Chronic disease self‐management programs for Aboriginal and Torres Strait Islander people: Factors influencing participation in an urban setting

2019 ◽  
Vol 31 (1) ◽  
pp. 104-111 ◽  
Author(s):  
Joni Parmenter ◽  
Tabinda Basit ◽  
Alison Nelson ◽  
Emma Crawford ◽  
Bryony Kitter
2019 ◽  
Vol 25 (5) ◽  
pp. 464
Author(s):  
Jie Hu ◽  
Tabinda Basit ◽  
Alison Nelson ◽  
Emma Crawford ◽  
Lyle Turner

Work It Out is a holistic chronic disease self-management program for urban Aboriginal and Torres Strait Islander people in Queensland, which is part of an integrated and comprehensive system of care for chronic disease management. This study examines differences in primary healthcare services use between Work It Out participants and non-participants. This retrospective observational study of services use, analysed data extracted from the clinical medical records system and Work It Out program assessments. General practitioner and allied health services use were compared among the participants and non-participants using logistic regression models and zero-truncated Poisson and negative binomial regression models. Compared with non-participants, Work It Out participants were more likely to use GP management plans, GP team care arrangements, GP mental health consultation and subsequent allied health services. Among those who used the services more than once, Work It Out participants had higher service use rates than non-participants for Aboriginal and Torres Strait Islander health assessments, GP management plans, team care arrangements and podiatry, physiotherapy and dietetic services. Engagement in Work It Out can facilitate the use of primary healthcare services, which are important for chronic disease management for urban Aboriginal and Torres Strait Islander people.


2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Jacqueline Coombe ◽  
Amy E. Anderson ◽  
Natalie Townsend ◽  
Kym M. Rae ◽  
Stephanie Gilbert ◽  
...  

Abstract Background The Australian population has an unmet need for contraception. However, evidence suggests contraceptive patterns of Aboriginal and Torres Strait Islander populations are unique. To tailor contraceptive services and meet the contraceptive needs of Aboriginal and Torres Strait Islander people, it is important to understand the contributing factors to contraceptive use and non-use. Methods This study aimed to systematically review and narratively synthesise the evidence exploring the factors influencing contraceptive use among Aboriginal and Torres Strait Islander people. A systematic literature search was initially run in September 2016 and was updated again in April and August of 2018. A qualitative narrative synthesis was conducted from 2018 to 2019. Factors influencing contraceptive use or non-use were explored using a Social Ecological Model. Results The review identified 17 studies meeting the inclusion criteria published between 1972 and 2018. Most of the included studies were qualitative (n = 11), with the remaining studies being mixed methods (n = 3) or quantitative (n = 3). The majority focused on either a localised geographic area or specific Aboriginal or Torres Strait Islander community (n = 11). One study specifically focused on factors influencing contraceptive use, albeit among postpartum women. The remaining studies discussed factors influencing contraceptive use within the context of risky behaviour, sexual transmitted infections, or contraceptive practices more generally. Factors unique to individual communities included community attitudes (e.g. importance of not being too young to have a baby), specific cultural norms (e.g. subincising the penis as part of transition to manhood), and access to culturally appropriate health services. Other factors, including contraceptive characteristics (e.g. discomfort of condoms) and reproductive coercion (e.g. partner wants a baby), were similar to those found in the broader population of Australia and internationally. Most studies were lacking in quality, warranting more methodologically sound studies in the future to further assess the factors contributing to contraceptive use or non-use among Aboriginal and Torres Strait Islander people. Conclusions Identifying community specific facilitators, as well as understanding the more broadly applicable factors contributing to contraceptive use or non-use, is essential if wanting to offer appropriate contraceptive services within an Aboriginal or Torres Strait Islander community.


Author(s):  
Jing Sun ◽  
Nicholas Buys

AbstractAboriginal and Torres Strait Islander individuals continue to experience greater levels of chronic disease than the general Australian population. Evidence suggests that increased sedentary behaviors compared with the traditional healthy and active lifestyles of this population have contributed to this situation. This investigation aimed to examine the health benefits of a community-based singing activity intervention on chronic disease among Aboriginal and Torres Strait Islander Australians.From 2010 to 2011, 291 Aboriginal and Torres Strait Islander people, from Queensland, Australia, were recruited through five communities to participate in a 1-year community singing program. Participants completed a survey, in the pre- and post-intervention phases of the study, that measured social connectedness, health behavior (e.g., smoking, alcohol consumption), frequency of exercise and art activities, and medication use.Improvements in health behavior were observed for both male and female participants with chronic disease of all age groups in the community singing program. Improvements in the male and female participants included decreased social loneliness and reduced smoking behavior, increased social support, and increased participation in exercise and art activities.The participative community singing program was successful in improving the health status and increasing physical activity among Aboriginal and Torres Strait Islander adults.


Sign in / Sign up

Export Citation Format

Share Document