Ageing of the Aboriginal and Torres Strait Islander population: numerical, structural, timing and spatial aspects

Temple, Jeromey; Wilson, Tom; Taylor, Andrew; Kelaher, Margaret; Eades, Sandra

doi:10.1111/1753-6405.13001

Cited by 29 publications

(30 citation statements)

References 24 publications

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“…Early onset dementia, defined as dementia that first occurs in a person under the age of 65yrs [5], is also more frequent among Aboriginal people compared to non-Aboriginal people [1,3]. The proportion of Aboriginal people aged 65 years and over is expected to double from 2016 to 2031, [6] with rates of growth particularly high in older age groups (for example, more than 800 % growth in the 85-plus age group by 2050) [7]. This population aging will likely increase the burden of dementia experienced by Aboriginal people [7].…”

Section: Introductionmentioning

confidence: 99%

“…The proportion of Aboriginal people aged 65 years and over is expected to double from 2016 to 2031, [6] with rates of growth particularly high in older age groups (for example, more than 800 % growth in the 85-plus age group by 2050) [7]. This population aging will likely increase the burden of dementia experienced by Aboriginal people [7].…”

Section: Introductionmentioning

confidence: 99%

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How can dementia diagnosis and care for Aboriginal and Torres Strait Islander people be improved? Perspectives of healthcare providers providing care in Aboriginal community controlled health services

Bryant

Noble

Freund

et al. 2021

BMC Health Serv Res

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Background Aboriginal and/or Torres Strait Islander people experience dementia at a rate three to five times higher than the general Australian population. Aboriginal Community Controlled Health Services (ACCHSs) have a critical role to play in recognising symptoms of cognitive impairment, facilitating timely diagnosis of dementia, and managing the impacts of dementia. Little is known about the barriers and enablers to Aboriginal people receiving a timely dementia diagnosis and appropriate care once diagnosed. This study aims to explore, from the perspective of healthcare providers in the ACCHS sector across urban, regional and remote communities, the barriers and enablers to the provision of dementia diagnosis and care. Methods A qualitative study involving semi-structured interviews with staff members working in the ACCHS sector. Aboriginal Health Workers, General Practitioners, nurses, practice or program managers, and Chief Executive Officers were eligible to participate. Consenting ACCHS staff completed a telephone interview administered by a trained interviewer. Interviews were audio-recorded, transcribed, and analysed using qualitative content analysis. Results Sixteen staff from 10 ACCHSs participated. Most participants perceived their communities had a limited understanding of dementia. Symptoms of dementia were usually noticed by the GP or another healthcare worker at the ACCHS who had an ongoing relationship with the person. Most participants reported that their service had established referral pathways with either hospital-based geriatricians, geriatricians located with aged care assessment teams, or specialists who visited communities periodically. Key enablers to high quality dementia care included the use of routine health assessments as a mechanism for diagnosis; relationships within communities to support diagnosis and care; community and family relationships; comprehensive and holistic care models; and the use of tailored visual resources to support care. Key barriers to high quality care included: denial and stigma; dementia being perceived as a low priority health condition; limited community awareness and understanding of dementia; lack of staff education and training about dementia; and numerous gaps in service delivery. Conclusions Substantially increased investments in supporting best-practice diagnosis and management of dementia in Aboriginal communities are required. ACCHSs have key strengths that should be drawn upon in developing solutions to identified barriers to care.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

How can dementia diagnosis and care for Aboriginal and Torres Strait Islander people be improved? Perspectives of healthcare providers providing care in Aboriginal community controlled health services

Bryant

Noble

Freund

et al. 2021

BMC Health Serv Res

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“…Strong absolute and proportional growth in the Australian Aboriginal seniors population have widespread implications for aged care and health care policy and programmes (Temple, Wilson, Taylor, Kelaher, & Eades, 2020). In spite of the national government of Australia and its state/territory governments being attentive to the economic and social impacts of general population ageing since at least the early 1990s, little attention has been paid to the rapid Aboriginal ageing phenomenon and specific issues associated with it.…”

Section: Discussionmentioning

confidence: 99%

The future growth and spatial shift of Australia's Aboriginal and Torres Strait Islander population, 2016–2051

Taylor

Wilson

Temple

et al. 2020

Population Space and Place

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The Australian Aboriginal and Torres Strait Islander population more than doubled in size between 1996 and 2016. Growth was highest in urban areas and lower in rural and remote areas. An important contributor to growth was identification change, whereby individuals report their Aboriginal status differently over time. Official population projections in Australia currently do not incorporate this phenomenon, leading to underestimation of future populations which affects policies, targets and planning for demand-based services. We outline a new projection model to improve subnational estimates of future regional population growth by endogenizing identification change and Aboriginal/non-Aboriginal childbearing. Results suggest that growth will be higher than currently projected, especially in urban-dominated regions in New South Wales and Queensland where identification change is projected to account for more than 50% of growth. There will also be considerable population ageing, which has implications for services and policies relevant to Aboriginal and Torres Strait Islander people.

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“…The effects were estimated by creating alternative projection variants with no change in life expectancy and no international migration, similar to the approach in Bongaarts and Bulatao (1999). This is a standard approach to decomposing population change, including changes in population composition, which has been applied by Andreev et al (2013) to decompose the demographic drivers of the United Nations Population Division population projections, Rees et al (2013) to understand projections of subnational ethnic group populations in the UK, Temple et al (2020) to understand the drivers of projected numerical and structural population ageing in Australia, and Wilson (2016) to decompose the drivers of projected change in Australia's Indigenous population. Table 1 lists the projection variants and how the three effects were calculated.…”

Section: Decompositionmentioning

confidence: 99%

Projections of Older European Migrant Populations in Australia, 2016–56

et al. 2021

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Many of the European migrant populations which settled in Australia in the three decades after World War Two are now much older, and their aged care and health care needs are changing. While there is a considerable literature on individual aspects of ageing in many migrant groups (particularly as it pertains to culturally appropriate aged care), little research attention has been given to population aspects of ageing and its implications. The aim of this paper is to address this lacuna by presenting projections of Australia's Europe-born older migrant population from 2016 to 2056. The population projections were created by a cohortcomponent model modified to accommodate multiple birthplace populations. Findings show the older Europe-born population is projected to experience a slight increase over the next few years, reach a peak of just under one million in the early 2030s, and then undergo a gradual decline thereafter. The Europe-born share of Australia's 65+ population will fall, from 25.5% in 2016 to 10% by 2056. Populations born in Western and Southern Europe are likely to decline throughout the projection horizon while, the Northern Europe-born and Ireland-born older populations are projected to grow continually. The populations born in the UK and South Eastern Europe initially grow before decline sets in. To a large extent the future population size of these older migrant groups will be the result of cohort flow. We discuss the implications of the coming demographic changes for government policy and culturally appropriate service provision.

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Ageing of the Aboriginal and Torres Strait Islander population: numerical, structural, timing and spatial aspects

Cited by 29 publications

References 24 publications

How can dementia diagnosis and care for Aboriginal and Torres Strait Islander people be improved? Perspectives of healthcare providers providing care in Aboriginal community controlled health services

How can dementia diagnosis and care for Aboriginal and Torres Strait Islander people be improved? Perspectives of healthcare providers providing care in Aboriginal community controlled health services

The future growth and spatial shift of Australia's Aboriginal and Torres Strait Islander population, 2016–2051

Projections of Older European Migrant Populations in Australia, 2016–56

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