Ellis, IK and Skinner, TC and Bhana, A and Voon, N and Longley, K, Health priorities in an Australian mining town: an intercept survey, Rural and Remote Health, 14, (2) Article 2788. ISSN 1445-6354 (2014) [Refereed Article]
Copyright 2014 IK Ellis, TC Skinner, A Bhana, N Voon, K Longley
Official URL: http://www.rrh.org.au/articles/subviewnew.asp?Arti...
Introduction: In developed countries menís health is poorer than womenís for a range of key indicators and being an Indigenous man in Australia widens the gap substantially. Rates of mortality and health inequality between the sexes is useful in identifying that menís health needs attention and Indigenous men need particular attention. Menís health-seeking behaviour has been suggested to be one of the causes of poor outcomes. This study aimed to identify differences in health concerns between men and women and Indigenous and Non-Indigenous people in an Australian mining town with the aim of targeting health promotion activities more effectively.
Methods: An intercept survey was conducted of residents of the Pilbara towns of Port Hedland and South Hedland in 2010. Settings included the main shopping centres and precincts in the towns and community event venues. Interviewers recorded gender, age, Aboriginal or Torres Strait islander self identification status, whether people worked in the mining industry or not and in what capacity and occupation. Participants were asked a series of questions about health issues of concern from a list of 13 issues which included national and local health priorities. They were then asked to prioritise their choices.
Results: Three hundred and eighty participants completed the survey, 48% were male; 18.4% identified as Indigenous people and 21% worked in the local mining industry. Menís and womenís health priorities were generally similar but women prioritised sick kids as their number one priority and men prioritised heart disease (χ2†=†28.75 df†=†12 p†=†0.004). More than half of the Aboriginal men identified diabetes as a priority (53%) compared with the non-Aboriginal men (24%). This was significantly different (χ2†=†10.04 df†=†1 p†=†0.002). About a third of Aboriginal women identified alcohol as a priority (32.4%) compared to non-Aboriginal women (6%). This was also significantly different (χ2†=†19.45, df†=†1 p†=†0.001).
Conclusion: Health promotion in the Pilbara region needs to be re-evaluated for areas such as injury prevention, which remains the commonest cause of hospitalisations after renal dialysis, yet is a low health priority in the community mindset, especially among Indigenous people.
|Item Type:||Refereed Article|
|Keywords:||Aboriginal health, intercept survey,diabetes, cancer, alcohol, heart disease, injury|
|Research Division:||Medical and Health Sciences|
|Research Group:||Public Health and Health Services|
|Research Field:||Aboriginal and Torres Strait Islander Health|
|Objective Group:||Indigenous Health|
|Objective Field:||Aboriginal and Torres Strait Islander Health - Health Status and Outcomes|
|UTAS Author:||Ellis, IK (Professor Isabelle Skinner)|
|UTAS Author:||Skinner, TC (Professor Timothy Skinner)|
|UTAS Author:||Bhana, A (Dr Aswin Bhana)|
|UTAS Author:||Voon, N (Mr Nicholas Voon)|
|UTAS Author:||Longley, K (Mr Kieran Longley)|
|Web of Science® Times Cited:||2|
|Deposited By:||Rural Clinical School|
|Downloads:||227 View Download Statistics|
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