The risk status, screening history and health concerns of Aboriginal and Torres Strait Islander people attending an Aboriginal Community Controlled Health Service - PubMed (original) (raw)
The risk status, screening history and health concerns of Aboriginal and Torres Strait Islander people attending an Aboriginal Community Controlled Health Service
Jessica M Stewart et al. Drug Alcohol Rev. 2012 Jul.
Abstract
Introduction and aims: Primary health-care services need to maximise prevention activities to improve the health of Aboriginal and Torres Strait Islander people. This study determined Aboriginal and Torres Strait Islander people's risk status and screening history for cardiovascular, diabetes and cancer, and identified opportunities for prevention based on patient's health concerns.
Design and methods: Consenting adult patients attending an Aboriginal Community Controlled Health Service completed interview surveys. Outcome measures were: patient's self-reported rates of smoking, at-risk alcohol consumption, body mass index and screening rates for cholesterol, diabetes, blood pressure, cervical and breast cancer, the proportion of patients with multiple risk factors and health information patients prioritise to receive from their doctor.
Results: We surveyed 587 patients giving a consent rate of 77%. Patient's self-reported being at risk due to smoking (51%), harmful alcohol consumption in both short term (10%) and long term (10%), and overweight (28%) and obese (49%) body mass index. The proportion of patients who had not been screened within the recommended guidelines was 27% for cholesterol, 24% for diabetes, 40% for blood pressure, 47% for cervical cancer and 54% for breast cancer. The majority (73%) of patients had multiple risk factors. Patients prioritised receiving health information on diabetes (45%), weight (43%) and heart disease (43%).
Discussion and conclusions: Many patients were at high risk, and were concerned about the health risks they experience. Strategies are needed to help clinic staff identify risks, and maximise prevention activities according to best-practice guidelines, particularly to patients who experience multiple risk factors.
© 2012 Australasian Professional Society on Alcohol and other Drugs.
Similar articles
- Consultations in general practice and at an Aboriginal community controlled health service: do they differ?
Larkins SL, Geia LK, Panaretto KS. Larkins SL, et al. Rural Remote Health. 2006 Jul-Sep;6(3):560. Epub 2006 Jul 19. Rural Remote Health. 2006. PMID: 16863398 - Using web conferencing to engage Aboriginal and Torres Strait Islander young people in research: a feasibility study.
Anderson K, Gall A, Butler T, Arley B, Howard K, Cass A, Garvey G. Anderson K, et al. BMC Med Res Methodol. 2021 Aug 17;21(1):172. doi: 10.1186/s12874-021-01366-y. BMC Med Res Methodol. 2021. PMID: 34404354 Free PMC article. - Past quit attempts in a national sample of Aboriginal and Torres Strait Islander smokers.
Nicholson AK, Borland R, Davey ME, Stevens M, Thomas DP. Nicholson AK, et al. Med J Aust. 2015 Jun 1;202(10):S20-5. doi: 10.5694/mja15.00202. Med J Aust. 2015. PMID: 26017251 - Barriers and facilitators to smoking cessation within pregnant Aboriginal and/or Torres Strait Islander women: An integrative review.
Harris BM, Harris ML, Rae K, Chojenta C. Harris BM, et al. Midwifery. 2019 Jun;73:49-61. doi: 10.1016/j.midw.2019.03.003. Epub 2019 Mar 7. Midwifery. 2019. PMID: 30878900 Review. - Cardiovascular disease towards 2000: activities of the West Australian Heart Research Institute.
Beilin LJ, Watts GF, Taylor RR, Thompson PL. Beilin LJ, et al. Aust N Z J Med. 2000 Apr;30(2):236-40. doi: 10.1111/j.1445-5994.2000.tb00814.x. Aust N Z J Med. 2000. PMID: 10833117 Review. No abstract available.
Cited by
- Concordance between self-report and medical records of preventive healthcare delivery among a sample of disadvantaged patients from four aboriginal community controlled health services.
Noble N, Paul C, Walsh J, Wyndham K, Wilson S, Stewart J. Noble N, et al. BMC Health Serv Res. 2019 Feb 8;19(1):111. doi: 10.1186/s12913-019-3930-7. BMC Health Serv Res. 2019. PMID: 30736763 Free PMC article. - Identifying type 2 diabetes risk classification systems and recommendations for review of podiatric care in an Australian Aboriginal health clinic.
Blatchford L, Morey P, McConigley R. Blatchford L, et al. J Foot Ankle Res. 2015 Jul 30;8:34. doi: 10.1186/s13047-015-0089-2. eCollection 2015. J Foot Ankle Res. 2015. PMID: 26229555 Free PMC article. - Breast Cancer in Australian Indigenous Women: Incidence, Mortality, and Risk Factors.
Tapia KA, Garvey G, Mc Entee M, Rickard M, Brennan P. Tapia KA, et al. Asian Pac J Cancer Prev. 2017 Apr 1;18(4):873-884. doi: 10.22034/APJCP.2017.18.4.873. Asian Pac J Cancer Prev. 2017. PMID: 28545182 Free PMC article. - A cross-sectional survey and latent class analysis of the prevalence and clustering of health risk factors among people attending an Aboriginal Community Controlled Health Service.
Noble NE, Paul CL, Turner N, Blunden SV, Oldmeadow C, Turon HE. Noble NE, et al. BMC Public Health. 2015 Jul 15;15:666. doi: 10.1186/s12889-015-2015-8. BMC Public Health. 2015. PMID: 26173908 Free PMC article. - The changing microbial landscape of Western society: Diet, dwellings and discordance.
Broussard JL, Devkota S. Broussard JL, et al. Mol Metab. 2016 Jul 21;5(9):737-42. doi: 10.1016/j.molmet.2016.07.007. eCollection 2016 Sep. Mol Metab. 2016. PMID: 27617196 Free PMC article. Review.
MeSH terms
LinkOut - more resources
Full Text Sources