There are Indigenous groups and communities which consider wellness as part of the community, environment or land. The land can connect Indigenous people to ceremonial space and the wisdom of their ancestors, a common theme among Indigenous groups across Canada, the United States and New Zealand.
There are groups that consider a connection to Earth as necessary for wellness, so land serves as an Indigenous health determinant to health and wellness. This means that HIV risks cannot be addressed without consideration of the connection to the land and the way it affects health and wellness. Collaboration with Indigenous groups and communities and their ways of knowing in research can contribute to improving health.
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