Title
Indigenous and tribal peoples' health (The Lancet–Lowitja Institute Global Collaboration): a population study
Date Issued
2016
Access level
restricted access
Resource Type
journal article
Author(s)
Anderson I.
Robson B.
Connolly M.
Al-Yaman F.
Bjertness E.
King A.
Tynan M.
Madden R.
Bang A.
Coimbra C.E.A.
Jr
Amigo H.
Andronov S.
Armien B.
Obando D.A.
Axelsson P.
Bhatti Z.S.
Bhutta Z.A.
Bjerregaard P.
Bjertness M.B.
Briceno-Leon R.
Broderstad A.R.
Chongsuvivatwong V.
Chu J.
Deji
Gouda J.
Harikumar R.
Htay T.T.
Htet A.S.
Publisher(s)
Lancet Publishing Group
Abstract
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. © 2016 Elsevier Ltd
Start page
131
End page
157
Volume
388
Issue
10040
Number
489
Language
English
Scopus EID
2-s2.0-84982859363
PubMed ID
Source
The Lancet
ISSN of the container
0140-6736
Sponsor(s)
JJM reports grants from National Heart, Lung and Blood Institute, National Institutes of Health (NIH) (HHSN268200900028C-3-0-1, HHSN268200900033C, U01HL114180); National Institute of Mental Health, NIH (U19MH098780); Grand Challenges Canada (0335-04); Medtronics Foundation; Fogarty International Center, NIH (R21TW009982); CONCYTEC; Inter-American Institute for Global Change Research (CRN3036); IDRC (106887?001); Alliance for Health Policy and Health Systems Research, WHO (HQHSR1206660); and Medical Research Council UK (MR/M007405/1) outside the submitted work. MKa and LY reports grants from Health Resources and Services Administration, Bureau of Health Professions, US Department of Health and Human Services during the conduct of the study. All other authors declare no competing interests.
Sources of information: Directorio de Producción Científica