Digital Commons Network^™

The Health And Well-Being Of Indigenous Drug And Alcohol Workers: Results From A National Australian Survey, Ann M. Roche, Vinita Duraisingam, Allan Trifonoff, Amanda Tovell

Aboriginal Policy Research Consortium International (APRCi)

The increasing demand for alcohol and other drug (AOD) treatment services among the Australian Indigenous population, complex organisational challenges and limitations, and high unemployment rates are likely to negatively impact Indigenous AOD workers' health and well-being. Building the capacity of Indigenous AOD workers is vital, as they play a crucial role in the delivery of treatment services and offer essential support to their communities. A national online survey was conducted to examine organisational, workplace and individual factors that might contribute to levels of stress and well-being among workers who provide services to Indigenous clients. A total of 294 eligible surveys …

Tourists' Perceptions Of Aboriginal Heritage Souvenirs, Janet Chang, Geoffrey Wall, Jul-Cheng (Richard) Hung

Aboriginal Policy Research Consortium International (APRCi)

Heritage souvenirs are an indispensable part of indigenous tourism and the authenticity of indigenous heritage is a vital aspect of such tourism. This study adopts a mixed methods approach to explore the perceived authenticity of glass bead souvenirs of the Paiwan Tribe in Pintung County, Taiwan. The study explores differences in the evaluations of authenticity among stakeholders and the factors that influence perceptions of authen- ticity. An understanding of tourists’ perceptions of indigenous heritage offers valuable information for the creation of indigenous souvenirs and for reviving the promotion of indigenous culture.

How To Make Climate Change Research Relevant For Indigenous Communities In Torres Strait, Australia, Claire O'Neill, Donna Green, Willie Lui

Aboriginal Policy Research Consortium International (APRCi)

Several Torres Strait communities have significant infrastructure and sacred sites located only a few metres above sea level. As a consequence, these areas are vulnerable to erosion due to the projected increase in storm surge intensity caused by climate change. Common sense suggests that Islanders would welcome new scientific research about how climate change might affect them, in order to understand the significance of these impacts and the timeframes involved. However, one leader has taken a seemingly counterintuitive stance, and has refused to let new climate research occur. We explore why this position was taken, and the implications of this …

Quality Indicators Of Diabetes Care: An Example Of Remote-Area Aboriginal Primary Health Care Over 10 Years, Julia V. Marley, Carmel Nelson, Vicki O'Donnell, David Atkinson

Aboriginal Policy Research Consortium International (APRCi)

To describe service characteristics of Derby Aboriginal Health Service (DAHS) and document diabetes management activities and intermediate clinical outcomes for Aboriginal patients with type 2 diabetes.

Strategies To Improve Health Coverage And Narrow The Equity Gap In Child Survival, Health, And Nutrition, Mickey Chopra

Aboriginal Policy Research Consortium International (APRCi)

Implementation of innovative strategies to improve coverage of evidence-based interventions, especially in the most marginalised populations, is a key focus of policy makers and planners aiming to improve child survival, health, and nutrition. We present a three-step approach to improvement of the effective coverage of essential interventions. First, we identify four different intervention delivery channels—ie, clinical or curative, outreach, community-based preventive or promotional, and legislative or mass media. Second, we classify which interventions’ deliveries can be improved or changed within their channel or by switching to another channel. Finally, we do a meta-review of both published and unpublished reviews to …

Kerin O’Dea: Improving The Health Of Indigenous Australians, Tony Kirby

Aboriginal Policy Research Consortium International (APRCi)

No abstract provided.

Poverty, Work And Social Networks: The Role Of Social Capital For Aboriginal People In Urban Australian Locales, Julie Lahn

Aboriginal Policy Research Consortium International (APRCi)

In this article, I present the key findings from a project entitled “The Social Context of Indigenous Poverty”. The research involved a series of interviews with Aboriginal people in urban SE Australia on issues of poverty, social capital and social exclusion. In the article I draw together Aboriginal perspectives on the meaning of poverty to reflect on the relevance of social capital concepts for understanding Aboriginal economic disadvantage and hence, the merits of policy framed in these terms.

The Quest For Universal Health Coverage: Achieving Social Protection For All In Mexico, Felicia Marie Knaul, Eduardo GonzáLez-Pier, Octavio GóMez-DantéS, David GarcíA-Junco, HéCtor Arreola-Ornelas, Mariana Barraza-LloréNs, Rosa Sandoval,, Francisco Caballero, Mauricio HernáNdez-Avila, Mercedes Juan, David Kershenobich, Gustavo Nigenda, Enrique Ruelas, Jaime SepúLveda, Roberto Tapia, Guillermo SoberóN, SalomóN Chertorivski, Julio Frenk

Aboriginal Policy Research Consortium International (APRCi)

Mexico is reaching universal health coverage in 2012. A national health insurance programme called Seguro Popular, introduced in 2003, is providing access to a package of comprehensive health services with financial protection for more than 50 million Mexicans previously excluded from insurance. Universal coverage in Mexico is synonymous with social protection of health. This report analyses the road to universal coverage along three dimensions of protection: against health risks, for patients through quality assurance of health care, and against the financial consequences of disease and injury. We present a conceptual discussion of the transition from labour-based social security to social …

Indigenous MéTissage: A Decolonizing Research Sensibility, Dwayne Donald

Aboriginal Policy Research Consortium International (APRCi)

This paper is a report on the theoretical origins of a decolonizing research sensibility called Indigenous Métissage. This research praxis emerged parallel to personal and ongoing inquiries into historic and current relations connecting Aboriginal peoples and Canadians in the place now called Canada. I frame the colonial frontier origins of these relations – and the logics that tend to inform them – as conceptual problems that require rethinking on more ethically relational terms. Although a postcolonial cultural theory called métissage offers helpful insights towards this challenge, I argue that the postcolonial emphasis on hybridity fails to acknowledge Indigenous subjectivity in …

Cultivating Aboriginal Cultures And Educating Aboriginal Children In Taiwan, Karen Liu, Li Tsung Wen Kuo

Aboriginal Policy Research Consortium International (APRCi)

No abstract provided.

Growth And Empowerment For Indigenous Australians In Substance Abuse Treatment, Stacey L. Berry, T. P. Crowe, F. P. Deane, M. Billingham, Y. Bhagerutty

Aboriginal Policy Research Consortium International (APRCi)

This paper describes psychosocial outcomes of an Indigenous residential substance abuse rehabilitation centre in Australia, examines the sensitivity to change of the new Growth and Empowerment Measure (GEM), and explores the degree to which service users value cultural components of the treatment program. Participants were 57 Indigenous and 46 non-Indigenous male clients from Oolong House. Intake, 8-weeks, and 16-weeks (program completion) measures of Kessler 10 Psychological Distress Scale (K10), Drug Taking Confidence Questionnaire (DTCQ-8), and GEM were completed. The Treatment Component Evaluation (TCE) was completed at 16-weeks. There were significant improvements for participants, with a decrease in psychological distress and …

An Intensive Smoking Intervention For Pregnant Aboriginal And Torres Strait Islander Women: A Randomised Controlled Trial, Sandra J. Eade, Rob W. Sanson-Fisher, Mark Wenitong, Katie Panaretto, Catherine D'Este, Conor Gilligan, Jessica Stewart

Aboriginal Policy Research Consortium International (APRCi)

Objective: To determine the effectiveness of an intensive quit-smoking intervention on smoking rates at 36 weeks’ gestation among pregnant Aboriginal and Torres Strait Islander women. Design: Randomised controlled trial. Setting and participants: Pregnant Aboriginal and Torres Strait Islander women (n= 263) attending their first antenatal visit at one of three Aboriginal community-controlled health services between June 2005 and December 2009. Intervention: A general practitioner and other health care workers delivered tailored advice and support to quit smoking to women at their first antenatal visit, using evidence-based communication skills and engaging the woman’s partner and other adults in supporting the quit …

Prevalence Of Mental Illness Among Aboriginal And Torres Strait Islander People In Queensland Prisons, Edward B. Hefferman

Aboriginal Policy Research Consortium International (APRCi)

Objective: To estimate the prevalence of mental disorder in a representative sample of Aboriginal and Torres Strait Islander people in Queensland prisons.

Design, setting and participants: Cross-sectional assessment of mental health using the Composite International Diagnostic Interview (CIDI) and clinical interviews, conducted by Indigenous mental health clinicians who undertook specific training for this purpose, with support from forensic psychiatrists when indicated. We assessed adults who self-identified as Indigenous and were incarcerated in six of the nine major correctional centres across Queensland (housing 75% of all Indigenous men and 90% of all Indigenous women in Queensland prisons) between May and June …

Suicide In Young Men, Alexandra Pitman, Karolina Krysinska, Michael King

Aboriginal Policy Research Consortium International (APRCi)

No abstract provided.

Canada Curbs Aboriginal Health Leadership, Paul C. Webster

Aboriginal Policy Research Consortium International (APRCi)

No abstract provided.

Cannabis Use In Cape York Indigenous Communities: High Prevalence, Mental Health Impacts And The Desire To Quit, India Bohanna, Alan R. Clough

Aboriginal Policy Research Consortium International (APRCi)

Anecdotal reports suggest that high rates of cannabis use and dependence are significant issues in Indigenous communities in north Queensland; however, there is little scientific evidence to support or refute this.The Cape York Cannabis Project seeks to investigate cannabis use rates, cannabis dependence and mental health impacts for the first time in three Cape York Indigenous communities.

Mental Disorders And Communication Of Intent To Die In Indigenous Suicide Cases, Queensland, Australia, Diego De Leo, Allison Milner, Jerneja Sveticic

Aboriginal Policy Research Consortium International (APRCi)

In comparing Indigenous to non-Indigenous suicide in Australia, this study focussed on the frequency of the association between some psychiatric conditions, such as depression and alcohol abuse, and some aspect of suicidality, in particular communication of suicide intent. Logistic regression was implemented to analyze cases of Indigenous (n = 471) versus non-Indigenous suicides (n = 6,655), using the Queensland Suicide Register as a data source. Compared to non-Indigenous suicides, Indigenous cases had lower odds of being diagnosed with unipolar depression, seeking treatment for psychiatric conditions or leaving a suicide note. Indigenous suicides had greater odds of verbally communicating suicide intent …

Magic And Superstition In Baseball In Taiwan: An Examination Of The Puyama Aborigines’ Use Of The Betel Nut, Junwei Yu

Aboriginal Policy Research Consortium International (APRCi)

Much work has been published on the place of rituals in numerous areas of life with reference both to general activities and, more specifically, to sport. As yet, however, there has been no significant study of the use of magic by and on behalf of players in Taiwan where baseball can legitimately be described as the national sport. This article seeks to fill that void by focusing in particular on the practices of the island’s Puyama aboriginal people and the use of the betel nut to cast spells on opponents. The data for this study were collected during two research …

The First Year Counts: Cancer Survival Among Indigenous And Non-Indigenous Queenslanders, 1997–2006, Susanna M. Cramb, Gall Garvey, Patricia C. Valery, John D. Williamson, Peter D. Baade

Aboriginal Policy Research Consortium International (APRCi)

Objective: To examine the differential in cancer survival between Indigenous and non-Indigenous people in Queensland in relation to time after diagnosis, remoteness and area-socioeconomic disadvantage.

Design, setting and participants: Descriptive study of population-based data on all 150 059 Queensland residents of known Indigenous status aged 15 years and over who were diagnosed with a primary invasive cancer during 1997–2006.

Main outcome measures: Hazard ratios for the categories of area- socioeconomic disadvantage, remoteness and Indigenous status, as well as conditional 5-year survival estimates.

Results: Five-year survival was lower for Indigenous people diagnosed with cancer (50.3%; 95% CI, 47.8%–52.8%) compared with non-Indigenous …

Bridging The Gap Between Theory And Practice In Climate Change Vulnerability Assessments For Remote Indigenous Communities In Northern Australia, Donna Green, Stephanie Niall, Joe Morrison

Aboriginal Policy Research Consortium International (APRCi)

This paper considers the Australian federal government’s approach to climate adaptation policy for remote northern Indigenous communities through the close examination of a seminal Scoping Study. This approach is taken to illustrate the lag between adaptation theory and practice, and to highlight important considerations to enable the development of a just and effective policy. The analysis suggests that policy in this area would benefit from the further consideration of three factors, namely the role of uncertainty in climate policy, the need for meaningful consultation with communities, and the benefit of integrating contextual and bottom-up assessment of vulnerability with decision-making in …

Mental Health Of Indigenous Australians: A Review Of Findings From Community Surveys, Anthony F. Jorm, Sarah J. Bourchier, Stefan Cvetkovski, Gavin Stewart

Aboriginal Policy Research Consortium International (APRCi)

Objective: To assemble what is known about the mental health of Indigenous Australians from community surveys. Data sources: A systematic search was carried out of publications and data sources since 2000 using PubMed, PsycINFO, Australian Medical Index, the National Library of Australia and datasets known to the authors.

Study selection: Surveys had to involve representative sampling of a population, identify Aboriginal and Torres Strait Islander people and include a measure of mental health.

Data extraction: 11 surveys were found. Data were extracted on prevalence rates for Indigenous people by age and sex, along with comparison data from the general population, …

Psychosis In Indigenous Populations Of Cape York And The Torres Strait, Ernest M. Hunter, Bruce D. Gynther, Carrick J. Anderson, Leigh-Ann L. Onnis, Jeffrey R. Nelson, Wayne Hall, Bernhard T. Baune, Aaron R. Groves

Aboriginal Policy Research Consortium International (APRCi)

Objective: To describe and characterise treated psychotic disorders in the Indigenous populations of Cape York and the Torres Strait.

Design: Cross-sectional analysis of patients with a psychotic disorder identified by treating psychiatrists.

Setting and participants: Indigenous patients aged 􏰀 15 years in Cape York and Torres Strait communities receiving treatment for a psychotic disorder over 3 months in 2010.

Main outcome measures: Prevalence of psychosis diagnoses, intellectual disability, and substance use comorbidities.

Results: 171 patients were included. The prevalence rate in this population was 1.68%, higher for males (2.60%) than females (0.89%), and twice as high in the Aboriginal (2.05%) …

Effect Of Dialect On Identification And Severity Of Speech Impairment In Indigenous Australian Children, Bethany J. Toohill, Sharynne Mcleod, Jane Mccormack

Aboriginal Policy Research Consortium International (APRCi)

This study investigated the effect of dialectal difference on identification and rating of severity of speech impairment in children from Indigenous Australian backgrounds. The speech of 15 Indigenous Australian children identified by their parents/caregivers and teachers as having ‘difficulty talking and making speech sounds’ was assessed using the Diagnostic Evaluation of Articulation and Phonology. Fourteen children were identified with speech impairment on the Diagnostic Evaluation of Articulation and Phonology using Standard Australian English (AusE) as the target pronunciation; whereas 13 were identified using Australian Aboriginal English (AAE) as the target. There was a statistically significant decrease in seven children’s severity …

Natural And Unnatural Disasters: Responding With Respect For Indigenous Rights And Knowledges, Richard Howitt, Olga Havnen, Siri Veland

Aboriginal Policy Research Consortium International (APRCi)

A key challenge for contemporary democratic societies is how to respond to disasters in ways that foster just and sustainable outcomes that build resilience, respect human rights, and foster economic, social, and cultural well-being in reasonable timeframes and at reasonable costs. In many places experiencing rapid environmental change, indigenous people continue to exercise some level of self-governance and autonomy, but they also face the burden of rapid social change and hostile or ambiguous policy settings. Drawing largely on experience in northern Australia, this paper argues that state policies can compound and contribute to vulnerability of indigenous groups to both natural …

Heavy Maternal Alcohol Consumption And Cerebral Palsy In The Offspring, Colleen M. O'Leary, Linda Watson, Heather D'Antoine, Fiona Stanley, Carol Bower

Aboriginal Policy Research Consortium International (APRCi)

AIM The aim of this study was to investigate the association between heavy maternal alcohol consumption and pre- peri- and postneonatally acquired cerebral palsy (CP). METHOD The records of all mothers with an International Classification of Diseases, revision 9 or 10 (ICD-9 ⁄ -10) alcohol-related diagnostic code, indicating heavy alcohol consumption, recorded on population-based health, mental health, and drug and alcohol data sets from 1983 to 2007, and their children were identified through the Western Australian Data-linkage System. This ‘exposed’ cohort was frequency matched with mothers without an alcohol-related diagnosis and their offspring (comparison group). Cases of CP were identified …

Blunting The Legacy Of Alcohol Abuse In Western Australia, Tony Kirby

Aboriginal Policy Research Consortium International (APRCi)

No abstract provided.

Housework Metaphor For Gambling Public Health Action: An Indigenous Perspective, Lorna Dyall, Zoe Hawke, Ruth Herd, Papa Nahi

Aboriginal Policy Research Consortium International (APRCi)

Housework,thosedutiesdoneathomeorinone’scommunitytokeepandcleanand tidy, is used in this paper as a metaphor for Māori involvement in gambling public health action in New Zealand. For over a decade Māori have been developing their own voice, public health actions, gambling services, research and workforce development initiatives to address gambling related harm at a whānau, community, local government, national and now international level. Involvement in gambling public health action has required Māori to utilise our Treaty of Waitangi and now international indigenous peoples’ rights to ensuring legislation and host responsibility requirements are met at all levels in New Zealand society. Housework which is a demanding …

Justice, Culture And The Political Determinants Of Indigenous Australian Health, Dominic O'Sullivan

Aboriginal Policy Research Consortium International (APRCi)

Indigenous Australian health is distinguished by a median age of death in the order of 20 years less than that of the non-indigenous population (Australian Bureau of Statistics, 2009). This makes Australia unique among comparable post-colonial societies in failing to make substantive reductions to the indigenous/non-indigenous health differential. Relatively poor indigenous housing, educational attainment, labour market participation and access to traditional resources for economic purposes contribute to the differen- tial. These contributing variables have an inherently political character which is integral to examining the just distribution of public authority, the purpose of political activity, equal political participation and cultural responsiveness …

A Cross-Sectional Survey Of Prevalence And Correlates Of Suicidal Ideation And Suicide Attempts Among Prisoners In New South Wales, Australia, Sarah Larney, Libby Topp, Devon Indig, ColmáN O'Driscoll, David Greenberg

Aboriginal Policy Research Consortium International (APRCi)

Background: We aimed to estimate the prevalence of suicidal ideation and suicide attempt among prisoners in New South Wales, Australia; and, among prisoners reporting suicidal ideation, to identify factors associated with suicide attempt.

Methods: A cross-sectional design was used. Participants were a random, stratified sample of 996 inmates who completed a telephone survey. The estimated population prevalence of suicidal ideation and suicide attempt were calculated and differences by sex and Aboriginality were tested using c2 tests. Correlates of suicidal ideation and suicide attempt were tested using logistic regression.

Results: One-third of inmates reported lifetime suicidal ideation and one-fifth had attempted …

A Bibliometric Analysis Of Research On Indigenous Health In Australia, 1972-2008, Gemma E. Derrick, Andrew Hayen, Simon Chapman, Abby S. Haynes, Berenika M. Webster, Ian Anderson

Aboriginal Policy Research Consortium International (APRCi)

Objective: To determine the growth patterns and citation volume of research publications referring to Indigenous health in Australia from 1972 to 2008 compared to seven selected health fields. Methods: Web of Science was used to identify all publications (n=820) referring to the health of Indigenous Australians authored by Australian researchers, 1972 to 2008. Citations for each publication were also captured. Growth was compared with selected health fields as well as with overall Australian research publications. Results: Research publications referring to Indigenous health, while remaining relatively small in number, grew at an average annual rate of 14.1%, compared with 8.2% across …