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Presented by
Kalindi Nimhani Wanasundara
Kudzai Norah Nyamunduru
Namita Mahato
Sachini Koshila Samaratunga
4 X more likely to have diabetes
4 x more likely to be hospitalised from diabetes
5 X more likely to die from diabetes
Source: Australian Bureau Statistics Analysis of 2012-2013
Adults with diabetes by Age and Indigenous Status
Source: Australian Bureau Statistics Analysis of 2012-2013
Diabetes hospitalisation rates, as the principal diagnosis, by Indigenous status and sex, 2012-13
Source: Australian Institute of Health & Welfare, 2014
Risk Factors
Social
and cultural
Historical
Health risk Factors
Hypertension
Stress
Unemployment
Biomedical
Dyslipidaemia
Low Income
Loss of traditional activities
Behavioural
Poor housing
Obesity
Smoking
Physical inactivity
Poor diet
Aunty Irene's story
2010
Practice Incentives Program- Indigenous Health Icentive
2011
NDSS introduces National development programs for Indigenous people
2013
Aboriginal and Torress Strait Islanders and diabetes Action Plan
National Aboriginal and Torres Strait Islander health plan 2013-2013 released
2014
Indigenous Australians' health programme established
2015
New National Diabetes strategy 2016-2020 released
Interventions
Lack of respect for cultural role
Lack of space to private clinical space
Inadequately resourced health centres
Resistance to seek health services
Lack of transport to health services
Barriers to Interventions
Understand social determinants of Indigenous health
Be culturally competent
Implications
Breakdown misconceptions and sterotypes
Possess cultural awareness
Collaborate across professions to improve patient outcome
Communicate by being active listener
National strategies and Policies
Diabetes prevention and management programs
Improved outcomes in diabetes management
Culturally safe primary health care services
Nursing strategies
Healthy life style
Address risk factors
Australian Institute of Health and Welfare. (2017). National Key Performance Indicators for Aboriginal and Torres Strait Islander primary health care: results from
June 2016. Canberra: AIHW.
Burrow, S., & Ride, K. (2016). Review of diabetes among Aboriginal and Torres Strait Islander people. Retrieved from Australian Indigenous HealthInfoNet:
https://healthinfonet.ecu.edu.au/healthinfonet/getContent.php?linkid=590810&title=Review+of+diabetes+among+Aboriginal+and+Torres+Strait+Islander+people
Canuto, K., Aromataris, E., Lockwood, C., Tufanaru, C., & Brown, A. (2017). Aboriginal and Torres Strait Islander health promotion programs for the prevention and
management of chronic diseases: a scoping review protocol. JBI Database System Rev Implement Rep, 15(1), 10-14.
Emma, W., Craig, J., Bernie, K., Valerie, S., Monica, J., & Billie, T. (2017). Theory that explains an Aboriginal perspective of learning to understand and manage
diabetes. Australian and New Zealand Journal of Public Health, 41(1), 27-31. doi:doi:10.1111/1753-6405.12605
Ferguson, M., Brown, C., Georga, C., Miles, E., Wilson., A. Brimblecombe, J. (2017). Traditional food availability and consumption in remote Aboriginal communities in
the Northern Territory, Australia, Australian and New Zealand Journal of public health, 41(3), 294-98, https://doi.org/10.1111/1753-6405.12664
Gibson, O., Luz, Z., Fielding, C., Westhead, S., Eltridge, F., Stuart, H., . . . Brown, A. (2016). The South Australian Aboriginal Diabetes Strategy 2017 – 2021. Wardliparingga
Aboriginal Research Theme: South Australian Health and Medical Research Institute.
Gracey, M. (2014). Why closing the Aboriginal health gap is so elusive, Journal of Internal medicine, 44(11), 1141-1143,
https://doi-org.ezproxy.lib.monash.edu.au/10.1111/imj.12577
Hyde, Z., Smith, K., Flicker, L., Atkinson, D., Almeida, O. P., Lautenschlager, N. T., Dwyer A., LoGiudice, D. (2018). Mortality in a cohort of remote-living Aboriginal
Australians and associated factors, PloS one, 13(4), 1-12, http://dx.doi.org.ezproxy.lib.monash.edu.au/10.1371/journal.pone.0195030.
Li, J., (2017). Cultural barriers lead to inequitable healthcare access for aboriginal Austrlaians and Torres Strait Islanders. Chinese Nursing Research, 4(4), 207-210.
Retrieved https://doi.org/10.1016/j.cnre.2017.10.009
McDermott, R. A., Schmidt, B., Preece, C., Owens, V., Taylor, S., Li, M., & Esterman, A. (2015). Community health workers improve diabetes care in remote Australian
Indigenous communities: results of a pragmatic cluster randomized controlled trial. BMC Health Services Research, 15(1), 68. Retrieved from https://doi.org/10.1186/s12913-015-0695-5