Abstract
A life course epidemiology approach embraces the complexity of disease risk and acknowledges the long-term effects of physical, social, psychological, and behaviour pathways, operating across an individual’s life, a community’s generation, and a population’s development, on health and well-being. Researchers who adopt a life course epidemiology approach broaden their ability to understand, explain, and prescribe ways to mitigate the effects of chronic diseases and reduce risk factor development and interaction. Although there are many diseases that explicate the importance and usefulness of a life course approach for Aboriginal health research, this commentary focuses on the benefits for understanding chronic respiratory diseases in Aboriginal populations. The hope is that this will expose the benefits of a life course approach for the study of Aboriginal health research and draw attention to the need for well-rounded, high-quality Aboriginal respiratory health research.
MeSH terms: Indigenous populations, epidemiology, techniques, chronic diseases, respiratory tract diseases
Résumé
L’épidémiologie biographique est une approche qui tient compte de la complexité des risques de maladie et reconnaît les effets à long terme des cheminements physiques, sociaux, psychologiques et comportementaux sur la santé et le bien-être, effets qui se manifestent au cours de la vie (à l’échelle individuelle), sur une génération (à l’échelle communautaire) et dans le développement d’une population. Les chercheurs qui adoptent cette approche améliorent leur capacité de comprendre, d’expliquer et de prescrire des moyens d’atténuer les effets des maladies chroniques et de réduire l’apparition et l’interaction des facteurs de risque. De nombreuses maladies peuvent illustrer l’importance et l’utilité de l’épidémiologie biographique pour la recherche sur la santé autochtone, mais notre commentaire porte sur les avantages de cette approche pour l’étude des maladies respiratoires chroniques dans les populations autochtones. Nous espérons ainsi mettre en lumière les avantages de l’épidémiologie biographique pour l’étude de la santé autochtone et attirer l’attention sur le besoin d’effectuer des recherches bien équilibrées et de haute qualité sur la santé pulmonaire des Autochtones.
Footnotes
Source of funding: Ms. Estey is supported by a SSHRC Canada Graduate Scholarship–Master’s Award. Dr. Kmetic is supported by a CIHR-Institute of Aboriginal Peoples’ Health Post-Doctoral Fellowship.
References
- 1.Reading J. The Canadian Institutes of Health Research, Institute of Aboriginal People’s Health: A global model and national network for Aboriginal health research excellence. Can J Public Health. 2003;94(3):185–89. doi: 10.1007/BF03405063. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 2.HealthWelfare Canada. Health Status of Canadian Indians and Inuit 1990. 1st. Ottawa, ON: Health and Welfare Canada; 1990. [Google Scholar]
- 3.Health Canada. A Second Diagnostic on the Health of First Nations and Inuit People in Canada. Ottawa: Health Canada; 1999. [Google Scholar]
- 4.MacMillan HL, MacMillan AB, Offord DR, Dingle JL. Aboriginal health. CMAJ. 1996;155(11):1569–78. [PMC free article] [PubMed] [Google Scholar]
- 5.Epstein R. Letters to the Editor. Can J Public Health. 1982;73:433–34. [Google Scholar]
- 6.Cooke M, Beavon D, McHardy M. Measuring the Well-being of Aboriginal People: An Application of the United Nations Human Development Index to Registered Indians in Canada, 1981–2001. Ottawa: Strategic Research and Analysis Directorate, Indian and Northern Affairs Canada; 2004. [Google Scholar]
- 7.Young TK. Aboriginal health: Not just tuberculosis. Int J Tuberculosis Lung Dis. 1998;2(9):S23–S25. [PubMed] [Google Scholar]
- 8.Kuh D, Ben-Shlomo Y. A Life Course Approach to Chronic Disease Epidemiology. 2nd. New York, NY: Oxford University Press; 2004. [Google Scholar]
- 9.Ben-Shlomo Y, Kuh D. A life course approach to chronic disease epidemiology: Conceptual models, empirical challenges and interdisciplinary perspectives. Int J Epidemiol. 2002;31(2):285–93. doi: 10.1093/ije/31.2.285. [DOI] [PubMed] [Google Scholar]
- 10.World Health OrganizationInternational Longevity Centre — UK. The Implications for Training of Embracing a Life Course Approach to Health. Geneva, Switzerland: WHO; 2000. [Google Scholar]
- 11.Lynch J, Smith GD. A life course approach to chronic disease epidemiology. Annu Rev Public Health. 2005;26:1–35. doi: 10.1146/annurev.publhealth.26.021304.144505. [DOI] [PubMed] [Google Scholar]
- 12.Kuh D, Ben-Shlomo Y, Lynch J, Hallqvist J, Power C. Life course epidemiology. J Epidemiol Community Health. 2003;57(10):778–83. doi: 10.1136/jech.57.10.778. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 13.Moore VM, Davies MJ. Diet during pregnancy, neonatal outcomes and later health. Reproduction, Fertility, and Development. 2005;17(3):341. doi: 10.1071/RD04094. [DOI] [PubMed] [Google Scholar]
- 14.Bartlett J. The Medicine Wheel for Comprehensive Development in Health. Winnipeg, MB: University of Manitoba; 1998. [Google Scholar]
- 15.Waldram JB, Herring D, Young TK. Aboriginal Health in Canada: Historical, Cultural, and Epidemiological Perspectives. Toronto, ON: University of Toronto Press; 2006. [Google Scholar]
- 16.Adelson N. The embodiment of inequity: Health disparities in Aboriginal Canada. Can J Public Health. 2005;96(Suppl2):S45–S61. doi: 10.1007/BF03403702. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 17.Mao Y, Moloughney BW, Semenciw RM, Morrison HI. Indian Reserve and registered Indian mortality in Canada. Can J Public Health. 1992;83(5):350–53. [PubMed] [Google Scholar]
- 18.Young TK. Mortality pattern of isolated Indians in northwestern Ontario: A 10-year review. Public Health Rep. 1983;98(5):467–75. [PMC free article] [PubMed] [Google Scholar]
- 19.Mao Y, McCourt C, Morrison H, Pepin-Laplante O, Semenciw R, Silins J, et al. Community-based mortality surveillance: The Maniwaki experience investigation of excess mortality in a community. Can J Public Health. 1984;75(6):429–33. [PubMed] [Google Scholar]
- 20.Mao Y, Morrison H, Semenciw R, Wigle D. Mortality on Canadian Indian Reserves 1977–1982. Can J Public Health. 1986;77(4):263–68. [PubMed] [Google Scholar]
- 21.Morrison HI, Semenciw RM, Mao Y, Wigle DT. Infant mortality on Canadian Indian Reserves 1976–1983. Can J Public Health. 1986;77(4):269–73. [PubMed] [Google Scholar]
- 22.Fraser-Lee NJ, Hessel PA. Acute respiratory infections in the Canadian Native Indian population: A review. Can J Public Health. 1994;85(3):197–200. [PubMed] [Google Scholar]
- 23.Petersen KM, Singleton RJ, Leonard L. A qualitative study of the importance and etiology of chronic respiratory disease in Alaska native children. Alaska Med. 2003;45(1):14–20. [PubMed] [Google Scholar]
- 24.Lewis TC, Stout JW, Martinez P, Morray B, White LC, Heckbert SR, Redding GJ. Prevalence of asthma and chronic respiratory symptoms among Alaska Native children. Chest. 2004;125:1665–73. doi: 10.1378/chest.125.5.1665. [DOI] [PubMed] [Google Scholar]
- 25.Hemmelgarn B, Ernst P. Airway function among Inuit primary school children in far northern Quebec. Am J Respir Crit Care Med. 1997;156(6):1870–75. doi: 10.1164/ajrccm.156.6.9704083. [DOI] [PubMed] [Google Scholar]
- 26.Lowther SA, Shay D, Holman RC, Clarke MJ, Kaufman SF, Anderson LJ. Bronchiolitisassociated hospitalizations among American Indian and Alaska Native children. Pediatr Infect Dis J. 2000;19(1):11–17. doi: 10.1097/00006454-200001000-00004. [DOI] [PubMed] [Google Scholar]
- 27.First Nations CentreNational Aboriginal Health Organization. First Nations and Inuit Regional Health Surveys, 1997: A synthesis of the national and regional reports. Ottawa: First Nations Centre; 2004. [Google Scholar]
- 28.Strachan DP, Sheikh A. A life course approach to respiratory and allergic diseases. In: Kuh D, Ben-Shlomo Y, editors. A Life Course Approach to Chronic Disease Epidemiology. Oxford: Oxford University Press; 2004. pp. 240–59. [Google Scholar]
- 29.Anto JM, Vermeire P, Vestbo J, Sunyer J. Epidemiology of chronic obstructive pulmonary disease. Eur Respir J. 2001;17(5):982–94. doi: 10.1183/09031936.01.17509820. [DOI] [PubMed] [Google Scholar]
- 30.Stocks J, Dezateux C. The effect of parental smoking on lung function and development during infancy. Respirology. 2003;8(3):266–85. doi: 10.1046/j.1440-1843.2003.00478.x. [DOI] [PubMed] [Google Scholar]
- 31.Ritchie AJ, Reading JL. Tobacco smoking status among Aboriginal youth. Int J Circumpolar Health. 2004;63(Suppl2):405–9. doi: 10.3402/ijch.v63i0.17945. [DOI] [PubMed] [Google Scholar]
- 32.Gilchrist D, Woods B, Binns CW, Scott JA, Gracey M, Smith H. Aboriginal mothers, breastfeeding and smoking. Aust N Z J Public Health. 2004;28(3):225–28. doi: 10.1111/j.1467-842X.2004.tb00700.x. [DOI] [PubMed] [Google Scholar]
- 33.Daniels C. Nechi Training Research & Health Promotions Institute. Tobacco: A cultural approach to addiction and recovery for aboriginal youth: For adolescents and young adults. Edmonton, AB: Nechi Institute; 2003. [Google Scholar]
- 34.Brady MA. Health issues for aboriginal youth: Social and cultural factors associated with resilience. J Paediatr Child Health. 1993;29(Suppl1):S56–S59. doi: 10.1111/j.1440-1754.1993.tb02264.x. [DOI] [PubMed] [Google Scholar]
- 35.Bucens IK, Reid A, Sayers SM. Risk factors for reduced lung function in Australian Aboriginal children. J Paediatr Child Health. 2006;42(7–8):452–57. doi: 10.1111/j.1440-1754.2006.00896.x. [DOI] [PubMed] [Google Scholar]
- 36.Lawrence R, Martin D. Moulds, Moisture and microbial contamination of First Nations housing in British Columbia, Canada. Int J Circumpolar Health. 2001;60(2):150–56. [PubMed] [Google Scholar]
- 37.Strachan DP. The role of environmental factors in asthma. Br Med Bull. 2000;56(4):865–82. doi: 10.1258/0007142001903562. [DOI] [PubMed] [Google Scholar]
- 38.Cardinal JC. First Nations in Alberta, a focus on health service use. Edmonton: Alberta Health & Wellness; 2004. [Google Scholar]
- 39.Berghout J, Miller JD, Mazerolle R, O’Neil L, Wakelin C, Mackinnon B, et al. Indoor environmental quality in homes of asthmatic children on the Elsipogtog Reserve (NB), Canada. Int J Circumpolar Health. 2005;64(1):77–85. doi: 10.3402/ijch.v64i1.17956. [DOI] [PubMed] [Google Scholar]
- 40.Harris SB, Glazier R, Eng K, McMurray L. Disease patterns among Canadian Aboriginal children. Study in a remote rural setting. Can Fam Phys. 1998;44:1869–77. [PMC free article] [PubMed] [Google Scholar]
- 41.Wind S, Van Sickle D, Wright AL. Health, Place and childhood asthma in southwest Alaska. Soc Sci Med. 2004;58(1):75–88. doi: 10.1016/S0277-9536(03)00160-6. [DOI] [PubMed] [Google Scholar]
- 42.Sin DD, Wells H, Svenson LW, Man SFP. Asthma and COPD among Aboriginals in Alberta, Canada. Chest. 2002;121(6):1841–46. doi: 10.1378/chest.121.6.1841. [DOI] [PubMed] [Google Scholar]
- 43.Simoes EA, Carbonell-Estrany X. Impact of severe disease caused by respiratory syncytial virus in children living in developed countries. Pediatr Infect Dis J. 2003;22(Suppl2):S13–S18. doi: 10.1097/01.inf.0000053881.47279.d9. [DOI] [PubMed] [Google Scholar]
- 44.Castellano MB. J Aboriginal Health. 2004. Ethics of Aboriginal research; p. 99. [Google Scholar]
- 45.Bisset S, Cargo M, Delormier T, Macaulay AC, Potvin L. Legitimizing diabetes as a community health issue: A case analysis of an Aboriginal community in Canada. Health Promot Int. 2004;19(3):317–26. doi: 10.1093/heapro/dah305. [DOI] [PubMed] [Google Scholar]
- 46.Ellestad-Sayed J, Coodin FJ, Dilling LA, Haworth JC. Breast-feeding protects against infection in Indian infants. CMAJ. 1979;120(3):295–98. [PMC free article] [PubMed] [Google Scholar]
- 47.Koch A, Molbak K, Homoe P, Sorenson P, Hjuler T, Olesen ME, et al. Risk factors for acute respiratory tract infections in young Greenlandic children. Am J Epidemiol. 2003;158(4):374–84. doi: 10.1093/aje/kwg143. [DOI] [PubMed] [Google Scholar]
- 48.Banks JW. A Native community rekindles the tradition of breastfeeding. AWHONN Lifelines. 2003;7(4):340–47. doi: 10.1177/1091592303257828. [DOI] [PubMed] [Google Scholar]