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Relationship of Aboriginal family wellbeing to social and cultural determinants,Central Australia:‘Waltja tjutangku nyakunytjaku’

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Family Medicine and Community Health 2022年第4期10卷 4-15页

作者： Alyson Wright Vanessa Napaltjarri Davis Makayla-May Brinckley raymond lovett Joanne Thandrayen Mandy Yap William Sanders Emily Banks National Centre for Epidemiology and Population Health Research School of Population HealthAustralian National UniversityCanberraAustralian Capital TerritoryAustralia Tangentyere Research Hub Tangentyere CouncilAlice SpringsNorthern TerritoryAustralia Centre for Aboriginal Economic and Policy Research Australian National UniversityCanberraAustralian Capital TerritoryAustralia

Objective The objective of this study was to apply a strength-based approach to examine the relation of cultural and social determinants to high family functioning for Aboriginal people in Central *** Cross-sectional study involving a quantitative analysis of survey *** rate ratios(PRs)and 95%CIs were calculated from binomial regressions,adjusted for gender and *** data from workshops with Aboriginal leaders in Central Australia supported the interpretation of the research *** The study involved 639 Aboriginal people in Central Australia who participated in the Mayi Kuwayu *** Overall,57.9%(370/639)of participants reported high/very high family functioning,16.9%(108/639)reported moderate and 13.3%(85/639)reported *** adjusted prevalence of family functioning was similar across gender,age groups and household *** functioning was associated with lower family financial status(aPR=0.74,95%CI=0.60 to 0.91)and receiving welfare(0.88,0.77 to 1.00).Family functioning was greater with high community cohesion(2.72,1.68 to 4.39),high individual agency in community(2.15,1.63 to 2.85);having an Aboriginal language as a first language(1.20,1.04 to 1.37);speaking your Aboriginal language a lot(1.37,1.12 to 1.68);high exposure to cultural practice and knowledge(1.45,1.28 to 1.65);and multigenerational or extended family households(1.19,1.02 to 1.38).Conclusion High family functioning is a strength in Central Australia and is intrinsically connected with *** providers and programmes that build on the foundations of culture and family are an important approach to improving wellbeing.

关键词： cohesion Australia apply

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