我的部落你好嗎？談部落／族群與我的健康關係

How are You, My Tribe? The Health Relationship Among the Tribe, Ethnic Group, and the Self

長期以來，在論述原住民健康狀態時，大多聚焦在個人層次的健康問題上，而本文將從個人層次放大到部落以及族群的層次。「部落」對於多數的原住民來說就是一個「家」，而這個「家」因為受到殖民社會的影響而改變了部落倫理規範，亦傷害了原住民族個人的健康狀況；同樣的，整個原住民族群，因為土地與傳統文化的流失、社會的歧視與偏見等等，造成了原住民跟部落、祖靈與土地之間的臍帶關係產生斷裂，也因而更深度的影響了原本的平衡狀態，讓原住民健康更陷入難以回復的狀況。在面對這種殖民社會、資本主義與生產關係的鉅視觀點，似乎需要透過轉型正義的模式來修正、突破目前原住民健康的困境。

Most papers on the status of indigenous health focus on health problems from the individual perspective in the hope that this will spread from the individual to tribal/ethnic perspectives. For most indigenous people, the ‘tribe’ is their home and this home has been affected by colonial society, which has changed tribal ethics and influenced the status of indigenous health. Similarly, there are fissures in the links between indigenous people and their tribes, their ancestry, and their land because of the loss of their land, traditional culture, and racial discrimination and prejudice. These result in an imbalance between indigenous people and their environment and have a deeply felt influence on indigenous health. Transitional justice is an approach to coping with these issues that include colonization, capitalism, relationships with production, and promoting indigenous health.