Trudgett Skye, Griffiths Kalinda, Farnbach Sara, Shakeshaft Anthony
National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW 2052, Australia.
Centre for Big Data Research in Health, University of New South Wales, Sydney, Australia.
EClinicalMedicine. 2022 Feb 17;45:101302. doi: 10.1016/j.eclinm.2022.101302. eCollection 2022 Mar.
Racial health disparities are only likely to be meaningfully improved by tailoring public health and clinical interventions to the specific needs of Indigenous people and their communities. Accurate tailoring relies on the availability of high-quality Indigenous-specific data. The potential benefits of increased availability of Indigenous data need to be balanced by efforts to ensure those data are collected and used appropriately. This paper identifies characteristics of Indigenous Data Sovereignty (IDS) principles and considers a framework for operationalisation.
A PRISMA compliant search of the literature was undertaken, using methods detailed in the Cochrane Collaboration Handbook on Systematic Reviews of Health Promotion and Public Health Interventions (1). The search strategy comprised two steps: a search of 11 scientific electronic databases and five grey literature sources. The search was limited by date of publication (1 January 2000 to 1 December 2021). The following keywords and subject heading terms were used: (exp Aboriginal and Torres Strait Islander or Aborigin* or Torres Strait Island* or, Oceanic ancestry group) and (exp research or biomedical research or population surveillance or translational medical research or, research design) and (exp data or datasets or data collection or data management or health surveys or information dissemination or, intellectual property) and (exp self-determination or ownership or control or access or possession or OCAP or sovereignty or, ethics) and, (exp Australia). IDS principles: (i) ownership; (ii) control; (iii) accessibility; (iv) custodianship; (v) accountability to Indigenous people; (vi) amplify Community voice; (vii) relevant and reciprocal; and (viii) sustainably self-determining. Using standard data extraction forms, we examined relevant Australian studies to identify key characteristics and frequency with which they cited IDS principles. These findings were consolidated into an operationalisation framework.
34 relevant Australian published studies were identified. The most frequently cited IDS principles were Accountability to Aboriginal and Torres Strait Islander peoples and sustainably self-determining. The least frequently cited principle was Access. A framework to operationalise IDS principles is proposed that is both standardised internationally and able to be tailored to the diverse contexts of Indigenous peoples.
IDS is emergent in Australia and there is a clear need to establish an agreed set of International IDS principles and a framework for their operationalisation and contextualisation across diverse Indigenous communities and contexts.
This research project is funded through an Australian Research Council (ARC) Discovery Grant from 2017 to 2022. The National Drug and Alcohol Research Centre (NDARC) is funded by the Australian Government Department of Health. The 1st author (ST) is supported by a scholarship co-funded by NDARC and the Lowitja Institute.
只有根据原住民及其社区的特定需求来调整公共卫生和临床干预措施,种族健康差距才有可能得到切实改善。准确的调整依赖于高质量的特定原住民数据的可得性。增加原住民数据的可得性所带来的潜在益处,需要通过确保这些数据被恰当收集和使用的努力来加以平衡。本文确定了原住民数据主权(IDS)原则的特征,并考虑了一个实施框架。
按照《Cochrane协作网健康促进与公共卫生干预系统评价手册》(1)中详述的方法,对文献进行了符合PRISMA标准的检索。检索策略包括两个步骤:对11个科学电子数据库和5个灰色文献来源进行检索。检索受出版日期限制(2000年1月1日至2021年12月1日)。使用了以下关键词和主题词:(原住民和托雷斯海峡岛民或原住民或托雷斯海峡岛或大洋洲血统群体的扩展词)以及(研究或生物医学研究或人群监测或转化医学研究或研究设计的扩展词)以及(数据或数据集或数据收集或数据管理或健康调查或信息传播或知识产权的扩展词)以及(自决或所有权或控制权或获取权或占有权或OCAP或主权或伦理的扩展词)以及(澳大利亚的扩展词)。IDS原则:(i)所有权;(ii)控制权;(iii)可获取性;(iv)保管权;(v)对原住民负责;(vi)放大社区声音;(vii)相关且相互的;(viii)可持续自决。我们使用标准数据提取表,审查了相关的澳大利亚研究,以确定它们引用IDS原则的关键特征和频率。这些发现被整合到一个实施框架中。
确定了34项相关的澳大利亚已发表研究。最常被引用的IDS原则是对原住民和托雷斯海峡岛民负责以及可持续自决。引用最少的原则是获取权。提出了一个实施IDS原则的框架,该框架在国际上是标准化的,并且能够根据原住民的不同情况进行调整。
IDS在澳大利亚刚刚兴起,显然需要建立一套商定的国际IDS原则以及一个在不同原住民社区和情况下对其进行实施和情境化的框架。
本研究项目由澳大利亚研究理事会(ARC)2017年至2022年的发现基金资助。国家药物和酒精研究中心(NDARC)由澳大利亚政府卫生部资助。第一作者(ST)由NDARC和洛维特贾研究所共同资助的奖学金提供支持。