Environments and Cardiometabolic Diseases in Aboriginal Populations

Daniel, Mark; Lekkas, Peter; Cargo, Margaret

doi:10.1016/j.hlc.2010.01.005

Cited by 20 publications

(24 citation statements)

References 65 publications

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“…However, the high level of community interest in cardiovascular health information for primary prevention made a compelling case for broadening the program's inclusion criteria and is consistent with engaging the family and broader community to address the burden of chronic disease in Aboriginal populations. 12 Attendance was driven largely by self referral resulting from word of mouth, with community elders being a strong referral source. This highlights the importance of having health management programs accepted by influential community members in order to engage the broader community.…”

Section: Discussionmentioning

confidence: 99%

Build it and they will come: outcomes from a successful cardiac rehabilitation program at an Aboriginal Medical Service

Dimer

Dowling

Jones³

et al. 2013

Aust. Health Review

131

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Objective. Cardiovascular disease (CVD) is the leading disease burden in Aboriginal Australians, but culturally appropriate cardiac rehabilitation programs are lacking. We evaluated the uptake and effects on lifestyle, and cardiovascular risk factors, of cardiac rehabilitation at an Aboriginal Medical Service (AMS).Methods. The program involved weekly exercise and education sessions (through 'yarning') for Aboriginal people with or at risk of CVD. Participants' perceptions of the program and the impact on risk factors were evaluated following 8 weeks of attendance.Results. In twenty-eight participants (20 females) who completed 8 weeks of sessions, body mass index (34.0 AE 5.1 v. 33.3 AE 5.2 kg m -2 ; P < 0.05), waist girth (113 AE 14 v. 109 AE 13 cm; P < 0.01) and blood pressure (135/78 AE 20/12 v. 120/72 AE 16/5 mmHg; P < 0.05) decreased and 6-min walk distance increased (296 AE 115 v. 345 AE 135 m; P < 0.01). 'Yarning' helped identify and address a range of chronic health issues including medication compliance, risk factor review and chest pain management.Conclusions. AMS-based cardiac rehabilitation was well attended, and improved cardiovascular risk factors and health management. An AMS is an ideal location for managing cardiovascular health and provides a setting conducive to addressing a broad range of chronic conditions.What is known about the topic? Cardiovascular disease is the leading cause of morbidity and mortality in Aboriginal Australians, but less than 5% of eligible Aboriginal people attend hospital-based cardiac rehabilitation.

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Section: Discussionmentioning

confidence: 99%

Build it and they will come: outcomes from a successful cardiac rehabilitation program at an Aboriginal Medical Service

Dimer

Dowling

Jones³

et al. 2013

Aust. Health Review

131

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“…Stress is considered an important determinant of aboriginal health as aboriginal populations have experienced, and continue to experience, rapid social and cultural changes 18 19. To date, only a few studies have examined biological indicators of stress responses among aboriginal populations.…”

Section: Introductionmentioning

confidence: 99%

Household crowding is associated with higher allostatic load among the Inuit

Riva

Plusquellec

Juster

et al. 2014

J Epidemiol Community Health

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“…In particular, the neighbourhood social and socioeconomic conditions such as material deprivation,1 2 residential instability2 and lack of social support3 have been found to be contributory factors to higher occurrences of cardiovascular disease, cancer and diabetes,4 5 mental health disorders,6 7 lower self-rated health and life expectancy,1 6 even after accounting for individual-level common risk factors such as income, education and smoking status.…”

Section: Introductionmentioning

confidence: 99%

A small-area analysis of inequalities in chronic disease prevalence across urban and non-urban communities in the Province of Nova Scotia, Canada, 2007–2011

2014

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BackgroundSmall-area studies of health inequalities often have an urban focus, and may be limited in their translatability to non-urban settings. Using small-area units representing communities, this study assessed the influence of living in different settlement types (urban, town and rural) on the prevalence of four chronic diseases (heart disease, cancer, diabetes and stroke) and compared the degrees of associations with individual-level and community-level factors among the settlement types.MethodsThe associations between community-level and individual-level characteristics and prevalence of the chronic diseases were assessed using logistic regression (multilevel and non-multilevel) models. Individual-level data were extracted from the Canadian Community Health Survey (2007–2011). Indices of material deprivation and social isolation and the settlement type classification were created using the Canadian Census.ResultsRespondents living in towns were 21% more likely to report one of the diseases than respondents living in urban communities even after accounting for individual-level and community-level characteristics. Having dependent children appeared to have protective effects in towns, especially for males (OR: 0.49 (95% CI 0.27 to 0.90)). Unemployment had a strong association for all types of communities, but being unemployed appeared to be particularly damaging to health of males in urban communities (OR: 2.48 (95% CI 1.43 to 4.30)).ConclusionsThe study showed that those living in non-urban settings, particularly towns, experience extra challenges in maintaining health above and beyond the socioeconomic condition and social isolation of the communities, and individual demographic, behavioural and socioeconomic attributes. Our findings also suggest that health inequality studies based on urban-only settings may underestimate the risks by some factors. Ways to devise meaningful small-area units comparable in all settlement types are necessary to help plan effective provision of chronic disease-related health services and programmes on a regional scale.

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Environments and Cardiometabolic Diseases in Aboriginal Populations

Cited by 20 publications

References 65 publications

Build it and they will come: outcomes from a successful cardiac rehabilitation program at an Aboriginal Medical Service

Build it and they will come: outcomes from a successful cardiac rehabilitation program at an Aboriginal Medical Service

Household crowding is associated with higher allostatic load among the Inuit

A small-area analysis of inequalities in chronic disease prevalence across urban and non-urban communities in the Province of Nova Scotia, Canada, 2007–2011

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