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Title: Indigenous and tribal peoples' health (The Lancet–Lowitja Institute Global Collaboration): a population study
Authors: Ian Anderson
Bridget Robson
Michele Connolly
Fadwa Al-Yaman
Espen Bjertness
Alexandra King
Michael Tynan
Richard Madden
Abhay Bang
Carlos E.A. Coimbra
Maria Amalia Pesantes
Hugo Amigo
Sergei Andronov
Blas Armien
Daniel Ayala Obando
Per Axelsson
Zaid Shakoor Bhatti
Zulfiqar Ahmed Bhutta
Peter Bjerregaard
Marius B. Bjertness
Roberto Briceno-Leon
Ann Ragnhild Broderstad
Patricia Bustos
Virasakdi Chongsuvivatwong
Jiayou Chu
Jitendra Gouda
Rachakulla Harikumar
Thein Thein Htay
Aung Soe Htet
Chimaraoke Izugbara
Martina Kamaka
Malcolm King
Mallikharjuna Rao Kodavanti
Macarena Lara
Avula Laxmaiah
Claudia Lema
Ana María León Taborda
Tippawan Liabsuetrakul
Andrey Lobanov
Marita Melhus
Indrapal Meshram
J. Jaime Miranda
Thet Thet Mu
Balkrishna Nagalla
Arlappa Nimmathota
Andrey Ivanovich Popov
Ana María Peñuela Poveda
Faujdar Ram
Hannah Reich
Ricardo V. Santos
Aye Aye Sein
Chander Shekhar
Lhamo Y. Sherpa
Peter Skold
Sofia Tano
Asahngwa Tanywe
Chidi Ugwu
Fabian Ugwu
Patama Vapattanawong
Xia Wan
James R. Welch
Gonghuan Yang
Zhaoqing Yang
Leslie Yap
University of Melbourne
University of Otago
International Group on Indigenous Health Measurement
Australian Institute of Health and Welfare
Universitetet i Oslo
Simon Fraser University
The Lowitja Institute
The University of Sydney
Society for Education
Fundacao Oswaldo Cruz
Salud Sin Límites Perú
CRONICAS Centro de Excelencia en Enfermedades Cronicas
Universidad de Chile
Scientific Research Centre of the Arctic
Universidad Interamericana de Panamá
Departamento Administrativo Nacional de Estadistica, Colombia
Umeå Universitet
The Aga Khan University
Sick Kids Center for Global Child Health
Statens Institut for Folkesundhed
Universidad Central de Venezuela
UiT The Arctic University of Norway
Prince of Songkla University
Chinese Academy of Medical Sciences
Tibet University
International Institute for Population Sciences India
National Institute of Nutrition India
Ministry of Health
African Population and Health Research Center
University of Hawaii at Manoa John A. Burns School of Medicine
Ministerio de Salud y Protección Social
Cameroon Centre for Evidence-Based Health Care
University of Nigeria
Federal University
Mahidol University
Institute of Basic Medical Sciences Chinese Academy of Medical Sciences
Keywords: Medicine
Issue Date: 9-Jul-2016
Citation: The Lancet. Vol.388, No.10040 (2016), 131-157
Abstract: © 2016 Elsevier Ltd 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. Funding The Lowitja Institute.
ISSN: 1474547X
Appears in Collections:Scopus 2016-2017

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