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https://hdl.handle.net/1959.11/30088
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DC Field | Value | Language |
---|---|---|
dc.contributor.author | Nasir, Bushra F | en |
dc.contributor.author | Toombs, Maree R | en |
dc.contributor.author | Kondalsamy-Chennakesavan, Srinivas | en |
dc.contributor.author | Kisely, Steve | en |
dc.contributor.author | Gill, Neeraj S | en |
dc.contributor.author | Black, Emma | en |
dc.contributor.author | Hayman, Noel | en |
dc.contributor.author | Ranmuthugala, Geetha | en |
dc.contributor.author | Beccaria, Gavin | en |
dc.contributor.author | Ostini, Remo | en |
dc.contributor.author | Nicholson, Geoffrey C | en |
dc.date.accessioned | 2021-02-18T21:48:15Z | - |
dc.date.available | 2021-02-18T21:48:15Z | - |
dc.date.issued | 2018-06-30 | - |
dc.identifier.citation | BMJ Open, 8(6), p. 1-11 | en |
dc.identifier.issn | 2044-6055 | en |
dc.identifier.uri | https://hdl.handle.net/1959.11/30088 | - |
dc.description.abstract | <b>Objective</b> To determine, using face-to-face diagnostic interviews, the prevalence of common mental disorders (CMD) in a cohort of adult Indigenous Australians, the cultural acceptability of the interviews, the rates of comorbid CMD and concordance with psychiatrists' diagnoses. <br/> <b>Design</b> Cross-sectional study July 2014–November 2016. Psychologists conducted Structured Clinical Interviews for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision Axis I Disorders (SCID-I) (n=544). Psychiatrists interviewed a subsample (n=78). <br/> <b>Setting</b> Four Aboriginal Medical Services and the general community located in urban, regional and remote areas of Southern Queensland and two Aboriginal Reserves located in New South Wales. <br/> <b>Participants</b> Indigenous Australian adults. <br/> <b>Outcome measures</b> Cultural acceptability of SCID-I interviews, standardised rates of CMD, comorbid CMD and concordance with psychiatrist diagnoses. <br/> <b>Results</b> Participants reported that the SCID-I interviews were generally culturally acceptable. Standardised rates (95% CI) of current mood, anxiety, substance use and any mental disorder were 16.2% (12.2% to 20.2%), 29.2% (24.2% to 34.1%), 12.4% (8.8% to 16.1%) and 42.2% (38.8% to 47.7%), respectively—6.7-fold, 3.8-fold, 6.9-fold and 4.2-fold higher, respectively, than those of the Australian population. Differences between this Indigenous cohort and the Australian population were less marked for 12-month (2.4-fold) and lifetime prevalence (1.3-fold). Comorbid mental disorder was threefold to fourfold higher. In subgroups living on traditional lands in Indigenous reserves and in remote areas, the rate was half that of those living in mainstream communities. Moderate-to-good concordance with psychiatrist diagnoses was found. <br/> <b>Conclusions</b> The prevalence of current CMD in this Indigenous population is substantially higher than previous estimates. The lower relative rates of non-current disorders are consistent with underdiagnosis of previous events. The lower rates among Reserve and remote area residents point to the importance of Indigenous peoples' connection to their traditional lands and culture, and a potentially important protective factor. A larger study with random sampling is required to determine the population prevalence of CMD in Indigenous Australians. | en |
dc.language | en | en |
dc.publisher | BMJ Group | en |
dc.relation.ispartof | BMJ Open | en |
dc.rights | Attribution-NonCommercial 4.0 International | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc/4.0/ | * |
dc.title | Common mental disorders among Indigenous people living in regional, remote and metropolitan Australia: a cross-sectional study | en |
dc.type | Journal Article | en |
dc.identifier.doi | 10.1136/bmjopen-2017-020196 | en |
dcterms.accessRights | UNE Green | en |
local.contributor.firstname | Bushra F | en |
local.contributor.firstname | Maree R | en |
local.contributor.firstname | Srinivas | en |
local.contributor.firstname | Steve | en |
local.contributor.firstname | Neeraj S | en |
local.contributor.firstname | Emma | en |
local.contributor.firstname | Noel | en |
local.contributor.firstname | Geetha | en |
local.contributor.firstname | Gavin | en |
local.contributor.firstname | Remo | en |
local.contributor.firstname | Geoffrey C | en |
local.relation.isfundedby | NHMRC | en |
local.subject.for2008 | 111701 Aboriginal and Torres Strait Islander Health | en |
local.subject.for2008 | 111714 Mental Health | en |
local.subject.for2008 | 111706 Epidemiology | en |
local.subject.seo2008 | 920302 Aboriginal and Torres Strait Islander Health - Health Status and Outcomes | en |
local.subject.seo2008 | 920404 Disease Distribution and Transmission (incl. Surveillance and Response) | en |
local.subject.seo2008 | 920410 Mental Health | en |
local.profile.school | School of Rural Medicine | en |
local.profile.email | granmuth@une.edu.au | en |
local.output.category | C1 | en |
local.grant.number | 1061963 | en |
local.record.place | au | en |
local.record.institution | University of New England | en |
local.publisher.place | United Kingdom | en |
local.identifier.runningnumber | e020196 | en |
local.format.startpage | 1 | en |
local.format.endpage | 11 | en |
local.identifier.scopusid | 85049755055 | en |
local.peerreviewed | Yes | en |
local.identifier.volume | 8 | en |
local.identifier.issue | 6 | en |
local.title.subtitle | a cross-sectional study | en |
local.access.fulltext | Yes | en |
local.contributor.lastname | Nasir | en |
local.contributor.lastname | Toombs | en |
local.contributor.lastname | Kondalsamy-Chennakesavan | en |
local.contributor.lastname | Kisely | en |
local.contributor.lastname | Gill | en |
local.contributor.lastname | Black | en |
local.contributor.lastname | Hayman | en |
local.contributor.lastname | Ranmuthugala | en |
local.contributor.lastname | Beccaria | en |
local.contributor.lastname | Ostini | en |
local.contributor.lastname | Nicholson | en |
dc.identifier.staff | une-id:granmuth | en |
local.profile.orcid | 0000-0002-4893-5775 | en |
local.profile.role | author | en |
local.profile.role | author | en |
local.profile.role | author | en |
local.profile.role | author | en |
local.profile.role | author | en |
local.profile.role | author | en |
local.profile.role | author | en |
local.profile.role | author | en |
local.profile.role | author | en |
local.profile.role | author | en |
local.profile.role | author | en |
local.identifier.unepublicationid | une:1959.11/30088 | en |
dc.identifier.academiclevel | Academic | en |
dc.identifier.academiclevel | Academic | en |
dc.identifier.academiclevel | Academic | en |
dc.identifier.academiclevel | Academic | en |
dc.identifier.academiclevel | Academic | en |
dc.identifier.academiclevel | Academic | en |
dc.identifier.academiclevel | Academic | en |
dc.identifier.academiclevel | Academic | en |
dc.identifier.academiclevel | Academic | en |
dc.identifier.academiclevel | Academic | en |
dc.identifier.academiclevel | Academic | en |
local.title.maintitle | Common mental disorders among Indigenous people living in regional, remote and metropolitan Australia | en |
local.output.categorydescription | C1 Refereed Article in a Scholarly Journal | en |
local.relation.grantdescription | NHMRC/1061963 | en |
local.search.author | Nasir, Bushra F | en |
local.search.author | Toombs, Maree R | en |
local.search.author | Kondalsamy-Chennakesavan, Srinivas | en |
local.search.author | Kisely, Steve | en |
local.search.author | Gill, Neeraj S | en |
local.search.author | Black, Emma | en |
local.search.author | Hayman, Noel | en |
local.search.author | Ranmuthugala, Geetha | en |
local.search.author | Beccaria, Gavin | en |
local.search.author | Ostini, Remo | en |
local.search.author | Nicholson, Geoffrey C | en |
local.open.fileurl | https://rune.une.edu.au/web/retrieve/4dd96bba-548c-46db-9e6f-c3b858ab53a4 | en |
local.uneassociation | No | en |
local.atsiresearch | No | en |
local.sensitive.cultural | No | en |
local.year.published | 2018 | en |
local.fileurl.open | https://rune.une.edu.au/web/retrieve/4dd96bba-548c-46db-9e6f-c3b858ab53a4 | en |
local.fileurl.openpublished | https://rune.une.edu.au/web/retrieve/4dd96bba-548c-46db-9e6f-c3b858ab53a4 | en |
local.subject.for2020 | 450419 Aboriginal and Torres Strait Islander social determinants of health | en |
local.subject.seo2020 | 210302 Aboriginal and Torres Strait Islander health status and outcomes | en |
local.subject.seo2020 | 200404 Disease distribution and transmission (incl. surveillance and response) | en |
local.subject.seo2020 | 200409 Mental health | en |
dc.notification.token | 26e9cdfe-c23e-4fcf-8bd8-f16c1619ec49 | en |
Appears in Collections: | Journal Article School of Rural Medicine |
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File | Description | Size | Format | |
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openpublished/CommonRanmuthugala2018JournalArticle.pdf | Published version | 1.27 MB | Adobe PDF Download Adobe | View/Open |
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