BackgroundHealth equity is a priority in the global sustainable development agenda. Available health equity indicators often focus on health outcomes, access to healthcare, risk factors and determinants such as income, education, and gender. Lessattention has been givento other social determinants, including those related to place and ethnicity. Measures such asincome, education, and gender,however, may not provide policy-makers with sufficient information to redress inequities. In this paper, we begin to develop health equity indicators for young Pasifika peoples in Logan, Queensland, Australia. While health data on Pasifika young people in Queensland is scant, available data suggests significant inequalities. The purpose of the study was to develop an understanding of the drivers of these disparities through the lens of the social determinants of health, to create health equity indicators.MethodsFollowing meetings with community stakeholders to develop respectful and collaborative partnership processes, we took a youth participatory action research approach. Sixpeer researchers (3 male, 3 female) were recruitedfrom the Logan area for the project. Following training, the peer researchers undertook 31 qualitative interviews with young Pasifika (16-24years old). Data was manually analysed, coded and grouped into themes to develop the draft indicators. Interviews used the culturally appropriate Talanoa storytelling approach.ResultsSix key themes were identified from the interviews andwere used to develop example indicatorsrelated to: spiritual andsocio-cultural dimensions, place, access to culturally responsive services, economic and material dimensions and political dimensions. The results demonstrate health inequities experienced by Pasifika populations are strongly linked to place and their economic, social and cultural position.ConclusionsThis study emphasises the need to understand the multiplicity of place-based factors that interact in complex ways to shape health inequities for young Pasifika peoples. It highlights health equity indicators must go beyond healthcare services, outcomes and a limited number of objective determinants, to include a more holistic focus. Starting to measure health and wellbeing via the lens of the social determinants of health will help to identify where policy-makers and programmes can intervene to begin to more adequately address inequities.
