A5103842439- Indigenous Health, Education, and Rights
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Primary Care and Health Outcomes
- Diabetes Management and Education
- Nutritional Studies and Diet
- Chronic Disease Management Strategies
- Health disparities and outcomes
- Global Health Workforce Issues
- Obesity, Physical Activity, Diet
- Parasites and Host Interactions
- Health Policy Implementation Science
- Birth, Development, and Health
- Gestational Diabetes Research and Management
- Cardiovascular Health and Risk Factors
- Healthcare Policy and Management
- Dementia and Cognitive Impairment Research
- Child Nutrition and Water Access
- Diet and metabolism studies
- Community Health and Development
- Liver Disease Diagnosis and Treatment
- Obesity and Health Practices
- Iron Metabolism and Disorders
- Folate and B Vitamins Research
- Emergency and Acute Care Studies
- Food Security and Health in Diverse Populations
London Borough of Southwark
2024
James Cook University
2014-2023
University of South Australia
2014-2023
Australian Institute of Tropical Health and Medicine
2003-2023
Centre for Chronic Disease Control
2020
Western Sydney University
2019
Macquarie University
2018
Cairns Hospital
2017
South Australian Health and Medical Research Institute
2016
The University of Melbourne
2013
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...
Health outcomes for Indigenous Australians with diabetes in remote areas remain poor, including high rates of avoidable complications which could be reduced better primary level care. We aimed to evaluate the effectiveness a community-based health-worker led case management approach care adults poorly controlled type 2 services northern Australia. Two hundred and thirteen (HbA1c > 8.5%) significant comorbidities 12 communities were randomly assigned by service cluster receive chronic...
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...
Objective: To examine mortality from all causes and cardiovascular disease (CVD), CVD hospitalisation rate for a decentralised Aboriginal community in the Northern Territory. Design participants: For community-based cohort of 296 people aged 15 years or older screened 1995, we reviewed hospital primary health care records death certificates period up to December 2004 (2800 person-years follow-up). Main outcome measures: Mortality CVD, with coded as cause admission; comparison prior trends...
To evaluate a system for improving diabetes care in remote Indigenous communities.
To document change in prevalence of obesity, diabetes and other cardiovascular disease (CVD) risk factors, trends dietary macronutrient intake, over an eight-year period a rural Aboriginal community central Australia.
Abstract Background Strengthening primary health care is critical to reducing inequity between Indigenous and non-Indigenous Australians. The Audit Best practice for Chronic Disease Extension (ABCDE) project has facilitated the implementation of modern Continuous Quality Improvement (CQI) approaches in community centres across Australia. demonstrated improvements centre systems, delivery services patient intermediate outcomes. It also highlighted substantial variation quality care. Through a...
Abstract Objective To document nutritional status and health behaviours of young indigenous women childbearing age in rural communities north Queensland. Design Cross-sectional survey 424 Aboriginal 232 Torres Strait Islander (TSI) aged 15–34 years, conducted twenty-three remote far Queensland 1999–2000, with follow-up a smaller cohort ( n 132) 2006–2007. Main outcome measures Weight, waist circumference, intake fruit vegetables, smoking, alcohol intake, fasting blood glucose, pressure, HDL...
Objective: To estimate the incidence of type 2 diabetes in two ethnically distinct Indigenous populations north Queensland, Australia. Design, setting and participants: A community-based follow-up study 1814 Australian Aboriginal Torres Strait Islander adults from 1999 to 2007. Participants were initially free lived 19 remote communities Far North Queensland. Main outcome measures: Fasting blood glucose level; diagnosis diabetes; lipid levels; weight; waist circumference (WC); pressure....
ABSTRACT Purpose Warfarin management in the elderly population is complex as medicines prescribed for concomitant diseases may further increase risk of major bleeding associated with warfarin use. We aimed to quantify excess bleeding‐related hospitalisation when was co‐dispensed potentially interacting medicines. Methods A retrospective cohort study undertaken over a 4‐year period from July 2002 June 2006 examine medications co‐administered patients taking using an administrative claims...
Aboriginal and Torres Strait Islander women experience higher rates of heart disease type 2 diabetes than non-Indigenous Australian women. Increasing physical activity, improving diets losing weight have been shown to reduce cardio metabolic risk. The primary aim was evaluate the effectiveness a 12-week structured exercise nutrition program in cohort urban Indigenous on waist circumference, biomedical markers functioning from baseline (T1) completion (T2). secondary assessed whether these...
BackgroundIn Australia, clinical guidelines for primary prevention of cardiovascular disease recommend the use Framingham model to help identify those at high risk developing disease. However, this has not been validated Indigenous population.
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)....