| Autor: |
Diaz TP; Division of Social Work, School of Health, University of Guam, UOG Station, Mangilao, GU 96913, USA., Ka'opua LSI; Myron B. Thompson School of Social Work, University of Hawai'i-Manoa, Gartley Hall 2430 Campus Rd, Honolulu, HI 96822, USA.; Population Sciences in the Pacific Program, University of Hawai'i Cancer Center, 701 Ilalo Street, Honolulu, HI 96813, USA., Nakaoka S; Sacramento State, Division of Social Work, College of Health and Human Services, Mariposa Hall, Sacramento, CA 95826, USA. |
| Abstrakt: |
The United Nations and International Federation of Social Work affirm the right of all people to determine their political status, preserve their environments and pursue endeavours for well-being. This article focuses on CHamoru, Guam's Indigenous people, and examines distal social determinants of health (SDOH) in the contested spaces of US territorial status and non-self-determining Indigenous nationhood. Published multi-disciplinary literature identified ways in which territorial status functions as an SDOH unique to non-self-determining Pacific Island nations. Indicated is the use of structural approaches that address mechanisms of US power and control, including economic policies that 'defacto' promote coca-colonisation and non-communicable diseases risk. Critical race theory centres race, colonisation and subversive narratives. In line with fourth-generation SDOH action-oriented research, we posit a CHamoru critical race theory model that weaves Indigenous, social work and public health perspectives. Lack of community input is a limitation of the current research. To assure relevance, the model will be vetted through community discussions. Our discussion guide may be tailored for other Indigenous communities. Social workers may play a meaningful role in promoting health equity through participatory action-oriented, cultural-political social work that upholds Indigenous self-determination and survivance in contested spaces. |
