Theoretical Approaches to Disrupting Historical Trauma Among Two-Spirit and Indigenous LGBTQ+ Elders
DOI:
https://doi.org/10.15273/hpj.v3i4.11480Keywords:
two spirit, queer, historical trauma, Indigenous wholistic theory, health disparities, elders, aging, culturally responsive methodsAbstract
Introduction: Indigenous holistic theory (IHT) is a multi-faceted framework grounded in traditional cultural knowledge that emphasizes Indigenous world views, cultures, and traditions with a focus on the spiritual, emotional, mental, and physical elements of health and wellness (Absolon, 2010). Objective: To describe the role of historical trauma and health-related behaviours among Two-Spirit and Indigenous lesbian, gay, bisexual, transgender, and queer or questioning (2S/LGBTQ+) Elders and how the emergence of IHT and its guiding constructs could work to inform culturally responsive interventions for the study population. Method: IHT constructs were applied to historical trauma intervention tailoring among Indigenous 2S/LGBTQ+ Elders, including a relevant theoretical model. Results: Applying the IHT framework to Indigenous 2S/LGBTQ+ Elder interventions could be an effective pathway for understanding the population while helping to inform more culturally responsive health promotion efforts that will lead to wellness in later life. Discussion/Conclusion: The paper concludes with a discussion of how IHT helps to advance our knowledge about addressing historical trauma most responsively, along with future research recommendations.
This study was supported by the National Institute of General Medical Sciences (NIGMS) National Institutes of Health (NIH).
References
Absolon, K. (2010). Indigenous wholistic theory: A knowledge set for practice. First Peoples Child & Family Review, 5(2), 74–87. https://doi.org/10.7202/1068933ar
Adams, D. W. (1995). Education for extinction: American Indians and the boarding school experience, 1875–1928. University Press of Kansas.
Angelino, A., Evans-Campbell, T., & Duran, B. (2020). Assessing health provider perspectives regarding barriers American Indian/Alaska Native transgender and Two-Spirit youth face accessing healthcare. Journal of Racial and Ethnic Health Disparities,7(4), 630–642. https://doi.org/10.1007/s40615-019-00693-7
Bailey, Z. D., Krieger, N., Agénor, M., Graves, J., Linos, N., & Bassett, M. T. (2017). Structural racism and health inequities in the USA: Evidence and interventions. The Lancet, 389(10077), 1453–1463. https://doi.org/10.1016/S0140-6736(17)30569-X
Barnes, P. M., Adams, P. F., & Powell-Griner, E. (2010). Health characteristics of the American Indian or Alaska Native adult population: United States, 2004 - 2008. National Health Statistics Reports, (20), 1–22.
Chae, D. H., & Walters, K. L. (2009). Racial discrimination and racial identity attitudes in relation to self-rated health and physical pain and impairment among Two-Spirit American Indians/Alaska Natives. American Journal of Public Health, 99(Suppl 1), S144–S151. https://doi.org/10.2105 %2FAJPH.2007.126003
Champine, R. B., Lang, J. M., Nelson, A. M., Hanson, R. F., & Tebes, J. K. (2019). Systems measures of a trauma-informed approach: A systematic review. American Journal of Community Psychology, 64(3–4), 418–437. https://doi.org/10.1002/ajcp.12388
Chen, L., & Zhang, Z. (2022). Community participation and subjective well-being of older adults: The roles of sense of community and neuroticism. International Journal of Environmental Research and Public Health, 19(6), Article 3261. https://doi.org/10.3390/ijerph19063261
D'cruz, M., & Banerjee, D. (2020). ‘An invisible human rights crisis’: The marginalization of older adults during the COVID-19 pandemic – An advocacy review. Psychiatry Research, 292, Article 113369. https://doi.org/10.1016/ j.psychres.2020.113369
Duran, E. (2006). Healing the soul wound: Counseling with American Indians and other native peoples. Teachers College Press.
Durand-Moreau, Q., Lafontaine, J., & Ward, J. (2022). Work and health challenges of Indigenous people in Canada. The Lancet Global Health, 10(8), E1189–E1197. https://doi.org/10.1016/S2214-109X(22)00203-0
Evans-Campbell, T. (2008). Historical trauma in American Indian/Native Alaska communities: A multilevel framework for exploring impacts on individuals, families, and communities. Journal of Interpersonal Violence, 23(3), 316–338. https://doi.org/10.1177/0886260507312290
Flatt, J. D., Cicero, E. C., Kittle, K. R., Brennan-Ing, M., Anderson, J. G., Wharton, W., & Hughes, T. L. (2022). Advancing gerontological health research with sexual and gender minorities across the globe. Journal of Gerontological Nursing, 48(4), 13–20. https://doi.org/10.3928/00989134-20220304-03
Goldberg, D. S. (2012). Social justice, health inequalities and methodological individualism in US health promotion. Public Health Ethics, 5(2), 104–115. https://doi.org/10.1093/ phe/phs013
Han, H.-R., Miller, H. N., Nkimbeng, M., Budhathoki, C., Mikhael, T., Rivers, E., Gray, J., Trimble, K., Chow, S., & Wilson, P. (2021). Trauma informed interventions: A systematic review. PLOS ONE, 16(6), Article e0252747. https://doi.org/10.1371/journal.pone.0252747
Hayes, L., & Begaye, K. (n.d.). Historical & intergenerational trauma and the impact on the Two-Spirit/LGBTQ community [PowerPoint slides]. Southwest Indigenous Women’s Coalition LGBTQ Advisory Council. http://www.swiwc.org/wp-content/uploads/2017/07/Historical-Trauma-Webinar-2-reviseddisclaimer.pdf
Hunt, S. (2016). An introduction to the health of Two-Spirit people: Historical, contemporary and emergent issues. National Collaborating Centre for Aboriginal Health. https://www.ccnsa-nccah.ca/docs/emerging/RPT-HealthTwoSpirit-Hunt-EN.pdf
LaVeist, T. A., Pérez-Stable, E. J., Richard, P., Anderson, A., Isaac, L. A., Santiago, R., Okoh, C., Breen, N., Farhat, T., Assesnov, A., & Gaskin, D. J. (2023). The economic burden of racial, ethnic, and educational health inequities in the US. JAMA, 329(19), 1682–1692. https://doi.org/ 10.1001/jama.2023.5965
Leason, J. (2021). Forced and coerced sterilization of Indigenous women: Strengths to build upon. Canadian Family Physician, 67(7), 525–527. https://doi.org/10.46747/cfp.6707525
Matthews-Hartwell, T. (2007). LGBTQ2 Well-Being Education Series: LGBTQ2S advocacy, and NativeOUT [PowerPoint slides]. NativeOUT. https://www.ihs.gov/sites/telebehavioral/themes/responsive2017/display_objects/documents/slides/lgbt/lgbtnativeout.pdf
McDavid, J. (2019, May 28). Despite connectivity, social isolation is not declining—especially among diverse older adults. Diverse Elders Coalition. https://www.diverseelders.org/2019/05/28/despite-connectivity-social-isolation-is-not-declining-especially-among-diverse-older-adults/
Muskett, C. (2014). Trauma-informed care in inpatient mental health settings: A review of the literature. International Journal of Mental Health Nursing, 23(1), 51–59. https://doi.org/ 10.1111/inm.12012
National Center on Elder Abuse. (2021, June). A spotlight on Two Spirit Elders and Elder justice facts. https://ncea.acl.gov/NCEA/media/Publication/NCEA_TwoSpirit_FactSheet.pdf
National Congress of American Indians Policy Research Center, & Montana State University Center for Native Health Partnerships. (2012, October 1). "Walk softly and listen carefully": Building research relationships with tribal communities. https://www.ncai.org/ attachments/PolicyPaper_SpMCHTcjxRRjMEjDnPmesENPzjHTwhOlOWxlWOIWdSrykJuQggG_NCAI-WalkSoftly.pdf
National Indian Council on Aging. (2004, June). Preventing and responding to abuse of Elders in Indian Country. https://nicoa.org/wp-content/uploads/ 2016/03/Preventing-and-Responding-to-Abuse-of-Elders-in-Indian-Country.pdf
Orel, N. A. (2014). Investigating the needs and concerns of lesbian, gay, bisexual, and transgender older adults: The use of qualitative and quantitative methodology. Journal of Homosexuality, 61(1), 53–78. https://doi.org/10.1080/00918369.2013.835236
Reading, C. L., Wien, F., & Bullin, C. (2016). Health inequalities and social determinants of Aboriginal peoples’ health. National Collaborating Centre for Indigenous Health.
Reid, P., Paine, S.-J., Te Ao, B., Willing, E. J., Wyeth, E., Vaithianathan, R., & Loring, B. (2022). Estimating the economic costs of Indigenous health inequities in New Zealand: A retrospective cohort analysis. BMJ Open, 12(10), Article e065430. http://dx.doi.org/ 10.1136/bmjopen-2022-065430
Ristock, J., Zoccole, A., & Passante, L. (2010, November). Aboriginal Two-Spirit and LGBTQ migration, mobility, and health research project. https://rainbowhealth. wpenginepowered.com/wp-content/ uploads/ 2010/12/Two-Spirit-Migration.pdf
Salzer, M. S. (2021). Community inclusion and social determinants: From opportunity to health. Psychiatric Services, 72(7), 836–839. https://doi.org/10.1176/appi.ps.202000394
Sawchuk, C. N., Charles, S., Wen, Y., Goldberg, J., Forquera, R., Roy-Byrne, P., & Buchwald, D. (2008). A randomized trial to increase physical activity among native Elders. Preventive Medicine, 47(1), 89–94. https://doi.org/10.1016 /j.ypmed.2008.03.011
Slaton, A. (2016). Federal statutory responsibility and the mental health crisis among American Indians. American Indian Law Review, 40(1), 71–98.
Sotero, M. (2006). A conceptual model of historical trauma: Implications for public health practice and research. Journal of Health Disparities Research and Practice, 1(1), 93–108.
Stewart, M., Ryu, H., Blaque, E., Hassan, A., Anand, P., Gómez-Ramirez, O., MacKinnon, K. R., Worthington, C., Gilbert, M., & Grace, D. (2022). Cisnormativity as a structural barrier to STI testing for trans masculine, Two-Spirit, and non-binary people who are gay, bisexual, or have sex with men. PLOS ONE, 17(11), Article e0277315. https://doi.org/10.1371/journal.pone.0277315
Tuck, E., & Yang, K. W. (2012). Decolonization is not a metaphor. Decolonization: Indigeneity, Education & Society, 1(1), 1–40. https://jps.library.utoronto.ca/ index.php/des/article/view/18630/15554
Walters, K. L., Johnson-Jennings, M., Stroud, S., Rasmus, S., Charles, B., John, S., Allen, J., Kaholokula, J. K., Look, M. A., de Silva, M., Lowe, J., Baldwin, J. A., Lawrence, G., Brooks, J., Noonan, C. W., Belcourt, A., Quintana, E., Semmens, E. O., & Boulafentis, J. (2020). Growing from our roots: Strategies for developing culturally grounded health promotion interventions in American Indian, Alaska Native, and Native Hawaiian communities. Prevention Science, 21(Suppl 1), 54–64. https://doi.org/10.1007/s11121-018-0952-z
Walters, K. L., Mohammed, S. A., Evans-Campbell, T., Beltrán, R. E., Chae, D. H., & Duran, B. (2011). Bodies don’t just tell stories, they tell histories: Embodiment of historical trauma among American Indians and Alaska Natives. Du Bois Review: Social Science Research on Race, 8(1), 179–189. https://doi.org/10.1017 /S1742058X1100018X
Wilson, A. (2015). Our coming in stories: Cree identity, body sovereignty and gender self determination. Journal of Global Indigeneity, 1(1), Article 4. http://ro.uow.edu.au/jgi/vol1/iss1/4
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Copyright (c) 2023 Chase Bryer, Autumn Asher BlackDeer, Braveheart Gillani, Jordan P Lewis
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