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

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dc.contributor.author Anderson, Ian
dc.contributor.author Robson, Bridget
dc.contributor.author Connolly, Michele
dc.contributor.author Al-Yaman, Fadwa
dc.contributor.author Bjertness, Espen
dc.contributor.author King, Alexandra
dc.contributor.author Tynan, Michael
dc.contributor.author Madden, Richard
dc.contributor.author Bang, Abhay
dc.contributor.author Coimbra, Carlos-E. A. Jr
dc.contributor.author Pesantes, Maria-Amalia
dc.contributor.author Amigo, Hugo
dc.contributor.author Andronov, Sergei
dc.contributor.author Armien, Blas
dc.contributor.author Ayala Obando, Daniel
dc.contributor.author Axelsson, Per
dc.contributor.author Bhatti, Zaid-Shakoor
dc.contributor.author Bhutta, Zulfiqar-Ahmed
dc.contributor.author Bjerregaard, Peter
dc.contributor.author Bjertness, Marius-B.
dc.contributor.author Briceno-Leon, Roberto
dc.contributor.author Broderstad, Ann-Ragnhild
dc.contributor.author Bustos, Patricia
dc.contributor.author Chongsuvivatwong, Virasakdi
dc.contributor.author Chu, Jiayou
dc.contributor.author Deji
dc.contributor.author Gouda, Jitendra
dc.contributor.author Harikumar, Rachakulla
dc.contributor.author Htay, Thein-Thein
dc.contributor.author Htet, Aung-Soe
dc.contributor.author Izugbara, Chimaraoke
dc.contributor.author Kamaka, Martina
dc.contributor.author King, Malcolm
dc.contributor.author Kodavanti, Mallikharjuna-Rao
dc.contributor.author Lara, Macarena
dc.contributor.author Laxmaiah, Avula
dc.contributor.author Lema, Claudia
dc.contributor.author Leon Taborda, Ana Maria
dc.contributor.author Liabsuetrakul, Tippawan
dc.contributor.author Lobanov, Andrey
dc.contributor.author Melhus, Marita
dc.contributor.author Meshram, Indrapal
dc.contributor.author Miranda, J. Jaime
dc.contributor.author Mu, Thet-Thet
dc.contributor.author Nagalla, Balkrishna
dc.contributor.author Nimmathota, Arlappa
dc.contributor.author Popov, Andrey-Ivanovich
dc.contributor.author Penuela Poveda, Ana Maria
dc.contributor.author Ram, Faujdar
dc.contributor.author Reich, Hannah
dc.contributor.author Santos, Ricardo-V.
dc.contributor.author Sein, Aye-Aye
dc.contributor.author Shekhar, Chander
dc.contributor.author Sherpa, Lhamo-Y.
dc.contributor.author Skold, Peter
dc.contributor.author Tano, Sofia
dc.contributor.author Tanywe, Asahngwa
dc.contributor.author Ugwu, Chidi
dc.contributor.author Ugwu, Fabian
dc.contributor.author Vapattanawong, Patama
dc.contributor.author Wan, Xia
dc.contributor.author Welch, James-R.
dc.contributor.author Yang, Gonghuan
dc.contributor.author Yang, Zhaoqing
dc.contributor.author Yap, Leslie
dc.date.accessioned 2019-02-06T14:45:09Z
dc.date.available 2019-02-06T14:45:09Z
dc.date.issued 2016
dc.identifier.uri https://hdl.handle.net/20.500.12866/5020
dc.description.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. en_US
dc.language.iso eng
dc.publisher Elsevier
dc.relation.ispartof urn:issn:1474-547X
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Health Status Disparities en_US
dc.subject Adult en_US
dc.subject Child en_US
dc.subject Child Nutrition Disorders/ethnology en_US
dc.subject Educational Status en_US
dc.subject Fetal Macrosomia/ethnology en_US
dc.subject Global Health en_US
dc.subject Humans en_US
dc.subject Infant en_US
dc.subject Infant Mortality/ethnology en_US
dc.subject Infant, Low Birth Weight en_US
dc.subject Infant, Newborn en_US
dc.subject Life Expectancy/ethnology en_US
dc.subject Maternal Mortality/ethnology en_US
dc.subject Obesity/ethnology en_US
dc.subject Pediatric Obesity/ethnology en_US
dc.subject Population Groups/ethnology/statistics & numerical data en_US
dc.subject Poverty/ethnology en_US
dc.subject Socioeconomic Factors en_US
dc.title Indigenous and tribal peoples' health (The Lancet-Lowitja Institute Global Collaboration): a population study en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1016/S0140-6736(16)00345-7
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.00 es_PE


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