Intergenerational and early life influences on the well-being of Australian Aboriginal and Torres Strait Islander children: overview and selected findings from<i>Footprints in Time</i>, the Longitudinal Study of Indigenous Children

Salmon, M; Skelton, F; Thurber, Katherine A; Kneebone, Laura Bennetts; Gosling, John; Lovett, Raymond; Walter, Maggie

doi:10.1017/s204017441800017x

Cited by 26 publications

(22 citation statements)

References 46 publications

(71 reference statements)

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“…Aboriginal and Torres Strait Islander people, one of the longest surviving civilisations in the world, make up 3% of the Australian population: that is over 700,000 people (Australian Institute of Health and Welfare 2015 ; Salmon et al 2019 ). Similar to other First Nation peoples globally impacted by colonisation, they face significant and ongoing health disparities, with a disease burden 2.3 times greater and life expectancy 10 years less than other Australians (Australian Institute of Health and Welfare 2015 ; Salmon et al 2019 ). This burden is reflected in a young age profile, where 34% of Aboriginal and Torres Strait Islander people are under 15 years of age compared to 18% of other Australians (Australian Institute of Health and Welfare 2015 ).…”

Section: Introductionmentioning

confidence: 99%

Factors contributing to longer length of stay in Aboriginal and Torres Strait Islander children hospitalised for burn injury

et al. 2020

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Background Aboriginal and Torres Strait Islander children have higher incidence, severity and hospital length of stay for their acute burn injuries than other Australian children. We examined factors contributing to longer length of stay for Aboriginal and Torres Strait Islander children with an acute burn injury. Methods Burns Registry of Australia and New Zealand admissions of children < 16 years of age between October 2009 and July 2018 were analysed. Descriptive statistics explored patient and injury characteristics; Cox-regression models estimated characteristics associated with longer length of stay. Knowledge Interface methodology and Indigenous research methods were used throughout. Results A total of 723 children were identified as Aboriginal and Torres Strait Islander and 6257 as other Australian. The median hospital length of stay for Aboriginal and Torres Strait Islander children (5 days [CI 5–6]) was 4 days longer than other Australian children (1 day [CI 1–2]). Remoteness, flame burns, high percentage total body surface area (%TBSA) and full thickness burns were factors associated with longer length of stay for Aboriginal and Torres Strait Islander children. Similar prognostic factors were identified for other Australian children along with Streptococcus sp. and Staphylococcus sp. infection. Conclusion Remoteness, flame burns, %TBSA, and full thickness burns are prognostic factors contributing to extended hospital length of stay for all Australian children. These factors are more prevalent in Aboriginal and Torres Strait Islander children, impacting length of stay. Treatment programs, clinical guidelines, and burns policies should engage with the unique circumstances of Aboriginal and Torres Strait Islander children to mitigate inequities in health.

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Section: Introductionmentioning

confidence: 99%

Factors contributing to longer length of stay in Aboriginal and Torres Strait Islander children hospitalised for burn injury

et al. 2020

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“…In Australia and internationally, community members, researchers, and increasingly governments have advocated for the use of strengths-based approaches, to counter the dominant deficit discourse in Indigenous health ( Durie, 2004 ; Fogarty, Lovell, Langenberg, & Heron, 2018 ; Foley & Schubert, 2013 ; Gray & Oprescu, 2015 ; Haswell-Elkins, Sebasio, Hunter, & Mar 2007 ; Laliberté, Haswell-Elkins, & Reilly, 2009 ; National Health and Medical Research Council, 2002 ; Smylie, Lofters, Firestone, & O'Campo, 2011 ; Wand & Eades, 2008 ). The intention of strengths-based approaches is not to ‘problem deflate’, misconstrue results, or deny inequities, but to refocus research and policy on identifying assets and strengths within individuals and communities and ‘avenues for action’ ( Bond, 2009 ; Fogarty, Lovell, et al, 2018 ; Foley & Schubert, 2013 ; Haswell-Elkins et al, 2007 ; Salmon et al, 2018 ; Wand & Eades, 2008 ). A 2018 review identified a typology of strengths-based approaches described in national and international literature about Indigenous peoples' health and wellbeing ( Fogarty, Lovell, et al, 2018 ).…”

Section: Introductionmentioning

confidence: 99%

Strengths-based approaches for quantitative data analysis: A case study using the australian Longitudinal Study of Indigenous Children

Thurber

Thandrayen

Banks

et al. 2020

SSM - Population Health

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In Australia and internationally, there are increasing calls for the use of strengths-based methodologies, to counter the dominant deficit discourse that pervades research, policy, and media relating to Indigenous health and wellbeing. However, there is an absence of literature on the practical application of strengths-based approaches to quantitative research. This paper describes and empirically evaluates a set of strategies to support strengths-based quantitative analysis. A case study about Aboriginal and Torres Strait Islander child wellbeing was used to demonstrate approaches to support strengths-based quantitative analysis, in comparison to the dominant deficit approach of identifying risk factors associated with a negative outcome. Data from Wave 8 (2015) of the Australian Longitudinal Study of Indigenous Children were analysed. The Protective Factors Approach is intended to enable identification of factors protective against a negative outcome, and the Positive Outcome Approach is intended to enable identification of factors associated with a positive health outcome. We compared exposure-outcome associations (prevalence ratios and 95% confidence intervals (CIs), calculated using Poisson regression with robust variance) between the strengths-based and deficit approaches. In this case study, application of the strengths-based approaches retains the identification of statistically significant exposure-outcome associations seen with the standard deficit approach. Strengths-based approaches can enable a more positive story to be told, without altering statistical rigour. For Indigenous research, a strengths-based approach better reflects community values and principles, and it is more likely to support positive change than standard pathogenic models. Further research is required to explore the generalisability of these findings.

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“…International research has identi ed signi cant strengths unique to Indigenous young people which help build and maintain resilience (33,34). One such strength is a particular a nity for creative technological innovation and design (15,35,36), and willingness to embrace empowerment and self-determination (1).…”

Section: Introductionmentioning

confidence: 99%

Collaborative Involvement of Indigenous Youth in the Design and Evaluation of Digital Mental Health Interventions: A Scoping Review Protocol

Povey

Raphiphatthana

Torok

et al. 2020

Preprint

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Background: Indigenous youth worldwide are at greater risk of developing mental health concerns due to ongoing inequity and disadvantage. Digital mental health solutions are identified as a potential approach to improving access to mental health treatment for Indigenous youth, with evidence of acceptability and effectiveness beginning to emerge. Although collaborative design, development and evaluation is widely recognised as necessary to improving the acceptability of these tools, there is limited evidence to guide engagement of Indigenous youth in these processes. The objective of this scoping review is to map evidence regarding the collaborative involvement of Indigenous youth in the design and/or evaluation of digital mental health interventions. Methods: Scoping review methodology includes six stages, 1) identifying research question; 2) identifying relevant studies; 3) developing a study selection and data extraction method; 4) charting the data; 5) collating, summarising and reporting results. Additionally, Step 6) consultation, engages a male and female Indigenous health researcher in reviewing protocols, analysis and findings, enhancing credibility and ensuring findings are informed by Indigenous worldviews. Searches for relevant literature are undertaken in the following databases: EBSCOhost databases (Academic Search Premiere, Computer and Applied Science complete, CINAHL Plus with Full text, MEDLINE with full text, APA PsychArticles, Psychology and Behavioural Sciences collection, APA PsychInfo), PubMed, and Scopus. In addition, Infomit and Google (limited to the first 200 results) are searched for grey literature. All primary studies and grey literature in English that meet eligibility criteria are included. Data, including; study methods, methodologies, digital mental health program details, participant information and engagement and reporting processes are extracted and included for analysis. Data extraction variables are guided by the Consolidated Criteria for Strengthening Reporting of Health Research (CONSIDER statement). This statement provides a best practice checklist for reporting research involving Indigenous peoples. This scoping review protocol has been registered with Open Science Framework (available via osf.io/2nkc6).Discussion: To date, there are no reviews which critically analyse engagement of Indigenous youth in the development and evaluation of youth-specific digital mental health interventions. This review will aim to fill that gap and appraise alignment of current practice with best practice guidelines to inform future research. It will highlight appropriate strategies for the engagement of youth in collaborative processes, providing guidance for health practitioners, policy makers, and researchers working in the field of Indigenous youth and digital mental health.

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Intergenerational and early life influences on the well-being of Australian Aboriginal and Torres Strait Islander children: overview and selected findings fromFootprints in Time, the Longitudinal Study of Indigenous Children

Cited by 26 publications

References 46 publications

Factors contributing to longer length of stay in Aboriginal and Torres Strait Islander children hospitalised for burn injury

Factors contributing to longer length of stay in Aboriginal and Torres Strait Islander children hospitalised for burn injury

Strengths-based approaches for quantitative data analysis: A case study using the australian Longitudinal Study of Indigenous Children

Collaborative Involvement of Indigenous Youth in the Design and Evaluation of Digital Mental Health Interventions: A Scoping Review Protocol

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