哥伦比亚土著儿童人口的粮食安全、气候变化和心理健康问题。

IF 2.3 4区 医学 Q2 PEDIATRICS
Felipe Agudelo-Hernández, Marcela Guapacha-Montoya, María Camila Pinzón-Segura
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引用次数: 0

摘要

背景:本研究调查了哥伦比亚卡尔达斯Emberá-Dobidá儿科土著社区心理健康、食品安全和气候焦虑之间的复杂相互关系。虽然该社区因武装冲突而流离失所,但我们的重点是气候变化导致的后续环境变化,这些变化已成为新领土的独立压力源。这些压力因素加剧了社区的脆弱性,对儿童和青少年的影响尤其严重。通过将领土不仅作为地理空间,而且作为社会文化和象征结构,该研究采用拉丁美洲批判性视角来分析健康差异。方法:一项混合方法研究涉及Emberá-Dobidá土著社区6-16岁的儿童人口(n=40),以及代表25个家庭的65名护理人员。深入访谈探讨了社区对环境变化、粮食安全和心理健康的看法。横断面相关性分析使用了两种适应文化的工具,即儿童社区情感和精神健康评估量表和哥伦比亚家庭粮食安全量表,以评估儿童心理健康和粮食安全。结果:定性研究结果揭示了两个关键主题:“近年来热量增加”和“与水和文化身份脱节”。定量结果显示,粮食不安全、精神不和谐与心理健康问题(包括情绪困扰和自杀风险)之间存在显著相关性。值得注意的是,30%的儿童有自杀风险,50%的儿童表现出情绪问题。研究结果表明,环境退化和领土关系中断不仅是生态压力,也是心理和文化压力。结论:土著社区的心理健康被理解为精神和谐,必须通过结合传统生态知识、粮食安全和恢复领土联系的文化基础方法加以解决。从拉丁美洲的角度来看,领土不是被动的背景,而是由权力、记忆和抵抗形成的健康的积极决定因素。我们的研究结果呼吁采取适应气候变化的、社区驱动的干预措施,重新界定土著环境中的公共卫生反应。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Food security, climate change and mental health problems in a Colombian Indigenous paediatric population.

Background: This study investigates the complex inter-relations among mental health, food security and climate anxiety in the Emberá-Dobidá paediatric Indigenous community in Caldas, Colombia. Although the community was displaced due to armed conflict, our focus is on the subsequent environmental changes driven by climate change that have emerged as independent stressors in the new territory. These stressors have compounded the community's vulnerabilities, with particular impacts on children and youth. By framing territory not merely as geographic space but as a sociocultural and symbolic construct, the study adopts a Latin American critical perspective to analyse health disparities.

Methods: A mixed-methods study was conducted involving the paediatric population aged 6-16 years (n=40) from the Emberá-Dobidá Indigenous community, along with 65 caregivers representing 25 families. In-depth interviews explored community perceptions of environmental changes, food security and mental health. A cross-sectional correlational analysis used two culturally adapted instruments, the Pediatric Assessment of Community Emotional and Spiritual Health Scale and the Colombian Household Food Security Scale, to assess paediatric mental health and food security.

Results: Qualitative findings revealed two key themes: 'Increased Heat in Recent Years' and 'Disconnection from Water and Cultural Identity'. Quantitative results showed significant correlations between food insecurity, spiritual disharmony and mental health problems, including emotional distress and suicide risk. Notably, 30% of children were at risk of suicide, and 50% exhibited emotional problems. The findings demonstrate that environmental degradation and disrupted territorial ties are not only ecological but also psychological and cultural stressors.

Conclusions: Mental health in Indigenous communities, understood as spiritual harmony, must be addressed through culturally grounded approaches that integrate traditional ecological knowledge, food security and the recovery of territorial connection. From a Latin American perspective, territory is not a passive backdrop but an active determinant of health shaped by power, memory and resistance. Our findings call for climate-resilient, community-driven interventions that reterritorialise public health responses in Indigenous settings.

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来源期刊
BMJ Paediatrics Open
BMJ Paediatrics Open Medicine-Pediatrics, Perinatology and Child Health
CiteScore
4.10
自引率
3.80%
发文量
124
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