The work was carried out as part of the corresponding authors' PhD through the University of Newcastle. Data collection was undertaken at Derbarl Yerrigan Aboriginal Health Service in Perth, Western Australia.
The risk status, screening history and health concerns of Aboriginal and Torres Strait Islander people attending an Aboriginal Community Controlled Health Service
Article first published online: 25 APR 2012
© 2012 Australasian Professional Society on Alcohol and other Drugs
Drug and Alcohol Review
Special Issue: Tackling Tobacco Use in Socially Disadvantaged Groups: A Time for Action. Guest Editors: Billie Bonevski and Amanda Baker
Volume 31, Issue 5, pages 617–624, July 2012
How to Cite
STEWART, J. M., SANSON-FISHER, R. W., EADES, S. and FITZGERALD, M. (2012), The risk status, screening history and health concerns of Aboriginal and Torres Strait Islander people attending an Aboriginal Community Controlled Health Service. Drug and Alcohol Review, 31: 617–624. doi: 10.1111/j.1465-3362.2012.00455.x
- Issue published online: 5 JUL 2012
- Article first published online: 25 APR 2012
- Received 30 November 2011; accepted for publication 19 March 2012.
- Aboriginal and Torres Strait Islander people;
- Indigenous health service;
- primary health care;
- risk factor;
- mass screening
Introduction and Aims. Primary health-care services need to maximise prevention activities to improve the health of Aboriginal and Torres Strait Islander people. This study determined Aboriginal and Torres Strait Islander people's risk status and screening history for cardiovascular, diabetes and cancer, and identified opportunities for prevention based on patient's health concerns.
Design and Methods. Consenting adult patients attending an Aboriginal Community Controlled Health Service completed interview surveys. Outcome measures were: patient's self-reported rates of smoking, at-risk alcohol consumption, body mass index and screening rates for cholesterol, diabetes, blood pressure, cervical and breast cancer, the proportion of patients with multiple risk factors and health information patients prioritise to receive from their doctor.
Results. We surveyed 587 patients giving a consent rate of 77%. Patient's self-reported being at risk due to smoking (51%), harmful alcohol consumption in both short term (10%) and long term (10%), and overweight (28%) and obese (49%) body mass index. The proportion of patients who had not been screened within the recommended guidelines was 27% for cholesterol, 24% for diabetes, 40% for blood pressure, 47% for cervical cancer and 54% for breast cancer. The majority (73%) of patients had multiple risk factors. Patients prioritised receiving health information on diabetes (45%), weight (43%) and heart disease (43%).
Discussion and conclusions. Many patients were at high risk, and were concerned about the health risks they experience. Strategies are needed to help clinic staff identify risks, and maximise prevention activities according to best-practice guidelines, particularly to patients who experience multiple risk factors. [Stewart JM, Sanson-Fisher RW, Eades S, Fitzgerald M. The risk status, screening history and health concerns of Aboriginal and Torres Strait Islander people attending an Aboriginal Community Controlled Health Service. Drug Alcohol Rev 2012;31:617–624]