535-674 (Desember, 2021) http://localhost:8080/xmlui/handle/123456789/4499 2026-04-08T21:37:46Z 2026-04-08T21:37:46Z Chow, Eric P.F. Fairley, Christopher K. Williamson, Deborah A. Chen, Marcus Y. http://localhost:8080/xmlui/handle/123456789/4522 2023-04-10T07:18:11Z 2021-12-01T00:00:00Z

Title: Spatial mapping of gonorrhoea notifications by sexual practice in Victoria, Australia, 2017-2019 Authors: Chow, Eric P.F.; Fairley, Christopher K.; Williamson, Deborah A.; Chen, Marcus Y.

2021-12-01T00:00:00Z Gall, Alana Butler, Tamara L Lawler, Sheleigh Garvey, Gail http://localhost:8080/xmlui/handle/123456789/4521 2023-04-10T07:13:42Z 2021-12-01T00:00:00Z

Title: Traditional, complementary and integrative medicine use among Indigenous peoples with diabetes in Australia, Canada, New Zealand and the United States Authors: Gall, Alana; Butler, Tamara L; Lawler, Sheleigh; Garvey, Gail Abstract: Objective: This systematic review aimed to describe traditional, complementary and integrative medicine (TCIM) use among Indigenous peoples with diabetes from Australia, Canada, New Zealand and the United States (US). Methods: A systematic search following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta‐Analyses) statement guidelines was conducted. Data were analysed using meta-aggregation. Results: Thirteen journal articles from 12 studies across Australia, Canada and the US were included in the review (no articles from New Zealand were identified). Indigenous peoples used various types of TCIM alongside conventional treatment for diabetes, particularly when conventional treatment did not meet Indigenous peoples’ holistic understandings of wellness. TCIM provided opportunities to practice important cultural and spiritual activities. While TCIM was often viewed as an effective treatment through bringing balance to the body, definitions of treatments that comprise safe and effective TCIM use were lacking in the articles. Conclusions: The concurrent use of TCIM and conventional treatments is common among Indigenous peoples with diabetes, but clear definitions of safe and effective TCIM use are lacking. Implications for public health: Healthcare providers should support Indigenous peoples to safely and effectively treat diabetes with TCIM alongside conventional treatment.

2021-12-01T00:00:00Z Thurber, Katherine A. Barrett, Eden M. Agostino, Jason dkk. http://localhost:8080/xmlui/handle/123456789/4520 2023-04-10T07:07:55Z 2021-12-01T00:00:00Z

Title: Risk of severe illness from COVID-19 among Aboriginal and Torres Strait Islander adults: the construct of ‘vulnerable populations’ obscures the root causes of health inequities Authors: Thurber, Katherine A.; Barrett, Eden M.; Agostino, Jason; dkk. Abstract: Objective: To quantify the prevalence of known health-related risk factors for severe COVID-19 illness among Aboriginal and Torres Strait Islander adults, and their relationship with social determinants. Methods: Weighted cross-sectional analysis of the 2018-19 National Aboriginal and Torres Strait Islander Health Survey; Odds Ratios for cumulative risk count category (0, 1, or ≥2 healthrelated risk factors) by social factors calculated using ordered logistic regression. Results: Of the adult population, 42.9%(95%CI:40.6,45.2) had none of the examined healthrelated risk factors; 38.9%(36.6,41.1) had 1, and 18.2%(16.7,19.7) had ≥2. Adults experiencing relative advantage across social indicators had significantly lower cumulative risk counts, with 30-70% lower odds of being in a higher risk category. Conclusions: Aboriginal and Torres Strait Islander peoples must continue to be recognised as a priority population in all stages of pandemic preparedness and response as they have disproportionate exposure to social factors associated with risk of severe COVID-19 illness. Indigeneity itself is not a ‘risk’ factor and must be viewed in the wider context of inequities that impact health Implications for public health: Multi-sectoral responses are required to improve health during and after the COVID-19 pandemic that: enable self-determination; improve incomes, safety, food security and culturally-safe healthcare; and address discrimination and trauma.

2021-12-01T00:00:00Z Donohue, Monica McDowall, Ailie http://localhost:8080/xmlui/handle/123456789/4519 2023-04-10T07:02:14Z 2021-12-01T00:00:00Z

Title: A discourse analysis of the Aboriginal and Torres Strait Islander COVID-19 policy response Authors: Donohue, Monica; McDowall, Ailie Abstract: Objective: To analyse the implicit discourses within the COVID-19 policy response for Aboriginal and Torres Strait Islander remote communities. Method: This paper uses Bacchi’s ‘What is the Problem Represented to Be’ framework to analyse the Emergency Requirements for Remote Communities Determination under Subsection 477(1) of the Biosecurity Act 2015 (Cth). Results: Despite the leadership of community-controlled health services and regional councils, and the actions of Aboriginal and Torres Strait Islander communities, the policy response constructs Aboriginal and Torres Strait Islander people as vulnerable and mobility as a problem that needs a law and order response. Conclusions: The policy response perpetuates an ongoing paternalistic discourse where Aboriginal and Torres Strait Islander people must be controlled for the sake of their health, informed by notions of Indigeneity as deficient. This stands in contrast with the work of community-controlled health organisations, advocacy by Aboriginal and Torres Strait Islander people for and against restrictions, and examples of communities protecting themselves. Implications for public health: Unilateral government intervention creates limiting discourses of Aboriginal and Torres Strait Islander people. In contrast, ongoing COVID-19 responses can build on the strengths of and work done by Aboriginal and Torres Strait Islander families, leaders, and communities.

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