Indigenous People

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Tarun Weeramanthri - One of the best experts on this subject based on the ideXlab platform.

  • rationale and design of the kanyini guidelines adherence with the polypill kanyini gap study a randomised controlled trial of a polypill based strategy amongst Indigenous and non Indigenous People at high cardiovascular risk
    BMC Public Health, 2010
    Co-Authors: Hueiming Liu, Stephen Jan, Noel Hayman, Anushka Patel, Alex Brown, Andrew Tonkin, Sandra Eades, Ian T Ring, Greg Stewart, Tarun Weeramanthri
    Abstract:

    Background The Kanyini Guidelines Adherence with the Polypill (Kanyini-GAP) Study aims to examine whether a polypill-based strategy (using a single capsule containing aspirin, a statin and two blood pressure-lowering agents) amongst Indigenous and non-Indigenous People at high risk of experiencing a cardiovascular event will improve adherence to guideline-indicated therapies, and lower blood pressure and cholesterol levels.

  • study protocol diabetes and related conditions in urban Indigenous People in the darwin australia region aims methods and participation in the druid study
    BMC Public Health, 2006
    Co-Authors: Joan Cunningham, Tarun Weeramanthri, Kerin Odea, Terry Dunbar, Paul Zimmet, Jonathan E Shaw
    Abstract:

    Background Diabetes mellitus is a serious and increasing health problem in Australia and is a designated national health priority. Diabetes and related conditions represent an even greater health burden among Indigenous Australians (Aborigines and Torres Strait Islanders), but there are critical gaps in knowledge relating to the incidence and prevalence, aetiology, and prevention of diabetes in this group, including a lack of information on the burden of disease among Indigenous People in urban areas. The DRUID Study (Diabetes and Related conditions in Urban Indigenous People in the Darwin region) was designed to address this knowledge gap.

  • Study Protocol – Diabetes and related conditions in urban Indigenous People in the Darwin, Australia region: aims, methods and participation in the DRUID Study
    BMC Public Health, 2006
    Co-Authors: Joan Cunningham, Tarun Weeramanthri, Terry Dunbar, Paul Zimmet, Jonathan Shaw
    Abstract:

    Background Diabetes mellitus is a serious and increasing health problem in Australia and is a designated national health priority. Diabetes and related conditions represent an even greater health burden among Indigenous Australians (Aborigines and Torres Strait Islanders), but there are critical gaps in knowledge relating to the incidence and prevalence, aetiology, and prevention of diabetes in this group, including a lack of information on the burden of disease among Indigenous People in urban areas. The DRUID Study (Diabetes and Related conditions in Urban Indigenous People in the Darwin region) was designed to address this knowledge gap. Methods/design The study was conducted in a specified geographic area in and around Darwin, Australia. Eligible participants underwent a health examination, including collection of blood and urine samples, clinical and anthropometric measurements, and administration of questionnaires, with an additional assessment for People with diabetes. The study was designed to incorporate local Indigenous leadership, facilitate community engagement, and provide employment and training opportunities for local Indigenous People. A variety of recruitment methods were used. A total of 1,004 eligible People gave consent and provided at least one measurement. When compared with census data for the Indigenous population living in the study area, there was a marked under-representation of males, but no substantial differences in age, place of residence, Indigenous group, or household income. Early participants were more likely than later participants to have previously diagnosed diabetes. Discussion Despite lower than anticipated recruitment, this is, to our knowledge, the largest study ever conducted on the health of Indigenous Australians living in urban areas, a group which comprises the majority of Australia's Indigenous population but about whose health and wellbeing relatively little is known. The study is well-placed to provide new information that can be used by policy makers and service providers to improve the delivery of services and programs that affect the health of Indigenous People. It also represents a valuable opportunity to establish an urban Indigenous cohort study, provided participants can be followed successfully over time.

Joan Cunningham - One of the best experts on this subject based on the ideXlab platform.

  • study protocol diabetes and related conditions in urban Indigenous People in the darwin australia region aims methods and participation in the druid study
    BMC Public Health, 2006
    Co-Authors: Joan Cunningham, Tarun Weeramanthri, Kerin Odea, Terry Dunbar, Paul Zimmet, Jonathan E Shaw
    Abstract:

    Background Diabetes mellitus is a serious and increasing health problem in Australia and is a designated national health priority. Diabetes and related conditions represent an even greater health burden among Indigenous Australians (Aborigines and Torres Strait Islanders), but there are critical gaps in knowledge relating to the incidence and prevalence, aetiology, and prevention of diabetes in this group, including a lack of information on the burden of disease among Indigenous People in urban areas. The DRUID Study (Diabetes and Related conditions in Urban Indigenous People in the Darwin region) was designed to address this knowledge gap.

  • Study Protocol – Diabetes and related conditions in urban Indigenous People in the Darwin, Australia region: aims, methods and participation in the DRUID Study
    BMC Public Health, 2006
    Co-Authors: Joan Cunningham, Tarun Weeramanthri, Terry Dunbar, Paul Zimmet, Jonathan Shaw
    Abstract:

    Background Diabetes mellitus is a serious and increasing health problem in Australia and is a designated national health priority. Diabetes and related conditions represent an even greater health burden among Indigenous Australians (Aborigines and Torres Strait Islanders), but there are critical gaps in knowledge relating to the incidence and prevalence, aetiology, and prevention of diabetes in this group, including a lack of information on the burden of disease among Indigenous People in urban areas. The DRUID Study (Diabetes and Related conditions in Urban Indigenous People in the Darwin region) was designed to address this knowledge gap. Methods/design The study was conducted in a specified geographic area in and around Darwin, Australia. Eligible participants underwent a health examination, including collection of blood and urine samples, clinical and anthropometric measurements, and administration of questionnaires, with an additional assessment for People with diabetes. The study was designed to incorporate local Indigenous leadership, facilitate community engagement, and provide employment and training opportunities for local Indigenous People. A variety of recruitment methods were used. A total of 1,004 eligible People gave consent and provided at least one measurement. When compared with census data for the Indigenous population living in the study area, there was a marked under-representation of males, but no substantial differences in age, place of residence, Indigenous group, or household income. Early participants were more likely than later participants to have previously diagnosed diabetes. Discussion Despite lower than anticipated recruitment, this is, to our knowledge, the largest study ever conducted on the health of Indigenous Australians living in urban areas, a group which comprises the majority of Australia's Indigenous population but about whose health and wellbeing relatively little is known. The study is well-placed to provide new information that can be used by policy makers and service providers to improve the delivery of services and programs that affect the health of Indigenous People. It also represents a valuable opportunity to establish an urban Indigenous cohort study, provided participants can be followed successfully over time.

John D Potter - One of the best experts on this subject based on the ideXlab platform.

  • cancer incidence in Indigenous People in australia new zealand canada and the usa a comparative population based study
    Lancet Oncology, 2015
    Co-Authors: Suzanne P Moore, Sebastien Antoni, Amy Colquhoun, Bonnie Healy, Lis Ellisonloschmann, John D Potter
    Abstract:

    Summary Introduction Indigenous People have disproportionally worse health and lower life expectancy than their non-Indigenous counterparts in high-income countries. Cancer data for Indigenous People are scarce and incidence has not previously been collectively reported in Australia, New Zealand, Canada, and the USA. We aimed to investigate and compare, for the first time, the cancer burden in Indigenous populations in these countries. Methods We derived incidence data from population-based cancer registries in three states of Australia (Queensland, Western Australia, and the Northern Territory), New Zealand, the province of Alberta in Canada, and the Contract Health Service Delivery Areas of the USA. Summary rates for First Nations and Inuit in Alberta, Canada, were provided directly by Alberta Health Services. We compared age-standardised rates by registry, sex, cancer site, and ethnicity for all incident cancer cases, excluding non-melanoma skin cancers, diagnosed between 2002 and 2006. Standardised rate ratios (SRRs) and 95% CIs were computed to compare the Indigenous and non-Indigenous populations of each jurisdiction, except for the Alaska Native population, which was compared with the white population from the USA. Findings We included 24 815 cases of cancer in Indigenous People and 5 685 264 in non-Indigenous People from all jurisdictions, not including Alberta, Canada. The overall cancer burden in Indigenous populations was substantially lower in the USA except in Alaska, similar or slightly lower in Australia and Canada, and higher in New Zealand compared with their non-Indigenous counterparts. Among the most commonly occurring cancers in Indigenous men were lung, prostate, and colorectal cancer. In most jurisdictions, breast cancer was the most common cancer in women followed by lung and colorectal cancer. The incidence of lung cancer was higher in Indigenous men in all Australian regions, in Alberta, and in US Alaska Natives than in their non-Indigenous counterparts. For breast cancer, rates in women were lower in all Indigenous populations except in New Zealand (SRR 1·23, CI 95% 1·16–1·32) and Alaska (1·14, 1·01–1·30). Incidence of cervical cancer was higher in Indigenous women than in non-Indigenous women in most jurisdictions, although the difference was not always statistically significant. Interpretation There are clear differences in the scale and profile of cancer in Indigenous and non-Indigenous populations in Australia, New Zealand, Canada, and the USA. Our findings highlight the need for much-improved, targeted programmes of screening, vaccination, and smoking cessation, among other prevention strategies. Governments and researchers need to work in partnership with Indigenous communities to improve cancer surveillance in all jurisdictions and facilitate access to cancer data. Funding International Agency for Research on Cancer–Australia Fellowship.

Jonathan Shaw - One of the best experts on this subject based on the ideXlab platform.

  • Study Protocol – Diabetes and related conditions in urban Indigenous People in the Darwin, Australia region: aims, methods and participation in the DRUID Study
    BMC Public Health, 2006
    Co-Authors: Joan Cunningham, Tarun Weeramanthri, Terry Dunbar, Paul Zimmet, Jonathan Shaw
    Abstract:

    Background Diabetes mellitus is a serious and increasing health problem in Australia and is a designated national health priority. Diabetes and related conditions represent an even greater health burden among Indigenous Australians (Aborigines and Torres Strait Islanders), but there are critical gaps in knowledge relating to the incidence and prevalence, aetiology, and prevention of diabetes in this group, including a lack of information on the burden of disease among Indigenous People in urban areas. The DRUID Study (Diabetes and Related conditions in Urban Indigenous People in the Darwin region) was designed to address this knowledge gap. Methods/design The study was conducted in a specified geographic area in and around Darwin, Australia. Eligible participants underwent a health examination, including collection of blood and urine samples, clinical and anthropometric measurements, and administration of questionnaires, with an additional assessment for People with diabetes. The study was designed to incorporate local Indigenous leadership, facilitate community engagement, and provide employment and training opportunities for local Indigenous People. A variety of recruitment methods were used. A total of 1,004 eligible People gave consent and provided at least one measurement. When compared with census data for the Indigenous population living in the study area, there was a marked under-representation of males, but no substantial differences in age, place of residence, Indigenous group, or household income. Early participants were more likely than later participants to have previously diagnosed diabetes. Discussion Despite lower than anticipated recruitment, this is, to our knowledge, the largest study ever conducted on the health of Indigenous Australians living in urban areas, a group which comprises the majority of Australia's Indigenous population but about whose health and wellbeing relatively little is known. The study is well-placed to provide new information that can be used by policy makers and service providers to improve the delivery of services and programs that affect the health of Indigenous People. It also represents a valuable opportunity to establish an urban Indigenous cohort study, provided participants can be followed successfully over time.

Jonathan E Shaw - One of the best experts on this subject based on the ideXlab platform.