The Impact Of Injury on Indigenous Children and Youth in Australia, Canada and New Zealand: A Tri-Country Approach to Pr

拟议的研究将在以下三种情况下提供关于伤害对土著儿童和青少年影响的重要新知识：澳大利亚的城市土著社区，加拿大的第一民族社区，以及新西兰奥特罗阿的Iwi， Hapu和毛利社区。伤害在土著居民中几乎没有得到任何研究关注，但在三个伙伴国家中，伤害是造成死亡、疾病和残疾的主要原因之一，这些国家的土著人民的伤害负担明显高于各自的非土著人口。除了死亡和残疾之外，伤害还会造成各种慢性健康后果，如抑郁、酗酒和滥用药物、吸烟、饮食和睡眠失调。显然，预防伤害必须是每个伙伴国家决策者的优先事项。拟议研究的目的是增加我们对土著社区伤害、社会经济劣势和复原力之间关系的理解，并利用这一知识来解决和扭转健康不平等现象，特别是对儿童和青年而言。拟议的研究重点是根据来自三国土著观点的可靠证据，为土著儿童和青年制定有效、可持续和文化上可接受的干预措施。拟议的研究将记录土著居民有意和无意伤害的程度；描述伤害发生的情况及其对土著儿童和青年的影响；制定和评估涉及卫生和非卫生部门的以社区为基础的地方协作干预措施，促进土著儿童和青年的健康、安全和复原力。

The proposed research will provide important new knowledge about the impact of injury on Indigenous children and youth in three settings: urban Indigenous communities in Australia, First Nation communities in Canada, and Iwi, Hapu and Maori communities in Aotearoa, New Zealand. Injury, which has received almost no research attention among Indigenous populations, is one of the leading causes of death, illness and disability in each of the three partner countries and the burden of injury for the Indigenous people of these countries is significantly higher than for the respective non-Indigenous populations. In addition to death and disability, injuries contribute to a variety of chronic health consequences such as, depression, alcohol and substance abuse, smoking, eating and sleeping disorders. Clearly, injury prevention must be a priority for policy makers in each of the partner countries. The purpose of the proposed research is to increase our understanding of the relationship between injury, socio-economic disadvantage and resilience in Indigenous communities and to use this knowledge to address, and reverse, health inequalities, particularly for children and youth. The proposed research focuses on the development of effective, sustainable and culturally acceptable interventions for Indigenous children and youth based on sound evidence from a tri-country Indigenous perspective. The proposed study will document the extent of intentional and unintentional injury in Indigenous populations; describe the contexts in which injuries occur and their impact on Indigenous children and youth; and develop and evaluate community based collaborative local interventions involving health and non-health sectors which promote the health, safety and resilience of Indigenous children and youth.