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Colonialism as a Broader Social Determinant of Health

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Author(s): Karina Czyzewski

Journal: International Indigenous Policy Journal
ISSN 1916-5781

Volume: 2;
Issue: 1;
Start page: 1;
Date: 2011;
Original page

Keywords: Indigenous health | health policy | colonialism | mental health | trauma | social determinants of health

ABSTRACT
A proposed broader or Indigenized social determinants of health framework includes "colonialism" along with other global processes. What does it mean to understand Canadian colonialism as a distal determinant of Indigenous health? This paper reviews pertinent discourses surrounding Indigenous mental health in Canada.With an emphasis on the notion of intergenerational trauma, there are real health effects of social, political, and economic marginalization embodied within individuals, which can collectively affect entire communities. Colonialism can also be enacted and reinforced within Indigenous mental health discourse, thus influencing scholarly and popular perceptions. Addressing this distal determinant through policy work necessitates that improving Indigenous health is inherently related to improving these relationships, i.e. eliminating colonial relations, and increasing self-determination.
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Tango Jona
Tangokurs Rapperswil-Jona