Emerging evidence suggests that the historical trauma associated with settler colonialism affects the sexual and reproductive health (SRH) of American Indian (AI) communities today. This article examines how one AI community narratively frames the influence of historical trauma within the context of community-based participatory research (CBPR) and the implications of this framing for health behaviours, internalized oppression, SRH outcomes, and future CBPR interventions. We found that AIs framed the SRH consequences of historical trauma with renderings that favoured personal choice over structural explanations. Our findings suggest future interventions could: (1) include educational components on historical trauma and the continued role settler colonialism plays in structural violence against AI bodies and communities; and (2) recognize the role that the individualized logic of westernized/white culture may play in the erasure of traditional collectivist AI culture, internalized oppression, and SRH.

中文翻译：

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叙事框架作为对历史创伤的美洲印第安人性和生殖健康后果结构的选择

新出现的证据表明，与定居者殖民主义相关的历史创伤影响着当今美洲印第安人 (AI) 社区的性健康和生殖健康 (SRH)。本文探讨了一个 AI 社区如何在基于社区的参与式研究 (CBPR) 的背景下叙述历史创伤的影响，以及这种框架对健康行为、内化压迫、SRH 结果和未来 CBPR 干预的影响。我们发现，AI 将历史创伤的 SRH 后果描绘成更倾向于个人选择而非结构性解释的渲染。我们的研究结果表明，未来的干预措施可以：（1）包括关于历史创伤的教育内容以及定居者殖民主义在针对人工智能机构和社区的结构性暴力中所扮演的持续角色；