Culturally Safe Epidemiology: Oxymoron or Scientific Imperative

Area of Science:

• Public Health
• Epidemiology
• Indigenous Studies

Background:

• Epidemiological research has historically presented challenges for Aboriginal communities in Canada.
• Distrust exists towards Western research methods, particularly quantitative approaches, due to perceived conflicts with Indigenous ways of knowing.
• There's a growing acknowledgment of the potential for rigorous epidemiology to highlight and attract resources for critical Aboriginal health issues.

Purpose of the Study:

• To present a framework for implementing culturally safe epidemiology.
• To guide the entire research process, from priority setting to evidence utilization.
• To foster collaboration between modern epidemiology and Indigenous knowledge.

Main Methods:

• Developing a framework for culturally safe epidemiological practices.
• Integrating Indigenous knowledge and ways of knowing into the research process.
• Ensuring ethical conduct and community engagement throughout fieldwork and analysis.

Main Results:

• A framework for culturally safe epidemiology has been established.
• Demonstrates that modern epidemiology and Indigenous knowledge can be complementary.
• Identifies opportunities for public health advancements at the intersection of these approaches.

Conclusions:

• Culturally safe epidemiology is achievable and beneficial for Aboriginal communities.
• Integrating Indigenous knowledge enhances the relevance and effectiveness of epidemiological research.
• Collaboration between Western science and Indigenous knowledge systems is crucial for advancing public health.