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Indigenous and tribal peoples' health (The Lancet-Lowitja Institute global collaboration): a population study.

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dc.contributor.authorAnderson I.
dc.contributor.authorRobson B.
dc.contributor.authorConnolly M.
dc.contributor.authorAl-Yaman F.
dc.contributor.authorBjertness E.
dc.contributor.authorKing A.
dc.contributor.authorTynan M.
dc.contributor.authorMadden R.
dc.contributor.authorBang A.
dc.contributor.authorCoimbra C.E.A.
dc.contributor.authorPesantes M.A.
dc.contributor.authorAmigo H.
dc.contributor.authorAndronov S.
dc.contributor.authorArmien B.
dc.contributor.authorObando D.A.
dc.contributor.authorAxelsson P.
dc.contributor.authorBhatti Z.S.
dc.contributor.authorBhutta Z.A.
dc.contributor.authorBjerregaard P.
dc.contributor.authorBjertness M.B.
dc.contributor.authorBriceno-Leon R.
dc.contributor.authorBroderstad A.R.
dc.contributor.authorBustos P.
dc.contributor.authorChongsuvivatwong V.
dc.contributor.authorChu J.
dc.contributor.authorDeji
dc.contributor.authorGouda J.
dc.contributor.authorHarikumar R.
dc.contributor.authorHtay T.T.
dc.contributor.authorHtet A.S.
dc.contributor.authorIzugbara C.
dc.contributor.authorKamaka M.
dc.contributor.authorKing M.
dc.contributor.authorKodavanti M.R.
dc.contributor.authorLara M.
dc.contributor.authorLaxmaiah A.
dc.contributor.authorLema C.
dc.contributor.authorTaborda A.M.L.
dc.contributor.authorLiabsuetrakul T.
dc.contributor.authorLobanov A.
dc.contributor.authorMelhus M.
dc.contributor.authorMeshram I.
dc.contributor.authorMiranda J.J.
dc.contributor.authorMu T.T.
dc.contributor.authorNagalla B.
dc.contributor.authorNimmathota A.
dc.contributor.authorPopov A.I.
dc.contributor.authorPoveda A.M.P.
dc.contributor.authorRam F.
dc.contributor.authorReich H.
dc.contributor.authorSantos R.V.
dc.contributor.authorSein A.A.
dc.contributor.authorShekhar C.
dc.contributor.authorSherpa L.Y.
dc.contributor.authorSkold P.
dc.contributor.authorTano S.
dc.contributor.authorTanywe A.
dc.contributor.authorUgwu C.
dc.contributor.authorUgwu F.
dc.contributor.authorVapattanawong P.
dc.contributor.authorWan X.
dc.contributor.authorWelch J.R.
dc.contributor.authorYang G.
dc.contributor.authorYang Z.
dc.contributor.authorYap L.
dc.date.accessioned2024-11-19T05:30:11Z
dc.date.available2024-11-19T05:30:11Z
dc.date.copyright2016
dc.date.issued2016-10-29en
dc.description.abstractBackground 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. Funding The Lowitja Institute.Copyright © 2016 Elsevier Ltd
dc.description.grantNo: 0335-04 Organisation: Grand Challenges Canada Country: Canada
dc.description.grantNo: 106887-001 Organisation: (IDRC) International Development Research Centre Country: Canada
dc.identifier.citationThe Lancet. Vol.388(10040), 2016, pp. 131-157.
dc.identifier.doihttps://dx.doi.org/10.1016/S0140-6736%2816%2900345-7
dc.identifier.institution(Anderson, Reich) The University of Melbourne, Melbourne, Australia
dc.identifier.institution(Robson) Te Ropu Rangahau Hauora a Eru Pomare, University of Otago, Dunedin, New Zealand
dc.identifier.institution(Connolly) International Group on Indigenous Health Measurement, United States
dc.identifier.institution(Al-Yaman) Indigenous and Children's Group, Australian Institute of Health and Welfare, Canberra, Australia
dc.identifier.institution(Bjertness, Bjertness, Htet, Sherpa) University of Oslo, Institute of Health and Society, Department of Community Medicine, Oslo, Norway
dc.identifier.institution(King) Simon Fraser University, Burnaby, BC, Canada
dc.identifier.institution(Tynan) The Lowitja Institute, Melbourne, Australia
dc.identifier.institution(Madden) The University of Sydney, Sydney, Australia
dc.identifier.institution(Bang) Society for Education, Action and Research in Community Health, Gadchiroli, Maharashtra, India
dc.identifier.institution(Coimbra, Santos, Welch) Escola Nacional de Saude Publica, Fundacao Oswaldo Cruz, Rio de Janeiro, Brazil
dc.identifier.institution(Pesantes, Lema) Salud Sin Limites Peru, Lima, Peru
dc.identifier.institution(Pesantes, Miranda) Center for Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru
dc.identifier.institution(Amigo, Bustos, Lara) Universidad de Chile, Santiago, Chile
dc.identifier.institution(Andronov, Lobanov, Popov) Scientific Research Centre of the Arctic, Salekhard, Russian Federation
dc.identifier.institution(Armien) The Gorgas Memorial Institute for Health Studies, Universidad Interamericana de Panama, Panama City, Panama
dc.identifier.institution(Obando) Departamento Administrativo Nacional de Estadistica, Bogota, Colombia
dc.identifier.institution(Axelsson) Centre for Sami Research, Umea University, Umea, Sweden
dc.identifier.institution(Bhatti) Department of Paediatrics and Child Health, The Aga Khan University, Karachi, Pakistan
dc.identifier.institution(Bhutta) Center of Excellence in Women and Child Health, The Aga Khan University, Karachi, Pakistan
dc.identifier.institution(Bhutta) SickKids Center for Global Child Health, Toronto, Canada
dc.identifier.institution(Bjerregaard) National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark
dc.identifier.institution(Briceno-Leon) LACSO, Social Science Laboratory, Central University of Venezuela, Caracas, Venezuela
dc.identifier.institution(Broderstad, Melhus) Centre for Sami Health Research, Faculty of Health, UiT The Arctic University of Norway, Tromso, Norway
dc.identifier.institution(Chongsuvivatwong, Liabsuetrakul) Epidemiology Unit, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand
dc.identifier.institution(Chu, Yang) Institute of Medical Biology, Chinese Academy of Medical Sciences, Kunming, China
dc.identifier.institution(Deji) Department of Preventive Medicine, Tibet University Medical College, Lhasa, Tibet, China
dc.identifier.institution(Gouda, Ram, Shekhar) International Institute for Population Sciences, Deemed University, Mumbai, India
dc.identifier.institution(Harikumar, Kodavanti, Laxmaiah, Meshram, Nagalla, Nimmathota) National Institute of Nutrition, Indian Council of Medical Research, Hyderabad, India
dc.identifier.institution(Htay, Htet, Mu, Sein) Ministry of Health, Nay Pyi Taw, Myanmar
dc.identifier.institution(Izugbara) Population Dynamics and Reproductive Health Program, African Population and Health Research Center, Nairobi, Kenya
dc.identifier.institution(Kamaka) Department of Native Hawaiian Health, John A Burns School of Medicine, University of Hawaii, Honolulu, HI, United States
dc.identifier.institution(Yap) Native Hawaiian Center of Excellence, John A Burns School of Medicine, University of Hawaii, Honolulu, HI, United States
dc.identifier.institution(King) CIHR-Institute of Aboriginal Peoples' Health, Simon Fraser University, Burnaby, BC, Canada
dc.identifier.institution(Taborda, Poveda) Ministerio de Salud y Proteccion Social, Bogota, Colombia
dc.identifier.institution(Skold) Arctic Research Centre, Umea University, Umea, Sweden
dc.identifier.institution(Tano) School of Business and Economy, Umea University, Umea, Sweden
dc.identifier.institution(Tanywe) Cameroon Centre for Evidence-Based Health Care, Yaounde, Cameroon
dc.identifier.institution(Ugwu) Department of Sociology/Anthropology, University of Nigeria, Nsukka, Nigeria
dc.identifier.institution(Ugwu) Department of Psychology, Federal University, Ndufu-Alike, Nigeria
dc.identifier.institution(Vapattanawong) Institute for Population and Social Research, Mahidol University Salaya, Phuttamonton, Nakhon Pathom, Thailand
dc.identifier.institution(Wan, Yang) Institute of Basic Medical Sciences at Chinese Academy of Medical Sciences & School of Basic Medicine at Peking Union Medical College, Beijing, China
dc.identifier.pubmedid27108232 [https://www.ncbi.nlm.nih.gov/pubmed/?term=27108232]
dc.identifier.urihttps://lowitja.intersearch.com.au/handle/1/648
dc.relation.ispartofThe Lancet
dc.subject.keywordsPublic health
dc.titleIndigenous and tribal peoples' health (The Lancet-Lowitja Institute global collaboration): a population study.
dc.typeArticle

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