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Indigenous mortality (revealed): the invisible illuminated.
Jane Freemantle1, Ian Ring, Teshia G Arambula Solomon
1Jane Freemantle and Tessa Louise Cutler are with the Centre for Health Equity, University of Melbourne, Carlton, Victoria, Australia. Ian Ring is with the Australian Health Services Research Institute, University of Wollongong, Wollongong, Australia. Teshia G. Arambula Solomon and Francine C. Gachupin are with the Native American Research and Training Center, Department of Family and Community Medicine, College of Medicine, University of Arizona, Tucson. Janet Smylie is with the Centre for Research on Inner City Health, Keenan Research Centre in the Li Ka Shing Knowledge Institute, Saint Michael's Hospital and Dalla Lana School of Public Health, University of Toronto, ON, Canada. John A. Waldon is with the Muru Marri Indigenous Health Unit, School of Public Health & Community Medicine, Faculty of Medicine, University of New South Wales, Australia.
Accurate Indigenous vital statistics are crucial for public health. Addressing colonization
Area of Science:
- Public Health
- Indigenous Studies
- Demography
Background:
- Colonization and government policies significantly impact Indigenous populations in Australia, Canada, New Zealand, and the United States.
- Inaccurate Indigenous status identification and vital statistics data hinder evidence-based public health strategies.
- The quality of Indigenous mortality data is intrinsically linked to historical and ongoing colonial processes.
Purpose of the Study:
- To examine the methodological and technical challenges in accurately measuring Indigenous mortality.
- To discuss the historical and political context influencing Indigenous vital statistics.
- To identify strategies for improving the accurate collection and inclusion of Indigenous people in mortality statistics.
Main Methods:
- Literature review and analysis of historical and political factors affecting Indigenous data collection.
- Examination of methodological challenges in vital statistics systems.
- Exploration of technical issues in data ascertainment and access.
Main Results:
- Identified significant barriers in vital statistics systems for Indigenous peoples.
- Highlighted the role of colonization in data quality issues.
- Recognized the need for culturally appropriate and accurate data collection methods.
Conclusions:
- Accurate Indigenous vital statistics are essential for effective public health interventions and reducing avoidable deaths.
- Strategies for accurate ascertainment and inclusion are critical for addressing health inequities.
- Overcoming historical and systemic challenges is necessary for reliable Indigenous mortality data.
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