Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada.
Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Pediatr Res. 2023 Jun;93(7):1800-1809. doi: 10.1038/s41390-022-02361-9. Epub 2022 Nov 4.
For health inequities to be successfully addressed through health research, it is necessary for researchers to strive for genuine engagement with stakeholders. Indigenous people provide critical perspectives in Indigenous health research. The objective of this review was to systematically review the existing pediatric Indigenous health research in Canada to determine the prevalence of Indigenous participation. Embase, MEDLINE, Cochrane Library were searched on April 15, 2017 and updated on July 16, 2020. A total of 798 studies focused on the health of Indigenous children ≤18 in Canada were included, of 17,752 abstracts screened in English and French. A total of 46.1% of articles indicated Indigenous participation, increasing over time. Organization/government was the most common form of Indigenous participation (62.8%) and Indigenous researcher as author was least common (10.9%). Participation by child age, geography and topic area varied. The most common category of topic researched was nutrition, lifestyle and anthropometrics. Indigeneity of researchers was determined by self-identification in the papers and may be an underestimate. Although improving over time, less than half of studies about Indigenous children in Canada included Indigenous participation in their execution. Journals and funding bodies must ensure fulsome participation of Indigenous people in research focused on Indigenous children. IMPACT: Indigenous participation in pediatric Indigenous health research is critical to producing ethical relevant and actionable results. This review describes the status of Indigenous participation in this body of work in Canada. This review highlights areas of concern and strength to improve the practices and ethics of medical researchers in this area, thereby increasing relevance of pediatric Indigenous health research to communities.
为了通过健康研究成功解决健康不平等问题，研究人员有必要努力与利益攸关方进行真正的接触。原住民在原住民健康研究中提供了关键视角。本综述的目的是系统地综述加拿大现有的儿科原住民健康研究，以确定原住民参与的普遍性。于 2017 年 4 月 15 日和 2020 年 7 月 16 日在 Embase、MEDLINE 和 Cochrane Library 进行了检索。共纳入了 798 项以加拿大 18 岁以下原住民儿童健康为重点的研究，对 17752 篇英文和法文摘要进行了筛选。共有 46.1%的文章表明有原住民参与，且这一比例随着时间的推移而增加。组织/政府是最常见的原住民参与形式（62.8%），而作为作者的原住民研究人员是最不常见的（10.9%）。参与儿童年龄、地理位置和主题领域各不相同。研究最多的主题类别是营养、生活方式和人体测量学。研究人员的原住民身份是通过论文中的自我认同确定的，这可能是一个低估。尽管随着时间的推移有所改善，但不到一半的关于加拿大原住民儿童的研究在其执行中包括原住民参与。期刊和资助机构必须确保原住民充分参与以原住民儿童为重点的研究。影响：原住民参与儿科原住民健康研究对于产生符合道德规范、相关且可行的研究结果至关重要。本综述描述了加拿大在这方面原住民参与的现状。本综述突出了关注和优势领域，以改善该领域医学研究人员的实践和道德规范，从而提高儿科原住民健康研究对社区的相关性。
