Kidney and related chronic disease profiles and risk factors in three remote Australian Aboriginal communities

Hoy, Wendy, Kondalsamy-Chennakesavan, Srinivas, Scheppingen, Joanne and Sharma, Suresh (2005) Kidney and related chronic disease profiles and risk factors in three remote Australian Aboriginal communities. Advances in Chronic Kidney Disease, 12 1: 64-70. doi:10.1053/j.ackd.2004.10.004

Author Hoy, Wendy
Kondalsamy-Chennakesavan, Srinivas
Scheppingen, Joanne
Sharma, Suresh
Title Kidney and related chronic disease profiles and risk factors in three remote Australian Aboriginal communities
Journal name Advances in Chronic Kidney Disease   Check publisher's open access policy
ISSN 1548-5595
Publication date 2005-01
Sub-type Article (original research)
DOI 10.1053/j.ackd.2004.10.004
Volume 12
Issue 1
Start page 64
End page 70
Total pages 7
Editor W. W. Brown
Place of publication Philadelphia, PA, United
Publisher W. B. Saunders
Collection year 2005
Language eng
Subject C1
321203 Health Information Systems (incl. Surveillance)
730206 Aboriginal and Torres Strait Islander health
Abstract Morbidities and deaths from noncommunicable chronic diseases are greatly increased in remote Australian Aboriginal communities, but little is known of the underlying community-based health profiles. We describe chronic-disease profiles and their risk factors in 3 remote communities in the Northern Territory. Consenting adults (18+ years of age) in 3 communities participated in a brief history and examination between 2000 and mid-2003 as part of a systematic program to improve chronic-disease awareness and management. Participation was 67%,128%, and 62% in communities A, B, and C, respectively with a total of 1070 people examined. Current smokers included 41% of females and 72% of males. Most men were current drinkers, but most women were not. Parameters of body weight differed markedly by community, with mean body mass index (BMC) varying from 21.4 to 27.9 kg/m(2). Rates of chronic diseases were excessive but differed markedly; an almost threefold difference in the likelihood of any morbidity existed between communities A and C. Rates increased with age, but the greatest numbers of people with morbidities were in the middle-aged group. Most people had multiple morbidities with tremendous overlap. Hypertension and kidney disease appear to be early manifestations of the integrated chronic-disease syndrome, while diabetes is a late manifestation or complication. Substantial numbers of new cases of disease were identified by testing, and blood pressure improved in treated people with hypertension. Wide variations occur in body habitus, risk factors, and chronic-disease rates among communities, but an overwhelming need for effective smoking interventions exists in all. Systematic screening is useful in identifying high-risk individuals, most at early treatable stages there. Findings are very important for estimating current treatment needs, future burdens of disease, and for needs-based health services planning. Resources required will vary according to the burden of disease. (C) 2005 by the National Kidney Foundation, Inc.
Keyword Urology & Nephrology
Chronic-disease Profiles
Community Screening And Treatment
Health Services Planning
Census Undernumeraton
Cross Migration
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
2006 Higher Education Research Data Collection
School of Medicine Publications
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 18 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 17 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Wed, 15 Aug 2007, 07:52:13 EST