Follow-up study of Indigenous adults in north Queensland: Chronic diseases and sexual health

这项研究旨在跟踪1998-2000年期间参加健康检查(由OATSIH资助)的昆士兰北部农村和偏远社区的土著成年人队列。在2,862名土著参与者中，2,503人(87.5%)同意在几年后再进行一次检查。对于同意的WPHC参与者(任何其他希望参与的成年人)，建议进行一项后续研究。这项研究将有五个主要目标：1.估计昆士兰北部队列中慢性病(糖尿病、肾脏疾病、心血管疾病)的发病率及其主要决定因素(预计托雷斯海峡岛民与原住民将具有不同的模式)；2.估计现有慢性病患者在5年内风险因素和并发症(包括住院)的变化；3.在社区层面，评估旨在改善健康状况的地方干预措施的有效性(例如，一个社区彻底改变了酒精供应规则，其他社区显著改善了新鲜水果和蔬菜的供应，还有一些人开始了家庭储蓄计划，以改善一周内的资金可获得性，并使储蓄能够购买冰箱等。4.评估早期检测衣原体和淋病(使用常规尿液聚合酶链式反应检测)是否降低了细菌性传播感染的社区流行率，以及5.评估当地健康促进计划(例如控烟倡议、健康体重计划)的有效性。这项研究将与阿普尼皮马、约克角卫生委员会、托雷斯海峡卫生委员会和当地相关社区组织合作进行。它将涉及当地土著研究人员和从业人员的技能发展。结果将回馈给社区和个人，并有机会进一步规划。

This study aims to follow up a cohort of Indigenous adults in rural and remote north Queensland communities who participated in the Well Persons Health Check (funded by OATSIH) during 1998-2000. Out of the 2,862 Indigenous participants, 2,503 (87.5%) agreed to have another Check in a few years time. A follow-up study is proposed for the consenting WPHC participants (any any other adults who wish to participate). This study will have 5 main objectives: 1. Estimate the incidence rate of chronic disease conditions (diabetes, renal disease, CVD) and the main determinants of these in the north Queensland cohort (It is expected that Torres Strait Islanders will have different patterns to Aborigines), 2. Estimate the change over a 5 year period in risk factors and complications (including hospitalisations) of those with existing chronic conditions 3. At a community level, evaluate the effectiveness of local interventions aimed at health improvement (e.g. one community has drastically changed rules about alcohol availability, other communities have significantly improved the supply of fresh fruit and vegetables, still others have commenced family savings programs which improve the availability of money over the week and enable savings to buy fridges etc). 4. Estimate whether the early detection of chlamydia and gonorrhoea (using routine urine PCR testing) has lowered the community prevalence of bacterial STIs, and 5. Evaluate the effectiveness of local health promotion programs (e.g. tobacco control initiatives, healthy weight programs). The study will be undertaken in collaboration with Apunipima Cape York Health Council, the Torres Strait Health Council and relevant local community organisations. It will involve skills development for local Indigenous researchers and practitioners. Results will be given back to communities and individuals, with opportunities for further planning.