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Alana Hulme Chambers, Jane Tomnay, Kylie Stephens, Alan Crouch, Mary Whiteside, Pettina Love, Leonie McIntosh, Peter Waples Crowe
INTRODUCTION: Community participation is a collaborative process aimed at achieving community-identified outcomes. However, approaches to community participation within Aboriginal health promotion initiatives have been inconsistent and not well documented. Smart and Deadly was a community-led initiative to develop sexual health promotion resources with young Aboriginal people in regional Victoria, Australia. The principles of community-centred practice, authentic participatory processes and respect for the local cultural context guided the initiative...
April 2018: Rural and Remote Health
Melanie J Andersen, Adam Skinner, Anna B Williamson, Peter Fernando, Darryl Wright
OBJECTIVE: To examine the associations between housing and gastrointestinal infection in Aboriginal children in urban New South Wales. METHODS: A total of 1,398 Aboriginal children were recruited through four Aboriginal Community Controlled Health Services. Multilevel regression modelling of survey data estimated associations between housing conditions and recurrent gastrointestinal infection, adjusting for sociodemographic and health factors. RESULTS: Of the sample, 157 children (11%) had recurrent gastrointestinal infection ever and 37 (2...
April 12, 2018: Australian and New Zealand Journal of Public Health
H F Gidding, L McCallum, P Fathima, H C Moore, T L Snelling, C C Blyth, S Jayasinghe, C Giele, N de Klerk, R M Andrews, P B McIntyre
BACKGROUND: Most studies use indirect cohort or case-control methods to estimate vaccine effectiveness (VE) of 7- and 13-valent pneumococcal conjugate vaccines (PCV7 and PCV13) against invasive pneumococcal disease (IPD). Neither method can measure the benefit vaccination programs afford the unvaccinated and many studies were unable to estimate dose-specific VE. We linked Australia's national immunisation register with health data from two states to calculate IPD incidence by vaccination status and VE for a 3 + 0 PCV schedule (doses at 2, 4, 6 months, no booster) among a cohort of 1...
April 4, 2018: Vaccine
Janya McCalman, Ross Bailie, Roxanne Bainbridge, Karen McPhail-Bell, Nikki Percival, Deborah Askew, Ruth Fagan, Komla Tsey
Continuous quality improvement (CQI) processes for improving clinical care and health outcomes have been implemented by primary health-care services, with resultant health-care impacts. But only 10-20% of gain in health outcomes is contributed by health-care services; a much larger share is determined by social and cultural factors. This perspective paper argues that health care and health outcomes can be enhanced through applying CQI as a systems approach to comprehensive primary health care. Referring to the Aboriginal and Torres Strait Islander Australian context as an example, the authors provide a systems framework that includes strategies and conditions to facilitate evidence-based and local decision making by primary health-care services...
2018: Frontiers in Public Health
Diane Arnold-Reed, Lakkhina Troeung, Tom Brett, Wendy Chan She Ping-Delfos, Cecily Strange, Elizabeth Geelhoed, Colleen Fisher, David Preen
Street-based general practice services are critical to facilitate easy access to primary and secondary management of chronic multimorbid conditions in marginalised (especially Aboriginal) patients.
April 2018: Australian journal of general practice
Zoë Hyde, Kate Smith, Leon Flicker, David Atkinson, Osvaldo P Almeida, Nicola T Lautenschlager, Anna Dwyer, Dina LoGiudice
OBJECTIVES: We aimed to describe mortality in a cohort of remote-living Aboriginal Australians using electronic record linkage. METHODS: Between 2004 and 2006, 363 Aboriginal people living in remote Western Australia (WA) completed a questionnaire assessing medical history and behavioural risk factors. We obtained mortality records for the cohort from the WA Data Linkage System and compared them to data for the general population. We used Cox proportional hazards regression to identify predictors of mortality over a 9-year follow-up period...
2018: PloS One
Parveen Fathima, Thomas Laurence Snelling, Nicholas de Klerk, Deborah Lehmann, Christopher Charles Blyth, Claire Shelley Waddington, Hannah Catherine Moore
BACKGROUND: Gastroenteritis is a leading cause of childhood morbidity worldwide. We aimed to assess the maternal and infant characteristics and population attributable fractions (PAFs) associated with childhood gastroenteritis-related hospitalizations. METHODS: We conducted a whole-of-population retrospective birth cohort study of 367,476 children live-born in Western Australia (WA) 2000-2012. We identified hospital admissions up to age <15 years pertaining to these children, with a principal diagnosis code for infectious gastroenteritis...
March 31, 2018: Pediatric Infectious Disease Journal
Monica Cations, Brian Draper, Lee-Fay Low, Kylie Radford, Julian Trollor, Henry Brodaty, Perminder Sachdev, Peter Gonski, Gerald Anthony Broe, Adrienne Withall
BACKGROUND: Several brain reserve, vascular risk, and other modifiable factors have been associated with late-onset dementia, but their association with young onset dementia (YOD) has not been adequately explored. OBJECTIVE: To examine the association of cognitive reserve enhancing factors, cardiovascular risk factors (including smoking), depression, alcohol use, and traumatic brain injury (TBI) with non-autosomal dominant degenerative and/or vascular YOD. METHODS: Data for this matched case-control study were taken from two larger studies conducted in NSW, Australia...
2018: Journal of Alzheimer's Disease: JAD
Belinda Hengel, Stephen Bell, Linda Garton, James Ward, Alice Rumbold, Debbie Taylor-Thomson, Bronwyn Silver, Skye McGregor, Amalie Dyda, Janet Knox, Rebecca Guy, Lisa Maher, John Martin Kaldor
BACKGROUND: Young people living in remote Australian Aboriginal communities experience high rates of sexually transmissible infections (STIs). STRIVE (STIs in Remote communities, ImproVed and Enhanced primary care) was a cluster randomised control trial of a sexual health continuous quality improvement (CQI) program. As part of the trial, qualitative research was conducted to explore staff perceptions of the CQI components, their normalisation and integration into routine practice, and the factors which influenced these processes...
April 2, 2018: BMC Health Services Research
Judith M Katzenellenbogen, Emily Atkins, Sandra C Thompson, Deborah Hersh, Juli Coffin, Leon Flicker, Colleen Hayward, Natalie Ciccone, Deborah Woods, Melanie E Greenland, Meaghan McAllister, Elizabeth M Armstrong
OBJECTIVE: To investigate differences in the profile and outcomes between Aboriginal and non-Aboriginal Western Australians (WAs) hospitalized with traumatic brain injury (TBI). SETTING: WA hospitals. PARTICIPANTS: TBI cases aged 15 to 79 years surviving their first admission during 2002-2011. DESIGN: Patients identified from diagnostic codes and followed up for 12 months or more using WA-wide person-based linked hospital and mortality data...
March 29, 2018: Journal of Head Trauma Rehabilitation
Bridgette McNamara, Lina Gubhaju, Louisa Jorm, David Preen, Jocelyn Jones, Grace Joshy, Carrington Shepherd, Daniel McAullay, Sandra Eades
INTRODUCTION: Empirical evidence on family and community risk and protective factors influencing the comparatively high rates of potentially preventable hospitalisations and deaths among Aboriginal and Torres Strait Islander infants and children is limited. As is evidence on geographical variation in these risks. The 'Defying the Odds' study aims to explore the impact of perinatal outcomes, maternal social and health outcomes and level of culturally secure service availability on the health outcomes of Western Australian (WA) Aboriginal infants and children aged 0-5 years...
March 28, 2018: BMJ Open
Kawa Haji, Christopher X Wong, Nikhil Chandra, Helen Truong, Wendy Corkill, Alex Kaethner, Pyi Naing, Asanga Abeyaratne, Stephen J Brady, Nadarajah Kangaharan
BACKGROUND: The burden of pulmonary hypertension (PHT) in Central Australia has not been previously studied. Our aim is to characterise the prevalence, clinical classification, and long-term survival of individuals with PHT in Central Australia. METHODS: A community-based cohort study of all individuals diagnosed with PHT in Central Australia between 2005 and 2016 was undertaken. We estimated PHT prevalence using population data, describe clinical PHT classification, and characterised long-term survival using Kaplan-Meier approaches...
March 6, 2018: Heart, Lung & Circulation
M Mofizul Islam, Helen T Oni, K S Kylie Lee, Noel Hayman, Scott Wilson, Kristie Harrison, Beth Hummerston, Rowena Ivers, Katherine M Conigrave
INTRODUCTION AND AIMS: Aboriginal and Torres Strait Islander Community Controlled Health Services (ACCHSs) around Australia have been asked to standardise screening for unhealthy drinking. Accordingly, screening with the 3-item AUDIT-C (Alcohol Use Disorders Identification Test-Consumption) tool has become a national key performance indicator. Here we provide an overview of suitability of AUDIT-C and other brief alcohol screening tools for use in ACCHSs. METHODS: All peer-reviewed literature providing original data on validity, acceptability or feasibility of alcohol screening tools among Indigenous Australians was reviewed...
March 29, 2018: Addiction Science & Clinical Practice
Ming Li, David Roder, Robyn McDermott
Indigenous Australians generally have a poor health status and an elevated cancer mortality that has increased in recent decades. A cohort of 2273 Aboriginal and Torres Strait Islander (TSI) adults (18+ years) from 26 remote communities in far North Queensland, who were initially free of cancer, were followed-up for an average of 15 years. The associations of baseline anthropometric, biochemical, and behavioural factors with cancer incidence were investigated using competing risk survival analysis. The age-standardized incidence (all cancers) was 5...
March 26, 2018: International Journal of Cancer. Journal International du Cancer
Bree Wagner, James P Fitzpatrick, Trevor G Mazzucchelli, Martyn Symons, Heather Carmichael Olson, Tracy Jirikowic, Donna Cross, Edie Wright, Emma Adams, Maureen Carter, Kaashifah Bruce, Jane Latimer
INTRODUCTION: While research highlights the benefits of early diagnosis and intervention for children with fetal alcohol spectrum disorders (FASD), there are limited data documenting effective interventions for Australian children living in remote communities. METHODS AND ANALYSIS: This self-controlled cluster randomised trial is evaluating the effectiveness of an 8-week Alert Program school curriculum for improving self-regulation and executive function in children living in remote Australian Aboriginal communities...
March 25, 2018: BMJ Open
Kevin Hamdullahpur, Kahá Wi J Jacobs, Kathryn J Gill
Adverse childhood experiences (ACEs) and adult mental health were explored in a sample of urban Aboriginal ( n = 83) and non-Aboriginal ( n = 89) women. Childhood sexual abuse (CSA) was associated with negative home environments, teenage pregnancy, lifetime suicide attempts, and treatment seeking. Aboriginal women with CSA witnessed higher levels of physical/sexual abuse of family members. The severity of current psychological distress was associated with a history of childhood neglect. The results indicate that CSA rarely occurs in isolation, and that multiple ACEs are strongly associated with suicide attempts and treatment seeking in adulthood...
March 1, 2018: Violence Against Women
Sandra Campbell, Janya McCalman, Michelle Redman-MacLaren, Karla Canuto, Kristina Vine, Jenny Sewter, Malcolm McDonald
BACKGROUND: A healthy start predicts better health in later life. Many remote-living Aboriginal and Torres Strait Islander Australian families lack access to consistent, culturally-safe health services. This paper presents a study of implementation of the Baby One Program (BOP). The BOP was designed as a family-centred, Indigenous Healthworker-led, home-visiting model of care focused on promoting family health to give children the best start to life. It was developed by Aboriginal community-controlled Apunipima Cape York Health Council and delivered in Queensland Cape York remote communities...
March 24, 2018: BMC Pregnancy and Childbirth
Daniela Sabbioni, Steven Feehan, Craig Nicholls, Wei Soong, Daniela Rigoli, Denise Follett, Geoff Carastathis, Alison Gomes, Jennifer Griffiths, Kerry Curtis, Warwick Smith, Flavie Waters
AIM: Aboriginal young people are more likely to experience mental health issues and to access mental health services than other young Australians, yet there are few culturally informed mental health programs and services available. This study describes and documents the effectiveness of the culturally sensitive model within YouthLink, a state-wide mental health service program in Western Australia for young people aged 13 to 24 years of age. METHODS: A mixed-method design including a descriptive approach reporting on the YouthLink framework and an empirical research design where 40 Aboriginal clients completed client feedback monitoring measures between 2014 and 2016...
March 24, 2018: Early Intervention in Psychiatry
Robert J Donovan, Lesley Murray, Jolleen Hicks, Amberlee Nicholas, Julia Anwar-McHenry
ISSUE ADDRESSED: An initial consultation process to implement a culturally appropriate social and emotional wellbeing campaign in an Aboriginal community indicated that the fundamental principles of the Act-Belong-Commit mental health promotion campaign were acceptable, but that a cultural adaptation of the branding should be sought. METHODS: A competition was held inviting community members to design a brand logo for the campaign in their community. Local judges selected "winners" in various categories, and six of the submissions were selected for testing in the broader community via street intercept interviews...
February 22, 2018: Health Promotion Journal of Australia
Rona Macniven, Suzanne Plater, Karla Canuto, Michelle Dickson, Josephine Gwynn, Adrian Bauman, Justin Richards
ISSUE ADDRESSED: Physical inactivity is a key health risk among Aboriginal and Torres Strait Islander (Indigenous) Australians. We examined perceptions of the Indigenous Marathon Program (IMP) in a remote Torres Strait island community. METHODS: Semi-structured interviews with community and program stakeholders (n = 18; 14 Indigenous) examined barriers and enablers to running and the influence of the IMP on the community. A questionnaire asked 104 running event participants (n = 42 Indigenous) about their physical activity behaviours, running motivation and perceptions of program impact...
February 19, 2018: Health Promotion Journal of Australia
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