx.doi.org/10.1200/jgo.18.11200.

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Background: It is recommended that Australian women aged 50-74 have a breast screen every two years. Aboriginal women have lower breast screening participation than the general population, and face barriers at a system, service and individual level including: • Cultural: lack of cultural awareness/safety at screening services • Fear: historical apprehension about health services due to the after effects of colonization and intergenerational trauma • Shame: feeling embarrassment/shame at being undressed in front of a stranger • Past experience: having a past unpleasant breast screen, or hearing about someone else' • Knowledge: lack of knowledge about screening • Logistics: not knowing service provider locations or limited access to transport During a 2016 project between BreastScreen Victoria (BSV) and Women's Health West, Aboriginal women discussed the need for a shawl to cover them during screening. This idea is based on a successful New Zealand model. Based on this, the Victorian Aboriginal Health Service (VAHS), Victorian Aboriginal Community Controlled Health Organization (VACCHO) and BSV formed a partnership to trial a breast screening shawl with Aboriginal women. A key principle underpinning the project is that success will reflect the degree to which this is an Aboriginal-led initiative, driven by the needs of Aboriginal women, and steered by community-based Aboriginal health organizations. Project aims: • Assess whether a cultural, strength based screening process increases engagement of Aboriginal women • Determine whether a screening shawl enhances comfort and culturally safety • Encourage breast screening services to develop culturally safe screening practices • Develop a flexible model that can be easily adapted by other Aboriginal health services to reproduce the shawl, in recognition of the diversity of Aboriginal communities Methods: This project adopted the following strategies: • A project steering group was established • The shawl will be trialled via a group booking at one BSV clinic • Before the group booking, BSV clinic staff will attend culturally safety training • On the trial day, women will attend an information session at VAHS about breast screening and receive their shawl, travel to the BSV clinic together for screening, and return to VAHS to discuss their experiences Results: The trial will be fully evaluated in 2018 to determine whether project aims were achieved. Conclusion: Key learnings to date are: • Breast screening interventions for Aboriginal women must be community-led to ensure they are culturally appropriate, safe and acceptable • Aboriginal women face a number of barriers to breast screening at a system, service and individual level • Health services play a critical role in adopting culturally safe screening practices • Developing a flexible model that can be easily adapted by other Aboriginal health services is critical in ensuring the sustainability and acceptability of the shawl.

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Cuesta-Briand, Beatriz, Dawn Bessarab, Shaouli Shahid, and Sandra C. Thompson. "‘Connecting tracks’: exploring the roles of an Aboriginal women's cancer support network." Health & Social Care in the Community 24, no. 6 (June 22, 2015): 779–88. http://dx.doi.org/10.1111/hsc.12261.

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Jumah, Naana Afua, Don Wilson, and Rajiv Shah. "A Canadian Survey of Postgraduate Education in Aboriginal Women's Health in Obstetrics and Gynaecology." Journal of Obstetrics and Gynaecology Canada 35, no. 7 (July 2013): 647–53. http://dx.doi.org/10.1016/s1701-2163(15)30891-4.

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Burbank, Victoria K. "Women's intra-gender relationships and ?disciplinary aggression? in an Australian Aboriginal community." Journal of Cross-Cultural Gerontology 9, no. 2 (April 1994): 207–17. http://dx.doi.org/10.1007/bf00972150.

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Denison, Jacqueline, Colleen Varcoe, and Annette J. Browne. "Aboriginal women's experiences of accessing health care when state apprehension of children is being threatened." Journal of Advanced Nursing 70, no. 5 (October 17, 2013): 1105–16. http://dx.doi.org/10.1111/jan.12271.

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Willis, Eileen M., Judith Dwyer, Kei Owada, Leah Couzner, Debra King, and Jo Wainer. "Indigenous women's expectations of clinical care during treatment for a gynaecological cancer: rural and remote differences in expectations." Australian Health Review 35, no. 1 (2011): 99. http://dx.doi.org/10.1071/ah09800.

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Objectives. To report on differences in Indigenous women’s expectations of clinical care during treatment for a gynaecological cancer in rural and remote regions. Design. Qualitative interviews were conducted in New South Wales, Victoria, South Australia and the Northern Territory in 2008 with 37 clinicians working in gynaecological cancer and 24 women with a gynaecological cancer. Three of the participants were Indigenous women living in large rural towns (others were non-Indigenous), whereas six of the 37 clinicians interviewed worked closely with Indigenous women in remote settings. Indigenous women were contacted through an Indigenous researcher. Interviews were analysed for emerging themes, then compared with each other and with the research literature for similarities and differences. Results. There is considerable variation between clinician observations of the expectations of Indigenous women in remote regions, and the views of Aboriginal women in rural settings. Conclusion. Indigenous women in rural settings have specific views about quality medical care. These include expectations of timely and culturally appropriate care, and strong ties to family and kin, but do not accord with other research findings that suggest Aboriginal women must receive care from same sex clinicians or that care is often delayed. The paper alerts practitioners to the fact that culturally appropriate care will vary from group to group, particularly between remote, rural and urban populations. What is known about this topic? Cross-cultural health care research recognises that health professionals need to be attuned to the cultural preferences and needs of Indigenous patients. What does this paper add? This study warns against assuming all Indigenous people are the same, or have the same expectations about quality health care. It notes that little guidance is offered to clinicians on how Indigenous responses to Western bio-medical care might differ across the country. The paper identifies some differences and proposes strategies for understanding local preferences. What are the implications for practitioners? This paper alerts practitioners to the fact that although Indigenous patients share many cultural similarities, clinicians should not make assumptions about what is appropriate culturally safe care. Culturally appropriate care will vary from group to group, particularly between remote, rural and urban populations in terms of timely access, culturally appropriate care and educational materials, the role of family and Aboriginal Health Workers, and sex preferences.

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Wendt, Sarah, and Joanne Baker. "Aboriginal Women's Perceptions and Experiences of a Family Violence Transitional Accommodation Service." Australian Social Work 66, no. 4 (December 2013): 511–27. http://dx.doi.org/10.1080/0312407x.2012.754915.

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McCormack, Thelma. "Fetal Syndromes and the Charter: The Winnipeg Glue-Sniffing Case." Canadian journal of law and society 14, no. 2 (1999): 77–99. http://dx.doi.org/10.1017/s0829320100006074.

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AbstractThe relationship between scientific knowledge and legal discourse is raised once again by a recent decision of the Supreme Court of Canada, a case involving a young Aboriginal woman who was pregnant and ordered by the court to remain in a drug treatment program at a health center until the baby was born. Her glue-sniffing habit was deemed dangerous to the normal development of the fetus. The Court held that her solvent-dependency did not justify the original court action, but both the Court and the various interveners disregarded the current state of our knowledge on the fetal syndromes. There is thus a continuing disconnect between the scientific understanding of fetal risk and the development of Constitutional law around women's reproductive rights. This paper reviews the case and follows it through the appellate process; we examine the research literature on fetal syndromes tracking the changes over time. Finally we comment on the interventions by the Winnipeg Child and Family Services, the Women's Health Rights Coalition, by The Canadian Civil Liberties Association, and both The Canadian Abortion Rights Action League and the Women's Legal Education and Action Fund.

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Whop, Lisa J., Tamara L. Butler, Natasha Lee, Joan Cunningham, Gail Garvey, Kate Anderson, John R. Condon, et al. "Aboriginal and Torres Strait Islander women's views of cervical screening by self‐collection: a qualitative study." Australian and New Zealand Journal of Public Health 46, no. 2 (February 3, 2022): 161–69. http://dx.doi.org/10.1111/1753-6405.13201.

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Boyle, Jacqueline, and Sandra Eades. "Closing the gap in Aboriginal women's reproductive health: some progress, but still a long way to go." Australian and New Zealand Journal of Obstetrics and Gynaecology 56, no. 3 (June 2016): 223–24. http://dx.doi.org/10.1111/ajo.12470.

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Ratsch, Angela, Fiona Bogossian, Elizabeth A. Burmeister, and Kathryn Steadman. "Central Australian Aboriginal women's placental and neonatal outcomes following maternal smokeless tobacco, cigarette or no tobacco use." Australian and New Zealand Journal of Public Health 46, no. 2 (November 25, 2021): 186–95. http://dx.doi.org/10.1111/1753-6405.13186.

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Bentley, Michael. "A Primary Health Care Approach to Men's Health in Community Health Settings: It's Just Better Practice." Australian Journal of Primary Health 12, no. 1 (2006): 21. http://dx.doi.org/10.1071/py06004.

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Promoting men's health in primary care settings such as general practice is now common, but what might primary health care for men's health look like in community health settings? This paper reports on case studies of diverse community-based health and wellbeing services for men in South Australia. The programs selected as case studies include Aboriginal men, gay men and homosexually active men, men from culturally and linguistically diverse backgrounds, older men, middle-aged men, fathers, young men, as well as services that focus on childhood sexual abuse and violence intervention. The case studies share the following main features - they have a social view of health, use a primary health care approach with an emphasis on prevention, address issues of access and equity, use social justice principles, and work across a number of sectors. These features were integrated into a socially just primary health care framework for men's health in community health settings. Socially just primary health care can address health inequities within men's health that are related to, among other things, class, race, ethnicity and sexuality. Socially just primary health care services can work collaboratively with women's health on common concerns such as violence intervention and childhood sexual abuse. Moreover, socially just primary health care services reflect local concerns, where health professionals work with men rather than acting as outside experts.

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Ireland, Sarah, Concepta Wulili Narjic, Suzanne Belton, Sherry Saggers, and Ann McGrath. "‘Jumping around’: exploring young women's behaviour and knowledge in relation to sexual health in a remote Aboriginal Australian community." Culture, Health & Sexuality 17, no. 1 (August 13, 2014): 1–16. http://dx.doi.org/10.1080/13691058.2014.937747.

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Chynoweth, J., B. Daveson, M. McCambridge, J. Coutts, H. Zorbas, and K. Whitfield. "A National Priority: Improving Outcomes for Aboriginal and Torres Strait Islander People With Cancer Through an Optimal Care Pathway." Journal of Global Oncology 4, Supplement 2 (October 1, 2018): 243s. http://dx.doi.org/10.1200/jgo.18.97700.

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Background and context: Cancer survival rates in Australia are among the best in the world, yet Aboriginal and Torres Strait Islander (indigenous) people continue to experience disparities in the distribution and burden of cancer, and unwarranted variations in outcomes. Indigenous Australians are 40% more likely to die of cancer than non-Indigenous Australians. Cancer Australia developed the National Aboriginal and Torres Strait Islander Cancer Framework (the framework), which identified 7 national priorities to address disparities in cancer outcomes experienced by indigenous Australians. An ongoing collaboration with indigenous Australians was integral to developing this shared agenda. Priority 5 in the framework highlights the need to ensure indigenous Australians affected by cancer receive optimal and culturally appropriate treatment, services, and supportive and palliative care. Aim: To improve cancer outcomes for indigenous Australians through the development and national endorsement of a population-specific Optimal Care Pathway (OCP) to guide the delivery of consistent, safe, high-quality, culturally appropriate and evidence-based care. Strategy/Tactics: Cancer Australia formed a partnership with the Victorian Department of Health and Human Services (DHHS) to address Priority 5 and develop the OCP. The approach to development was underpinned by Cancer Australia's Model of Engagement for Aboriginal and Torres Strait Islander People and guided by the national Leadership Group on Aboriginal and Torres Strait Islander Cancer Control (Leadership Group). Program/Policy process: Cancer Australia, in collaboration with DHHS: • reviewed experiences of care and the framework's comprehensive evidence base • developed a draft OCP to complement tumor-specific pathways • facilitated an Expert Working Group, comprising indigenous health sector leaders and consumers to refine and validate the draft OCP • undertook national public consultation, including with the indigenous health sector and community, health professionals and professional colleges • received an indication of support to proceed to endorsement from the Leadership Group. Outcomes: The first population-specific OCP for Aboriginal and Torres Strait Islander people with cancer received national endorsement. It will guide the delivery of consistent, safe, high-quality, culturally appropriate and evidence-based care. What was learned: Key elements of optimal care include: addressing the cultural appropriateness of the healthcare environment; improving cross-cultural communication; relationship building with local community; optimizing health literacy; recognition of men's and women's business; and the need to use culturally appropriate resources. The national priority in the framework informed and unified high-level direction, which was integral to effective OCP development and endorsement. The evidence-based, step-wise development approach contributed to its relevance, utility and quality.

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Campbell, Alistair, Barbara Hayes, and Beryl Buckby. "Aboriginal and Torres Strait Islander women's experience when interacting with the Edinburgh Postnatal Depression Scale: A brief note." Australian Journal of Rural Health 16, no. 3 (June 2008): 124–31. http://dx.doi.org/10.1111/j.1440-1584.2007.00930.x.

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Bradley, Patricia, Anne Lowell, Cherise Daiyi, Karen Macklin, Tricia Nagel, and Sandra Dunn. "It's a little bit like prison, but not that much: Aboriginal women's experiences of an acute mental health inpatient unit." International Journal of Mental Health Nursing 30, no. 4 (February 25, 2021): 917–30. http://dx.doi.org/10.1111/inm.12843.

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Bucharski, Dawn, Linda I. Reutter, and Linda D. Ogilvie. "“You Need to Know Where We’re Coming From”: Canadian Aboriginal Women's Perspectives on Culturally Appropriate HIV Counseling and Testing." Health Care for Women International 27, no. 8 (September 2006): 723–47. http://dx.doi.org/10.1080/07399330600817808.

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Hurley, William, and Michael P. Dunne. "Psychological Distress and Psychiatric Morbidity in Women Prisoners." Australian & New Zealand Journal of Psychiatry 25, no. 4 (December 1991): 461–70. http://dx.doi.org/10.3109/00048679109064439.

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The population of a women's prison (n=92) was screened for psychological distress and psychiatric morbidity with the 12-item General Health Questionnaire, the Hamilton Depression Rating Scale, a Recent Stressful Life Events questionnaire and the Structured Clinical Interview for DSM-III-R. High levels of symptoms of psychological distress were recorded. Distress was correlated with recent stressful life events and was more severe in women awaiting trial. Fifty-three per cent of the prisoners were diagnosed as current cases of a psychiatric disorder and the most frequent diagnoses were adjustment disorder with depressed mood and personality disorders. Lifetime prevalence of psychoactive substance use disorders was 54 per cent. Aboriginal women were over-represented in this prison population. A follow-up survey after 4 months showed no fall in the prevalence of psychological distress and psychiatric morbidity.

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Fredericks, Bronwyn, Karen Adams, Sandra Angus, and Melissa Walker. "Setting a New Agenda." International Journal of Critical Indigenous Studies 4, no. 2 (June 1, 2011): 17–28. http://dx.doi.org/10.5204/ijcis.v4i2.61.

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The Australian National Aboriginal and Torres Strait Islander Women’s Health Strategy was developed to reflect the health priorities of Aboriginal and Torres Strait Islander women, as identified by Aboriginal and Torres Strait Islander women themselves. This article describes the process used by the Australian Women’s Health Network to develop the strategy. The women involved in the research used the talking circle method and engaged with Aboriginal and Torres Strait Islander women through a process referred to as ‘talkin’ up’, where women ‘talk back’ to one another about issues that matter to them. In this article, we describe the power of the talkin’ up process, as a way for Aboriginal and Torres Strait Islander women to identify their own issues, discuss them in context and talk in a culturally safe environment. The strategy which emerged from this process is an accurate reflection of the issues that are important to Australian Indigenous women and highlights the improvements needed in Aboriginal and Torres Strait Islander women’s health to strengthen and underpin women’s health, Indigeneity and their sense of well-being as Aboriginal and Torres Strait Islander women.

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Corrado, Ann Marie. "The detrimental effects of obstetric evacuation on Aboriginal women’s health." University of Western Ontario Medical Journal 86, no. 2 (December 3, 2017): 28–29. http://dx.doi.org/10.5206/uwomj.v86i2.2000.

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In Western society, many colonial practices, such as the removal of Aboriginal women from their communities prior to birth, still detrimentally affects Aboriginal peoples’ lives. Health Canada’s evacuation policy for pregnant Aboriginal women living in rural and remote areas involves nurses, who are employed by the federal government, coordinating the transfer of all pregnant women to urban cities at 36-38 weeks gestational age to await the birth of their baby.1 The policy states that it is founded on concerns for the wellbeing of Aboriginal women, in an attempt to “curb First Nations’ child and maternal mortality rates”.1 However, there is a need to problematize the practice of obstetric evacuation given its colonial roots and its impact on Aboriginal women. The objective of this review paper is to explore and bring awareness to some of the consequences of Canada’s evacuation policy for pregnant Aboriginal women who live in rural and remote regions. Morespecifically, this paper, drawing on ethnographic research previously conducted with Canadian Aboriginal women on their lived experiences of prenatal care and birth, will examine the lack of social support, loss of control, and lack of culturally competent care that Aboriginal women face. The findings demonstrate an urgent need for policy makers to also consider the lived experience of Aboriginal women when making decisions that impact their health.

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Goudreau, Ghislaine, Cora Weber-Pillwax, Sheila Cote-Meek, Helen Madill, and Stan Wilson. "Hand Drumming: Health-Promoting Experiences of Aboriginal Women from a Northern Ontario Urban Community." International Journal of Indigenous Health 4, no. 1 (June 3, 2013): 72. http://dx.doi.org/10.18357/ijih41200812317.

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Over the past 10 years, Aboriginal women from a northern Ontario urban community have been gathering to hand drum as a way to revive their culture and support one another. As a member of an Aboriginal women’s hand-drumming circle called the Waabishki Mkwaa (White Bear) Singers, I had a vision of exploring the connection between hand-drumming practices and health promotion, and was the primary researcher for the study described in this article. Adhering to Aboriginal protocols as part of an Indigenous research methodology, I offered traditional tobacco to members of the Waabishki Mkwaa Singers, as an invitation for them to be both co-researchers and participants in the study. In accepting the tobacco, the members agreed to help facilitate the research process, as well as to journal their experiences of the process and of their own hand-drumming practices. Using an Aboriginal Women’s Hand Drumming (AWHD) Circle of Life framework—a framework developed by the co-researchers of the study—we explored the physical, mental, spiritual, and emotional benefits of Aboriginal women’s hand-drumming practices, and examined how culture and social support networks are key determinants of Aboriginal women’s health. Results of the qualitative analysis show that the Aboriginal women’s involvement in hand-drumming circles has many health promoting benefits and builds on strengths already existent within their community. Through their experiences with hand drumming, the women reported gaining a voice and a sense of holistic healing, empowerment, renewal, strength and Mino-Bimaadiziwin (“good life”). These findings are consistent with evolving Aboriginal perspectives on health promotion.

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Kurtz, Donna L. M., Jessie C. Nyberg, Susan Van Den Tillaart, Buffy Mills, and The Okanagan Urban Aboriginal Health Res (OUAHRC). "Silencing of Voice: An Act of Structural Violence Urban Aboriginal Women Speak Out About Their Experiences with Health Care." International Journal of Indigenous Health 4, no. 1 (June 3, 2013): 53. http://dx.doi.org/10.18357/ijih41200812315.

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This article reports some of the preliminary findings of an ongoing participatory research study exploring the provision of health and social services for urban Aboriginal communities in the Okanagan Valley. In particular, the article examines how colonial structures and systems have worked to silence Aboriginal women’s voices and how this has affected the ways in which urban Aboriginal women seek out health services. The article addresses these issues through the voices of the Aboriginal women in the study. The women’s stories reveal the many assumptions and inequities that contribute to their marginalization. They describe how their voices are often silenced when they access health services and how this can cause them to either delay seeking needed health advice or accept the status quo. The women’s stories are used to stress the importance and power of voice. This is most evident in their experiences accessing the health services offered through community-based Friendship Centres, where many felt they had more control over the care they received. In the context of this article, the impacts of colonization and the silencing of women’s voices are viewed as acts of structural violence. The women’s stories provide crucial insights into how health care provision can be changed to help prevent these acts of violence, thus leading the way to improved health for all urban Aboriginal populations.

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Goslett, Mary, and Vanessa Beavan. "Ngara Dyin." International Journal of Critical Indigenous Studies 10, no. 1 (January 1, 2017): 1–16. http://dx.doi.org/10.5204/ijcis.v10i1.146.

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The marginalised position and unequal health status of Aboriginal people in Australia are a direct consequence of the trauma and dispossession of colonisation. Aboriginal women experience even greater levels of distress and ill health than Aboriginal men, and are more disadvantaged than any other group of women in Australia. While strength of cultural identity leads to increased social and emotional wellbeing (SEWB) and reduced socioeconomic hardship, Aboriginal people in urban and regional areas suffer greater discrimination and resultant psychological stress than those in remote areas; they are additionally subjected to accusations of inauthenticity. Improving Aboriginal women’s SEWB is pivotal in advancing Aboriginal SEWB overall. This research has explored nine regional Aboriginal women’s experiences of culture and identity by a process of deeply listening to each woman: Ngara Dyin (Dharawal language). The aim was to discern means to strengthen cultural attachment and enhance positive cultural identity for this group of women, and consequently their community. Through the process of interpretive phenomenological analysis, seven interdependent overarching themes were developed: walking and talking black; it’s not easy growing up in a white society; we sit down and listen; connection to Country; strong black women; the way forward; and, wanting that magic. Decolonising approaches to increasing Aboriginal women’s SEWB dictate that understandings of culture and identity must be informed and guided by the very people whose experience is being sought, and these women clearly indicate the need for strengthened cultural connection through funded gatherings and connections with senior women from remote areas.

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Shahram, Sana Z., Joan L. Bottorff, Donna L. M. Kurtz, Nelly D. Oelke, Victoria Thomas, and Patricia M. Spittal. "Understanding the Life Histories of Pregnant-Involved Young Aboriginal Women With Substance Use Experiences in Three Canadian Cities." Qualitative Health Research 27, no. 2 (July 11, 2016): 249–59. http://dx.doi.org/10.1177/1049732316657812.

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Despite attention paid to substance use during pregnancy, understandings of young Aboriginal women’s experiences based on their perspectives have been virtually absent in the published literature. This study’s objective was to understand the life experiences of pregnant-involved young Aboriginal women with alcohol and drugs. Semi-structured interviews to gather life histories were conducted with 23 young Aboriginal women who had experiences with pregnancy, and alcohol and drug use. Transcribed interviews were analyzed for themes to describe the social and historical contexts of women’s experiences and their self-representations. The findings detail women’s strategies for survival, inner strength, and capacities for love, healing, and resilience. Themes included the following: intersectional identities, life histories of trauma (abuse, violence, and neglect; intergenerational trauma; separations and connections), the ever-presence of alcohol and drugs, and the highs and lows of pregnancy and mothering. The findings have implications for guiding policy and interventions for supporting women and their families.

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Gould, Gillian S., Carl Holder, Christopher Oldmeadow, and Maree Gruppetta. "Supports Used by Aboriginal and Torres Strait Islander Women for Their Health, including Smoking Cessation, and a Baby’s Health: A Cross-Sectional Survey in New South Wales, Australia." International Journal of Environmental Research and Public Health 17, no. 21 (October 23, 2020): 7766. http://dx.doi.org/10.3390/ijerph17217766.

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This study explored Aboriginal and Torres Strait Islander women’s use of supports for their general health, for smoking cessation, and the health of babies or children, and analyzed the women’s predictors for seeking types of support. Aboriginal and Torres Strait Islander women were recruited for a cross-sectional survey in two regions of NSW N = 132. The 19-item survey questioned the likelihood that the participant would use the various supports for their health, to quit smoking, and for a baby or child’s health. Logistic regression analyses were performed on N = 98 with complete data. Older participants were less likely to use Facebook or the internet for their health, or the health of a child, but were more likely to consult with health professionals. Women who had quit smoking were less likely to use an app for their health compared to smokers. Women who had a child living in their household were less likely to use the internet for a child’s health. This community-based study revealed age-related differences for access to health services and differences according to smoking status. Patterns of internet and app use warrant further consideration when planning strategies to improve Aboriginal and Torres Strait Islander women and children’s health.

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Jones, Jocelyn, Mandy Wilson, Elizabeth Sullivan, Lynn Atkinson, Marisa Gilles, Paul L. Simpson, Eileen Baldry, and Tony Butler. "Australian Aboriginal women prisoners’ experiences of being a mother: a review." International Journal of Prisoner Health 14, no. 4 (December 17, 2018): 221–31. http://dx.doi.org/10.1108/ijph-12-2017-0059.

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PurposeThe rise in the incarceration of Aboriginal and Torres Strait Islander mothers is a major public health issue with multiple sequelae for Aboriginal children and the cohesiveness of Aboriginal communities. The purpose of this paper is to review the available literature relating to Australian Aboriginal women prisoners’ experiences of being a mother.Design/methodology/approachThe literature search covered bibliographic databases from criminology, sociology and anthropology, and Australian history. The authors review the literature on: traditional and contemporary Aboriginal mothering roles, values and practices; historical accounts of the impacts of white settlement of Australia and subsequent Aboriginal affairs policies and practices; and women’s and mothers’ experiences of imprisonment.FindingsThe review found that the cultural experiences of mothering are unique to Aboriginal mothers and contrasted to non-Aboriginal concepts. The ways that incarceration of Aboriginal mothers disrupts child rearing practices within the cultural kinship system are identified.Practical implicationsAboriginal women have unique circumstances relevant to the concept of motherhood that need to be understood to develop culturally relevant policy and programs. The burden of disease and cycle of incarceration within Aboriginal families can be addressed by improving health outcomes for incarcerated Aboriginal mothers and female carers.Originality/valueTo the authors’ knowledge, this is the first literature review on Australian Aboriginal women prisoners’ experiences of being a mother.

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Nelson, Chantal, Karen M. Lawford, Victoria Otterman, and Elizabeth K. Darling. "Mental health indicators among pregnant Aboriginal women in Canada: results from the Maternity Experiences Survey." Health Promotion and Chronic Disease Prevention in Canada 38, no. 7/8 (August 2018): 269–76. http://dx.doi.org/10.24095/hpcdp.38.7/8.01.

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Introduction There is little research done on mental health among pregnant Aboriginal women. Therefore, the purpose of the study was to examine the prevalence of postpartum depression (PPD) and its determinants, including pre-existing depression among non-Aboriginal and Aboriginal women in Canada. Methods The Maternity Experiences Survey (MES) is a national survey of Canadian women’s experiences and practices before conception, up to the early months of parenthood. Predictors of PPD were calculated using the Mantel-Haenszel correction method relative to the risk estimates based on the odds ratio from adjusted regression analysis. The analysis was conducted among women who self-identified as Aboriginal (Inuit, Métis or First Nations living off-reserve) and those who identified as non-Aboriginal. Results The prevalence of pre-existing depression was higher among self-reported First Nations off-reserve and Métis women than non-Aboriginal women. Inuit women had the lowest prevalence of self-reported pre-existing depression, and Aboriginal women reported a higher prevalence of PPD than non-Aboriginal women. Pre-existing depression was not a predictor for PPD for Inuit or Métis women in this study but was a positive predictor among First Nations off-reserve and non-Aboriginal women. A disproportionally higher number of Aboriginal women reported experiencing abuse, as compared to non-Aboriginal women. Conclusion Our study demonstrated that common predictors of PPD including anxiety, experiencing stressful life events during pregnancy, having low levels of social support, and a previous history of depression were consistent among non-Aboriginal women. However, with the exception of the number of stressful events among First Nations offreserve, these were not associated with PPD among Aboriginal women. This information can be used to further increase awareness of mental health indicators among Aboriginal women.

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Wyndow, Paula, Elaine Clifton, and Roz Walker. "Improving Aboriginal Maternal Health by Strengthening Connection to Culture, Family and Community." International Journal of Environmental Research and Public Health 17, no. 24 (December 17, 2020): 9461. http://dx.doi.org/10.3390/ijerph17249461.

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(1) Background: To explore the function of smoking in Aboriginal women’s lives from a trauma-informed, women-centred approach in order to inform the design of a culturally meaningful smoking cessation program for women living in the Pilbara, Western Australia; (2) Methods: Qualitative and Community Based Participatory Action Research (CBPAR) was used to discover what Aboriginal women know about smoking, the specific contextual issues that influence their smoking, and what community supports are available to help them quit smoking. Inductive analysis was used to determine key themes; (3) Results: 25 Aboriginal women (smokers, non-smokers, and ex-smokers) participated in focus groups or individual interviews. Women smoked to deal with stress, trauma and for maintaining social connections. Women who stopped smoking did so on their own when the reason was important enough or when they saw alternative ways of living. Creating safe places to bring women together to yarn about women’s business and link with health services was identified as critical to support women to stop smoking. Conclusions: Strategies to address smoking need to bring community, culture and health together in a meaningful way for women and their families; build on existing community strengths; and educate communities about the effects of smoking, and health professionals about how to support women to stop smoking.

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Totten, Mark. "Investigating the Linkages between FASD, Gangs, Sexual Exploitation and Woman Abuse in the Canadian Aboriginal Population: A Preliminary Study." First Peoples Child & Family Review 5, no. 2 (May 5, 2020): 9–22. http://dx.doi.org/10.7202/1068927ar.

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The purpose of this study, prepared for the Native Women’s Association of Canada (NWAC) and funded by Health Canada First Nations and Inuit Health Branch, is to provide an exploratory investigation into the linkages and to begin a journey into making the connection between FASD, sexual exploitation, gangs, and extreme violence in the lives of young Aboriginal women. Emerging data from Aboriginal gang intervention and exit projects in Canada suggest that many women experience sexual slavery and extreme violence in gangs, and that a disproportionate number also suffer from Fetal Alcohol Spectrum Disorder. Although much more research is required, preliminary data point to the importance of developing prevention strategies targeted at addressing family violence, drug and alcohol abuse, poverty, the social determinants of health and the history of colonization of Aboriginal Peoples. This work should focus on the strength and resiliency of Aboriginal peoples.

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Kurtz, Donna L. M., deSales Turner, Jessie Nyberg, and Diana Moar. "Social Justice and Health Equity: Urban Aboriginal Women’s Action for Health Reform." International Journal of Health, Wellness, and Society 3, no. 4 (2014): 13–26. http://dx.doi.org/10.18848/2156-8960/cgp/v03i04/41081.

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Henson, Connie, Boe Rambaldini, Bronwyn Carlson, Monika Wadolowski, Carol Vale, and Kylie Gwynne. "A new path to address health disparities: How older Aboriginal & Torres Strait Islander women use social media to enhance community health (Protocol)." DIGITAL HEALTH 8 (January 2022): 205520762210844. http://dx.doi.org/10.1177/20552076221084469.

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Background Digital health offers a fresh avenue to address health disparities experienced by Aboriginal and Torres Strait Islanders. Despite the scant evidence about how Aboriginal and Torres Strait Islanders access and use health technology, the Australian government has prioritised research that uses technology to enable people to manage their health and promote better health outcomes. Older Aboriginal and Torres Strait Islander women are cultural leaders in their communities, enabling them to provide valuable insights about the safety and efficacy of health care messaging. However, no research has engaged older Aboriginal and Torres Strait Islander, women as partners in digital health research. Objective This paper provides a protocol for co-designed translational research that privileges older Aboriginal & Torres Strait Islander women’s cultural expertise to design and test a framework for accessible, culturally safe and feasible digital health technologies. Methods This mixed-methods research project will use the collective impact approach, a user-centred, co-design methodology and yarning circles, a recognised Indigenous research methodology. A series of yarning circles with three different communities will elucidate enablers and barriers to access health information; co-create a framework clarifying what works and does not work for digital health promotion in their communities; and test the framework by co-creating three digital health information programs. Conclusions Privileging the cultural expertise of older Aboriginal and Torres Strait Islander women will provide a novel perspective and vital guidance that end users and developers can trust and rely upon to create and evaluate culturally safe and efficacious digital health promotion programs.

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Thackrah, Rosalie D., Jennifer Wood, and Sandra C. Thompson. "Longitudinal Follow Up of Early Career Midwives: Insights Related to Racism Show the Need for Increased Commitment to Cultural Safety in Aboriginal Maternity Care." International Journal of Environmental Research and Public Health 18, no. 3 (January 31, 2021): 1276. http://dx.doi.org/10.3390/ijerph18031276.

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Racism in health care undermines equitable service delivery, contributes to poorer health outcomes and has a detrimental effect on the Aboriginal workforce. In maternity care settings, Aboriginal women’s perceptions of discrimination are widespread, with the importance of cultural practices surrounding childbirth often not recognised. Efforts to build midwives’ cultural capabilities and address health disparities have seen Aboriginal content included in training programs but little is known about its application to clinical practice. This study reinterviewed midwives who had previously completed university midwifery training that aimed to increase understanding of Aboriginal people and cultural safety in health care. Participants were 14 non-Indigenous midwives and two Aboriginal midwives. Interviews explored the legacy of program initiatives on cultural capabilities and observations and experiences of racism in maternity care settings. Methods followed qualitative approaches for research rigour, with thematic analysis of transcribed interviews. Findings revealed the positive impact of well-designed content and placements, with non-Indigenous participants cognisant and responsive to casual racism but largely not recognising institutional racism. The Aboriginal midwives had experienced and were attuned to racism in all its guises and suggested initiatives to heighten awareness and dispel stereotypes. It is evident that greater attention must be paid to institutional racism in educational programs to increase its recognition and appropriate actions within health care settings.

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Mercille, Genevieve, Olivier Receveur, and Louise Potvin. "Household Food Insecurity and Canadian Aboriginal Women’s: Self-efficacy in Food Preparation." Canadian Journal of Dietetic Practice and Research 73, no. 3 (September 2012): 134–40. http://dx.doi.org/10.3148/73.3.2012.134.

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Purpose: Determinants of self-efficacy related to food preparation using store-bought food were examined in women belonging to the Atikamekw Nation. Also examined was whether self-efficacy was associated with household food insecurity. Methods: A cross-sectional survey was conducted with 107 women responsible for household food supplies. Two selfefficacy scores were calculated, one for healthy food preparation and one for food preparation in general. Household food insecurity was measured with an adapted version of the United States Food Security Core Module. The other variables were household composition, income sources, food supplies, tobacco use, participants’ health status, and lifestyle and sociodemographic characteristics. Multiple linear regression was used to analyze associations between self-efficacy and household food insecurity in 99 participants. Results: Severe household food insecurity was associated with significantly lower healthy food preparation scores in Atikamekw women. Other associated variables were food supplies, marital status, alcohol consumption, weight status, and understanding of the native language. Conclusions: Application of the concept of self-efficacy contributes to a better understanding of the factors influencing food preparation in Atikamekw women. In this study, self-efficacy in healthy food preparation was linked to food insecurity and obesity, particularly in the most serious cases. Efforts to improve diet will require not only behavioural interventions, but public policies.

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James, Sarah, Maree Toombs, and Wendy Brodribb. "Barriers and enablers to postpartum contraception among Aboriginal Australian women: factors influencing contraceptive decisions." Australian Journal of Primary Health 24, no. 3 (2018): 241. http://dx.doi.org/10.1071/py17041.

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This qualitative research obtained insights into factors influencing postpartum contraception use among Aboriginal women in southern Queensland. Seventeen women participated in focus groups or interviews from July to October 2015 at an Aboriginal and Torres Strait Islander Community-Controlled Health Organisation. Data were analysed with open coding and thematic analysis. The results affirmed Aboriginal women want control over family planning. Participants indicated more could be done to improve health literacy and contraception uptake. A variety of family planning preferences were revealed, with an almost universal desire for increased access to postpartum contraception. Participants wanted information given antenatally and postnatally. Obtaining and using contraception were difficult for many. Social factors that hinder access such as shame, ideas surrounding women’s health, cultural disengagement, social isolation and using childbearing to control relationships were identified. The reproductive outcomes of Aboriginal women often do not reflect their preferences. A mandate exists to provide information about and access to postpartum contraception, empowering women with greater control over their reproductive practices. Health professionals can play a key role in dismantling barriers to autonomous family planning by offering information and resources both antenatally and postnatally.

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Roy, Amrita. "Intergenerational Trauma and Aboriginal women: Implications for Mental Health during Pregnancy." First Peoples Child & Family Review 9, no. 1 (October 1, 2020): 7–21. http://dx.doi.org/10.7202/1071790ar.

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Intergenerational trauma (IGT) explains why populations subjected to long-term, mass trauma show a higher prevalence of disease even several generations after the original events. Residential schools and other legacies of colonization continue to impact Aboriginal populations, who have higher rates of mental health concerns. Poor maternal mental health during pregnancy can have serious health consequences for the mother, the baby, and the whole family; these include impacting the cognitive, emotional and behavioural development of children and youth. This paper has the following objectives: 1) To define intergenerational trauma and contextualize it in understanding the mental health of pregnant and parenting Aboriginal women; 2) To summarize individual-level and population-level approaches to promoting mental health, and examine their congruence with the needs of Aboriginal populations; 3) To discuss the importance of targeting IGT in both individual-level and population-level interventions for pregnant Aboriginal women . Various scholars have suggested that healing from IGT is best achieved through a combination of mainstream psychotherapies and culturally-entrenched healing practices, conducted in culturally safe settings. Pregnancy has been argued to be a particularly meaningful intervention point to break the cycle of IGT transmission. Given the importance of pregnant women’s mental health to both maternal and child health outcomes, including mental health trajectories for children and youth, it is clear that interventions, programs and services for pregnant Aboriginal women need to be designed to explicitly facilitate healing from IGT. In this regard, further empirical research on IGT and on healing are warranted, to permit an evidence-based approach.

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Roy, Amrita. "Intergenerational Trauma and Aboriginal Women: Implications for Mental Health During Pregnancy 1." First Peoples Child & Family Review 14, no. 1 (August 31, 2020): 211–24. http://dx.doi.org/10.7202/1071297ar.

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Intergenerational trauma explains why populations subjected to long-term and mass trauma show a higher prevalence of disease, even several generations after the original events. Residential schools and other legacies of colonization continue to impact Aboriginal populations, who have higher rates of mental health concerns. Poor maternal mental health during pregnancy can have serious health consequences for the mother, the baby, and the whole family; these include impacting the cognitive, emotional, and behavioural development of children and youth. This paper has the following objectives: to define intergenerational trauma and contextualize it in understanding the mental health of pregnant and parenting Aboriginal women; to summarize individual-level and population-level approaches to promoting mental health and examine their congruence with the needs of Aboriginal populations; and to discuss the importance of targeting intergenerational trauma in both individual-level and population-level interventions for pregnant Aboriginal women. Various scholars have suggested that healing from intergenerational trauma is best achieved through a combination of mainstream psychotherapies and culturally-entrenched healing practices, conducted in culturally safe settings. Pregnancy has been argued to be a particularly meaningful intervention point to break the cycle of intergenerational trauma transmission. Given the importance of pregnant women’s mental health to both maternal and child health outcomes, including mental health trajectories for children and youth, it is clear that interventions, programs, and services for pregnant Aboriginal women need to be designed to explicitly facilitate healing from intergenerational trauma. In this regard, further empirical research on intergenerational trauma and on healing are warranted, to permit an evidence-based approach.

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Varcoe, Colleen, and Sheila Dick. "The Intersecting Risks of Violence and HIV for Rural Aboriginal Women in a Neo-Colonial Canadian Context." International Journal of Indigenous Health 4, no. 1 (June 3, 2013): 42. http://dx.doi.org/10.18357/ijih41200812314.

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An ethnographic study looking at the intersecting risks of violence and human immunodeficiency virus (HIV) for rural women shows that the neo-colonial and racist context of Canadian society creates particular challenges for Aboriginal women. This article focuses on the experiences of the Aboriginal women who took part in the study. These women’s experiences of violence occurred within a rural context of poverty and declining economic resources, and within a historical context of colonial abuses and cultural disruptions. Consequently, the women’s lives were often characterized by disconnection from family and community, making them vulnerable to further violence and exploitation. Social support programs in this rural setting were limited and access was sometimes problematic. Understanding how the intersecting dynamics of gender, rural living, poverty, racism, and colonialism create risk for Aboriginal women provides a basis for developing policies that aim to strengthen the well-being of women, particularly their economic well being. It also highlights the need for an anti-racist agenda within the social service and health care sectors and at all levels of government.

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Journal articles on the topic 'Aboriginal women's health'

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