Climate change mitigation policies can either facilitate or hinder progress towards health equity, and can have particular implications for Indigenous health. We sought to summarize current knowledge about the potential impacts (co-benefits and co-harms) of climate mitigation policies and interventions on Indigenous health. Using a Kaupapa Māori theoretical positioning, we adapted a validated search strategy to identify studies for this scoping review. Our review included empirical and modeling studies that examined a range of climate change mitigation measures, with health-related outcomes analyzed by ethnicity or socioeconomic status. Data were extracted from published reports and summarized. We identified 36 studies that examined a diverse set of policy instruments, with the majority located in high-income countries. Most studies employed conventional Western research methodologies, and few examined potential impacts of particular relevance to Indigenous peoples. The existing body of knowledge is limited in the extent to which it can provide definitive evidence about co-benefits and co-harms for Indigenous health, with impacts highly dependent on individual policy characteristics and contextual factors. Improving the quality of evidence will require research partnerships with Indigenous communities and study designs that centralize Indigenous knowledges, values, realities and priorities.

中文翻译：

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气候变化减缓政策及其对土著健康的共同影响：范围界定审查

减缓气候变化的政策可以促进或阻碍健康公平的进展，并且可以对土著健康产生特殊影响。我们试图总结有关气候减缓政策和干预措施对原住民健康的潜在影响（共同利益和共同危害）的当前知识。利用考帕帕毛利人的理论定位，我们采用了经过验证的搜索策略来确定本次范围界定研究的研究。我们的审查包括实证研究和模型研究，考察了一系列气候变化缓解措施，并按种族或社会经济地位分析了与健康相关的结果。数据是从已发表的报告中提取并总结的。我们确定了 36 项研究，研究了一系列不同的政策工具，其中大多数位于高收入国家。大多数研究采用传统的西方研究方法，很少研究与土著人民特别相关的潜在影响。现有的知识体系有限，无法提供有关原住民健康的共同利益和共同危害的明确证据，其影响高度依赖于个人政策特征和背景因素。提高证据质量需要与土著社区建立研究伙伴关系，并设计集中土著知识、价值观、现实和优先事项的研究设计。