BACKGROUND Aboriginal women are frequently called upon to support their families and other community members. At times, such supporting roles can be burdensome for these women. Many Aboriginal women live with chronic conditions. We explored the ways in which the women's caring roles impacted on how they maintained their own health. METHODS The aim of this manuscript is to explore the psychosocial factors associated with the management of health and chronic disease in Aboriginal women. An interpretive phenomenological approach was used for the analysis of 72 in-depth semi-structured interviews. These interviews were conducted in four community controlled Aboriginal health services, in urban, rural and remote settings, across two states and a territory in Australia. RESULTS Women living with chronic disease experience multiple challenges while caring for family, such as intergenerational trauma, mental health issues relating to addiction, domestic and family violence and incarceration. When these women become ill, they also have to take care of themselves. These women provided informal and unfunded care in response to a range of complex family and community problems. This continuous caring for family affected the women's ability to maintain their health and manage their own chronic conditions. CONCLUSION The caring roles and responsibilities Aboriginal women have in their community impact on their health. Aboriginal women provide much needed refuge and support to family and the wider community. Underfunded and over-burdened formal support services are not meeting the needs of many Aboriginal women. Improved culturally secure resources and social services are required within communities to support Aboriginal women to successfully manage their own health.

中文翻译：

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对影响原住民妇女慢性病管理的社会心理因素的定性研究。

背景技术经常要求土著妇女养家糊口和其他社区成员。有时，这种辅助角色对于这些妇女可能是沉重的负担。许多土著妇女患有慢性病。我们探讨了女性的护理角色如何影响她们如何维持自己的健康。方法该手稿的目的是探讨与原住民妇女健康和慢性疾病管理相关的社会心理因素。解释现象学方法用于分析72次深度半结构化访谈。这些访谈是在澳大利亚，两个州和一个地区的四个社区控制的原住民健康服务机构中进行的，这些机构分别位于城市，农村和偏远地区。结果患有慢性疾病的妇女在照料家庭时会遇到多种挑战，例如代际创伤，与成瘾，家庭和家庭暴力有关的心理健康问题以及监禁。这些妇女生病时，还必须照顾自己。这些妇女为应对一系列复杂的家庭和社区问题而提供了非正式且无资金的护理。这种对家庭的持续照料影响了妇女维持健康和管理自己的慢性病的能力。结论土著妇女在社区中的关怀角色和责任对其健康产生影响。土著妇女为家庭和更广泛的社区提供了急需的庇护和支持。正规支持服务资金不足和负担过重，无法满足许多土著妇女的需求。