The impact of neoliberal generative mechanisms on Indigenous health: a critical realist scoping review

Brianna Poirier; Sneha Sethi; Dandara Haag; Joanne Hedges; Lisa Jamieson

doi:10.1186/s12992-022-00852-2

journal article Open Access Jun 15, 2022

The impact of neoliberal generative mechanisms on Indigenous health: a critical realist scoping review

Brianna Poirier Sneha Sethi

Dandara Haag Joanne Hedges

Lisa Jamieson

Globalization and Health Vol. 18 No. 1 · Springer Science and Business Media LLC

View at Publisher Save 10.1186/s12992-022-00852-2

Abstract

AbstractThe pervasive nature and colonial foundations of neoliberalism has significant ramifications for Indigenous health, globally. Not only does neoliberalism undermine Indigenous collectivist values by emphasising personal autonomy, but the exploitation of natural resources has unique implications for Indigenous wellbeing. Therefore, this scoping review aims to synthesise evidence that articulates the impacts of neoliberalism on global Indigenous health inequities. Two reviewers searched PubMed, Embase, Scopus, Web of Science, and ProQuest Central to identify records eligible for inclusion. The search was not restricted by geographic location or language. Using principles of qualitative meta-aggregation, generative mechanism summaries and illustrations were extracted from each of the included articles, synthesised into broader categories, then considered in the context of neoliberal ideologies. The systematic search identified 9952 unique records, of which 38 fully satisfied the inclusion criteria. Findings represented 23 Indigenous communities across 12 countries and considered the impacts of neoliberalism across 16 health outcomes. Eighty-eight generative mechanisms of neoliberalism and 12 generative mechanisms of resistance were extracted from the included articles and mapped against four core principles of neoliberalism: competitive and private markets, reduced public expenditure on infrastructure, personal autonomy, and deregulation that facilitates economic activity. Overwhelmingly, neoliberalism has manifest impacts, through various pathways, on poor health outcomes and experiences for Indigenous communities included in this review. Importantly, Indigenous communities continue to resist the impacts of neoliberalism through advocacy, reclamation of traditional practices, and opposition to industrial development. Consideration and investigation of neoliberal structures and ideologies must become common practice in health equity scholarship. Actors within neoliberal societies must resist dominant epistemological, ontological, and praxiological stances that reinforce the supremacy of colonial values and subalternation of Indigenous ways of knowing, being, and doing to begin effectively addressing Indigenous health inequities.

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References

86

[1]

United Nations 2007 United Nations Declaration on the Rights of Indigenous Peoples Contract No.: A/RES/61/295

[2]

A Hernández AL Ruano B Marchal M San Sebastián W Flores 2017 Engaging with complexity to improve the health of indigenous people: a call for the use of systems thinking to tackle health inequity Int J Equity Health 16 1 26 10.1186/s12939-017-0521-2

[3]

I Anderson B Robson M Connolly F Al-Yaman E Bjertness A King 2016 Indigenous and tribal peoples’ health (The Lancet-Lowitja Institute Global Collaboration): a population study Lancet 388 10040 131 157 10.1016/s0140-6736(16)00345-7

[4]

F Mitrou M Cooke D Lawrence D Povah E Mobilia E Guimond 2014 Gaps in Indigenous disadvantage not closing: a census cohort study of social determinants of health in Australia, Canada, and New Zealand from 1981–2006 BMC Public Health 14 1 201 10.1186/1471-2458-14-201

[5]

E Borde M Hernández 2019 Revisiting the social determinants of health agenda from the global South Global Public Health 14 847 62 10.1080/17441692.2018.1551913

[6]

Y Paradies 2016 Colonisation, racism and indigenous health J Popul Res 33 1 83 96 10.1007/s12546-016-9159-y

[7]

CAM Richmond NA Ross 2009 The determinants of First Nation and Inuit health: a critical population health approach Health Place 15 2 403 411 10.1016/j.healthplace.2008.07.004

[8]

M Gracey M King 2009 Indigenous health part 1: determinants and disease patterns Lancet 374 9683 65 75 10.1016/s0140-6736(09)60914-4

[9]

LJ Kirmayer G Brass 2016 Addressing global health disparities among Indigenous peoples Lancet 388 10040 105 106 10.1016/s0140-6736(16)30194-5

[10]

R Rowden 2009 The Deadly Ideas of Neoliberalism: How the IMF Has Undermined Public Health and the Fight Against AIDS Zed Books London 10.5040/9781350223042

[11]

J Freeman 2018 Reconsidering ‘Set the People Free’: Neoliberalism and Freedom Rhetoric in Churchill’s Conservative Party 20 Century Br Hist 29 4 522 46 10.1093/tcbh/hwx050

[12]

E Huber S Niedzwiecki 2018 Changing Systems of Social Protection in the Context of the Changing Political Economies since the 1980s Cien Saude Colet 23 7 2085 2094 10.1590/1413-81232018237.07752018

[13]

N Klein 2007 The Shock Doctrine: The rise of disaster capitalism The Shock Doctrine: The rise of disaster capitalism: Metropolitan Books/Henry Holt and Company 558

[14]

M Peacock P Bissell J Owen 2014 Dependency denied: Health inequalities in the neo-liberal era Soc Sci Med 118 173 180 10.1016/j.socscimed.2014.08.006

[15]

S Benatar R Upshur S Gill 2018 Understanding the relationship between ethics, neoliberalism and power as a step towards improving the health of people and our planet Anthropocene Rev 5 2 155 176 10.1177/2053019618760934

[16]

MJ Johnstone O Kanitsaki 2009 The spectrum of ‘new racism’ and discrimination in hospital contexts: a reappraisal Collegian 16 2 63 69 10.1016/j.colegn.2009.03.001

[17]

W Fogarty H Bulloch S McDonnell M Davis 2018 Deficit Discourse and Indigenous Health: How Narrative Framings of Aboriginal and Torres Strait Islander People are Reproduced in Policy The Lowitja Institute Melbourne

[18]

S Gill I Bakker 2011 The global crisis and global health S Benatar G Brock Eds Global Health and Global Health Ethics Cambridge University Press Cambridge 221 238 10.1017/cbo9780511984792.020

[19]

BF Poirier J Hedges LG Smithers M Moskos LM Jamieson 2022 “I feel like the worst mother in the world”: Neoliberal subjectivity in Indigenous Australian oral health SSM Qual Res Health 2 100046 10.1016/j.ssmqr.2022.100046

[20]

L Jamieson J Hedges S McKinstry P Koopu K Venner 2020 How Neoliberalism Shapes Indigenous Oral Health Inequalities Globally: Examples from Five Countries Int J Environ Res Public Health 17 23 8908 10.3390/ijerph17238908

[21]

A Choudry 2007 Transnational activist coalition politics and the de/colonization of pedagogies of mobilization: learning from anti-neoliberal Indigenous movement articulations Int Educ 37 1 97

[22]

E Kowal 2015 Time, indigeneity and white anti-racism in Australia Aust J Anthropol 26 1 94 111 10.1111/taja.12122

[23]

Z Munn MDJ Peters C Stern C Tufanaru A McArthur E Aromataris 2018 Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach BMC Med Res Methodol 18 1 143 10.1186/s12874-018-0611-x

[24]

B Poirier S Sethi J Hedges L Jamieson 2021 Neoliberalism & Indigenous Health: A Scoping Review

[25]

B Bourke 2014 Positionality: Reflecting on the Research Process Qual Rep 19 33 1 9

[26]

MS Archer 1998 Critical realism: essential readings Routledge London

[27]

R Bhaskar R 1979 The Possibility of Naturalism: A Philosophical Critique of the Contemporary Human Sciences Routledge

[28]

B Blom S Morén 2011 Analysis of Generative Mechanisms J Crit Realism 10 1 60 79 10.1558/jcr.v10i1.60

[29]

F Fanon 1965 The wretched of the earth Grove Press, Inc. New York

[30]

LT Smith 1999 Decolonizing methodologies Zed Books London

[31]

W Davies 2014 Neoliberalism: A Bibliographic Review Theory Cult Soc 31 7–8 309 317 10.1177/0263276414546383

[32]

Oxford University Press 2021 Oxford English Dictionary: Neoliberalism

[33]

Australian Institute of Health and Welfare 2020 Indigenous health and wellbeing AIHW Canberra

[34]

I Ahmed AJ Sutton RD Riley 2012 Assessment of publication bias, selection bias, and unavailable data in meta-analyses using individual participant data: a database survey BMJ 344 d7762 10.1136/bmj.d7762

[35]

C Lockwood K Porrit Z Munn L Rittenmeyer S Salmond M Bjerrum 2020 Chapter 2: Systematic reviews of qualitative evidence E Aromataris Z Munn Eds JBI Manual for Evidence Synthesis JBI

[36]

A Bargès 2008 Culture, territories, and confidence in food: an anthropological view on health in the context of environmental pollution and socio-political tension Appetite 51 1 30 33 10.1016/j.appet.2008.02.003

[37]

AJ Browne MD Stout 2012 Moving towards Nahi: addressing health equity in research involving indigenous people Can J Nurs Res 44 2 7 10

[38]

HJ Brown G McPherson R Peterson V Newman B Cranmer 2012 Our land, our language: connecting dispossession and health equity in an indigenous context Can J Nurs Res 44 2 44 63

[39]

N Duran B Erasmus G Harrison 2013 Resilience to the compounding effects of climate change on the nutrition transitions experience by members of yellowknives dene first nation Ann Nutr Metab 63 124

[40]

M Hanrahan 2017 Water (in)security in Canada: national identity and the exclusion of Indigenous peoples/L’ (in)sécurité de l’eau au Canada: l’identité nationale et l’exclusion des peuples indigènes Br J Can Stud 30 1 69 10.3828/bjcs.2017.4

[41]

S Pictou 2017 Food, Land and Treaty Our Times

[42]

A Salmon 2011 Aboriginal mothering, FASD prevention and the contestations of neoliberal citizenship Crit Public Health 21 2 165 178 10.1080/09581596.2010.530643

[43]

ES Stephenson PH Stephenson 2016 The Political Ecology of Cause and Blame: Environmental Health Inequities in the Context of Colonialism, Globalization, and Climate Change. A Companion to Anthropology and Environmental Health SAGE 302 24

[44]

D Stienstra 2018 Canadian Disability Policies in a World of Inequalities Societies 8 2 13 10.3390/soc8020036

[45]

MG Young JM Moses 2013 Neoliberalism and Homelessness in the Western Canadian Arctic Can J Nonprofit Soc Econ Res 4 2 7 22

[46]

A Durey D Bessarab L Slack-Smith 2016 The mouth as a site of structural inequalities; the experience of Aboriginal Australians Community Dent Health 33 2 161 163

[47]

E Hunter 2020 Indigenous mental health: the limits of medicalised solutions Australas Psychiatry 28 1 55 57 10.1177/1039856219875050

[48]

R Lawrence C Gibson 2007 Obliging indigenous citizens? Shared responsibility agreements in Australian Aboriginal communities Cult Stud 21 4–5 650 671 10.1080/09502380701279002

[49]

B Shorten 2004 We need to turn the traditional notion of a fair go into a modern reality… The key will be to manage change with equity - 40 years of the Australian The Australian

[50]

A Yashadhana T Fields A Burnett AB Zwi 2021 Re-examining the gap: A critical realist analysis of eye health inequity among Aboriginal and Torres Strait Islander Australians Soc Sci Med 284 114230 10.1016/j.socscimed.2021.114230

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Published: Jun 15, 2022
Vol/Issue: 18(1)
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Authors

Australian Research Centre for Population Oral Health, Adelaide Dental School, University of Adelaide, Australia

Cite This Article

Brianna Poirier, Sneha Sethi, Dandara Haag, et al. (2022). The impact of neoliberal generative mechanisms on Indigenous health: a critical realist scoping review. Globalization and Health, 18(1). https://doi.org/10.1186/s12992-022-00852-2

The impact of neoliberal generative mechanisms on Indigenous health: a critical realist scoping review

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