Publication:
Indigenous and tribal peoples' health (The Lancet–Lowitja Institute Global Collaboration): a population study

Issued Date

2016-07-09

Resource Type

Article

ISSN

1474547X
01406736

DOI

10.1016/S0140-6736(16)00345-7

Other identifier(s)

2-s2.0-84982859363

Rights

Mahidol University

Rights Holder(s)

SCOPUS

Bibliographic Citation

The Lancet. Vol.388, No.10040 (2016), 131-157

Suggested Citation

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, Deji, 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 Indigenous and tribal peoples' health (The Lancet–Lowitja Institute Global Collaboration): a population study. The Lancet. Vol.388, No.10040 (2016), 131-157. doi:10.1016/S0140-6736(16)00345-7 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/41261

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Thesis

Title

Indigenous and tribal peoples' health (The Lancet–Lowitja Institute Global Collaboration): a population study

Author(s)

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
 Deji
 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

Other Contributor(s)

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

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.

Keyword(s)

Medicine

Availability

URI

https://repository.li.mahidol.ac.th/handle/20.500.14594/41261

Collections

Scopus 2016-2017