A review of programs that targeted environmental determinants of Aboriginal and Torres Strait Islander health.

Leah Johnston, Joyce Doyle, Bec Morgan, Sharon Atkinson-Briggs, Bradley Firebrace, Mayatili Marika, Rachel Reilly, Margaret CARGO, Therese Riley, Kevin Rowley

Research output: Contribution to journalArticle

10 Citations (Scopus)
1 Downloads (Pure)

Abstract

Objective: Effective interventions to improve population and individual health require environmental change as well as strategies that target individual behaviours and clinical factors. This is the basis of implementing an ecological approach to health programs and health promotion. For Aboriginal People and Torres Strait Islanders, colonisation has made the physical and social environment particularly detrimental for health. Methods and Results: We conducted a literature review to identify Aboriginal health interventions that targeted environmental determinants of health, identifying 21 different health programs. Program activities that targeted environmental determinants of health included: Caring for Country; changes to food supply and/or policy; infrastructure for physical activity; housing construction and maintenance; anti-smoking policies; increased workforce capacity; continuous quality improvement of clinical systems; petrol substitution; and income management. Targets were categorised according to Miller's Living Systems Theory. Researchers using an Indigenous community based perspective more often identified interpersonal and community-level targets than were identified using a Western academic perspective. Conclusions: Although there are relatively few papers describing interventions that target environmental determinants of health, many of these addressed such determinants at multiple levels, consistent to some degree with an ecological approach. Interpretation of program targets sometimes differed between academic and community-based perspectives, and was limited by the type of data reported in the journal articles, highlighting the need for local Indigenous knowledge for accurate program evaluation. Implications: While an ecological approach to Indigenous health is increasingly evident in the health research literature, the design and evaluation of such programs requires a wide breadth of expertise, including local Indigenous knowledge
Original languageEnglish
Pages (from-to)3518-3542
Number of pages25
JournalInternational Journal of Environmental Research and Public Health
Volume10
Issue number8
DOIs
Publication statusPublished - 2013
Externally publishedYes

Fingerprint

Environmental Health
Health
Program Evaluation
Nutrition Policy
Systems Theory
Social Environment
Food Supply
Quality Improvement
Health Promotion
Research Design
Smoking
Maintenance
Research Personnel
Population

Cite this

Johnston, Leah ; Doyle, Joyce ; Morgan, Bec ; Atkinson-Briggs, Sharon ; Firebrace, Bradley ; Marika, Mayatili ; Reilly, Rachel ; CARGO, Margaret ; Riley, Therese ; Rowley, Kevin. / A review of programs that targeted environmental determinants of Aboriginal and Torres Strait Islander health. In: International Journal of Environmental Research and Public Health. 2013 ; Vol. 10, No. 8. pp. 3518-3542.
@article{c86cc70e08384f5caec27d074b26c429,
title = "A review of programs that targeted environmental determinants of Aboriginal and Torres Strait Islander health.",
abstract = "Objective: Effective interventions to improve population and individual health require environmental change as well as strategies that target individual behaviours and clinical factors. This is the basis of implementing an ecological approach to health programs and health promotion. For Aboriginal People and Torres Strait Islanders, colonisation has made the physical and social environment particularly detrimental for health. Methods and Results: We conducted a literature review to identify Aboriginal health interventions that targeted environmental determinants of health, identifying 21 different health programs. Program activities that targeted environmental determinants of health included: Caring for Country; changes to food supply and/or policy; infrastructure for physical activity; housing construction and maintenance; anti-smoking policies; increased workforce capacity; continuous quality improvement of clinical systems; petrol substitution; and income management. Targets were categorised according to Miller's Living Systems Theory. Researchers using an Indigenous community based perspective more often identified interpersonal and community-level targets than were identified using a Western academic perspective. Conclusions: Although there are relatively few papers describing interventions that target environmental determinants of health, many of these addressed such determinants at multiple levels, consistent to some degree with an ecological approach. Interpretation of program targets sometimes differed between academic and community-based perspectives, and was limited by the type of data reported in the journal articles, highlighting the need for local Indigenous knowledge for accurate program evaluation. Implications: While an ecological approach to Indigenous health is increasingly evident in the health research literature, the design and evaluation of such programs requires a wide breadth of expertise, including local Indigenous knowledge",
author = "Leah Johnston and Joyce Doyle and Bec Morgan and Sharon Atkinson-Briggs and Bradley Firebrace and Mayatili Marika and Rachel Reilly and Margaret CARGO and Therese Riley and Kevin Rowley",
year = "2013",
doi = "10.3390/ijerph10083518",
language = "English",
volume = "10",
pages = "3518--3542",
journal = "International Journal of Environmental Research and Public Health",
issn = "1660-4601",
publisher = "Multidisciplinary Digital Publishing Institute (MDPI)",
number = "8",

}

Johnston, L, Doyle, J, Morgan, B, Atkinson-Briggs, S, Firebrace, B, Marika, M, Reilly, R, CARGO, M, Riley, T & Rowley, K 2013, 'A review of programs that targeted environmental determinants of Aboriginal and Torres Strait Islander health.', International Journal of Environmental Research and Public Health, vol. 10, no. 8, pp. 3518-3542. https://doi.org/10.3390/ijerph10083518

A review of programs that targeted environmental determinants of Aboriginal and Torres Strait Islander health. / Johnston, Leah; Doyle, Joyce; Morgan, Bec; Atkinson-Briggs, Sharon; Firebrace, Bradley; Marika, Mayatili; Reilly, Rachel; CARGO, Margaret; Riley, Therese; Rowley, Kevin.

In: International Journal of Environmental Research and Public Health, Vol. 10, No. 8, 2013, p. 3518-3542.

Research output: Contribution to journalArticle

TY - JOUR

T1 - A review of programs that targeted environmental determinants of Aboriginal and Torres Strait Islander health.

AU - Johnston, Leah

AU - Doyle, Joyce

AU - Morgan, Bec

AU - Atkinson-Briggs, Sharon

AU - Firebrace, Bradley

AU - Marika, Mayatili

AU - Reilly, Rachel

AU - CARGO, Margaret

AU - Riley, Therese

AU - Rowley, Kevin

PY - 2013

Y1 - 2013

N2 - Objective: Effective interventions to improve population and individual health require environmental change as well as strategies that target individual behaviours and clinical factors. This is the basis of implementing an ecological approach to health programs and health promotion. For Aboriginal People and Torres Strait Islanders, colonisation has made the physical and social environment particularly detrimental for health. Methods and Results: We conducted a literature review to identify Aboriginal health interventions that targeted environmental determinants of health, identifying 21 different health programs. Program activities that targeted environmental determinants of health included: Caring for Country; changes to food supply and/or policy; infrastructure for physical activity; housing construction and maintenance; anti-smoking policies; increased workforce capacity; continuous quality improvement of clinical systems; petrol substitution; and income management. Targets were categorised according to Miller's Living Systems Theory. Researchers using an Indigenous community based perspective more often identified interpersonal and community-level targets than were identified using a Western academic perspective. Conclusions: Although there are relatively few papers describing interventions that target environmental determinants of health, many of these addressed such determinants at multiple levels, consistent to some degree with an ecological approach. Interpretation of program targets sometimes differed between academic and community-based perspectives, and was limited by the type of data reported in the journal articles, highlighting the need for local Indigenous knowledge for accurate program evaluation. Implications: While an ecological approach to Indigenous health is increasingly evident in the health research literature, the design and evaluation of such programs requires a wide breadth of expertise, including local Indigenous knowledge

AB - Objective: Effective interventions to improve population and individual health require environmental change as well as strategies that target individual behaviours and clinical factors. This is the basis of implementing an ecological approach to health programs and health promotion. For Aboriginal People and Torres Strait Islanders, colonisation has made the physical and social environment particularly detrimental for health. Methods and Results: We conducted a literature review to identify Aboriginal health interventions that targeted environmental determinants of health, identifying 21 different health programs. Program activities that targeted environmental determinants of health included: Caring for Country; changes to food supply and/or policy; infrastructure for physical activity; housing construction and maintenance; anti-smoking policies; increased workforce capacity; continuous quality improvement of clinical systems; petrol substitution; and income management. Targets were categorised according to Miller's Living Systems Theory. Researchers using an Indigenous community based perspective more often identified interpersonal and community-level targets than were identified using a Western academic perspective. Conclusions: Although there are relatively few papers describing interventions that target environmental determinants of health, many of these addressed such determinants at multiple levels, consistent to some degree with an ecological approach. Interpretation of program targets sometimes differed between academic and community-based perspectives, and was limited by the type of data reported in the journal articles, highlighting the need for local Indigenous knowledge for accurate program evaluation. Implications: While an ecological approach to Indigenous health is increasingly evident in the health research literature, the design and evaluation of such programs requires a wide breadth of expertise, including local Indigenous knowledge

U2 - 10.3390/ijerph10083518

DO - 10.3390/ijerph10083518

M3 - Article

VL - 10

SP - 3518

EP - 3542

JO - International Journal of Environmental Research and Public Health

JF - International Journal of Environmental Research and Public Health

SN - 1660-4601

IS - 8

ER -