Health literacy and Australian Indigenous peoples: an analysis of the role of language and worldview

Vass, Alyssa; Mitchell, Amy M.; Dhurrkay, Yurranydjil

doi:10.1071/he11033

Cited by 71 publications

(92 citation statements)

References 10 publications

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“…21 The LGPSC has worked closely with the local Aboriginal football club (Northern United Football Club) as one approach to addressing health literacy amongst the community. Problems with comprehension and communication of medical recommendations could be usefully addressed by increasing the cultural literacy of clinical staff.…”

Section: Discussionmentioning

confidence: 99%

A qualitative study of staff perspectives of patient non-attendance in a regional primary healthcare setting

Akter

Doran

Avila

et al. 2014

AMJ

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Section: Discussionmentioning

confidence: 99%

A qualitative study of staff perspectives of patient non-attendance in a regional primary healthcare setting

Akter

Doran

Avila

et al. 2014

AMJ

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“…This study and others identify that promoting health literacy in Australian Aboriginal people requires greater incorporation and engagement with an Aboriginal worldview [36]. Setting programs in culturally safe and accessible locations, such as an Aboriginal health or educational setting, and involving Aboriginal health workers is of critical importance [20,37,38].…”

Section: Discussionmentioning

confidence: 99%

‘Doing the hard yards’: carer and provider focus group perspectives of accessing Aboriginal childhood disability services

DiGiacomo

Delaney

Abbott

et al. 2013

BMC Health Serv Res

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BackgroundDespite a high prevalence of disability, Aboriginal Australians access disability services in Australia less than non-Aboriginal Australians with a disability. The needs of Aboriginal children with disability are particularly poorly understood. They can endure long delays in treatment which can impact adversely on development. This study sought to ascertain the factors involved in accessing services and support for Aboriginal children with a disability.MethodsUsing the focus group method, two community forums, one for health and service providers and one for carers of Aboriginal children with a disability, were held at an Aboriginal Community Controlled Health Service (ACCHS) in the Sydney, metropolitan area of New South Wales, Australia. Framework analysis was applied to qualitative data to elucidate key issues relevant to the dimensions of access framework. Independent coding consistency checks were performed and consensus of analysis verified by the entire research team, several of whom represented the local Aboriginal community.ResultsSeventeen health and social service providers representing local area government and non-government-funded health and social service organisations and five carers participated in two separate forums between September and October 2011. Lack of awareness of services and inadequate availability were prominent concerns in both groups despite geographic proximity to a major metropolitan area with significant health infrastructure. Carers noted racism, insufficient or non-existent services, and the need for an enhanced role of ACCHSs and AHWs in disability support services. Providers highlighted logistical barriers and cultural and historical issues that impacted on the effectiveness of mainstream services for Aboriginal people.ConclusionsDespite dedicated disability services in an urban community, geographic proximity does not mitigate lack of awareness and availability of support. This paper has enumerated a number of considerations to address provision of disability services in an urban Australian Aboriginal community including building expertise and specialist capacity within Aboriginal Health Worker positions and services.Increasing awareness of services, facilitating linkages and referrals, eliminating complexities to accessing support, and working with families and Aboriginal community organisations within a framework of resilience and empowerment to ensure a relevant and acceptable model are necessary steps to improving support and care for Aboriginal children with a disability.

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“…Using the Aboriginal Resource and Development community education model,[26] the ACWs and a non-Aboriginal educator visited homes and work places to provide information on Strongyloides , scabies, and the research project. In a subsequent visit to each house, the ACWs and/or AHPs sought and obtained written informed consent using a pictorial flipchart that incorporated a culturally appropriate process to explain the project,[27] and to also establish a household occupancy list.…”

Section: Methodsmentioning

confidence: 99%

Strongyloides seroprevalence before and after an ivermectin mass drug administration in a remote Australian Aboriginal community

et al. 2017

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BackgroundStrongyloides seroprevalence is hyper-endemic in many Australian Aboriginal and Torres Strait Islander communities, ranging from 35–60%. We report the impact on Strongyloides seroprevalence after two oral ivermectin mass drug administrations (MDAs) delivered 12 months apart in a remote Australian Aboriginal community.MethodsUtilizing a before and after study design, we measured Strongyloides seroprevalence through population census with sequential MDAs at baseline and month 12. Surveys at months 6 and 18 determined changes in serostatus. Serodiagnosis was undertaken by ELISA that used sonicated Strongyloides ratti antigen to detect anti-Strongyloides IgG. Non-pregnant participants weighing ≥15 kg were administered a single 200 μg/kg ivermectin dose, repeated after 10–42 days if Strongyloides and/or scabies was diagnosed; others followed a standard alternative algorithm. A questionnaire on clinical symptoms was administered to identify adverse events from treatment and self-reported symptoms associated with serostatus.FindingsWe surveyed 1013 participants at the baseline population census and 1060 (n = 700 from baseline cohort and 360 new entrants) at month 12. Strongyloides seroprevalence fell from 21% (175/818) at baseline to 5% at month 6. For participants from the baseline cohort this reduction was sustained at month 12 (34/618, 6%), falling to 2% at month 18 after the second MDA. For new entrants to the cohort at month 12, seroprevalence reduced from 25% (75/297) to 7% at month 18. Strongyloides positive seroconversions for the baseline cohort six months after each MDA were 2.5% (4/157) at month 6 and 1% at month 18, whilst failure to serorevert remained unchanged at 18%. At 12 months, eosinophilia was identified in 59% of baseline seropositive participants and 89% of seropositive new entrants, compared with 47%baseline seronegative participants and 51% seronegative new entrants. Seropositivity was not correlated with haemoglobin or any self-reported clinical symptoms. Clinical symptoms ascertained on the day of treatment and 24–72 hrs after, did not identify any adverse events.SignificanceTwo community ivermectin MDAs delivered 12 months apart by trained Aboriginal researchers in collaboration with non-Indigenous researchers resulted in a sustained and significant reduction in Strongyloides seroprevalence over 18 months. Similar reductions were seen in the baseline cohort and new entrants.

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Health literacy and Australian Indigenous peoples: an analysis of the role of language and worldview

Cited by 71 publications

References 10 publications

A qualitative study of staff perspectives of patient non-attendance in a regional primary healthcare setting

A qualitative study of staff perspectives of patient non-attendance in a regional primary healthcare setting

‘Doing the hard yards’: carer and provider focus group perspectives of accessing Aboriginal childhood disability services

Strongyloides seroprevalence before and after an ivermectin mass drug administration in a remote Australian Aboriginal community

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