Sleep Disorders in Indigenous Communities: Time to Close the Gap

Hamilton, Garun S.; Joosten, Simon A.

doi:10.5664/jcsm.5178

Cited by 2 publications

(4 citation statements)

References 12 publications

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“…Moreover, there is an urgent need to make efforts to close the gap in our knowledge in the diagnosis and management of sleep disorders among our indigenous populations. 43,44 In this context, we have demonstrated the utility of the TESS screening tool in Indigenous Australian adults that may be of value in assessing or predicting the presence of OSA in this underprivileged population. However, further studies are warranted to examine the validity of the TESS tool in a wider indigenous population globally.…”

Section: Discussionmentioning

confidence: 85%

“…This is also indeed true for indigenous populations and even more so among those living in rural and remote communities. Moreover, there is an urgent need to make efforts to close the gap in our knowledge in the diagnosis and management of sleep disorders among our indigenous populations 43,44 . In this context, we have demonstrated the utility of the TESS screening tool in Indigenous Australian adults that may be of value in assessing or predicting the presence of OSA in this underprivileged population.…”

Section: Discussionmentioning

confidence: 87%

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Validity of the new ‘Top End Sleepiness Scale’ against the STOP‐Bang tool in predicting obstructive sleep apnoea among Indigenous Australian adults

Heraganahally

Howarth

Wirth

et al. 2022

Internal Medicine Journal

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Background: The validity of the newly developed sleepiness assessment tool, the 'Top End Sleepiness Scale' (TESS), against other established obstructive sleep apnoea (OSA) screening tools has not been evaluated. Aims:To compare the utility and validity of the culturally safe and clinically relevant subjective daytime sleepiness assessment tool, the 'TESS' was used among Indigenous Australians against STOP-Bang screening tool for predicting OSA in a regional and remote Indigenous Australian cohort. Methods:The TESS questionnaire, consisting of pictorial representations of six items representing daily activities that would induce daytime sleepiness specific for Indigenous Australians, was assessed for its correlation in predicting moderate to severe OSA according to Apnoea-Hypopnoea Index (AHI, ≥15) against the STOP-Bang screening tool.Results: Eighty Indigenous Australian patients (51% male; mean age 45.1 AE 11.5 years) were included in this study with the majority (n = 70; 88%) having OSA, of which 65 (93%) had an AHI ≥ 15. Area under the curve statistics for overall scores showed no significant difference between TESS or STOP-Bang in the prediction of OSA (P = 0.16). A moderate risk score of TESS (≥3) was superior to STOP-Bang (score 3-4) in sensitivity (84% vs 33%) and specificity (39% vs 30%). The sensitivity for a highrisk score for the STOP-Bang (≥5) was superior to the TESS (≥8; 60% vs 33%), although specificity was comparable (83% vs 91% respectively). Conclusions:The TESS screening tool could be a useful standalone or could be adopted alongside the STOP-Bang OSA screening tools in the clinical assessment of sleep disorders among Indigenous Australians.

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Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 87%

Validity of the new ‘Top End Sleepiness Scale’ against the STOP‐Bang tool in predicting obstructive sleep apnoea among Indigenous Australian adults

Heraganahally

Howarth

Wirth

et al. 2022

Internal Medicine Journal

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“…The health outcomes of Aboriginal and Torres Strait Islander peoples already are significantly worse than those for non-indigenous Australians (33). As a result, most Indigenous Australians experience lower overall life expectancies, higher age-specific mortality rates, higher incidence chronic diseases, and a high incidence of sleep-related disorders (33,34). This gap is mostly due to systematic discrimination amidst several social determinants (33,34).…”

Section: Biosecurity Restrictions and Indigenous Populationsmentioning

confidence: 99%

“…As a result, most Indigenous Australians experience lower overall life expectancies, higher age-specific mortality rates, higher incidence chronic diseases, and a high incidence of sleep-related disorders (33,34). This gap is mostly due to systematic discrimination amidst several social determinants (33,34). Some relevant key factors would be directly relevant to a future Dengue Fever outbreak: the lack of equal access to primary healthcare and the poor standard of health infrastructure (eg.…”

Section: Biosecurity Restrictions and Indigenous Populationsmentioning

confidence: 99%

Biosecurity, Investor-State Dispute Settlement and Corporatogenic Climate Change: A Challenge for Australian Public Health Regulation and Human Rights

Campbell¹,

Law²,

Durant³

et al. 2019

Global Biosecurity

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It is a politically controversial but by no means scientifically contentious hypothesis that many of the root causes of contemporary climate change emerge from the profit-seeking activities of multinational corporations-for instance in the oil, coal, deforestation and livestock industries. Contemporary corporatogenic warming of the climate is recognised scientifically as not only having tragic environmental consequences, but also creating significant biosecurity risks. Using the 2008 Dengue Fever outbreak in Northern Queensland as a critical focal point, this article explores the implications of corporatogenic climate change to Australian biosecurity in the context both of Australia's new federal biosecurity legislation (Biosecurity Act 2015 (Cth)) and the investor-State dispute settlement provisions of the Comprehensive and Progressive Trans-Pacific Partnership (CPTPP) particularly as they may impact the health and international human rights of Australia's northerly indigenous populations.

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Sleep Disorders in Indigenous Communities: Time to Close the Gap

Cited by 2 publications

References 12 publications

Validity of the new ‘Top End Sleepiness Scale’ against the STOP‐Bang tool in predicting obstructive sleep apnoea among Indigenous Australian adults

Validity of the new ‘Top End Sleepiness Scale’ against the STOP‐Bang tool in predicting obstructive sleep apnoea among Indigenous Australian adults

Biosecurity, Investor-State Dispute Settlement and Corporatogenic Climate Change: A Challenge for Australian Public Health Regulation and Human Rights

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