- Dementia and Cognitive Impairment Research
- Indigenous Health, Education, and Rights
- Nutritional Studies and Diet
- Chronic Disease Management Strategies
- Emergency and Acute Care Studies
- Child Nutrition and Water Access
- Indigenous Studies and Ecology
- Trauma and Emergency Care Studies
- Health disparities and outcomes
- Geriatric Care and Nursing Homes
- Iron Metabolism and Disorders
- Dental Health and Care Utilization
- Parasites and Host Interactions
- Healthcare Policy and Management
- Interprofessional Education and Collaboration
- Global Health Workforce Issues
- Primary Care and Health Outcomes
- Food Security and Health in Diverse Populations
- Health Promotion and Cardiovascular Prevention
- Traumatic Brain Injury Research
- Maternal and Perinatal Health Interventions
- Diabetes Management and Education
- Maternal Mental Health During Pregnancy and Postpartum
- Breastfeeding Practices and Influences
- Behavioral Health and Interventions
James Cook University
2016-2025
Australian Institute of Tropical Health and Medicine
2016-2025
Queensland Health
2023-2025
Cairns Hospital
2017-2025
University of South Australia
2022-2023
Imperial College Healthcare NHS Trust
2023
South Australian Health and Medical Research Institute
2020
Government of the Northern Territory
2016
The University of Queensland
2016
Imperial Oil (Canada)
2012
Objectives To examine the validity and reliability of Fitbit Flex against direct observation for measuring steps in laboratory Actigraph step counts free-living conditions moderate-to-vigorous physical activity (MVPA) energy expenditure (AEE) overall. Methods Twenty-five adults (12 females, 13 males) wore a an GT3X+ during based protocol (including walking, incline running stepping) single day period to measurement steps, AEE MVPA. Twenty-four participants attended second session using same...
Dementia is the second leading cause of disease burden in Australia. We aimed to calculate population attributable fractions (PAFs) dementia 11 12 previously identified potentially modifiable health and social risk factors (less education, hearing loss, hypertension, obesity, smoking, depression, isolation, physical inactivity, diabetes, alcohol excess, air pollution, traumatic brain injury), for Australians overall three groups (First Nations, those European Asian ancestry).We calculated...
Abstract Objective To examine the prevalence of dementia and problems associated with ageing in Torres Strait. Methods The study was conducted across all 18 island 5 mainland communities Strait Northern Peninsula Area Far North Queensland. Participants underwent a comprehensive health assessment Geriatrician assessment, which were used to establish consensus diagnoses. Results A total 276 residents aged between 45 93 participated study. sample 14.2%, 2.87 times higher than wider Australian...
Many studies focus on impediments to healthy ageing, but few examine factors leading ageing. Whilst many older First Nations people are ageing well, have examined this issue in people. This study indicators associated with the Torres Strait region of Queensland, Australia. Data from a Dementia Prevalence Study (2015-2018) were used explore 249 participants. A specific Healthy Ageing Index was created, based 10 dataset. One point assigned for each indicator, higher scores representing...
Objectives To investigate the suitability of German version Manchester Triage System (MTS) as a potential tool to redirect emergency department (ED) patients general practitioner care. Such tools are currently being discussed in context reorganisation care Germany. Design Prospective cohort study. Setting Single centre University Hospital Emergency Department. Participants Adult, non-surgical ED patients. Exposure A non-urgent triage category was defined green or blue according MTS. Primary...
Abstract The reduced prevalence of insulin resistance and type 2 diabetes in countries with endemic parasitic worm infections suggests a protective role for worms against metabolic disorders, however clinical evidence has been non-existent. This 2-year randomised, double-blinded trial Australia hookworm infection 40 male female adults at risk assessed the safety potential benefits treatment either 20 ( n = 14) or 13) Necator americanus larvae (L3) Placebo (Registration ACTRN12617000818336)....
Chronic stress and adversity are associated with poor mental health thought to contribute the existing gap between Aboriginal Torres Strait Islander people other Australians. Hair cortisol allostatic load (AL) indices of sustained may be mediators effects on health. The aim this study was examine relationship hair cortisol, AL, depressive symptoms. This cross-sectional comprised 329 adolescents adults recruited at two screening programs operating in three communities north Queensland. We...
Traumatic brain injury (TBI) is a leading cause of disability worldwide. Previous studies have shown that males higher incidence than females, and Indigenous populations rate non-Indigenous. To date, no study has compared the TBI between non-Indigenous Australians for any cause. Here we add to this rather sparse literature. Retrospective analysis data from North Queensland Emergency Departments 2007 2015 using Australian Bureau Statistics population estimates residents aged 15–64 years as...
To describe the first foods of Aboriginal and Torres Strait Islander infants young children who were recruited to a nutrition promotion anaemia prevention program conducted from 2010 2012, in six remote communities across northern Australia.Food records (24-hour diet history, food variety checklist) completed on recruitment by interview with parent or carer. Cross-sectional analysis assessed proportion participants consuming recommended not-recommended drinks meeting recommendations for meal...
To identify the specific risk factors for dementia in Torres Strait.This research was conducted as part of a cross-sectional prevalence study Strait. Participants underwent comprehensive health assessment, where data on were collected, and Geriatrician which used to establish diagnoses.A total 276 Strait residents aged between 45 93 participated study. Cerebrovascular disease, chronic kidney disease older age most significant this population. Once adjusted age, cerebrovascular diabetes, low...
The aim of the study was to assess prevalence anxiety and depression in older Aboriginal Torres Strait Islander adults.A modified version PHQ-9 (KICA-dep) Geriatric Anxiety Inventory (GAI) were administered as part a wider dementia conducted Strait. Results compared diagnoses obtained on review evaluate their applicability region.A total 236 participants completed KICA-dep 184 GAI short form. Of these, 10.6% identified with 15.8% anxiety. Some found questions about suicide ideation self-harm...
Abstract Objectives The aim of this study was to validate the Kimberley Indigenous Cognitive Assessment—Cognitive Component (KICA‐Cog) adapted for dementia screening in Torres Strait Islander Peoples. Methods Data were obtained from a broader prevalence completed and Northern Peninsula Area between 2015 2018. Modifications made items original KICA‐Cog ensure they culturally appropriate Strait. All participants had comprehensive assessment with geriatrician experienced cross‐cultural...
Dementia is highly prevalent among Australia's First Nations peoples, including Torres Strait Islander and Aboriginal peoples in Far North Queensland (FNQ). It likely that historically recent exposure to modifiable risk factors underlies these rates, a large proportion of dementia may be potentially preventable.Data from two adult community health checks (2015-2018) were analyzed determine the prevalence 11 residents Northern Peninsula Area FNQ. Population attributable fractions (PAF%) for...
Abstract Background. This study examines the predictive value of eosinophilia for Strongyloides stercoralis infection, as measured by enzyme-linked immunosorbent assay (ELISA) testing, in an endemic community. In remote communities, is frequently used a proxy test presence helminth infections. Past studies and infection have been conducted specific groups such immigrants refugees, or subpopulations nonendemic rather than communities. Methods. We cross-sectional relationship between ELISA...
Issue addressed Diabetes is associated with significant depression, which can result in poorer clinical outcomes, including increased mortality. Little known about the prevalence of depression among Torres Strait Islander adults diabetes. Methods Self‐reported was measured using Patient Health Questionnaire (PHQ)‐9 translated into Creole, and associations socioeconomic, behavioural indicators diabetes five remote Islands were examined. Results Seventy‐three men 115 women completed...
Poor diet and lifestyle exposures are implicated in substantial global increases non-communicable disease burden low-income, remote, Indigenous communities. This observational study investigated the contribution of fecal microbiome to influence host physiology two communities Torres Strait Islands: Mer, a remote island where traditional predominates, Waiben more accessible with greater access takeaway food alcohol. Counterintuitively, markers were pronounced Mer residents. However,...
Early childhood anaemia affects health and neurodevelopment. This study describes among Aboriginal Torres Strait Islander children of Far North Queensland.
To explore self reported knowledge and attitudes to insulin treatment among a group of adults with poorly controlled diabetes in the Torres Strait islands.
Dietary intake of long-chain omega 3 (n-3) polyunsaturated fatty acids (LCPUFA) represents a putative modifiable risk factor for depression, and high ratio 6 (n-6) to n-3 LCPUFA is frequently observed in patients with major depressive disorder. Recent reports suggest that the availability fish seafood may be associated lower depression rates. The aim this study was investigate associations consumption levels symptoms.
Anaemia during pregnancy is common worldwide. In Australia between 7.1% and 11% of mothers have been reported to anaemia in pregnancy. Higher rates are for Aboriginal Torres Strait Islander women (Townsville: 34.2%, remote Northern Territory: 50%). The present study describes among Far North Queensland.
Contemporary management of dengue fever relies on community members controlling the host mosquito's breeding and protecting themselves from direct mosquito contact. Research indicates that obtaining this vital participation component can be difficult. The current study used Health Belief Model as a framework to identify beliefs statistically predictive engagement in two distinct behaviours; control self protection. knowledge, behaviours 122 James Cook University students were surveyed....
<h3>Objectives</h3> This study9s purpose was to conduct a more in-depth analysis of the potential association between lung cancer, occupational exposures and smoking using data on cohort members from Canadian petroleum company refined statistical analyses. <h3>Methods</h3> Information various including asbestos coke dust, as well job type operating segment were collected via manual computerised records. We performed life-table analyses, Poisson regression restricted cubic splines model...