Freemantle Jane, Ring Ian, Arambula Solomon Teshia G, Gachupin Francine C, Smylie Janet, Cutler Tessa Louise, Waldon John A
Jane 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.
Am J Public Health. 2015 Apr;105(4):644-52. doi: 10.2105/AJPH.2014.301994. Epub 2014 Sep 11.
Inaccuracies in the identification of Indigenous status and the collection of and access to vital statistics data impede the strategic implementation of evidence-based public health initiatives to reduce avoidable deaths. The impact of colonization and subsequent government initiatives has been commonly observed among the Indigenous peoples of Australia, Canada, New Zealand, and the United States. The quality of Indigenous data that informs mortality statistics are similarly connected to these distal processes, which began with colonization. We discuss the methodological and technical challenges in measuring mortality for Indigenous populations within a historical and political context, and identify strategies for the accurate ascertainment and inclusion of Indigenous people in mortality statistics.
原住民身份识别以及重要统计数据的收集与获取方面的不准确之处，阻碍了以证据为基础的公共卫生倡议的战略实施，这些倡议旨在减少可避免的死亡。在澳大利亚、加拿大、新西兰和美国的原住民中，殖民化及随后政府举措的影响普遍可见。为死亡率统计提供信息的原住民数据质量同样与这些始于殖民化的遥远进程相关。我们在历史和政治背景下讨论了测量原住民人口死亡率时的方法和技术挑战，并确定了准确确定并将原住民纳入死亡率统计的策略。
