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This article has been cited by other articles in PMC. Addressing persistent and current Aboriginal health inequities requires considering both the contexts in which disparities exist and innovative and culturally appropriate means of rectifying those inequities. Aboriginal children experience a greater burden of ill families fit together a future tourist agents view compared with other children in Canada, and these health inequities have persisted for too long.

A change that will impact individuals, communities and nations, a change that will last beyond seven generations, is required. Applying a social determinants of health framework to health inequities experienced by Aboriginal children can create that change.

Addressing Aboriginal health inequities, which are lived by our children, requires considering both the contexts in which disparities exist and the most innovative and culturally appropriate means of rectifying those inequities. This lack of data impedes the ability to derive accurate and reliable understandings regarding health inequities, an issue unto itself that requires remedying 1. These data, however, are weak because they often do not account for families fit together a future tourist agents view social determinants of health.

Social determinants of health increasingly explain the most pressing global inequities. These determinants, among others, include peace, income, shelter, education, food, a stable ecosystem, sustainable resources, and social justice and equity 3. Essentially, a social determinant of health lens considers both the causes of the causes of disparities 5 and the causes that underlie the causes of the causes 6. Such a framework is imperative to understanding the enduring health inequities between Indigenous and non-Indigenous peoples.

Social determinants of health and the future well-being of Aboriginal children in Canada

In Canada, Aboriginal children experience higher rates of infant mortality 8tuberculosis 9injuries and deaths 10youth suicide 11middle ear infections 12 — 14childhood obesity and diabetes 15dental caries 16 and increased exposure to environmental contaminants including tobacco smoke 121417. Immunization rates for Aboriginal children are lower than those of non-Aboriginal children 1819as are rates of accessing a families fit together a future tourist agents view 20.

These health inequities can only be understood and intervened upon if understood as holistic challenges. Such an understanding requires moving beyond the physical realm, or the absence of disease, to include the social, spiritual and emotional realms. Aboriginal children are born into a colonial legacy that results in low socioeconomic status 21high rates of substance abuse 22 and increased incidents of interaction with the criminal justice system 23.

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These are linked with intergenerational trauma associated with residential schooling 24 and the extensive loss of language and culture 25. The basis of adult health and health inequity begin in early childhood 27.

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First, there are proximal determinants of health. These have a direct impact on the physical, emotional, mental and or spiritual health of an individual, and include employment, income and education. Second are intermediate determinants, the origin of proximal determinants, inclusive of community infrastructure, cultural continuity and health care systems.

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Third are the distal determinants, which include colonialism, racism, social exclusion and self-determination; these comprise the context in which intermediate and proximal determinants are constructed and are the most difficult to change. However, if transformed, distal determinants may yield the greatest health impacts and, thus, long-term change to Aboriginal child health inequities Figure 1.