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      Resetting the Narrative in Australian Aboriginal and Torres Strait Islander Nutrition Research

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          ABSTRACT

          As the oldest continuous living civilizations in the world, Aboriginal and Torres Strait Islander peoples have strength, tenacity, and resilience. Initial colonization of the landscape included violent dispossession and removal of people from Country to expand European land tenure and production systems, loss of knowledge holders through frontier violence, and formal government policies of segregation and assimilation designed to destroy ontological relationships with Country and kin. The ongoing manifestations of colonialism continue to affect food systems and food knowledges of Aboriginal peoples, and have led to severe health inequities and disproportionate rates of nutrition-related health conditions. There is an urgent need to collaborate with Aboriginal and Torres Strait Islander peoples to address nutrition and its underlying determinants in a way that integrates Aboriginal and Torres Strait Islander peoples’ understandings of food and food systems, health, healing, and well-being. We use the existing literature to discuss current ways that Australian Aboriginal and Torres Strait Islander peoples are portrayed in the literature in relation to nutrition, identify knowledge gaps that require further research, and propose a new way forward.

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          Most cited references24

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          Ways of knowing, being and doing: A theoretical framework and methods for indigenous and indigenist re‐search

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            Colonisation – It’s bad for your health: The context of Aboriginal health

            Australia's history is not often considered to be an indicator of any person's health status. However, as health professionals we are taught the importance of taking and listening to our client's detailed history to assist us in our comprehension of the issues impacting upon their lives. This skill base is an important one in that it makes available valuable information that assists the health professional to be discerning of intimate and specific circumstances that could contribute to health related problems not previously diagnosed. It is a vital screening tool. I would like to advocate that history taking, that being Australia's colonial, political, social and economic histories be a course of action undertaken by all health professionals working with Aboriginal and Torres Strait Islander peoples. Health researchers of recent years have been able to clearly illustrate that there is a powerful relationship between health status and individuals or collectives; social, political and economic circumstances (Marmot, 2011; Marmot & Wilkinson, 2001; Saggers & Gray, 2007). This way of knowing how health can be affected through such social health determinants is an important health competency (Anderson, 2007; Marmot, 2011). As such this paper delivers a timeline of specific historical and political events, contributing to current social health determinants that are undermining Indigenous Australians health and well-being. This has been undertaken because most Australians including Indigenous Australians have not benefited from a balanced and well informed historical account of the past 200 and something years. The implication of this lack of knowing unfortunately has left its effect on the way health service providers have delivered health to Indigenous children, mothers, fathers, and their communities. Indigenous Australians view the way forward in improving health outcomes, as active partners in their health service delivery. This partnership requires health professionals to listen to their clients, with respect and a decolonising gaze.
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              Narrative Synthesis: Considerations and challenges

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                Author and article information

                Contributors
                Journal
                Curr Dev Nutr
                Curr Dev Nutr
                cdn
                Current Developments in Nutrition
                Oxford University Press
                2475-2991
                18 May 2020
                May 2020
                18 May 2020
                : 4
                : 5
                : nzaa080
                Affiliations
                [1 ] College of Medicine and Public Health, Flinders University , Adelaide, South Australia, Australia
                [2 ] Department of Health Professions, Swinburne University , Melbourne, Victoria, Australia
                [3 ] Department of Nutrition, Dietetics and Food, Monash University , Melbourne, Victoria, Australia
                [4 ] College of Nursing and Health Sciences, Flinders University , Adelaide, South Australia, Australia
                Author notes
                Address correspondence to AW (e-mail: annabelle.wilson@ 123456flinders.edu.au )
                Article
                nzaa080
                10.1093/cdn/nzaa080
                7241202
                32467866
                cd5316a2-e990-40a4-bce4-ff92668201e2
                Copyright © The Author(s) on behalf of the American Society for Nutrition 2020.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 04 October 2019
                : 14 April 2020
                : 30 April 2020
                Page count
                Pages: 5
                Funding
                Funded by: National Health and Medical Research Council, DOI 10.13039/501100000925;
                Categories
                Perspectives and Opinions
                Food and Nutrition of Indigenous Peoples
                AcademicSubjects/MED00060

                aboriginal and torres strait islander,indigenous,nutrition,food,health,knowledges,colonization

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