The need for culturally safe physical activity promotion and programs

Cultural safety is an approach currently used in health care that is meant to address health disparities between Indigenous and non-Indigenous peoples and colonizing practices in health care. It has been found to empower patient decision-making and result in a relationship where patients and provide...

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Bibliographic Details
Published in:Canadian journal of public health 2014-07, Vol.105 (4), p.e317-e319
Main Authors: Giles, Audrey R., Darroch, Francine E.
Format: Article
Language:English
Subjects:
Civilization
Commentary
Community
Cultural Competency
Cultural diversity
Culturally relevant pedagogy
Culture
Diabetes
Exercise
Health aspects
Health promotion
Health Promotion - methods
Health Status Disparities
Humans
Indians, North American
Indigenous peoples
Inuit
Medical practice
Medicine
Medicine & Public Health
Mortality
Motor Activity
Native culture
Native North Americans
Native peoples
Needs Assessment
Nursing education
Physical education
Physician-Patient Relations
Physicians
Power, Psychological
Public Health
Social aspects
Type 2 diabetes mellitus
Urban schools
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Summary:Cultural safety is an approach currently used in health care that is meant to address health disparities between Indigenous and non-Indigenous peoples and colonizing practices in health care. It has been found to empower patient decision-making and result in a relationship where patients and providers work together towards effective care. In this commentary, we argue that such an approach needs to be employed in physical activity promotion and programs as another way of addressing health disparities that continue to exist between Indigenous and non-Indigenous peoples in Canada. Further, we assert that cultural safety can address the critiques that have been made of attempts to use cultural sensitivity, cultural relevancy, and cultural competency training for physical activity providers and in implementing physical activity programs. Cultural safety in physical activity promotion and programs is not only an ethical practice, but also one that has the potential to significantly improve the health of Indigenous peoples, which could lead to related improvements in quality of life, lowering rates of morbidity and mortality, and resulting in considerable savings to the health care sector.
ISSN:0008-4263
1920-7476
DOI:10.17269/cjph.105.4439