Burden of Cardiovascular Diseases Among Aboriginal and Torres Strait Islander Peoples: Mortality, Hospitalization and Risk Factors

2012 ◽  
Keyword(s):  
Risk Factors ◽  
Cardiovascular Diseases ◽  
Torres Strait Islander ◽  
Torres Strait

scholarly journals Risk factors for oral health in young, urban, Aboriginal and Torres Strait Islander children

2018 ◽  
Vol 64 (1) ◽  
pp. 72-81 ◽  
Author(s):  
K Butten ◽  
NW Johnson ◽  
KK Hall ◽  
J Anderson ◽  
M Toombs ◽  
...  
Keyword(s):  
Risk Factors ◽  
Oral Health ◽  
Torres Strait Islander ◽  
Torres Strait

Deadly Choices™ community health events: a health promotion initiative for urban Aboriginal and Torres Strait Islander people

2014 ◽  
Vol 20 (4) ◽  
pp. 379 ◽  
Author(s):  
Claire Malseed ◽  
Alison Nelson ◽  
Robert Ware ◽  
Ian Lacey ◽  
Keiron Lander
Keyword(s):  
Risk Factors ◽  
Chronic Disease ◽  
Health Education ◽  
Health Services ◽  
Community Engagement ◽  
Torres Strait Islander ◽  
Health Check ◽  
Audit Trail ◽  
Torres Strait ◽  
Health Screen

The present study was an evaluation of the effectiveness of Deadly Choices™ community events for improving participants’ short-term knowledge of chronic disease and risk factors, and increasing community engagement with local health services. Surveys were completed directly before and after participating in health education activities (pre and post surveys, respectively) assessing knowledge of chronic diseases and risk factors at three Deadly Choices community events and four National Aboriginal and Islander Day Observance Committee (NAIDOC) events in south-east Queensland where Deadly Choices health education activities took place. An audit trail was conducted at two Deadly Choices community events in Brisbane to identify the proportion of participants who undertook a health screen at the event who then followed up for a Medicare-funded health check (MBS item 715) or other appointment at an Aboriginal and Torres Strait Islander clinic in the local area within 2 months. Results were compared with a sample of participants who attended one Deadly Choices community event but did not complete a health screen. There were 472 community members who completed a pre and post survey. All knowledge scores significantly improved between baseline and follow up. Although based on a small sample, the audit trail results suggest individuals who participated in a health screen at the community day were approximately twice as likely to go back to a clinic to receive a full health check or have an alternative appointment compared with attendees who did not participate in a screen. Community events that include opportunities for health education and health screening are an effective strategy to improve chronic disease health literacy skills and appear to have the potential to increase community engagement with local Aboriginal and Torres Strait Islander health services.

scholarly journals Serum vitamin D levels, diabetes and cardio-metabolic risk factors in Aboriginal and Torres Strait Islander Australians

2014 ◽  
Vol 6 (1) ◽  
Author(s):  
Louise J Maple-Brown ◽  
Jaquelyne T Hughes ◽  
Zhong X Lu ◽  
Kanakamani Jeyaraman ◽  
Paul Lawton ◽  
...  
Keyword(s):  
Risk Factors ◽  
Vitamin D ◽  
Torres Strait Islander ◽  
Serum Vitamin ◽  
Metabolic Risk Factors ◽  
Metabolic Risk ◽  
Serum Vitamin D ◽  
Vitamin D Levels ◽  
Torres Strait

scholarly journals Household number associated with middle ear disease at an urban Indigenous health service: a cross-sectional study

2014 ◽  
Vol 20 (3) ◽  
pp. 285 ◽  
Author(s):  
Geoffrey K. P. Spurling ◽  
Deborah A. Askew ◽  
Philip J. Schluter ◽  
Fiona Simpson ◽  
Noel E. Hayman
Keyword(s):  
Risk Factors ◽  
Health Service ◽  
Middle Ear ◽  
Torres Strait Islander ◽  
Indigenous Health ◽  
Community Support ◽  
Mixed Effects ◽  
Cross Sectional ◽  
Middle Ear Disease ◽  
Torres Strait

Few epidemiological studies of middle ear disease have been conducted in Aboriginal and Torres Strait Islander populations, yet the disease is common and causes hearing impairment and poorer educational outcomes. The objective of this study is to identify factors associated with abnormal middle ear appearance, a proxy for middle ear disease. Aboriginal and Torres Strait Islander children aged 0–14 years receiving a Child Health Check (CHC) at an urban Indigenous Health Service, Brisbane, Australia were recruited from 2007 to 2010. Mixed-effects models were used to explore associations of 10 recognised risk factors with abnormal middle ear appearance at the time of the CHC. Ethical approval and community support for the project were obtained. Four hundred and fifty-three children were included and 54% were male. Participants were Aboriginal (92%), Torres Strait Islander (2%) or both (6%). Abnormal middle ear appearance was observed in 26 (6%) children and was significantly associated with previous ear infection (odds ratio (OR), 8.8; 95% confidence interval (CI), 3.2–24.0) and households with eight or more people (OR, 3.8; 95% CI, 1.1–14.1) in the imputed multivariable mixed-effects model. No significant associations were found for the other recognised risk factors investigated. Overcrowding should continue to be a core focus for communities and policy makers in reducing middle ear disease and its consequences in Aboriginal and Torres Strait Islander peoples.

Multimorbidity and vulnerability among those living with psychosis in Indigenous populations in Cape York and the Torres Strait

2021 ◽  
pp. 000486742098483
Author(s):  
Fiona Charlson ◽  
Bruce Gynther ◽  
Karin Obrecht ◽  
Michael Waller ◽  
Ernest Hunter
Keyword(s):  
Risk Factors ◽  
Confidence Interval ◽  
Psychotic Disorder ◽  
Odds Ratio ◽  
Torres Strait Islander ◽  
Psychotic Disorders ◽  
Indigenous Populations ◽  
High Rate ◽  
Cape York ◽  
Torres Strait

Objective: Previous research has found an alarmingly high rate of psychosis in Indigenous1 patients from remote communities of Cape York and the Torres Strait with the treated prevalence of psychosis four times higher than that found for the Australian population. This study assesses comorbid illness and risk factors among this same cohort of psychosis patients. Methods: Data were collated from a clinical database that contains complete psychiatric records from 1992 to 2015, extracted for all Indigenous patients who received treatment for a psychotic disorder from the Remote Area Mental Health Service. Descriptive analysis and logistic regression models explored differences across subgroups of ethnicity and sex, and relationships between co-morbid disorders and risk factors. All multivariate models included variables of age, year of birth, sex and ethnicity. Results: Sixty per cent of participants ( n = 256) experienced a comorbid mental or substance use disorder. Forty-five per cent ( n = 192) of participants experienced a physical comorbidity. The most frequent physical health outcomes were injury (29%, n = 93), diabetes (18%, n = 58) and cardiovascular disease (21%, n = 68). Risk factors considered to play a potential biological or neurodevelopmental role in the development of psychosis were approximately three times more likely in Aboriginal (odds ratio = 3.2; 95% confidence interval = [2.0, 4.9]) versus Torres Strait Islander patients, and those born after 1980 (odds ratio = 2.5; 95% confidence interval = [1.6, 3.9]) versus those born prior to 1980. Environmental or contextual factors were associated with significantly greater risk among Aboriginal (odds ratio = 3.8; 95% confidence interval = [2.4, 6.0]) compared with Torres Strait Islander patients. Conclusion: Our data expose the perinatal and early environment of Indigenous children who later developed a psychotic disorder. As risk factors for schizophrenia may be cumulative and interactive, both with each other and with critical periods of neurodevelopmental vulnerability, our results suggest possible causes for the increasing prevalence of psychotic disorders between 1992 and 2015.

Risk factors for cancer in the Australian Aboriginal and Torres Strait Islander population: a systematic review

2016 ◽  
Vol 22 (3) ◽  
pp. 190 ◽  
Author(s):  
Simon Castles ◽  
Zoe Wainer ◽  
Harindra Jayasekara
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Torres Strait Islander ◽  
Small Sample ◽  
Cancer Site ◽  
Indigenous Australians ◽  
Australian Aboriginal ◽  
Increased Risk ◽  
Potential Risk Factors ◽  
Torres Strait

Cancer incidence in the Australian Aboriginal and Torres Strait Islander population is higher and survival lower compared with non-Indigenous Australians. A proportion of these cancers are potentially preventable if factors associated with carcinogenesis are known and successfully avoided. We conducted a systematic review of the published literature to examine risk factors for cancer in the Australian Aboriginal and Torres Strait Islander population. Electronic databases Medline, Web of Science and the Australian Aboriginal and Torres Strait Islander Health Bibliographic Index were searched through August 2014 using broad search terms. Studies reporting a measure of association between a risk factor and any cancer site in the Australian Aboriginal and Torres Strait Islander population were eligible for inclusion. Ten studies (1991–2014) were identified, mostly with small sample sizes, showing marked heterogeneity in terms of methods used to assess exposure and capture outcomes, and often using descriptive comparative analyses. Relatively young (as opposed to elderly) and geographically remote Aboriginal and Torres Strait Islanders were found to be at increased risk for selected cancers while most modifiable lifestyle and behavioural risk factors were rarely assessed. Further studies examining associations between potential risk factors and cancer will help define public health policy for cancer prevention in the Australian Aboriginal and Torres Strait Islander population.

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