Ning Ashley, Wilson Kathi
Department of Geography & Collaborative Program in Aboriginal Health, University of Toronto Mississauga, Mississauga, Canada.
Int J Circumpolar Health. 2012;71. doi: 10.3402/ijch.v71i0.18497. Epub 2012 Aug 23.
To compare the current state of health research on Aboriginal and non-Aboriginal youth in Canada.
A search of published academic literature on Canadian Aboriginal youth health, including a comprehensive review of both non-Aboriginal and Aboriginal youth research, was conducted using MEDLINE and summarized.
A MEDLINE search was conducted for articles published over a 10-year period (2000-2010). The search was limited to research articles pertaining to Canadian youth, using various synonyms for "Canada," "youth," and "Aboriginal." Each article was coded according to 4 broad categories: Aboriginal identity, geographic location, research topic (health determinants, health status, health care), and the 12 key determinants of health proposed by the Public Health Agency of Canada (PHAC).
Of the 117 articles reviewed, only 34 pertained to Aboriginal youth, while the remaining 83 pertained to non-Aboriginal youth. The results revealed major discrepancies within the current body of research with respect to the geographic representation of Aboriginal youth, with several provinces missing from the literature, including the northern territories. Furthermore, the current research is not reflective of the demographic composition of Aboriginal youth, with an under-representation of Métis and urban Aboriginal youth. Health status of Aboriginal youth has received the most attention, appearing in 79% of the studies reviewed compared with 57% of the non-Aboriginal studies. The number of studies that focus on health determinants and health care is comparable for both groups, with the former accounting for 62 and 64% and the latter comprising 26 and 19% of Aboriginal and non-Aboriginal studies, respectively. However, this review reveals several differences with respect to specific focus on health determinants between the two populations. In non-Aboriginal youth studies, all the 12 key determinants of health of PHAC are explored, whereas in Aboriginal youth studies the health profile remains incomplete and several key determinants and health indicators are neglected.
The current studies are not reflective of the demographic and geographic profiles of Aboriginal youth in Canada, and they have also failed to provide a comprehensive examination of their unique health needs and concerns compared with studies on non-Aboriginal youth.
比较加拿大原住民和非原住民青少年健康研究的现状。
利用医学期刊数据库（MEDLINE）对已发表的有关加拿大原住民青少年健康的学术文献进行检索，包括对非原住民和原住民青少年研究的全面综述，并进行总结。
在医学期刊数据库（MEDLINE）中检索10年期间（2000 - 2010年）发表的文章。检索限于与加拿大青少年相关的研究文章，使用“加拿大”“青少年”和“原住民”的各种同义词。每篇文章根据4大类进行编码：原住民身份、地理位置、研究主题（健康决定因素、健康状况、医疗保健），以及加拿大公共卫生署（PHAC）提出的12项健康关键决定因素。
在审查的117篇文章中，只有34篇与原住民青少年有关，其余83篇与非原住民青少年有关。结果显示，当前研究主体在原住民青少年的地理代表性方面存在重大差异，文献中缺少几个省份，包括北部地区。此外，当前研究没有反映出原住民青少年的人口构成情况，梅蒂斯人和城市原住民青少年的代表性不足。原住民青少年的健康状况受到的关注最多，在所审查的研究中占79%，而非原住民研究中这一比例为57%。两组关注健康决定因素和医疗保健的研究数量相当，前者分别占原住民和非原住民研究的62%和64%，后者分别占26%和19%。然而，本综述揭示了这两个人口群体在健康决定因素的具体关注点上存在一些差异。在非原住民青少年研究中，探讨了加拿大公共卫生署所有12项健康关键决定因素，而在原住民青少年研究中，健康概况仍然不完整，一些关键决定因素和健康指标被忽视。
当前的研究没有反映出加拿大原住民青少年的人口和地理概况，与非原住民青少年研究相比，也未能全面审视他们独特的健康需求和问题。
