Risk perception, adaptation, and resilience during the COVID-19 pandemic in Southeast Alaska Natives

被引:15
作者
Doren, Taylor P. van [1 ]
Zajdman, Deborah
Brown, Ryan A. [2 ]
Gandhi, Priya [2 ]
Heintz, Ron [1 ]
Busch, Lisa [1 ]
Simmons, Callie [1 ]
Paddock, Raymond [3 ]
机构
[1] Sitka Sound Sci Ctr, 834 Lincoln Stree, Sitka, AK 99835 USA
[2] RAND Corp, 1776 Main St, Santa Monica, CA 90401 USA
[3] Cent Council Tlingit & Haida Indian Tribes, POB 25500, Juneau, AK 99802 USA
基金
美国国家科学基金会;
关键词
Alaska native people; COVID-19; pandemic; Rural health; Resilience; Thematic analyses; COMMUNITY RESILIENCE; CLIMATE-CHANGE; PUBLIC-HEALTH; INFLUENZA; EPIDEMIOLOGY; MORTALITY;
D O I
10.1016/j.socscimed.2022.115609
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Indigenous communities worldwide are at higher risk of negative pandemic outcomes, and communities Indigenous to the Arctic are disproportionately affected compared to national majorities. Despite this, their experiences have scarcely been investigated qualitatively and from their own perspectives. We collected and analyzed 22 structured interviews in three Southeast Alaska island communities (Sitka, Hoonah, and Kake) to learn about their perceptions of and experiences with the COVID-19 pandemic. Interviews were analyzed with thematic qualitative analysis in Dedoose. Four primary categories were identified within which to discuss risk and resilience in Southeast Alaska: (1) risk perception, (2) socioeconomic impacts, (3) reactions to public health guidelines, and (4) coping. Primary findings indicate that Southeast Alaska Native communities display considerable resilience and adaptive flexibility despite the significant adversity imposed by the COVID-19 pandemic. Southeast Alaska Native people use historical and traditional knowledge to culturally ground adap-tive behaviors to cope with the threat of COVID-19. Interviewees expressed that adaptive, community-centered, and non-individualistic behaviors strongly tied to Native culture minimized the negative epidemiological impacts of the pandemic. Future research can more deeply explore the root causes of the need for adaptiveness and resilience, such as histories of colonialism and marginalization, to emergency situations in Indigenous communities.
引用
收藏
页数:10
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