Chronic condition risk factor change over time in a remote Indigenous community

Kylie Strate, Julie Brimblecombe, Louise Maple-Brown, Joanne Garrngulkpuy, Elaine Maypilama, Maria Scarlett, Kerin O'Dea, Elizabeth Lm Barr

    Research output: Contribution to journalArticle

    Abstract

    Introduction: This study sought to determine change in chronic condition risk factors in a remote Indigenous community following a 3-year period of community-led health promotion initiatives. 

    Methods: Data were compared between two cross-sectional surveys of Indigenous Australian community residents before and after health promotion activities, and longitudinal analysis of participants present at both surveys using multilevel mixed-effects regression. 

    Results: At baseline, 294 (53% women; mean age 35 years) participated and 218 attended the second survey (56% women, mean age 40 years), and 87 attended both. Body composition, blood pressure and urinary albumin-to-creatinine ratio remained stable between baseline and follow-up. After adjusting for age and sex, haemoglobin A1c significantly increased (from 57 to 63 mmol/mol (7.5% to 8.1%), p=0.021) for those with diabetes. Increases were also observed for total cholesterol (from 4.4 to 4.6 mmol/L, p=0.006) and triglycerides (from 1.5 to 1.6 mmol/L, p=0.019), and high-density lipoprotein cholesterol levels improved (from 0.98 to 1.02 mmol/L, p=0.018). Self-reported smoking prevalence was high but stable between baseline (57%) and follow-up (56%). Similar results were observed in the longitudinal analysis to the cross-sectional survey comparison. 

    Conclusion: Community-led health promotion initiatives may have had some benefits on chronic condition risk factors, including stabilisation of body composition, in this remote Indigenous community. Given that less favourable trends were observed for diabetes and total cholesterol over a short time period and smoking prevalence remained high, policy initiatives that address social and economic disadvantage are needed alongside community-led health promotion initiatives.

    Original languageEnglish
    Article number4452
    Pages (from-to)1-12
    Number of pages12
    JournalRural and Remote Health
    Volume20
    Issue number1
    DOIs
    Publication statusPublished - 13 Jan 2020

    Fingerprint

    Health Promotion
    health promotion
    community
    Body Composition
    chronic illness
    smoking
    Cross-Sectional Studies
    Smoking
    Cholesterol
    stabilization
    HDL Cholesterol
    time
    Albumins
    Creatinine
    Hemoglobins
    Triglycerides
    Economics
    resident
    Blood Pressure
    regression

    Cite this

    Strate, Kylie ; Brimblecombe, Julie ; Maple-Brown, Louise ; Garrngulkpuy, Joanne ; Maypilama, Elaine ; Scarlett, Maria ; O'Dea, Kerin ; Barr, Elizabeth Lm. / Chronic condition risk factor change over time in a remote Indigenous community. In: Rural and Remote Health. 2020 ; Vol. 20, No. 1. pp. 1-12.
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    abstract = "Introduction: This study sought to determine change in chronic condition risk factors in a remote Indigenous community following a 3-year period of community-led health promotion initiatives. Methods: Data were compared between two cross-sectional surveys of Indigenous Australian community residents before and after health promotion activities, and longitudinal analysis of participants present at both surveys using multilevel mixed-effects regression. Results: At baseline, 294 (53{\%} women; mean age 35 years) participated and 218 attended the second survey (56{\%} women, mean age 40 years), and 87 attended both. Body composition, blood pressure and urinary albumin-to-creatinine ratio remained stable between baseline and follow-up. After adjusting for age and sex, haemoglobin A1c significantly increased (from 57 to 63 mmol/mol (7.5{\%} to 8.1{\%}), p=0.021) for those with diabetes. Increases were also observed for total cholesterol (from 4.4 to 4.6 mmol/L, p=0.006) and triglycerides (from 1.5 to 1.6 mmol/L, p=0.019), and high-density lipoprotein cholesterol levels improved (from 0.98 to 1.02 mmol/L, p=0.018). Self-reported smoking prevalence was high but stable between baseline (57{\%}) and follow-up (56{\%}). Similar results were observed in the longitudinal analysis to the cross-sectional survey comparison. Conclusion: Community-led health promotion initiatives may have had some benefits on chronic condition risk factors, including stabilisation of body composition, in this remote Indigenous community. Given that less favourable trends were observed for diabetes and total cholesterol over a short time period and smoking prevalence remained high, policy initiatives that address social and economic disadvantage are needed alongside community-led health promotion initiatives.",
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    Chronic condition risk factor change over time in a remote Indigenous community. / Strate, Kylie; Brimblecombe, Julie; Maple-Brown, Louise; Garrngulkpuy, Joanne; Maypilama, Elaine; Scarlett, Maria; O'Dea, Kerin; Barr, Elizabeth Lm.

    In: Rural and Remote Health, Vol. 20, No. 1, 4452, 13.01.2020, p. 1-12.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - Chronic condition risk factor change over time in a remote Indigenous community

    AU - Strate, Kylie

    AU - Brimblecombe, Julie

    AU - Maple-Brown, Louise

    AU - Garrngulkpuy, Joanne

    AU - Maypilama, Elaine

    AU - Scarlett, Maria

    AU - O'Dea, Kerin

    AU - Barr, Elizabeth Lm

    PY - 2020/1/13

    Y1 - 2020/1/13

    N2 - Introduction: This study sought to determine change in chronic condition risk factors in a remote Indigenous community following a 3-year period of community-led health promotion initiatives. Methods: Data were compared between two cross-sectional surveys of Indigenous Australian community residents before and after health promotion activities, and longitudinal analysis of participants present at both surveys using multilevel mixed-effects regression. Results: At baseline, 294 (53% women; mean age 35 years) participated and 218 attended the second survey (56% women, mean age 40 years), and 87 attended both. Body composition, blood pressure and urinary albumin-to-creatinine ratio remained stable between baseline and follow-up. After adjusting for age and sex, haemoglobin A1c significantly increased (from 57 to 63 mmol/mol (7.5% to 8.1%), p=0.021) for those with diabetes. Increases were also observed for total cholesterol (from 4.4 to 4.6 mmol/L, p=0.006) and triglycerides (from 1.5 to 1.6 mmol/L, p=0.019), and high-density lipoprotein cholesterol levels improved (from 0.98 to 1.02 mmol/L, p=0.018). Self-reported smoking prevalence was high but stable between baseline (57%) and follow-up (56%). Similar results were observed in the longitudinal analysis to the cross-sectional survey comparison. Conclusion: Community-led health promotion initiatives may have had some benefits on chronic condition risk factors, including stabilisation of body composition, in this remote Indigenous community. Given that less favourable trends were observed for diabetes and total cholesterol over a short time period and smoking prevalence remained high, policy initiatives that address social and economic disadvantage are needed alongside community-led health promotion initiatives.

    AB - Introduction: This study sought to determine change in chronic condition risk factors in a remote Indigenous community following a 3-year period of community-led health promotion initiatives. Methods: Data were compared between two cross-sectional surveys of Indigenous Australian community residents before and after health promotion activities, and longitudinal analysis of participants present at both surveys using multilevel mixed-effects regression. Results: At baseline, 294 (53% women; mean age 35 years) participated and 218 attended the second survey (56% women, mean age 40 years), and 87 attended both. Body composition, blood pressure and urinary albumin-to-creatinine ratio remained stable between baseline and follow-up. After adjusting for age and sex, haemoglobin A1c significantly increased (from 57 to 63 mmol/mol (7.5% to 8.1%), p=0.021) for those with diabetes. Increases were also observed for total cholesterol (from 4.4 to 4.6 mmol/L, p=0.006) and triglycerides (from 1.5 to 1.6 mmol/L, p=0.019), and high-density lipoprotein cholesterol levels improved (from 0.98 to 1.02 mmol/L, p=0.018). Self-reported smoking prevalence was high but stable between baseline (57%) and follow-up (56%). Similar results were observed in the longitudinal analysis to the cross-sectional survey comparison. Conclusion: Community-led health promotion initiatives may have had some benefits on chronic condition risk factors, including stabilisation of body composition, in this remote Indigenous community. Given that less favourable trends were observed for diabetes and total cholesterol over a short time period and smoking prevalence remained high, policy initiatives that address social and economic disadvantage are needed alongside community-led health promotion initiatives.

    KW - chronic disease

    KW - health promotion

    KW - Indigenous Australians

    KW - Australia

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    U2 - 10.22605/RRH4452

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