scholarly journals Expanded carrier screening for monogenic diseases for Australians of Aboriginal and/or Torres Strait Islander descent

2020 ◽  
Author(s):  
Simon Easteal ◽  
Rebekah McWhirter
Keyword(s):  
Torres Strait Islander ◽  
Reference Data ◽  
Carrier Screening ◽  
Genomic Research ◽  
European Ancestry ◽  
Indigenous Australians ◽  
Expanded Carrier Screening ◽  
Medical Genomics ◽  
Monogenic Diseases ◽  
Torres Strait

Accounting for ancestral diversity is essential in medical genomics. For this reason, inclusion of Indigenous and other under-represented populations in genomic research is necessary to ensure equitable outcomes and access to precision medicine and disease prevention. Here we discuss this issue in the context of a national program of pre-conception expanded carrier screening (ECS) for recessive monogenic diseases, funded by the Australian Government as part of its Genomics Health Futures Mission. Current knowledge and research about monogenic diseases are mainly based on people with European ancestry and little is known about pathogenic DNA variants in people of Aboriginal and/or Torres Strait Islander descent. We argue that significant effort is required to build the evidence base and genomic reference data required before ECS can bring significant clinical benefit for many Aboriginal and/or Torres Strait Islander Australians. Research programs and creation of reference data are required to correct this bias. They are essential steps to achieving the Australian Government’s objectives and its commitment “to leveraging the benefits of genomics in the health system for all Australians”. They require culturally safe, community-led research and community engagement embedded within national health and medical genomics programs that ensure that new knowledge is integrated into medicine and health services in ways that address the cultural and health needs of Indigenous people. Until this occurs, Australians of European ancestry stand to benefit most and, as a consequence, Indigenous Australians and other minority groups in the Australian population are at risk of being, in relative terms, further disadvantaged.

scholarly journals Impact of racism and discrimination on the physical and mental health among Aboriginal and Torres Strait Islander peoples living in Australia: a protocol for a scoping review

2020 ◽  
Author(s):  
Camila A Kairuz ◽  
Lisa M Casanelia ◽  
Keziah Bennett-Brook ◽  
Julieann Coombes ◽  
Uday Narayan Yadav
Keyword(s):  
Mental Health ◽  
Scoping Review ◽  
Torres Strait Islander ◽  
Health Interventions ◽  
Indigenous Australians ◽  
Physical And Mental Health ◽  
Future Health ◽  
Design Data ◽  
Global Trends ◽  
Torres Strait

Abstract Background Racism is increasingly recognised internationally as a key factor contributing to health disparities. A comprehensive body of strong research from international authors has reported negative associations between racism and health outcomes. In Australia, although the literature is more limited, available findings follow global trends. Australia has an identified health gap between Aboriginal and Torres Strait Islander peoples and non-Indigenous Australians, and despite efforts to bridge this gap, health inequities continue to exist. This scoping review aims to assess, analyse and synthesise the relationship between racism and discrimination on the physical and mental health of Aboriginal and Torres Strait Islander peoples living in Australia.Method This is the study protocol for a scoping review. A systematic search will be conducted using five electronic databases: PubMed, CINAHL, Embase, Web of Science and the Australia’s National Institute for Aboriginal and Torres Strait Islander Health Research. The database search will include studies published between 2000 and 2020. Reference lists of the included articles will be searched. Outcome measures will include physical and mental health components including chronic conditions, depression and anxiety, psychological distress, social and emotional difficulties, suicide and health-related outcomes such as wellbeing and life satisfaction. Duplications will be removed, and titles and abstracts will be reviewed to select studies. Full-text screening of preselected studies will be performed by four reviewers independently, to select studies according to inclusion criteria. Included studies will be appraised for quality using appropriate tools tailored for each study design. Data will be extracted, and study findings and characteristics synthesised in a narrative summary. Discussion Our scoping review will synthesise the evidence on the impacts of racism and discrimination in relation to the physical and mental health of Aboriginal and Torres Strait Islander peoples living in Australia. These findings could guide future health interventions by addressing the exposure of racism and racial discrimination in order to reduce health disparity. It is anticipated the findings to be of interest to policymakers, researchers, Aboriginal and Torres Strait Islander communities and community health organisations and other stakeholders interested in optimising public health interventions for and in partnership with Aboriginal and Strait Torres Islander communities of Australia. Scoping review registration The protocol for this review has been registered on the International prospective register of systematic reviews (PROSPERO). The registration ID is CRD42020186193.

What's in a Name?: Exploring the Implications of Eurocentric (Re)naming Practices of Aboriginal and Torres Strait Islander Nomenclature in Australian Education Practices

2016 ◽  
Vol 45 (2) ◽  
pp. 181-190 ◽  
Author(s):  
Sara Weuffen ◽  
Fred Cahir ◽  
Margaret Zeegers
Keyword(s):  
Teaching And Learning ◽  
Torres Strait Islander ◽  
Aboriginal Peoples ◽  
Indigenous Australians ◽  
Australian Curriculum ◽  
Curriculum Assessment ◽  
Australian Education ◽  
History Of ◽  
Torres Strait ◽  
Naming Practices

The aim of this article is to provide teachers with knowledge of ways in which Eurocentric (re)naming practices inform contemporary pedagogical approaches, while providing understandings pertinent to the mandatory inclusion of the cross-curriculum priority area: Aboriginal and Torres Strait Islander histories and cultures (Australian Curriculum Assessment and Reporting Authority, 2015). While we have focused on Eurocentric naming practices, we have also been conscious of names used by Aboriginal peoples and Torres Strait Islanders to name themselves and others and as non-Indigenous Australians we acknowledge that it is not our place to explore these in detail, or offer alternatives. In this article, we have explored the history of nomenclature as it relates to original inhabitants, the connotations of contemporary (re)naming practices in Australian education and discussed the importance of drawing on cultural protocols and engaging local communities for teaching and learning of Aboriginal and Torres Strait Islander histories and cultures. It is anticipated that discussions arising from this article may open up spaces where teachers may think about ways in which they approach Aboriginal and Torres Strait Islander histories and cultures.

scholarly journals Eating disorders amongst Aboriginal and Torres Strait Islander Australians: a scoping review

2020 ◽  
Vol 8 (1) ◽  
Author(s):  
Adam Burt ◽  
Deborah Mitchison ◽  
Kerrie Doyle ◽  
Phillipa Hay
Keyword(s):  
Eating Disorders ◽  
Mental Disorders ◽  
Scoping Review ◽  
Diagnostic Tool ◽  
Torres Strait Islander ◽  
Screening Tools ◽  
Cochrane Library ◽  
Indigenous Australians ◽  
Increased Risk ◽  
Torres Strait

Abstract Background Aboriginal and Torres Strait Islander Australians (Indigenous Australians) have poorer mental health compared to other Australians. Yet, there is a lack of research into mental disorders among this population, especially for eating disorders (ED), which are amongst the most lethal and debilitating mental disorders. Aim We aimed to answer 2 questions: 1. What is the volume and content of literature on ED among Indigenous Australians? 2. Has a screening or diagnostic tool/instrument been developed for the assessment of ED amongst Indigenous Australians? Method We conducted a scoping review of electronic databases (Pubmeb, Embase, PsychInfo, Proquest, Cochrane Library, Indigenous HealtInfoNet and Scopus), for studies addressing ED, body image, muscle dysmorphia, weight and shape concern among Indigenous Australians, as well as diagnostic and screening tools. All relevant studies were reviewed in full by 2 researchers. Narrative synthesis of the data was performed. Results There is limited evidence for ED among Indigenous Australians, however, the evidence available strongly suggests that ED are more common among Indigenous Australians compared to other Australians. Eating disorders among Indigenous Australians are also associated with high levels of overvaluation of weight and shape. The increased risk of ED among Indigenous Australians was largely explained by factors such as poorer psychosocial wellbeing. No evidence was found for the existence of validated diagnostic or screening tools for ED in Indigenous Australians. Conclusion The evidence suggests ED are common among Indigenous Australians, and there are no diagnostic or screening tools available to assist clinicians in assessing them. More research is required in this field, especially towards the development of a validated and culturally specific screening or diagnostic tool for ED among Indigenous Australians.

scholarly journals Indigenous Australians with autism: A scoping review

Autism ◽  
2020 ◽  
Vol 24 (5) ◽  
pp. 1031-1046 ◽  
Author(s):  
Benjamin Bailey ◽  
Joanne Arciuli
Keyword(s):  
Autism Spectrum Disorder ◽  
Support Services ◽  
Torres Strait Islander ◽  
Service Providers ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Indigenous Australians ◽  
Torres Strait Islander People ◽  
Provider Perspectives ◽  
Torres Strait

Aboriginal and Torres Strait Islander people with autism spectrum disorder, used interchangeably with the term autism, are among the most marginalised people in Australian society. This review maps out existing and emerging themes in the research involving Indigenous Australians with autism based on a search of the peer-reviewed and grey literature. Our search identified 1457 potentially relevant publications. Of these, 19 publications met our inclusion criteria and focused on autism spectrum disorder diagnosis and prevalence, as well as carer and service provider perspectives on autism, and autism support services for Indigenous Australians. We were able to access 17 publications: 12 journal articles, 3 conference presentations, 1 resource booklet and 1 dissertation. Findings suggest similar prevalence rates for autism among Indigenous and non-Indigenous Australians, although some Aboriginal and Torres Strait Islander people with autism may not receive a diagnosis or may be misdiagnosed. Research on the perspectives of Aboriginal and Torres Strait Islander carers and Indigenous and non-Indigenous service providers is discussed in relation to Indigenous perspectives on autism, as well as barriers and strategies to improve access to diagnosis and support services. Although not the focus of our review, we briefly mention studies of Indigenous people with autism in countries other than Australia. Lay Abstract Aboriginal and Torres Strait Islander people with developmental disabilities such as autism are among the most marginalised people in Australian society. We reviewed research involving Indigenous Australians with autism based on a search of the peer-reviewed and grey literature. Our search identified 1457 potentially relevant publications. Of these, 19 publications were in line with our main areas of inquiry: autism spectrum disorder diagnosis and prevalence, carer and service provider perspectives on autism, and autism support services. These included 12 journal publications, 3 conference presentations, 1 resource booklet and 1 thesis dissertation. Findings suggest similar prevalence rates for autism among Indigenous and non-Indigenous Australians, although some Aboriginal and Torres Strait Islander people with autism may not receive a diagnosis or may be misdiagnosed. We also discuss research on the perspectives of Aboriginal and Torres Strait Islander carers and Indigenous and non-Indigenous service providers, as well as barriers and strategies for improving access to diagnosis and support services.

The Planets in Aboriginal Australia

2019 ◽  
Author(s):  
Duane W. Hamacher ◽  
Kirsten Banks
Keyword(s):  
Torres Strait Islander ◽  
Aboriginal People ◽  
Indigenous Australians ◽  
The Sun ◽  
Zodiacal Light ◽  
Retrograde Motion ◽  
Synodic Period ◽  
Relative Brightness ◽  
Torres Strait ◽  
Evening Star

Studies in Australian Indigenous astronomical knowledge reveal few accounts of the visible planets in the sky. However, what information we do have tells us that Aboriginal people are close observers of planets and their motions and properties. Indigenous Australians discerned between planets and stars by their placement in the sky and their general lack of scintillation. Traditions generally describe the ecliptic and zodiac as a pathway of sky ancestors represented by the sun, moon, and planets. This included observing the occasional backwards motion of sky ancestors as they communicate with each other during their journey across the sky, representing an explanation of retrograde motion. Aboriginal and Torres Strait Islander people note the relative brightness of the planets over time and information about the roles they play in their traditions around Australia. Knowledge systems outline the importance placed on Venus as the morning and evening star, making connections to the object as it transitions form one to the other through observations and calculation of the planet’s synodic period. Traditions note the relative positions of the planets to the moon, sun, and background stars, as well as inter planetary dust through zodiacal light, which is perceived as a celestial rope connecting Venus to the sun. The relative dearth of descriptions of planets in Aboriginal traditions may be due to the gross incompleteness of recorded astronomical traditions and of ethnographic bias and misidentification in the anthropological record. Ethnographic fieldwork with Aboriginal and Torres Strait Islander communities is revealing new, previously unrecorded knowledge about the planets and their related phenomena.

Review of the cultural safety of a national Indigenous point-of-care testing program for diabetes management

2016 ◽  
Vol 22 (4) ◽  
pp. 368 ◽  
Author(s):  
Mark Shephard ◽  
Christopher O'Brien ◽  
Anthony Burgoyne ◽  
Jody Croft ◽  
Trevor Garlett ◽  
...  
Keyword(s):  
Torres Strait Islander ◽  
Diabetes Management ◽  
Health Workers ◽  
Point Of Care ◽  
Cultural Safety ◽  
Medical Services ◽  
Indigenous Australians ◽  
Point Of Care Testing ◽  
Group Setting ◽  
Torres Strait

In Australia, Aboriginal and Torres Strait Islander people have approximately three-fold higher rates of diabetes than non-Indigenous Australians. Point-of-care testing, where pathology tests are conducted close to the patient, with results available during the patient consultation, can potentially deliver several benefits for both the Indigenous client and the health professional team involved in their care. Currently, point-of-care testing for diabetes management is being conducted in over 180 Aboriginal and Torres Strait Islander Medical Services as part of a national program called Quality Assurance for Aboriginal and Torres Strait Islander Medical Services (QAAMS). The cultural safety of the Program was reviewed by sourcing the views of the QAAMS Indigenous Leaders Team in a focus group setting and by surveying the point-of-care testing operators enrolled in QAAMS, via an electronic questionnaire. The current study confirms that QAAMS remains a culturally safe program that fills a permanent and positive niche within the Indigenous health sector. The study demonstrates that QAAMS provides a convenient and accessible ‘one-stop’ pathology service for Indigenous clients with diabetes and empowers Aboriginal Health Workers to have a direct role in the care of their diabetes clients.

scholarly journals Disparity in Physical and Mental Multimorbidity Between Aboriginal and Torres Strait Islander people and non-Indigenous Australians: implications for Equity in Health Service use and Work Productivity

2020 ◽  
Author(s):  
William Carman ◽  
Marie Ishida ◽  
Justin S Trounson ◽  
Kanya Anindya ◽  
Grace Sum ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Service ◽  
Torres Strait Islander ◽  
Service Use ◽  
Work Productivity ◽  
Health Service Use ◽  
Indigenous Australians ◽  
Torres Strait Islander People ◽  
Torres Strait ◽  
Care Costs

Abstract Background: Multimorbidity, the presence of ≥2 chronic conditions, is a major contributor to health inequalities, with significant impact on health care costs. This study aims to examine the differences in chronic physical and mental health multimorbidity between Aboriginal and Torres Strait Islander people and non-Indigenous Australians, and the effect of multimorbidity on health service use and work productivity amongst Aboriginal and non-Indigenous Australians.Methods: This study conducted cross-sectional analyses of the Household, Income, and Labour Dynamics in Australia Wave 17, examining a nationally representative sample of 16,749 respondents aged 18 years and above. We applied multivariable linear and logistic regressions to examine the association between multimorbidity and self-reported health, health service use, and employment productivity.Results: Aboriginal respondents reported a higher prevalence of multimorbidity (24.2%) compared to non-Indigenous Australians (20.7%), and the prevalence of co-existing mental and physical multimorbidity was almost twice as high (16.1% vs 8.1%). Multimorbidity was associated with higher health service use (any overnight admission: AOR 1.52), reduced employment productivity (days sick leave: coef. 0.25), and lower perceived health status (SF6D score: coef. -0.04). These associations are similar in both Aboriginal and non-Indigenous populations.Conclusions: Multimorbidity prevalence was greater among Aboriginal and Torres Strait Islanders compared to the non-Indigenous population, likely driven by the greater prevalence of mental health conditions reported by the Aboriginal sample. Strategies for better management of mental and physical multimorbidity would not only reduce health care costs among those affected but may contribute to a reduction in health inequalities in Australia.

scholarly journals Alcohol dependence in a community sample of Aboriginal and Torres Strait Islander Australians: harms, getting help and awareness of local treatments

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Teagan J. Weatherall ◽  
James H. Conigrave ◽  
Katherine M. Conigrave ◽  
Jimmy Perry ◽  
Scott Wilson ◽  
...  
Keyword(s):  
Alcohol Dependence ◽  
Help Seeking ◽  
Torres Strait Islander ◽  
Community Sample ◽  
Treatment Options ◽  
Local Treatment ◽  
Indigenous Communities ◽  
Rehabilitation Service ◽  
Indigenous Australians ◽  
Torres Strait

Abstract Background Few studies have examined links between current alcohol dependence and specific harms among Indigenous Australians. We investigated these associations as well as help seeking for drinking, awareness of local treatments and recommendations to help family or friends cut down or stop drinking in two Indigenous communities. Methods A representative sample of Indigenous Australians was surveyed in one urban and one remote community in South Australia. Data were collected via the Grog Survey App. Participants were dependent if they reported two or more symptoms of alcohol dependence (ICD-11). Pearson chi-square tests were used to describe relationships between employment by gender, and dependence by awareness of medicines and local treatment options. Multivariate logistic regressions were used to predict the odds of dependent drinkers experiencing harms and getting help for drinking, controlling for age, gender, schooling and income. Results A total of 775 Indigenous Australians took part in the study. After controlling for confounders, dependent drinkers were nearly eight times more likely to report a harm and nearly three times more likely to get help for their drinking—compared with non-dependent drinkers. Participants recommended accessing local support from an Aboriginal alcohol and other drugs worker, or a detoxification/ rehabilitation service. Discussion and conclusions More support and funding is needed for Indigenous Australians to ensure local treatment options for dependent drinkers are readily available, appropriate and accessible. Involvement of local Aboriginal or Torres Strait Islander health professionals in delivery of care can help ensure that it is appropriate to an individual’s culture and context.

scholarly journals Aboriginal and Torres Strait Islander Education

2012 ◽  
Vol 5 (2) ◽  
pp. 50-52
Author(s):  
David Singh
Keyword(s):  
Student Outcomes ◽  
Torres Strait Islander ◽  
Indigenous Australians ◽  
Australian Government ◽  
Education Systems ◽  
Indigenous Children ◽  
Australian Education ◽  
Closing The Gap ◽  
Torres Strait

Australian education systems have long been challenged by the gap between Indigenous and nonIndigenous student outcomes. All levels of Australian government, as well as Indigenous leaders and educators, however, continue to meet the challenge through exhortation, strategies and targets. The most prominent of such strategies is ‘Closing the Gap’, which gives practical expression to the Australian Government’s commitment to measurably improving the lives of Indigenous Australians, especially Indigenous children.

Learning Preferences of Some Aboriginal and Torres Strait Islander Students in the Veterinary Program

2000 ◽  
Vol 28 (1) ◽  
pp. 8-16 ◽  
Author(s):  
A.L. Barnes
Keyword(s):  
Western Australia ◽  
Education Program ◽  
Professional Education ◽  
Torres Strait Islander ◽  
Learning Preferences ◽  
Indigenous Australians ◽  
Torres Strait Islander People ◽  
Torres Strait

In 1989, a Professional Education Program for Aboriginal and Torres Strait Islander people (PEPA) was established at Murdoch University in Western Australia, to encourage the participation, retention and success of Indigenous Australians in studying for and qualifying as Veterinarians.

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