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https://www.readbyqxmd.com/read/29443892/an-exploration-of-underrepresentation-of-aboriginal-cancer-patients-attending-a-regional-radiotherapy-service-in-western-australia
#1
Marilyn Lyford, Margaret M Haigh, Siddhartha Baxi, Shelley Cheetham, Shaouli Shahid, Sandra C Thompson
Travel logistics impede Aboriginal patients' uptake of cancer treatments and is one reason for the poorer outcomes of Aboriginal people with cancer. This research examined benefits of a newly established rurally based radiotherapy unit in southwest Western Australia (WA), and included exploring the experience of Aboriginal patients and possible reasons for Aboriginal people's underrepresentation in treatment. Semi-structured in-depth interviews with 21 service providers involved in the treatment and care of people with cancer, and 3 Aboriginal patients with cancer who undertook radiotherapy at the Service were undertaken...
February 14, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29442406/supporting-youth-wellbeing-with-a-focus-on-eating-well-and-being-active-views-from-an-aboriginal-community-deliberative-forum
#2
Jackie Street, Heather Cox, Edilene Lopes, Jessie Motlik, Lisa Hanson
OBJECTIVE: Including and prioritising community voice in policy development means policy is more likely to reflect community values and priorities. This project trialled and evaluated a storyboard approach in a deliberative community forum to engage Australian Aboriginal people in health policy priority setting. METHODS: The forum was co-constructed with two Aboriginal community-controlled organisations. A circle storyboard was used to centre Aboriginal community knowledge and values and encourage the group to engage with broader perspectives and evidence...
February 14, 2018: Australian and New Zealand Journal of Public Health
https://www.readbyqxmd.com/read/29442395/paediatric-thoracic-empyema-in-the-tropical-north-queensland-region-of-australia-epidemiological-trends-over-a-decade
#3
Anil Gautam, Gregory G Wiseman, Marika L Goodman, Simon Ahmedpour, Daniel Lindsay, Adele Heyer, Harry Stalewski, Robert E Norton, Andrew V White
AIM: The Townsville Hospital and Health Service is the regional referral centre for children in the north of Queensland. Aboriginal and Torres Strait Islander (ATSI) people make up 7-10% of the population. Increasing numbers of children with paediatric thoracic empyema (pTE) are being referred to Townsville Hospital and Health Service for management. This study aims to describe the incidence rates, epidemiology, microbiology and trends of this disease in North Queensland over a 10-year period...
February 14, 2018: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/29440236/the-consequences-of-patient-charges-for-prescription-drugs-in-canada-a-cross-sectional-survey
#4
Michael R Law, Lucy Cheng, Ashra Kolhatkar, Laurie J Goldsmith, Steven G Morgan, Anne M Holbrook, Irfan A Dhalla
BACKGROUND: Many Canadians face substantial out-of-pocket charges for prescription drugs. Prior work suggests that this causes some patients to not take their medications as prescribed; however, we have little understanding of whether charges for prescription medicines lead patients to forego basic needs or to use more health care services. Our study aimed to quantify the consequences of patient charges for medicines in Canada. METHODS: As part of the 2016 Canadian Community Health Survey, we designed and fielded cross-sectional questions to 28 091 Canadians regarding prescription drug affordability, consequent use of health care services and trade-offs with other expenditures...
February 5, 2018: CMAJ Open
https://www.readbyqxmd.com/read/29439924/canada-s-evacuation-policy-for-pregnant-first-nations-women-resignation-resilience-and-resistance
#5
Karen M Lawford, Audrey R Giles, Ivy L Bourgeault
BACKGROUND: Aboriginal peoples in Canada are comprised of First Nations, Métis, and Inuit. Health care services for First Nations who live on rural and remote reserves are mostly provided by the Government of Canada through the federal department, Health Canada. One Health Canada policy, the evacuation policy, requires all First Nations women living on rural and remote reserves to leave their communities between 36 and 38 weeks gestational age and travel to urban centres to await labour and birth...
February 10, 2018: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/29436176/exploring-the-impact-of-aboriginal-health-placement-experiences-on-the-preparation-of-dietetic-graduates-for-practice-with-aboriginal-communities
#6
Ruby Svarc, Corinne Davis, Helena McDonald, Julia Perruzza, Jennifer Browne, Robyn Delbridge, Keith Morgan, Sharleen O'Reilly, Claire Margerison, Claire Palermo
AIM: A health workforce with the ability to practice with Aboriginal communities is crucial to bridge the health gap between Aboriginal and non-Aboriginal Australians. This study aimed to explore the impact of university Aboriginal health placements on preparing dietetic graduates for practice with Aboriginal communities. METHODS: A mixed methods sequential explanatory design was used. A sample of 594 dietetic graduates was invited to complete a survey that identified Aboriginal health experiences and measured attitudes and self-confidence towards working in Aboriginal health using a five-point Likert scale...
February 13, 2018: Nutrition & Dietetics: the Journal of the Dietitians Association of Australia
https://www.readbyqxmd.com/read/29423693/water-infrastructure-and-well-being-among-first-nations-m%C3%A3-tis-and-inuit-individuals-in-canada-what-does-the-data-tell-us
#7
Melanie O'Gorman, Stephen Penner
This paper documents the association between water and sanitation infrastructure and health indicators in Canada for First Nations, Métis and Inuit individuals living on and off-reserve in Canada. We use two data sources: the Aboriginal Peoples Survey and a survey conducted in a First Nations community in northern Manitoba-St. Theresa Point First Nation. We find statistically significant relationships between water infrastructure and health status in both sources of data. In particular, among individuals living off-reserve, contaminated water is associated with a 5-7% lower likelihood of reporting good self-rated health and a 4% higher probability of reporting a health condition or stomach problem...
February 8, 2018: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/29420926/process-redesign-of-a-surgical-pathway-improves-access-to-cataract-surgery-for-aboriginal-and-torres-strait-islander-people-in-south-east-queensland
#8
Lisa Penrose, Yvette Roe, Natalie A Johnson, Erica L James
The Institute for Urban Indigenous Health (IUIH) aimed to improve access to cataract surgery in urban South East Queensland (SEQ) for Indigenous Australians, without compromising clinical visual outcomes. The Penchansky and Levesque concept of access as the 'fit' between the patient's needs and the ability of the system to meet those needs was used to inform the redesign of the mainstream cataract surgical pathway. The IUIH staff and community stakeholders mapped the traditional external cataract surgical pathway and then innovatively redesigned it to reduce the number of patients being removed by the system at key transition points...
February 9, 2018: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/29415024/identifying-evidence-practice-gaps-and-strategies-for-improvement-in-aboriginal-and-torres-strait-islander-maternal-health-care
#9
Melanie E Gibson-Helm, Jodie Bailie, Veronica Matthews, Alison F Laycock, Jacqueline A Boyle, Ross S Bailie
INTRODUCTION: Adverse pregnancy outcomes are more common among Aboriginal and Torres Strait Islander populations than non-Indigenous populations in Australia. Later in life, most of the difference in life expectancy between Aboriginal and Torres Strait Islander women and non-Indigenous women is due to non-communicable diseases (NCDs). Most Aboriginal and Torres Strait Islander women attend health services regularly during pregnancy. Providing high-quality care within these appointments has an important role to play in improving the current and future health of women and babies...
2018: PloS One
https://www.readbyqxmd.com/read/29392872/transformative-effects-of-aboriginal-health-placements-for-medical-nursing-and-allied-health-students-a-systematic-review
#10
REVIEW
Helena McDonald, Jennifer Browne, Julia Perruzza, Ruby Svarc, Corinne Davis, Karen Adams, Claire Palermo
The aim of the present systematic review was to investigate whether placements in Aboriginal health affect the self-perceived skill in working in Aboriginal health settings and career aspirations of health students, and in particular, aspects of the placement that had the greatest impact. The Embase, Cinahl, ProQuest, Scopus, Informit, Ovid MEDLINE, PsychINFO, and PubMed databases were searched in April/May 2016. Placements of at least 1 week duration in an Aboriginal health setting involving Australian students of medical, nursing, dentistry, or allied health disciplines, with outcomes relating to changes in students' knowledge, attitudes, and/or career aspirations, were included...
February 2, 2018: Nursing & Health Sciences
https://www.readbyqxmd.com/read/29391385/the-nice-gut-trial-protocol-a-randomised-placebo-controlled-trial-of-oral-nitazoxanide-for-the-empiric-treatment-of-acute-gastroenteritis-among-australian-aboriginal-children
#11
Claire S Waddington, Charlie McLeod, Peter Morris, Asha Bowen, Mark Naunton, Jonathan Carapetis, Keith Grimwood, Roy Robins-Browne, Carl D Kirkwood, Robert Baird, David Green, Ross Andrews, Deborah Fearon, Joshua Francis, Julie A Marsh, Thomas Snelling
INTRODUCTION: Diarrhoeal disease is the second leading cause of death in children under 5 years globally, killing 525 000 annually. Australian Aboriginal and Torres Strait Islander (hereafter Aboriginal) children suffer a high burden of disease. Randomised trials in other populations suggest nitazoxanide accelerates recovery for children with Giardia, amoebiasis, Cryptosporidium, Rotavirus and Norovirus gastroenteritis, as well as in cases where no enteropathogens are found. METHODS AND ANALYSIS: This double blind, 1:1 randomised, placebo controlled trial is investigating the impact of oral nitazoxanide on acute gastroenteritis in hospitalised Australian Aboriginal children aged 3 months to <5 years...
February 1, 2018: BMJ Open
https://www.readbyqxmd.com/read/29391019/evaluation-of-the-deadly-liver-mob-program-insights-for-roll-out-and-scale-up-of-a-pilot-program-to-engage-aboriginal-australians-in-hepatitis-c-and-sexual-health-education-screening-and-care
#12
Carla Treloar, Max Hopwood, Elena Cama, Veronica Saunders, L Clair Jackson, Melinda Walker, Catriona Ooi, Ashley Ubrihien, James Ward
BACKGROUND: Deadly Liver Mob (DLM) is a peer-driven, incentivised health promotion program aimed at increasing understanding of hepatitis C, promoting harm reduction in relation to injecting drug use, and linking participants to screening for hepatitis C, other blood borne viruses and sexually transmissible infections among Aboriginal people in Western Sydney, NSW. This paper presents the evaluation of a pilot study examining the acceptability of the program as a first step of a scalability assessment...
February 1, 2018: Harm Reduction Journal
https://www.readbyqxmd.com/read/29385811/applying-strengths-model-principles-to-build-a-rural-community-based-mental-health-support-service-and-achieve-recovery-outcomes
#13
Debra Dunstan, Donnah Anderson
INTRODUCTION: The Personal Helpers and Mentors (PHaMs) service is a non-clinical, community-based Australian Government initiative aimed at increasing opportunities for recovery for people whose lives are severely affected by mental illness. Using a strengths-based recovery model, PHaMs caseworkers support and mentor people 'at risk of falling through the gaps' between state funded clinical treatment services and federally funded social services (such as supported housing, education and employment)...
February 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/29384250/factors-relating-to-high-psychological-distress-in-indigenous-australians-and-their-contribution-to-indigenous-non-indigenous-disparities
#14
Bridgette J McNamara, Emily Banks, Lina Gubhaju, Grace Joshy, Anna Williamson, Beverley Raphael, Sandra Eades
OBJECTIVE: To explore factors associated with high psychological distress among Aboriginal and non-Aboriginal Australians and their contribution to the elevated distress prevalence among Aboriginal people. METHODS: Questionnaire data from 1,631 Aboriginal and 233,405 non-Aboriginal 45 and Up Study (NSW, Australia) participants aged ≥45 years were used to calculate adjusted prevalence ratios for high psychological distress (Kessler-10 score ≥22) for socio-demographic, health and disability-related factors, and to quantify contributions to differences in distress prevalence...
January 31, 2018: Australian and New Zealand Journal of Public Health
https://www.readbyqxmd.com/read/29384012/nurse-led-diabetic-retinopathy-screening-a-pilot-study-to-evaluate-a-new-approach-to-vision-care-for-canadian-aboriginal-peoples
#15
Shelley Spurr, Carol Bullin, Jill Bally, Krista Trinder, Shahab Khan
Diabetic retinopathy is the most common cause of new cases of blindness and is pandemic among Aboriginal people around the world. To reduce health inequities, accessible vision screening among these high-risk populations is essential. To assess cardio-metabolic co-morbidities associated with type 2 diabetes and the use of a portable fundus camera as a novel approach for convenient, earlier and more accessible vision screening for Aboriginal peoples living with type 2 diabetes in northern and remote Canadian communities...
December 2018: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/29382411/the-epidemiology-of-trichinellosis-in-the-arctic-territories-of-a-far-eastern-district-of-the-russian-federation
#16
A Uspensky, L Bukina, I Odoevskaya, S Movsesyan, M Voronin
Trichinellosis, a zoonotic disease caused by nematodes of the genus Trichinella, is still a public health concern in the Arctic. The aims of this study were to investigate the seroprevalence of anti-Trichinella IgG in aboriginal peoples of two settlements in the Chukotka Autonomous Okrug (Russian Federation) on the Arctic coast of the Bering Sea, and to evaluate the survival of Trichinella nativa larvae in local fermented and frozen meat products. A seroprevalence of 24.3% was detected in 259 people tested by an enzyme-linked immunosorbent assay (ELISA)...
January 31, 2018: Journal of Helminthology
https://www.readbyqxmd.com/read/29382343/evidence-to-service-gap-cardiac-rehabilitation-and-secondary-prevention-in-rural-and-remote-western-australia
#17
Sandra Hamilton, Belynda Mills, Shelley McRae, Sandra Thompson
BACKGROUND: Cardiovascular disease (CVD), a leading cause of morbidity and mortality, has similar incidence in metropolitan and rural areas but poorer cardiovascular outcomes for residents living in rural and remote Australia. Cardiac Rehabilitation (CR) is an evidence-based intervention that helps reduce subsequent cardiovascular events and rehospitalisation. Unfortunately CR attendance rates are as low as 10-30% with rural/remote populations under-represented. This in-depth assessment investigated the provision of CR and secondary prevention services in Western Australia (WA) with a focus on rural and remote populations...
January 30, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29374482/what-is-known-about-pathways-to-mental-health-care-for-australian-aboriginal-young-people-a-narrative-review
#18
REVIEW
Alexandra Kilian, Anna Williamson
OBJECTIVES: To (1) gain an understanding of current trajectories of Aboriginal young people through the mental health care system in Australia; (2) summarize what mental health care pathways have been developed or evaluated to guide mental health care delivery for Aboriginal young people; and (3) identify barriers and facilitators to the adoption of effective mental health care pathways for Aboriginal young people. METHODS: Databases, including, AMED, Embase, Global Health, Health and Psychosocial Instruments, Healthstar, MEDLINE, PsychINFO via Ovid, CINAHL via EBSCO, The Cochrane Library, Indigenous Collections, Informit and Health Systems Evidence, were searched to identify evidence concerning mental health service delivery for Aboriginal young people in a primary care setting...
January 27, 2018: International Journal for Equity in Health
https://www.readbyqxmd.com/read/29373595/hospitalizations-due-to-unintentional-transport-injuries-among-aboriginal-population-of-british-columbia-canada-incidence-changes-over-time-and-ecological-analysis-of-risk-markers
#19
Mariana Brussoni, M Anne George, Andrew Jin, Ofer Amram, Rod McCormick, Christopher E Lalonde
BACKGROUND: Worldwide, Indigenous people have disproportionately higher rates of transport injuries. We examined disparities in injury-related hospitalizations resulting from transport incidents for three population groups in British Columbia (BC): total population, Aboriginal off-reserve, and Aboriginal on-reserve populations. We also examined sociodemographic, geographic and ethnic risk markers for disparities. METHODS: We identified Aboriginal people through BC's universal health care insurance plan insurance premium group and birth and death record notations...
2018: PloS One
https://www.readbyqxmd.com/read/29368657/characteristics-of-indigenous-primary-health-care-service-delivery-models-a-systematic-scoping-review
#20
REVIEW
Stephen G Harfield, Carol Davy, Alexa McArthur, Zachary Munn, Alex Brown, Ngiare Brown
BACKGROUND: Indigenous populations have poorer health outcomes compared to their non-Indigenous counterparts. The evolution of Indigenous primary health care services arose from mainstream health services being unable to adequately meet the needs of Indigenous communities and Indigenous peoples often being excluded and marginalised from mainstream health services. Part of the solution has been to establish Indigenous specific primary health care services, for and managed by Indigenous peoples...
January 25, 2018: Globalization and Health
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