scholarly journals Frailty in Indigenous Populations: A Scoping Review

2021 ◽  
Vol 9 ◽  
Author(s):  
Ebony T. Lewis ◽  
Leanne Howard ◽  
Magnolia Cardona ◽  
Kylie Radford ◽  
Adrienne Withall ◽  
...  
Keyword(s):  
Public Health ◽  
Scoping Review ◽  
English Language ◽  
Indigenous Communities ◽  
Indigenous Populations ◽  
Original Research ◽  
Public Health Priority ◽  
Definitive Evidence ◽  
Health Priority ◽  
Age Related

Background: Indigenous populations experience high rates of age-related illness when compared to their non-Indigenous counterparts. Frailty is a challenging expression of aging and an important public health priority. The purpose of this review was to map what the existing literature reports around frailty in Indigenous populations and to highlight the current gaps in frailty research within the Indigenous landscape.Method: Scoping review of English language original research articles focusing on frailty within Indigenous adult populations in settler colonial countries (Australia, Canada, New Zealand and USA). Ten electronic databases and eight relevant institutional websites were searched from inception to October 2020.Results: Nine articles met our inclusion criteria, finding this population having a higher prevalence of frailty and frailty occurring at younger ages when compared to their non-Indigenous counterparts, but two did not use a formal frailty tool. Females presented with higher levels of frailty. No culturally specific frailty tool was identified, and the included articles did not assess strategies or interventions to manage or prevent frailty in Indigenous peoples.Conclusions: There was little definitive evidence of the true frailty prevalence, approaches to frailty screening and of potential points of intervention to manage or prevent the onset of frailty. Improvements in the quality of evidence are urgently needed, along with further research to determine the factors contributing to higher rates of frailty within Indigenous populations. Incorporation of Indigenous views of frailty, and instruments and programs that are led and designed by Indigenous communities, are crucial to address this public health priority.

scholarly journals Barriers to Accessing Kidney Transplantation Among Populations Marginalized by Race and Ethnicity in Canada: A Scoping Review Part 1—Indigenous Communities in Canada

2021 ◽  
Vol 8 ◽  
pp. 205435812199683
Author(s):  
Noor El-Dassouki ◽  
Dorothy Wong ◽  
Deanna M. Toews ◽  
Jagbir Gill ◽  
Beth Edwards ◽  
...  
Keyword(s):  
Kidney Transplantation ◽  
Health Beliefs ◽  
Scoping Review ◽  
Information Dissemination ◽  
Medical Information ◽  
Indigenous Communities ◽  
Indigenous Populations ◽  
Quality Data ◽  
Original Research ◽  
Gray Literature

Background: Kidney transplantation (KT), a treatment option for end-stage kidney disease (ESKD), is associated with longer survival and improved quality of life compared with dialysis. Inequities in access to KT, and specifically, living donor kidney transplantation (LDKT), have been documented in Canada along various demographic dimensions. In this article, we review existing evidence about inequitable access and barriers to KT and LDKT for patients from Indigenous communities in Canada. Objective: To characterize the current state of literature on access to KT and LDKT among Indigenous communities in Canada and to answer the research question, “what factors may influence inequitable access to KT among Indigenous communities in Canada.” Eligibility criteria: Databases and gray literature were searched in June and November 2020 for full-text original research articles or gray literature resources addressing KT access or barriers in Indigenous communities in Canada. A total of 26 articles were analyzed thematically. Sources of evidence: Gray literature and CINAHL, OVID Medline, OVID Embase, and Cochrane databases. Charting methods: Literature characteristics were recorded and findings which described rates of and factors that influence access to KT were summarized in a narrative account. Key themes were subsequently identified and synthesized thematically in the review. Results: Indigenous communities in Canada experience various barriers in accessing culturally safe medical information and care, resulting in inequitable access to KT. Barriers include insufficient incorporation of Indigenous ways of knowing and being in information dissemination and care for ESKD and KT, spiritual concerns, health beliefs, logistical hurdles to accessing care, and systemic mistrust resulting from colonialism and systemic racism. Limitations: This review included studies that used various methodologies and did not assess study quality. Data on Indigenous status were not reported or defined in a standardized manner. Indigenous communities are not homogeneous and views on organ donation and KT vary by individual. Conclusions: Our scoping review has identified potential barriers that Indigenous communities may face in accessing KT and LDKT. Further research is urgently needed to better understand barriers and support needs and to develop strategies to improve equitable access to KT and LDKT for Indigenous populations in Canada.

scholarly journals Identifying Environmental Determinants Relevant to Health and Wellbeing in Remote Australian Indigenous Communities: A Scoping Review of Grey Literature

2021 ◽  
Vol 18 (8) ◽  
pp. 4167
Author(s):  
Amal Chakraborty ◽  
Mark Daniel ◽  
Natasha J. Howard ◽  
Alwin Chong ◽  
Nicola Slavin ◽  
...  
Keyword(s):  
Public Health ◽  
Chronic Diseases ◽  
Scoping Review ◽  
Classification System ◽  
Grey Literature ◽  
Indigenous Communities ◽  
Environmental Indicators ◽  
Health Concern ◽  
Environmental Determinants ◽  
Health And Wellbeing

The high prevalence of preventable infectious and chronic diseases in Australian Indigenous populations is a major public health concern. Existing research has rarely examined the role of built and socio-political environmental factors relating to remote Indigenous health and wellbeing. This research identified built and socio-political environmental indicators from publicly available grey literature documents locally-relevant to remote Indigenous communities in the Northern Territory (NT), Australia. Existing planning documents with evidence of community input were used to reduce the response burden on Indigenous communities. A scoping review of community-focused planning documents resulted in the identification of 1120 built and 2215 socio-political environmental indicators. Indicators were systematically classified using an Indigenous indicator classification system (IICS). Applying the IICS yielded indicators prominently featuring the “community infrastructure” domain within the built environment, and the “community capacity” domain within the socio-political environment. This research demonstrates the utility of utilizing existing planning documents and a culturally appropriate systematic classification system to consolidate environmental determinants that influence health and disease occurrence. The findings also support understanding of which features of community-level built and socio-political environments amenable to public health and social policy actions might be targeted to help reduce the prevalence of infectious and chronic diseases in Indigenous communities.

scholarly journals Evidence-Based National Initiatives to Address Tobacco Use as a Public Health Priority in the Veterans Health Administration

2009 ◽  
Vol 174 (1) ◽  
pp. 029-034 ◽  
Author(s):  
Kim Hamlett-Berry ◽  
John Davison ◽  
Daniel R. Kivlahan ◽  
Marybeth H. Matthews ◽  
Jane E. Hendrickson ◽  
...  
Keyword(s):  
Public Health ◽  
Tobacco Use ◽  
Veterans Health Administration ◽  
Evidence Based ◽  
Veterans Health ◽  
Health Administration ◽  
Public Health Priority ◽  
Health Priority ◽  
National Initiatives

American Single Father Homes: A Growing Public Health Priority

2022 ◽  
Vol 112 (1) ◽  
pp. 21-23
Author(s):  
Stacey L. Shipe ◽  
Lynsay Ayer ◽  
Kate Guastaferro
Keyword(s):  
Public Health ◽  
Public Health Priority ◽  
Single Father ◽  
Health Priority

Time for a strategic research response to anal cancer

Sexual Health ◽  
2012 ◽  
Vol 9 (6) ◽  
pp. 628 ◽  
Author(s):  
Andrew E. Grulich ◽  
Richard Hillman ◽  
Julia M. L. Brotherton ◽  
Christopher K. Fairley
Keyword(s):  
Public Health ◽  
Sexual Health ◽  
Anal Cancer ◽  
Rare Cancer ◽  
Special Edition ◽  
Strategic Research ◽  
Public Health Priority ◽  
Health Priority ◽  
Summary Paper ◽  
Prevention And Treatment

Anal cancer was until recently regarded as a rare cancer of little consequence. The articles in this special edition of Sexual Health clearly demonstrate that anal cancer is increasing in incidence and, in some populations, it has become an urgent public health priority. In this summary paper, we will review the data presented in this issue and elsewhere on the magnitude of the issue, the means of prevention and treatment, and suggest a way forward.

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