Indigenous and tribal peoples' health (The Lancet-Lowitja Institute Global Collaboration):a population study
Autor: | Carlos E. A. Coimbra, Faujdar Ram, Richard Madden, Daniel Ayala Obando, Rachakulla Harikumar, Jiayou Chu, Andrey Ivanovich Popov, Sofia Tano, Aung Soe Htet, Espen Bjertness, James R. Welch, Gonghuan Yang, Chander Shekhar, Macarena Lara, Blas Armién, Thet Thet Mu, Peter Bjerregaard, Jitendra Gouda, Zhaoqing Yang, Ana Maria Leon Taborda, Peter Sköld, Ricardo Ventura Santos, Bridget Robson, Ana Maria Penuela Poveda, Arlappa Nimmathota, J. Jaime Miranda, Zulfiqar A. Bhutta, Martina Kamaka, Deji, Thein Thein Htay, Fabian O. Ugwu, Claudia Lema, Patama Vapattanawong, Marita Melhus, Ian Anderson, Sergei Andronov, Leslie Yap, Xia Wan, Indrapal I. Meshram, Chidi Ugwu, Maria Amalia Pesantes, Fadwa Al-Yaman, Lhamo Y. Sherpa, Chimaraoke O. Izugbara, Mallikharjuna Rao Kodavanti, Michele Connolly, Abhay Bang, Per Axelsson, Avula Laxmaiah, Aye Aye Sein, Andrey Lobanov, Hugo Amigo, Roberto Briceño-León, Michael Tynan, Malcolm King, Balkrishna Nagalla, Marius B. Bjertness, Asahngwa Tanywe, Patricia Bustos, Ann Ragnhild Broderstad, Alexandra King, Hannah Reich, Zaid Shakoor Bhatti, Tippawan Liabsuetrakul, Virasakdi Chongsuvivatwong |
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Jazyk: | angličtina |
Rok vydání: | 2016 |
Předmět: |
Gerontology
Pediatric Obesity Global Health Fetal Macrosomia Pediatric Obesity/ethnology 0302 clinical medicine Infant Mortality Global health 030212 general & internal medicine Child education.field_of_study Child Nutrition Disorders/ethnology Research Support Non-U.S. Gov't Poverty/ethnology General Medicine Infant Mortality/ethnology Population Groups/ethnology/statistics & numerical data Maternal Mortality Educational Status 0305 other medical science Maternal Mortality/ethnology Adult medicine.medical_specialty Population Life Expectancy/ethnology Obesity/ethnology Child Nutrition Disorders Indigenous 03 medical and health sciences Life Expectancy Population Groups medicine Journal Article Humans Obesity education Socioeconomic status Poverty 030505 public health business.industry Public health Infant Newborn Infant Health Status Disparities Infant Low Birth Weight Fetal Macrosomia/ethnology Health indicator Infant mortality purl.org/pe-repo/ocde/ford#3.02.00 [https] Socioeconomic Factors Life expectancy business Demography |
Zdroj: | Anderson, I, Robson, B, Connolly, M, Al-Yaman, F, Bjertness, E, King, A, Tynan, M, Madden, R, Bang, A, Coimbra, C E A, Pesantes, M A, 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, Bustos, P, Chongsuvivatwong, V, Chu, J, Deji, Gouda, J, Harikumar, R, Htay, T T, Htet, A S, Izugbara, C, Kamaka, M, King, M, Kodavanti, M R, Lara, M, Laxmaiah, A, Lema, C, Taborda, A M L, Liabsuetrakul, T, Lobanov, A, Melhus, M, Meshram, I, Miranda, J J, Mu, T T, Nagalla, B, Nimmathota, A, Popov, A I, Poveda, A M P, Ram, F, Reich, H, Santos, R V, Sein, A A, Shekhar, C, Sherpa, L Y, Skold, P, Tano, S, Tanywe, A, Ugwu, C, Ugwu, F, Vapattanawong, P, Wan, X, Welch, J R, Yang, G, Yang, Z & Yap, L 2016, ' Indigenous and tribal peoples' health (The Lancet-Lowitja Institute Global Collaboration) : a population study ', The Lancet, vol. 388, no. 10040, pp. 131-157 . https://doi.org/10.1016/S0140-6736(16)00345-7 |
DOI: | 10.1016/S0140-6736(16)00345-7 |
Popis: | 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. |
Databáze: | OpenAIRE |
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