It is well established that Indigenous populations of all ages experience higher rates
of diabetes, particularly type 2 diabetes (T2D) and gestational diabetes (
1
,
2
). The social (and sometimes structural) determinants of health (SDOH) provide a framework
for describing inequities in health outcomes related to race and ethnicity, income,
education, housing, built environments, food security and other factors unique to
social contexts. Although SDOH disaggregated by Indigenous status have provided some
insight into drivers of health inequity, caution must be exercised when findings are
generalized across Indigenous peoples. Pan-Indigenous research flattens diverse cultures,
communities, realities and data into a single “Indigenous” identifier. Although it
may not be intentional, pan-Indigenous approaches lead to erroneous conclusions and
possibly harmful interventions that risk perpetuating health inequities. In Canada,
researchers must understand the differences between the 3 federally recognized Indigenous
Peoples (First Nations, Métis and Inuit), but, more importantly, the diversity within
groups and the plurality of knowledge systems.To read this article in full you will need to make a payment
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Article Info
Publication History
Published online: June 22, 2022
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
Crown Copyright © 2022 Published on behalf of the Canadian Diabetes Association.
