Understanding the cultural, social and political determinants of health and their benefits for BlaQ self-determination.

Abstract

Purpose: BlaQ people and communities face intersecting, multiple and compounding discrimination, which impacts BlaQ social and emotional wellbeing, and family, community and Country connections. BlaQ perspectives and lifeworlds are excluded in current cultural, social and political determinants of health domains, understandings and Indigenous wellbeing models. Self-determining rights of BlaQ peoples are limited as there is no treaty or convention that specifically focuses on the rights of BlaQ peoples. A preliminary model has been proposed for understanding and advancing the cultural, social and political determinants of health for BlaQ identifying people and the benefits it may bring for BlaQ self-determination and health and wellbeing. Methods: A Queer Indigenous standpoint theoretical framework was used, and a critical and reflexive literature review and thematic analysis that prioritised BlaQ scholarship was used to create the preliminary BlaQ cultural, social and political determinants domains and their benefits for self-determination. Main findings: A preliminary model for BlaQ cultural, social and political determinants domains has been proposed that centres the concept that BlaQ strong culture and health is enabled when cultural, social and political determinants are interconnected. This review and analysis demonstrated that the model has multiple benefits for BlaQ self-determination and can provide a preliminary model for action for BlaQ health justice, equity, safety and inclusion. Principal conclusions: The model provides a preliminary approach to understanding and addressing health determinants for BlaQ people and communities. Future research is required to further consider the model and its potential application.