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

这项研究的目的是跟踪1998-2000年期间参加了Well Persons Health Check（由OATSIH资助）的农村和偏远昆士兰北部社区的一群土著成年人。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。建议对同意WPHC参与者（任何其他希望参与的成年人）进行后续研究。本研究将有5个主要目标：1。估计北昆士兰队列中慢性疾病（糖尿病、肾脏疾病、心血管疾病）的发病率和这些疾病的主要决定因素（预计托雷斯海峡岛民与土著居民的模式不同），2。估计现有慢性病患者的风险因素和并发症（包括住院）在5年内的变化3。在社区一级，评估旨在改善健康的地方干预措施的有效性（例如，一个社区大幅改变了有关酒精供应的规则，其他社区大大改善了新鲜水果和蔬菜的供应，还有一些社区启动了家庭储蓄方案，改善了每周的可用资金，使储蓄能够购买冰箱等）。4. 4 .估计衣原体和淋病的早期检测（使用常规尿液PCR检测）是否降低了细菌性传播感染的社区患病率；评估当地健康促进计划（如控烟计划、健康体重计划）的有效性。这项研究将与阿普皮马约克角卫生委员会、托雷斯海峡卫生委员会和有关的地方社区组织合作进行。它将涉及当地土著研究人员和实践者的技能发展。结果将反馈给社区和个人，并有机会进行进一步规划。

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.