Indigenous Health

What term do I use?

Terms used to refer to Indigenous populations vary by country, by database, by discipline, and by whose perspective is privileged.

Community term use:

• "For most tribes, there is one tribal term of self-reference and one other term, either corrupted from the original or entirely foreign. Sometimes those corrupted terms are more common than the more accurate ones tribes and tribal people use. Such is the case for the people the Spanish called Navajo but who call themselves Diné". Anton Treuer, Everything You Wanted to Know About Indians But Were Afraid To Ask

Examples:

(Structure your search to include both perspectives by using the Boolean operator "OR":)

**Some historically racist aspects of medicine (ie, the spirometer) remain embedded in modern practice. Be wary of "evidence" that ties health outcomes to race, rather than racism or socioeconomic inequity.

Terms by country:

• In United States research literature, as well as coloquially, people use "Native American", "American Indian", "Alaska Native", "Native", and very rarely, "Indigenous".
  • The US government Office of Management and Budget established "American Indian or Alaska Native" as terms to be used in official US government documents in 1977.
  • The categories used by the US Census have varied over time, and the current category used is "American Indian or Alaska Native", with other categories available for Indigenous peoples of Hawaii and the Pacific ocean.
  • These terms were not developed with any kind of group consent from the communities being labeled, and may not reflect what these communities prefer to be called
• In Canada
  • "First Nations" was used in the past, though it does not include Métis nor Inuit people
  • "Aboriginal" is used as a general term to refer to all ethnicities of people native to Canada, and has a legal definition in that country
  • "Indigenous" is also used as a general term to refer to all ethnicities of people native to Canada, though it is most often used to refer to people in an international, transnational, or global context
  • As in the US, within Canada the term "Indian" has a legal definition, and in CA refers to a person registered under the Indian Act

the above information on terms in Canada sourced from The University of British Columbia's First Nations & Indigenous Studies Indigenous Foundations "Terminology" webpage.

PubMed Medical subject headings (Mesh) relevant to Indigenous health

"Indigenous Peoples"[Mesh]

"American Indian or Alaska Native"[Mesh] - NEW TERM - use for articles published in 2022 or later.

- for articles published 1990 to 2021, use "Indians, North American"[Mesh]

"Alaska Natives"[Mesh]

"Indians, North American"[Mesh] - OLD TERM - only used on articles published 1990 to 2021

- for articles published in 2022 or later, use "American Indian or Alaska Native"[Mesh]

"Indigenous Canadians"[Mesh]

"Inuit"[Mesh]

"Indians, Central American"[Mesh]

"Indians, South American"[Mesh]

"Health Disparity, Minority and Vulnerable Populations"[Mesh]

"Health Services, Indigenous"[Mesh]

"United States Indian Health Service"[Mesh]

"Medicine, Traditional'[Mesh]

"Ethnopharmacology"[Mesh]

CINAHL subject headings relevant to Indigenous health

(MH "Arctic Peoples") (up until 2021, the subject heading was "Eskimos [Note: "For genetic and physiological as well as cultural and social discussion of Eskimos.")

(MH "Indigenous Peoples")

(MH "Aboriginal Canadians")

(MH "Anishanaabe Persons")

(MH "Canadian Inuit")

(MH "First Nations of Canada")

(MH "Metis")

(MH "Arctic Peoples")

(MH "Inuit") [NOTE: "Group of culturally similar indigenous peoples of Arctic and near-Arctic Canada, Alaska, and Greenland."

(MH "First Nations of Australia")

(MH "Maori")

(MH "Native Americans")  [NOTE: "For native peoples of the United States and non-Arctic Alaska regions"]

(MH "Alaska Natives")

*there are more terms for specific nations and tribes, see here for the full list

(MH "Native Hawaiians")

(MH "Sami Persons")

(MH "Zapotec Persons")

(MH "Health Services, Indigenous") scope note: "Health care provided to specific cultural or tribal members which incorporates local customs, beliefs, and taboos."

(MH "Indigenous Health") scope note: "The physical, mental, and emotional wellbeing of Indigenous Peoples."

(MH "Medicine, Traditional") scope note: "A general term for any system of medicine that has ancient or primitive origin, cultural bonds, and trained or traditional healers. General only; prefer specifics."

(MH "Medicine, Native American Traditional") scope note: "Traditional medicine based on the customs, beliefs, and practices of Native American cultures."

(DH "Traditional Healers") scope note: "Health personnel who provide health care and advice to their communities utilizing traditional knowledge."