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Open Access Our Land, Our Language: Connecting Dispossession and Health Equity in an Indigenous Context Nos terres, notre langue : les liens entre la dépossession et l'équité en santé dans un contexte autochtone

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Abstract:

For contemporary Indigenous people, colonial relations (past and present) intersect with neoliberal policies and practices to create subtle forms of dispossession. These undermine the health of Indigenous peoples and create barriers restricting access to appropriate health services. Integrating insights from the critical geographer David Harvey, the authors demonstrate how the dispossession of land and language threaten health and well-being and worsen existing illness conditions. Drawing on the qualitative findings from a program of communitybased research with the 'N ¯ am ¯ gis First Nation in the Canadian province of British Columbia, the authors argue for an account of how neoliberal mechanisms operate to further the “accumulation by dispossession” associated with historical and ongoing colonialism. Specifically, they show how neoliberal ideologies operate to sustain medical colonialism and health inequities for Indigenous peoples. The authors discuss the implications for nursing actions to achieve health equity in rural First Nations communities.

French
L'entrecroisement des relations coloniales (passées et actuelles) et des politiques et pratiques néolibérales créent des formes subtiles de dépossession qui nuisent à la santé des Autochtones d'aujourd'hui et limitent leur accès à des services de santé appropriés. S'appuyant sur des idées du géographe critique David Harvey, les auteures montrent comment la dépossession des terres et des langues autochtones menace la santé et le bien-être de ces populations, et empirent l'état de santé des Autochtones déjà malades. Compte tenu des constatations qualitatives issues d'un programme de recherche communautaire auprès de la Première Nation de 'N ¯ am ¯ gis, dans la province de la Colombie-Britannique, les auteures préconisent qu'il soit rendu compte des manières dont fonctionnent les mécanismes néolibéraux pour accroître « l'accumulation par la dépossession » associée au colonialisme historique et actuel. Elles montrent en particulier comment les idéologies néolibérales opèrent pour maintenir le colonialisme médical et les inégalités en santé pour les Autochtones. Enfin, elles discutent de l'incidence des interventions infirmières dans l'atteinte de l'équité en santé dans les collectivités des Premières Nations en milieu rural.

Keywords: COLONIALISM; CULTURAL IDENTITY; FIRST NATIONS HEALTH; HEALTH EQUITY; INDIGENOUS LANGUAGE; LAND; NEOLIBERALISM

Language: French

Document Type: Research Article

Publication date: 2012-06-01

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