Next Article in Journal
Evaluation of a Home-Based Environmental and Educational Intervention to Improve Health in Vulnerable Households: Southeastern Pennsylvania Lead and Healthy Homes Program
Previous Article in Journal
Disadvantaged Parents’ Engagement with a National Secondhand Smoke in the Home Mass Media Campaign: A Qualitative Study
Article Menu

Export Article

Open AccessArticle
Int. J. Environ. Res. Public Health 2016, 13(9), 899; doi:10.3390/ijerph13090899

Developing Responsive Indicators of Indigenous Community Health

1
Swinomish Indian Tribal Community, 11404 Moorage Way, La Conner, WA 98257, USA
2
Institute for Resources, Environment and Sustainability, The University of British Columbia, Vancouver Campus, Vancouver, BC V6T 1Z4, Canada
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Received: 12 May 2016 / Revised: 30 August 2016 / Accepted: 5 September 2016 / Published: 9 September 2016
View Full-Text   |   Download PDF [1799 KB, uploaded 9 September 2016]   |  

Abstract

How health is defined and assessed is a priority concern for Indigenous peoples due to considerable health risks faced from environmental impacts to homelands, and because what is “at risk” is often determined without their input or approval. Many health assessments by government agencies, industry, and researchers from outside the communities fail to include Indigenous definitions of health and omit basic methodological guidance on how to evaluate Indigenous health, thus compromising the quality and consistency of results. Native Coast Salish communities (Washington State, USA) developed and pilot-tested a set of Indigenous Health Indicators (IHI) that reflect non-physiological aspects of health (community connection, natural resources security, cultural use, education, self-determination, resilience) on a community scale, using constructed measures that allow for concerns and priorities to be clearly articulated without releasing proprietary knowledge. Based on initial results from pilot-tests of the IHI with the Swinomish Indian Tribal Community (Washington State, USA), we argue that incorporation of IHIs into health assessments will provide a more comprehensive understanding of Indigenous health concerns, and assist Indigenous peoples to control their own health evaluations. View Full-Text
Keywords: Indigenous health; health assessment; indicators; evaluation; cultural competency; environmental health justice Indigenous health; health assessment; indicators; evaluation; cultural competency; environmental health justice
Figures

Figure 1

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

Scifeed alert for new publications

Never miss any articles matching your research from any publisher
  • Get alerts for new papers matching your research
  • Find out the new papers from selected authors
  • Updated daily for 49'000+ journals and 6000+ publishers
  • Define your Scifeed now

SciFeed Share & Cite This Article

MDPI and ACS Style

Donatuto, J.; Campbell, L.; Gregory, R. Developing Responsive Indicators of Indigenous Community Health. Int. J. Environ. Res. Public Health 2016, 13, 899.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Related Articles

Article Metrics

Article Access Statistics

1

Comments

[Return to top]
Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top