Growing up Indigenous; An international birth cohort study.

该研究方案的主要目的是确定促进和加强土著儿童、家庭和社区复原力的因素。我们建议建立一个土著婴儿和儿童的纵向队列，这些婴儿和儿童是从加拿大、新西兰奥特亚罗瓦和澳大利亚的土著社区环境和卫生服务中确定的。我们打算在多个层面上调查与“弹性”相关的因素：个人，家庭，社区（例如社会经济地位，自决等的社区指标）和更广泛的社会因素（例如殖民和种族主义的经历）。将从产前开始并在随后几年中继续收集有关母亲、儿童、家庭、社区和社会环境的信息。我们将确定与良好的结果和“弹性”在多个层面，包括个人，家庭，社区，社会和环境相关的因素，使用多层次模型。查明这些因素将使我们能够就改善土著人民健康状况的政策和做法提出建议。虽然主要目的是确定与弹性和良好的健康结果相关的因素，但我们也将能够确定与不良结果相关的因素。我们还将确定（在产前，婴儿期和幼儿期）关键的过渡点，这些过渡点的相关保护和风险因素，以及可能有助于确保家庭和社区成功谈判这些过渡点的干预措施。土著卫生工作人员能力发展和土著研究方法发展也是这项建议的主要内容。

The main aim of this research programme is to identify factors that promote and enhance resiliency within indigenous children, families and communities. We propose to establish a longitudinal cohort of Indigenous infants and children who are identified from within Indigenous community settings and health services in Canada, Aotearoa-New Zealand and Australia. We intend to investigate the factors associated with �resilience� at a number of levels: individual, family, community (for example community indicators of socio-economic status, self-determination etc) and wider social factors (such as experience of colonisation and racism). Information will be gathered about the mother, child, family, community and social environments commencing during the pre-natal period and continuing over subsequent years. We will identify factors associated with good outcomes and �resilience� at a number of levels including individual, familial, community, social and the environment, using multilevel modelling. Identification of these factors will allow us to make recommendations for policy and practice that should improve health outcomes for indigenous peoples. Although the main aim is to identify factors associated with resiliency and good health outcomes, we will also be able to identify factors associated with adverse outcomes. We will also identify (within the antenatal, infancy and early childhood periods) key transition points, associated protective and risk factors for these transition points, and interventions that may be useful in ensuring successful negotiation of these transition points by families and communities. Indigenous health workforce capacity development and indigenous research methodology development are also key features of this proposal.