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Indigenous and tribal peoples' health (The Lancet-Lowitja Institute Global Collaboration): a population study
The University of Melbourne, Melbourne, Australia.
School of Business and Economy, Umeå University, Umeå, Sweden.ORCID iD: 0000-0001-9076-8598
Native Hawaiian Center of Excellence, John A Burns School of Medicine, University of Hawaii, Honolulu HI, United States.
Number of Authors: 652016 (English)In: The Lancet, ISSN 0140-6736, E-ISSN 1474-547X, Vol. 388, no 10040, p. 131-157Article in journal (Refereed) Published
Abstract [en]

Background: International studies of the health of Indigenous and tribal peoples provide important public health insights. Reliable data are required for the development of policy and health services. Previous studies document poorer outcomes for Indigenous peoples compared with benchmark populations, but have been restricted in their coverage of countries or the range of health indicators. Our objective is to describe the health and social status of Indigenous and tribal peoples relative to benchmark populations from a sample of countries.

Methods: Collaborators with expertise in Indigenous health data systems were identified for each country. Data were obtained for population, life expectancy at birth, infant mortality, low and high birthweight, maternal mortality, nutritional status, educational attainment, and economic status. Data sources consisted of governmental data, data from non-governmental organisations such as UNICEF, and other research. Absolute and relative differences were calculated.

Findings: Our data (23 countries, 28 populations) provide evidence of poorer health and social outcomes for Indigenous peoples than for non-Indigenous populations. However, this is not uniformly the case, and the size of the rate difference varies. We document poorer outcomes for Indigenous populations for: life expectancy at birth for 16 of 18 populations with a difference greater than 1 year in 15 populations; infant mortality rate for 18 of 19 populations with a rate difference greater than one per 1000 livebirths in 16 populations; maternal mortality in ten populations; low birthweight with the rate difference greater than 2% in three populations; high birthweight with the rate difference greater than 2% in one population; child malnutrition for ten of 16 populations with a difference greater than 10% in five populations; child obesity for eight of 12 populations with a difference greater than 5% in four populations; adult obesity for seven of 13 populations with a difference greater than 10% in four populations; educational attainment for 26 of 27 populations with a difference greater than 1% in 24 populations; and economic status for 15 of 18 populations with a difference greater than 1% in 14 populations.

Interpretation: We systematically collated data across a broader sample of countries and indicators than done in previous studies. Taking into account the UN Sustainable Development Goals, we recommend that national governments develop targeted policy responses to Indigenous health, improving access to health services, and Indigenous data within national surveillance systems.

Place, publisher, year, edition, pages
Elsevier , 2016. Vol. 388, no 10040, p. 131-157
Keywords [en]
Indigenous health, Population health
National Category
Ethnology Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Epidemiology
Identifiers
URN: urn:nbn:se:oru:diva-66549DOI: 10.1016/S0140-6736(16)00345-7ISI: 000379269200030PubMedID: 27108232Scopus ID: 2-s2.0-84982859363OAI: oai:DiVA.org:oru-66549DiVA, id: diva2:1197067
Funder
Knut and Alice Wallenberg FoundationSwedish Research Council, 2012-5490]
Note

Funding Agencies:

Lowitja Institute  

Lowitja Institute, Australia's national institute for Aboriginal and Torres Strait Islander health research  

Norwegian Ministry of Health and Care Services  

Norwegian Directorate of Health, Northern Norway Regional Health Authority  

Regional Research Council of Northern Norway  

Sami Parliament, Sami National Centre for Mental Health Karasjok  

Troms County Council  

Finnmark County Council  

Nordland County Council  

Peruvian National Council of Science and Technology  

Brazilian Association of Public Health  

Brazilian National Council for Scientific and Technological Development 

Available from: 2018-04-11 Created: 2018-04-11 Last updated: 2018-04-12Bibliographically approved

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