Potentially preventable dementia in a First Nations population in the Torres Strait and Northern Peninsula Area of North Queensland, Australia: A cross sectional analysis using population attributable fractions
Summary: Background: Dementia is highly prevalent among Australia's First Nations peoples, including Torres Strait Islander and Aboriginal peoples in Far North Queensland (FNQ). It is likely that historically recent exposure to modifiable risk factors underlies these rates, and a large proporti...
Published in: | The Lancet Regional Health - Western Pacific |
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ftdoajarticles:oai:doaj.org/article:e09f0b98a0f441fe81deb3fb013f6c90 2023-05-15T16:15:01+02:00 Potentially preventable dementia in a First Nations population in the Torres Strait and Northern Peninsula Area of North Queensland, Australia: A cross sectional analysis using population attributable fractions Fintan Thompson Sarah Russell Rachel Quigley Betty Sagigi Sean Taylor Malcolm McDonald Sandy Campbell Adrian Esterman Linton R. Harriss Gavin Miller Edward Strivens Robyn McDermott 2022-09-01T00:00:00Z https://doi.org/10.1016/j.lanwpc.2022.100532 https://doaj.org/article/e09f0b98a0f441fe81deb3fb013f6c90 EN eng Elsevier http://www.sciencedirect.com/science/article/pii/S266660652200147X https://doaj.org/toc/2666-6065 2666-6065 doi:10.1016/j.lanwpc.2022.100532 https://doaj.org/article/e09f0b98a0f441fe81deb3fb013f6c90 The Lancet Regional Health. Western Pacific, Vol 26, Iss , Pp 100532- (2022) Dementia Prevention First Nations Indigenous Population attributable fractions Australia Public aspects of medicine RA1-1270 article 2022 ftdoajarticles https://doi.org/10.1016/j.lanwpc.2022.100532 2022-12-30T23:22:51Z Summary: Background: Dementia is highly prevalent among Australia's First Nations peoples, including Torres Strait Islander and Aboriginal peoples in Far North Queensland (FNQ). It is likely that historically recent exposure to modifiable risk factors underlies these rates, and a large proportion of dementia may be potentially preventable. Methods: Data from two adult community health checks (2015-2018) were analyzed to determine the prevalence of 11 modifiable dementia risk factors among the First Nations residents of the Torres Strait and Northern Peninsula Area of FNQ. Population attributable fractions (PAF%) for dementia were calculated using age-standardized prevalence estimates derived from these health checks and relative risks obtained from previous meta-analyses in other populations. PAF% estimates were weighted for communality to account for overlap of risk factors. Findings: Half (52·1%) of the dementia burden in this population may be attributed to 11 potentially modifiable risk factors. Hypertension (9·4%), diabetes mellitus (9·0%), obesity (8·0%), and smoking (5·3%) were the highest contributing risk factors. The contribution of depression (2·0%) and alcohol (0·3%) was lower than other global and national estimates. While the adjusted PAF% for social isolation was low based on the adult community health check data (1·6%), it was higher (4·2%) when official census data were analyzed. Interpretation: These results suggest that a substantial proportion of dementia in FNQ First Nations peoples could potentially be prevented. Government investment in preventative health now is essential to reduce the future burden of dementia. Funding: National Health and Medical Research Council (NHMRC, GNT1107140, GNT1191144, GNT1106175, GNT0631947). Article in Journal/Newspaper First Nations Directory of Open Access Journals: DOAJ Articles Queensland The Lancet Regional Health - Western Pacific 26 100532 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Dementia Prevention First Nations Indigenous Population attributable fractions Australia Public aspects of medicine RA1-1270 |
spellingShingle |
Dementia Prevention First Nations Indigenous Population attributable fractions Australia Public aspects of medicine RA1-1270 Fintan Thompson Sarah Russell Rachel Quigley Betty Sagigi Sean Taylor Malcolm McDonald Sandy Campbell Adrian Esterman Linton R. Harriss Gavin Miller Edward Strivens Robyn McDermott Potentially preventable dementia in a First Nations population in the Torres Strait and Northern Peninsula Area of North Queensland, Australia: A cross sectional analysis using population attributable fractions |
topic_facet |
Dementia Prevention First Nations Indigenous Population attributable fractions Australia Public aspects of medicine RA1-1270 |
description |
Summary: Background: Dementia is highly prevalent among Australia's First Nations peoples, including Torres Strait Islander and Aboriginal peoples in Far North Queensland (FNQ). It is likely that historically recent exposure to modifiable risk factors underlies these rates, and a large proportion of dementia may be potentially preventable. Methods: Data from two adult community health checks (2015-2018) were analyzed to determine the prevalence of 11 modifiable dementia risk factors among the First Nations residents of the Torres Strait and Northern Peninsula Area of FNQ. Population attributable fractions (PAF%) for dementia were calculated using age-standardized prevalence estimates derived from these health checks and relative risks obtained from previous meta-analyses in other populations. PAF% estimates were weighted for communality to account for overlap of risk factors. Findings: Half (52·1%) of the dementia burden in this population may be attributed to 11 potentially modifiable risk factors. Hypertension (9·4%), diabetes mellitus (9·0%), obesity (8·0%), and smoking (5·3%) were the highest contributing risk factors. The contribution of depression (2·0%) and alcohol (0·3%) was lower than other global and national estimates. While the adjusted PAF% for social isolation was low based on the adult community health check data (1·6%), it was higher (4·2%) when official census data were analyzed. Interpretation: These results suggest that a substantial proportion of dementia in FNQ First Nations peoples could potentially be prevented. Government investment in preventative health now is essential to reduce the future burden of dementia. Funding: National Health and Medical Research Council (NHMRC, GNT1107140, GNT1191144, GNT1106175, GNT0631947). |
format |
Article in Journal/Newspaper |
author |
Fintan Thompson Sarah Russell Rachel Quigley Betty Sagigi Sean Taylor Malcolm McDonald Sandy Campbell Adrian Esterman Linton R. Harriss Gavin Miller Edward Strivens Robyn McDermott |
author_facet |
Fintan Thompson Sarah Russell Rachel Quigley Betty Sagigi Sean Taylor Malcolm McDonald Sandy Campbell Adrian Esterman Linton R. Harriss Gavin Miller Edward Strivens Robyn McDermott |
author_sort |
Fintan Thompson |
title |
Potentially preventable dementia in a First Nations population in the Torres Strait and Northern Peninsula Area of North Queensland, Australia: A cross sectional analysis using population attributable fractions |
title_short |
Potentially preventable dementia in a First Nations population in the Torres Strait and Northern Peninsula Area of North Queensland, Australia: A cross sectional analysis using population attributable fractions |
title_full |
Potentially preventable dementia in a First Nations population in the Torres Strait and Northern Peninsula Area of North Queensland, Australia: A cross sectional analysis using population attributable fractions |
title_fullStr |
Potentially preventable dementia in a First Nations population in the Torres Strait and Northern Peninsula Area of North Queensland, Australia: A cross sectional analysis using population attributable fractions |
title_full_unstemmed |
Potentially preventable dementia in a First Nations population in the Torres Strait and Northern Peninsula Area of North Queensland, Australia: A cross sectional analysis using population attributable fractions |
title_sort |
potentially preventable dementia in a first nations population in the torres strait and northern peninsula area of north queensland, australia: a cross sectional analysis using population attributable fractions |
publisher |
Elsevier |
publishDate |
2022 |
url |
https://doi.org/10.1016/j.lanwpc.2022.100532 https://doaj.org/article/e09f0b98a0f441fe81deb3fb013f6c90 |
geographic |
Queensland |
geographic_facet |
Queensland |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
The Lancet Regional Health. Western Pacific, Vol 26, Iss , Pp 100532- (2022) |
op_relation |
http://www.sciencedirect.com/science/article/pii/S266660652200147X https://doaj.org/toc/2666-6065 2666-6065 doi:10.1016/j.lanwpc.2022.100532 https://doaj.org/article/e09f0b98a0f441fe81deb3fb013f6c90 |
op_doi |
https://doi.org/10.1016/j.lanwpc.2022.100532 |
container_title |
The Lancet Regional Health - Western Pacific |
container_volume |
26 |
container_start_page |
100532 |
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1766000748874694656 |