Trends in health status and chronic disease risk factors over 10-14 years in a remote Australian community: a matched pair study

Wang, Zaimin, Scott, James, Wang, Zhiqiang and Hoy, Wendy E. (2014) Trends in health status and chronic disease risk factors over 10-14 years in a remote Australian community: a matched pair study. Australian and New Zealand Journal of Public Health, 38 1: 73-77. doi:10.1111/1753-6405.12181


Author Wang, Zaimin
Scott, James
Wang, Zhiqiang
Hoy, Wendy E.
Title Trends in health status and chronic disease risk factors over 10-14 years in a remote Australian community: a matched pair study
Journal name Australian and New Zealand Journal of Public Health   Check publisher's open access policy
ISSN 1326-0200
1753-6405
Publication date 2014-02-05
Year available 2014
Sub-type Article (original research)
DOI 10.1111/1753-6405.12181
Open Access Status
Volume 38
Issue 1
Start page 73
End page 77
Total pages 5
Place of publication Richmond, VIC, Australia
Publisher Wiley-Blackwell Publishing Asia
Language eng
Formatted abstract
Objective: To determine trends in health status over a 10-year interval in a high-risk remote Australian Aboriginal community.

Methods: Two health surveys were performed, one between 1992 and 1997 and the other between 2004 and 2006, on people aged five years or older. Outcomes were compared across age-matched and sex-matched pairs.

Results: There were 1,209 matched pairs. In the second survey, birthweights tended to be higher, and there were significant increases in heights of adolescents and young adults, and high density lipoprotein cholesterol (HDL-C) levels generally. Young adult males were lighter, had lower measurements for waist circumference and blood pressure and less frequently had overt-albuminuria, while elevated blood pressure was less common in older males. However, females ≥15 years had higher measurements for waist circumference, waist to hip ratio (WHR), body mass index (BMI) and diastolic blood pressure and a higher proportion of diabetes, notably in those aged older than 45 years. Males aged 15–24 years were less likely to be smokers while women aged less than 45 years were more often current drinkers.

Conclusions: Results indicative of better nutrition among youth, better health of young adult males, stable or lower levels of albuminuria and improved HDL levels are all encouraging. The waist circumference increase in females might reflect better food access. An increase in diabetes in older subjects probably reflects recent enhanced survival of middle-aged and older people with – and at risk for – diabetes.
Keyword Public, Environmental & Occupational Health
Public, Environmental & Occupational Health
PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH, SCI
PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH, SSCI
Q-Index Code C1
Q-Index Status Confirmed Code
Grant ID 921134
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Medicine Publications
 
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Created: Sat, 08 Feb 2014, 01:31:55 EST by Zhiqiang Wang on behalf of Medicine - Royal Brisbane and Women's Hospital