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Momentum is building for epidemiological research undertaken with, for, and by Indigenous peoples. This work often follows a strength-based approach, emphasising the inherent assets and resilience of Indigenous communities and the role of culture as the foundation of our individual, social, ecological, and spiritual health and well-being. This chapter provides an overview of current discourses around centring Indigenous ontologies (ways of being), epistemologies (ways of knowing), and axiologies (ways of doing), also known as Indigenous ‘lifeworlds’, in epidemiology with a particular focus on Indigenous Australian (Aboriginal and Torres Strait Islander) perspectives. Mayi Kuwayu: The National Study of Aboriginal and Torres Strait Islander Wellbeing is used as a key example illustrating how epidemiological research may be led, owned, and governed by Indigenous peoples to produce rigorous and meaningful data that reflect Indigenous lifeworlds, known as ‘good data’. Applying an Indigenous lens to epidemiological research generates valuable lessons for the development of the DOHaD lifecourse framework and future studies that seek to address holistic determinants of intergenerational health and well-being.
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