Research Development and Implementation
The practice of Aboriginal and Torres Strait Islander health research has been widely questioned, criticised and debated. Researchers need to build cultural values and approaches into their processes and ensure their research is informed by and implemented in the Aboriginal and Torres Strait Islander communities with whom they work.
A Collaborative Cardiovascular Health Program for Aboriginal and Torres Strait Islander People in the Goulburn–Murray Region: Development and risk factor screening at Indigenous community organisations
The Heart Health Project was developed in partnership between Aboriginal health and social organisations in the Goulburn-Murray region and university departments. The aims included screening for cardiovascular disease (CVD) risk factors, and evaluating community-directed interventions. We describe the development of the Heart Health Project and the results of risk factor screening among employees (n=66) of Aboriginal organisations during 2003-04.
The CRCAH is currently exploring options for a future entity to carry on the work of the CRCAH beyond June 2010. As part of this process, the CRCAH is exploring ways of developing a research agenda for any such new entity. A growing body of evidence is available to help inform the strategic priorities upon which a new entity such as a National Institute of Aboriginal Health Research could focus.
A New Variant of Dual-record Population Estimation with an Application in Remote Indigenous Communities
Dual-record system methods are commonly used as a basis for population estimation. A basic assumption is that the units sampled are drawn only from the population to be estimated. This assumption cannot be met for remote Indigenous communities in Australia. A new variant of dual-record population estimation is presented, which relies on the availability of specific additional information to relax the assumption of perfect frame specification. This variant is applied to two remote Indigenous communities in the Northern Territory of Australia, using locally available data sources.
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A Review of Psychosocial Stress and Chronic Disease for 4th World Indigenous Peoples and African Americans
Public health literature indicates that psychosocial stress is an important contributor to chronic disease development. However, there is scant research on the health effects of stress for minority groups, who suffer from a high burden of chronic disease. This paper provides a review of studies that examine the relationship between psychosocial stress and chronic disease for 4th world indigenous groups and African Americans. A total of 50 associational and 15 intervention studies fit the inclusion criteria for this review.
This paper reviews 138 empirical quantitative population-based studies of self-reported racism and health. These studies show an association between self-reported racism and ill health for oppressed racial groups after adjustment for a range of confounders. The strongest and most consistent findings are for negative mental health outcomes and health-related behaviours, with weaker associations existing for positive mental health outcomes, self-assessed health status, and physical health outcomes.
The National Health and Medical Research Council (NHMRC) is in the process of reviewing two important documents (Statement and Guidelines on Research Practice (1997) and the National Statement on Ethical Conduct in Research Involving Humans (1999)) that provide an ethical framework for conducting research with humans. During the review process of these documents it is timely to raise the importance of Indigenous (see footnote 1) participation in the ethical review process.
The first part of this paper gives background information about the CRC for Aboriginal and Tropical Health and its achievements. A key to the success of CRCATH has been its Board of Management, its organisational structure and its support for Indigenous leadership across the activities of the Centre. The second part of the paper comments on issues raised in the Issues Paper and makes a number of recommendations.
The Australian Integrated Mental Health Initiative in the Northern Territory is one of a number of sites funded by the National Health and Medical Research Council. The project has been working with Aboriginal Mental Health Workers (AMHWs), and the Top End Division of General Practice (TEDGP) to adapt mental health information to the Aboriginal and Torres Strait Islander context through development of mental health stories. The stories focus on personal strengths and family support, and use local artwork and images, local language, metaphors and music.
Ambivalent Helpers and Unhealthy Choices: Public health practitioners' narratives of Indigenous ill-health
Public health practitioners in Australian indigenous health work in a complex political environment. Public health training is limited in providing them with conceptual tools needed to unpack the postcolonial nexus of fourth-world health. A workshop was designed by the authors to facilitate critical reflection on how the concepts of race and culture are used in constructions of indigenous ill-health. It was attended by researchers, students, clinicians and bureaucrats working in public health in northern Australia.
The programmatic approach was developed in 2004 and informed change in the operations of the CRCAH in 2005. It involves a shift from the CRCAH's previous approach, with much more emphasis on large programs of work rather than individual projects. This new approach is designed to ensure that the research agenda focuses on the achievement of significant health gains, builds on and maximises the impact of existing research, and addresses issues of how improved health outcomes can be achieved through either new research or improvements in the uptake of existing evidence.
Indigenous Australians constitute approximately 2.4% of the Australian population and suffer from disadvantage across a range of social, economic, and health indicators compared to other Australians, including exposure to racism across all domains of contemporary Australian society. However, there has been relatively little research conducted on anti-racism in relation to Indigenous Australians. This article begins with an overview of theoretical issues pertinent to the empirical study and public policy of anti-racism.
The Lowitja Institute's approach to research places a high value on knowledge exchange and stakeholder involvement at every stage of the research, including priority setting, conducting research and implementing the findings.
This atlas provides a graphical snapshot of health-related infrastructure in Indigenous communities across Australia based on data collected by the former ATSICs 1999 Community Housing and Infrastructure Needs Survey (CHINS). Using maps, colour images and straightforward text, the atlas delineates a range of existing infrastructure and services including housing, water supply, sewerage, rubbish disposal, power supply, communications and transport, education and health facilities.
Beyond Bandaids: Exploring the Underlying Social Determinants of Aboriginal Health. Papers from the Social Determinants of Aboriginal Health Workshop, Adelaide, July 2004
Beyond Bandaids is a collection of sixteen papers from the CRCAH Social Determinants of Aboriginal Health Workshop held in Adelaide in July 2004.
Bridging the Health Equity Gap - A Submission from the Cooperative Research Centre for Aboriginal Health to the National Health and Hospitals Reform Commission
On 13 February 2008, the Federal Government delivered an Apology to Australia’s Indigenous Peoples. The Prime Minister’s address to the House of Representatives, witnessed live on television by hundreds of thousands of people, was a dramatic and moving event.
Objective: To compare cancer incidence and survival for the Northern Territory (NT) Indigenous population with that of other Australians, and to assess NT Indigenous incidence time trends. Methods: Cancer registry data were used to calculate cancer incidence rate ratios (NT Indigenous to total Australian), the average annual change in NT Indigenous cancer incidence and the relative risk of cancer death after diagnosis of cancer (NT Indigenous to combined Western Australian and Tasmanian cases) for 1991-2001.