Talking About The Smokes: summary and key findings

Thomas, D.; Davey, Maureen; Briggs, Viki; Borland, Ron

doi:10.5694/mja15.00464

Cited by 24 publications

(31 citation statements)

References 2 publications

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“…The data indicate that risk factor assessment is being targeted appropriately to patients who are clinically identified as high risk. Despite this, the high prevalence of smoking and obesity are consistent with other recent reports 30–33 . Obesity is a key risk factor for T2DM and CVDs: hypertension, stroke and coronary artery disease 33 .…”

Section: Discussionsupporting

confidence: 89%

Cardiovascular disease risk in young Indigenous Australians: a snapshot of current preventive health care

Crinall

Boyle

Gibson-Helm

et al. 2017

Australian and New Zealand Journal of Public Health

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Objective: To examine preventive health attendance and recording of type 2 diabetes and cardiovascular disease risk factors and their management in young Aboriginal peoples and Torres Strait Islanders (Indigenous Australians) at primary health care centres (PHCs). Methods:This descriptive cross-sectional study audited medical records of 1,986 Indigenous people aged 15-34 years attending 93 Australian PHCs. Measurements included blood pressure (BP), blood glucose level (BGL), smoking status, body mass index (BMI) and lipid profile.Results: Last attendance was most commonly for acute care (46%); 12% attended for preventive assessment. BP was recorded in 85% (1,686/1,986), BGL 63% (1,244/1,986), smoking status 52% (1,033/1,986), BMI 37% (743/1,986) and lipids 31% (625/1,986). Of those with a recorded assessment, elevated BGL (39%, 479/1,244), smoking (63%, 649/1,033), overweight/ obesity (51%, 381/743) and dyslipidaemia (73%, 458/625) were common. Follow-up of abnormal results was documented for elevated BP 28% (34/120), elevated BGL 17% (79/479), smoking 65% (421/649), overweight/obesity 11% (40/381) and abnormal lipids 16% (75/458). Conclusions:These findings highlight the importance of raising awareness and assessment of chronic disease risk factors in young Indigenous people and implementing preventive health care strategies.Implications: Strengthening the capacity of PHCs to provide preventive health care may contribute to reducing the chronic disease burden experienced by young Indigenous people.

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Section: Discussionsupporting

confidence: 89%

Cardiovascular disease risk in young Indigenous Australians: a snapshot of current preventive health care

Crinall

Boyle

Gibson-Helm

et al. 2017

Australian and New Zealand Journal of Public Health

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“…The proportion of current daily smokers among Indigenous Australians had decreased from 49% to 45% over that time period . Those living in remote areas were more likely to be current smokers than those living in urban areas . However, healthcare programmes that involve smoking counselling or non‐smoking policy in public areas have not demonstrated change in rates of smoking .…”

Section: Lifestyle Modificationmentioning

confidence: 99%

“…Those living in remote areas were more likely to be current smokers than those living in urban areas . However, healthcare programmes that involve smoking counselling or non‐smoking policy in public areas have not demonstrated change in rates of smoking . Recent work has reported that two thirds of Indigenous Australians who currently smoke want to quit, and more than half have tried to quit at least once in the past .…”

Section: Lifestyle Modificationmentioning

confidence: 99%

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Management of diabetes in Indigenous communities: lessons from the Australian Aboriginal population

Nguyen

Chitturi

Maple-Brown

2016

Internal Medicine Journal

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Type 2 diabetes mellitus and other chronic cardio-metabolic conditions are significant contributors to the large disparities in life expectancy between Indigenous and non-Indigenous Australians. Type 2 diabetes is more prevalent from a young age among Indigenous Australians and is often preceded by a cluster of risk factors, including central obesity, dyslipidaemia, albuminuria and socio-economic disadvantage. Management of type 2 diabetes in Australian Indigenous peoples can be challenging in the setting of limited resources and socio-economic disadvantage. Key strategies to address these challenges include working in partnership with patients, communities and primary healthcare services (PHC, Aboriginal community controlled and government services) and working in a multidisciplinary team. Population prevention measures are required within and beyond the health system, commencing as early as possible in the life course.

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“…The evaluation has shown however, that consistent with recent national evidence there are increasing numbers of smokefree homes for both Indigenous and non‐Indigenous populations with similar proportions of Indigenous and non‐Indigenous smokers wanting to quit and making quit attempts . These findings emphasise the need for culturally targeted messages, which are preferred by Indigenous groups and improvement in the salience of anti‐tobacco messages for Indigenous populations …”

Section: Discussionmentioning

confidence: 64%

An evaluation of the ‘Yaka Ŋarali’’ Tackling Indigenous Smoking program in East Arnhem Land: Yolŋu people and their connection to ŋarali’

Tane

Hefler

Thomas

2018

Health Prom J of Aust

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Given the strong cultural and traditional connection to ŋarali', care must be taken to ensure tobacco control measures maintain congruence with local values and expectations. SO WHAT?: Tailored, localised programs, developed in consultation with communities, Elders and leaders are needed to respect and accommodate the tight connection that the Yolŋu have with ŋarali', maintained over hundreds of years.

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Talking About The Smokes: summary and key findings

Cited by 24 publications

References 2 publications

Cardiovascular disease risk in young Indigenous Australians: a snapshot of current preventive health care

Cardiovascular disease risk in young Indigenous Australians: a snapshot of current preventive health care

Management of diabetes in Indigenous communities: lessons from the Australian Aboriginal population

An evaluation of the ‘Yaka Ŋarali’’ Tackling Indigenous Smoking program in East Arnhem Land: Yolŋu people and their connection to ŋarali’

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