Growing up Indigenous; An international birth cohort study.

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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.