Abstract: TH-PO0985
Bridging the Gaps and Mapping Strategies for Optimal Indigenous Kidney Health at Global Scale
Session Information
- Diversity and Equity in Kidney Health
November 06, 2025 | Location: Exhibit Hall, Convention Center
Abstract Time: 10:00 AM - 12:00 PM
Category: Diversity and Equity in Kidney Health
- 900 Diversity and Equity in Kidney Health
Authors
- Tungsanga, Somkanya, University of Alberta, Edmonton, Alberta, Canada
- Bello, Aminu K., University of Alberta, Edmonton, Alberta, Canada
- Shah, Vallabh O., University of New Mexico HSC, Albuquerque, New Mexico, United States
Background
Approximately 480M individuals constituting 6% of the global population are Indigenous Peoples. Despite the richness and diversity of their cultures, the shared legacy of colonization has profoundly influenced their health outcomes and socioeconomic status. Indigenous Peoples experience disproportionately high rates of CKD, yet often encounter substantial barriers in access to and quality of care. These challenges are further compounded by geographic isolation, inadequate healthcare infrastructure, environmental exposures, and socioeconomic disadvantage.
Methods
Achieving ASN vision “A World Without Kidney Diseases” requires urgent attention to the needs of high-risk populations of Indigenous Peoples. We have reviewed the current status of Indigenous kidney health across regions (Africa, Asia, Australia, Canada, Latin America, New Zealand, the Pacific Islands, and US), highlighting the variability in CKD burden (Figure) and determinants, and outlining culturally safe and responsive strategies that improve care delivery and outcomes.
Results
We are presenting epidemiological and contextual analyses to provide a comprehensive global overview of Indigenous kidney health, examining how intersecting factors: colonial histories, social determinants of health, and systemic exclusion—drive poor outcomes. In particular, we explored how limited access to early intervention, culturally competent care, and sustainable kidney replacement therapy options contributes to elevated morbidity and mortality.
Conclusion
By promoting culturally responsive practices and addressing systemic barriers, this new information contributes to a broader understanding of how to bridge persistent gaps in care. It also aims to empower healthcare professionals to better support Indigenous communities through respectful, informed, and inclusive approaches to treatment and prevention.
Global map summarizing the prevalence (%) of chronic kidney disease in Indigenous populations
Funding
- Government Support – Non-U.S.