Quantifying the excess risk for proteinuria, hypertension and diabetes in Australian Aborigines: Comparison of profiles in three remote communities in the Northern Territory with those in the AusDiab study

Hoy, Wendy E., Kondalsamy-Chennakesavan, Srinivas, Wang, Zhiqiang, Briganti, Esther, Shaw, Jonathan, Polkinghorne, Kevan, Chadban, Steven and The AusDiab Study Group (2007) Quantifying the excess risk for proteinuria, hypertension and diabetes in Australian Aborigines: Comparison of profiles in three remote communities in the Northern Territory with those in the AusDiab study. Australian and New Zealand Journal of Public Health, 31 2: 177-183. doi:10.1111/j.1753-6405.2007.00038.x

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Author Hoy, Wendy E.
Kondalsamy-Chennakesavan, Srinivas
Wang, Zhiqiang
Briganti, Esther
Shaw, Jonathan
Polkinghorne, Kevan
Chadban, Steven
The AusDiab Study Group
Title Quantifying the excess risk for proteinuria, hypertension and diabetes in Australian Aborigines: Comparison of profiles in three remote communities in the Northern Territory with those in the AusDiab study
Journal name Australian and New Zealand Journal of Public Health   Check publisher's open access policy
ISSN 1326-0200
Publication date 2007-04
Sub-type Article (original research)
DOI 10.1111/j.1753-6405.2007.00038.x
Open Access Status File (Author Post-print)
Volume 31
Issue 2
Start page 177
End page 183
Total pages 7
Place of publication Carlton, Australia
Publisher Blackwell Publishing
Collection year 2008
Language eng
Subject C1
111701 Aboriginal and Torres Strait Islander Health
11 Medical and Health Sciences
110203 Respiratory Diseases
1102 Cardiovascular Medicine and Haematology
1103 Clinical Sciences
1117 Public Health and Health Services
Formatted abstract
Objective:
to estimate the magnitude of excess risk for proteinuria, high blood pressure and diabetes in Australian Aboriginal adults in three remote communities by comparing them with nationwide Australian data.

Methods:

Adult volunteers from three remote communities in the Northern Territory were screened for proteinuria, high blood pressure, and diabetes between 2000 and mid 2003. Rates for people age 25 to 74 years were compared with those from the AusDiab study conducted in 1999 and 2000.

Results:

Compared with AusDiab, rates of these conditions were elevated in all Aboriginal communities, but differed among them. With adjustment for age and sex, rates of proteinuria were elevated 2.5- to 5.3-fold, rates of high blood pressure were elevated 3.1- to 8.1-fold and rates of diabetes were elevated 5.4- to 8.7-fold and the risk of having two or more conditions ranges from 5.8- to 14.2-fold.

Discussion:
The data are compatible with the excess morbidity and mortality from cardiovascular disease, diabetes and renal disease in these Aboriginal groups. They reflect the multitude of risk factors operating in these environments. they dictate urgent and systematic intervention to modify outcomes of established disease and to prevent their development. However, the resources required for effective secondary intervention will differ among communities according to the disease burden.
Keyword Australian Aborigines
Proteinuria
hHpertension
Diabetes
Prevalence
Health surveys
Q-Index Code C1
Additional Notes This is an author version of an article later published as Hoy, W. E., Kondalsamy-Chennakesavan, S., Wang, Z., Briganti, E., Shaw, J., Polkinghorne, K., Chadban, S. and the AusDiab Study Group (2007). Quantifying the excess risk for proteinuria, hypertension and diabetes in Australian Aborigines: comparison of profiles in three remote communities in the Northern. Australian and New Zealand Journal of Public Health, 31 (2), 177-183. doi: 10.1111/j.1753-6405.2007.00038.x Copyright © 2007 Blackwell Publishing. All rights reserved.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
2008 Higher Education Research Data Collection
School of Medicine Publications
 
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Created: Wed, 16 May 2007, 12:34:01 EST by Susan Mott on behalf of Medicine - Royal Brisbane and Women's Hospital