Advancing brain health equity with Indigenous peoples: A critical imperative
Indigenous communities hold rich knowledges, cultural practices, and kinship networks that sustain cognitive resilience and nurture brain health across the life course. Yet these enduring strengths are often obscured by biomedical models that overlook the structural determinants of health-including...
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2026
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| author | Antonia J Clarke Cliff Whetung Astrid Suchy-Dicey Adrienne Withall Kylie Radford Diane C. Gooding Louise Lavrencic Makarena Dudley Dina Lo Giudice Leon Flicker Arantxa Sánchez Boluarte Sulakshna Aggarwal Kyle R Conniff Amy Brodtmann Mónica María Díaz Stefanie A Tremblay Emmanuel S Nwofe Carey E. Gleason Kristen Jacklin Keawe'aimoku Kaholokula J Chontel Gibson Juliana Souza-Talarico Pamela Roach |
| author_browse | Adrienne Withall Amy Brodtmann Antonia J Clarke Arantxa Sánchez Boluarte Astrid Suchy-Dicey Carey E. Gleason Chontel Gibson Cliff Whetung Diane C. Gooding Dina Lo Giudice Emmanuel S Nwofe Juliana Souza-Talarico Keawe'aimoku Kaholokula J Kristen Jacklin Kyle R Conniff Kylie Radford Leon Flicker Louise Lavrencic Makarena Dudley Mónica María Díaz Pamela Roach Stefanie A Tremblay Sulakshna Aggarwal |
| author_facet | Antonia J Clarke Cliff Whetung Astrid Suchy-Dicey Adrienne Withall Kylie Radford Diane C. Gooding Louise Lavrencic Makarena Dudley Dina Lo Giudice Leon Flicker Arantxa Sánchez Boluarte Sulakshna Aggarwal Kyle R Conniff Amy Brodtmann Mónica María Díaz Stefanie A Tremblay Emmanuel S Nwofe Carey E. Gleason Kristen Jacklin Keawe'aimoku Kaholokula J Chontel Gibson Juliana Souza-Talarico Pamela Roach |
| author_sort | Antonia J Clarke |
| collection | Producción científica |
| description | Indigenous communities hold rich knowledges, cultural practices, and kinship networks that sustain cognitive resilience and nurture brain health across the life course. Yet these enduring strengths are often obscured by biomedical models that overlook the structural determinants of health-including the cumulative effects of colonization, educational inequity, and socioeconomic disadvantage-that diminish brain health. Accordingly, dementia disproportionately affects Indigenous populations globally, often presenting with earlier onset and higher prevalence compared to non-Indigenous groups. This perspective synthesizes the current epidemiological evidence, situates dementia risk within its structural and historical context, and explores how Indigenous knowledges, cultural continuity, and community leadership can inform dementia research and care more broadly. Our global insights call for a decisive shift: to decolonize dementia research and policy and move beyond deficit-based narratives toward approaches that prioritize Indigenous leadership and culturally grounded, strengths-based pathways to brain health equity. HIGHLIGHTS: This perspective synthesizes global evidence on dementia epidemiology among Indigenous populations, examining structural determinants and Indigenous perspectives on brain health and dementia care. Structural inequities and the enduring legacies of colonization, rather than biology alone, underpin the disproportionate dementia burden among Indigenous peoples worldwide. Centering culture, kinship, and connection to land and community reframes brain health beyond biomedical models and reveals cultural resilience as a powerful neuroprotective resource. Key recommendations call for Indigenous leadership and locally tailored, culturally grounded approaches to advance lifelong brain health equity and develop strengths-based models of dementia care. |
| format | Article |
| id | oai:cris.upeu.edu.pe:20.500.15037/1155 |
| institution | UPeU |
| language | English |
| publishDate | 2026 |
| publishDateRange | 2026 |
| publishDateSort | 2026 |
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| spelling | oai:cris.upeu.edu.pe:20.500.15037/11552026-10-30T16:15:16ZAdvancing brain health equity with Indigenous peoples: A critical imperativeAntonia J ClarkeCliff WhetungAstrid Suchy-DiceyAdrienne WithallKylie RadfordDiane C. GoodingLouise LavrencicMakarena DudleyDina Lo GiudiceLeon FlickerArantxa Sánchez BoluarteSulakshna AggarwalKyle R ConniffAmy BrodtmannMónica María DíazStefanie A TremblayEmmanuel S NwofeCarey E. GleasonKristen JacklinKeawe'aimoku Kaholokula JChontel GibsonJuliana Souza-TalaricoPamela RoachIndigenousDementiaHealth equityPsychological resilienceEconomic growthEquity (law)SociologyHealth careMental healthPerspective (graphical)Socioeconomic statusLife course approachPolitical scienceNature versus nurtureSocial determinants of healthMedicinePsychologyTransformative learningGrounded theoryGerontologyGlobal healthEnvironmental ethicsPublic relationsPublic healthHealth policyEpidemiologyCognitive declineConceptual frameworkIndigenousDementiaHealth equityPsychological resilienceEquity (law)Health careMental healthPerspective (graphical)Health EquityHealth EquityHealth EquityHealth EquityIndigenous PeoplesIndigenous PeoplesIndigenous PeoplesIndigenous PeoplesBrainBrainBrainBrainDementia ethnologyDementia ethnologyDementia ethnologyDementia ethnologyDementia epidemiologyDementia epidemiologyDementia epidemiologyDementia epidemiologyHumansHumansHumansHumansSocial Sciences Social Sciences Health Indigenous Health, Education, and RightsHealth Sciences Health Professions General Health Professions Indigenous Studies and EcologyHealth Sciences Health Professions General Health Professions Indigenous Health and EducationIndigenous communities hold rich knowledges, cultural practices, and kinship networks that sustain cognitive resilience and nurture brain health across the life course. Yet these enduring strengths are often obscured by biomedical models that overlook the structural determinants of health-including the cumulative effects of colonization, educational inequity, and socioeconomic disadvantage-that diminish brain health. Accordingly, dementia disproportionately affects Indigenous populations globally, often presenting with earlier onset and higher prevalence compared to non-Indigenous groups. This perspective synthesizes the current epidemiological evidence, situates dementia risk within its structural and historical context, and explores how Indigenous knowledges, cultural continuity, and community leadership can inform dementia research and care more broadly. Our global insights call for a decisive shift: to decolonize dementia research and policy and move beyond deficit-based narratives toward approaches that prioritize Indigenous leadership and culturally grounded, strengths-based pathways to brain health equity. HIGHLIGHTS: This perspective synthesizes global evidence on dementia epidemiology among Indigenous populations, examining structural determinants and Indigenous perspectives on brain health and dementia care. Structural inequities and the enduring legacies of colonization, rather than biology alone, underpin the disproportionate dementia burden among Indigenous peoples worldwide. Centering culture, kinship, and connection to land and community reframes brain health beyond biomedical models and reveals cultural resilience as a powerful neuroprotective resource. Key recommendations call for Indigenous leadership and locally tailored, culturally grounded approaches to advance lifelong brain health equity and develop strengths-based models of dementia care.Articlehttps://pubmed.ncbi.nlm.nih.gov/41738518https://doi.org/10.1002/alz.7112510.1002/alz.71125https://hdl.handle.net/20.500.15037/1155W7131410761enAlzheimer s & Dementia1552-52601552-52792026-02-012026-06-13T09:47:54Z2026-06-13T09:47:54Z |
| spellingShingle | Indigenous Dementia Health equity Psychological resilience Economic growth Equity (law) Sociology Health care Mental health Perspective (graphical) Socioeconomic status Life course approach Political science Nature versus nurture Social determinants of health Medicine Psychology Transformative learning Grounded theory Gerontology Global health Environmental ethics Public relations Public health Health policy Epidemiology Cognitive decline Conceptual framework Indigenous Dementia Health equity Psychological resilience Equity (law) Health care Mental health Perspective (graphical) Health Equity Health Equity Health Equity Health Equity Indigenous Peoples Indigenous Peoples Indigenous Peoples Indigenous Peoples Brain Brain Brain Brain Dementia ethnology Dementia ethnology Dementia ethnology Dementia ethnology Dementia epidemiology Dementia epidemiology Dementia epidemiology Dementia epidemiology Humans Humans Humans Humans Social Sciences Social Sciences Health Indigenous Health, Education, and Rights Health Sciences Health Professions General Health Professions Indigenous Studies and Ecology Health Sciences Health Professions General Health Professions Indigenous Health and Education Antonia J Clarke Cliff Whetung Astrid Suchy-Dicey Adrienne Withall Kylie Radford Diane C. Gooding Louise Lavrencic Makarena Dudley Dina Lo Giudice Leon Flicker Arantxa Sánchez Boluarte Sulakshna Aggarwal Kyle R Conniff Amy Brodtmann Mónica María Díaz Stefanie A Tremblay Emmanuel S Nwofe Carey E. Gleason Kristen Jacklin Keawe'aimoku Kaholokula J Chontel Gibson Juliana Souza-Talarico Pamela Roach Advancing brain health equity with Indigenous peoples: A critical imperative |
| title | Advancing brain health equity with Indigenous peoples: A critical imperative |
| title_full | Advancing brain health equity with Indigenous peoples: A critical imperative |
| title_fullStr | Advancing brain health equity with Indigenous peoples: A critical imperative |
| title_full_unstemmed | Advancing brain health equity with Indigenous peoples: A critical imperative |
| title_short | Advancing brain health equity with Indigenous peoples: A critical imperative |
| title_sort | advancing brain health equity with indigenous peoples a critical imperative |
| topic | Indigenous Dementia Health equity Psychological resilience Economic growth Equity (law) Sociology Health care Mental health Perspective (graphical) Socioeconomic status Life course approach Political science Nature versus nurture Social determinants of health Medicine Psychology Transformative learning Grounded theory Gerontology Global health Environmental ethics Public relations Public health Health policy Epidemiology Cognitive decline Conceptual framework Indigenous Dementia Health equity Psychological resilience Equity (law) Health care Mental health Perspective (graphical) Health Equity Health Equity Health Equity Health Equity Indigenous Peoples Indigenous Peoples Indigenous Peoples Indigenous Peoples Brain Brain Brain Brain Dementia ethnology Dementia ethnology Dementia ethnology Dementia ethnology Dementia epidemiology Dementia epidemiology Dementia epidemiology Dementia epidemiology Humans Humans Humans Humans Social Sciences Social Sciences Health Indigenous Health, Education, and Rights Health Sciences Health Professions General Health Professions Indigenous Studies and Ecology Health Sciences Health Professions General Health Professions Indigenous Health and Education |
| topic_facet | Indigenous Dementia Health equity Psychological resilience Economic growth Equity (law) Sociology Health care Mental health Perspective (graphical) Socioeconomic status Life course approach Political science Nature versus nurture Social determinants of health Medicine Psychology Transformative learning Grounded theory Gerontology Global health Environmental ethics Public relations Public health Health policy Epidemiology Cognitive decline Conceptual framework Indigenous Dementia Health equity Psychological resilience Equity (law) Health care Mental health Perspective (graphical) Health Equity Health Equity Health Equity Health Equity Indigenous Peoples Indigenous Peoples Indigenous Peoples Indigenous Peoples Brain Brain Brain Brain Dementia ethnology Dementia ethnology Dementia ethnology Dementia ethnology Dementia epidemiology Dementia epidemiology Dementia epidemiology Dementia epidemiology Humans Humans Humans Humans Social Sciences Social Sciences Health Indigenous Health, Education, and Rights Health Sciences Health Professions General Health Professions Indigenous Studies and Ecology Health Sciences Health Professions General Health Professions Indigenous Health and Education |
| url | https://pubmed.ncbi.nlm.nih.gov/41738518 https://doi.org/10.1002/alz.71125 https://hdl.handle.net/20.500.15037/1155 |
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