@article{2501257ea6834c109636f50b9f048996,
title = "Prioritizing built environmental factors to tackle chronic and infectious diseases in remote northern territory (Nt) communities of australia: A concept mapping study",
abstract = "High prevalence of chronic and infectious diseases in Indigenous populations is a major public health concern both in global and Australian contexts. Limited research has examined the role of built environments in relation to Indigenous health in remote Australia. This study engaged stakeholders to understand their perceptions of the influence of built environmental factors on chronic and infectious diseases in remote Northern Territory (NT) communities. A preliminary set of 1120 built environmental indicators were systematically identified and classified using an Indigenous Indicator Classification System. The public and environmental health workforce was engaged to consolidate the classified indicators (n = 84), and then sort and rate the consolidated indicators based on their experience with living and working in remote NT communities. Sorting of the indicators resulted in a concept map with nine built environmental domains. Essential services and Facilities for health/safety were the highest ranked domains for both chronic and infectious diseases. Within these domains, adequate housing infrastructure, water supply, drainage system, reliable sewerage and power infrastructure, and access to health services were identified as the most important contributors to the development of these diseases. The findings highlight the features of community environments amenable to public health and social policy actions that could be targeted to help reduce prevalence of chronic and infectious diseases.",
keywords = "Built environment, Chronic diseases, Communicable diseases, Environmental health, Environmental indicators, Housing, Indigenous populations, Perception, Public health, Public policy",
author = "Amal Chakraborty and Howard, {Natasha J.} and Mark Daniel and Alwin Chong and Nicola Slavin and Alex Brown and Margaret Cargo",
note = "Funding Information: This GCM study was nested within a four-year Australian National Health and Medical Research Council (NHMRC) funded project grant titled {\textquoteleft}Environments and Remote Indigenous Cardiometabolic Health (EnRICH){\textquoteright}. The EnRICH Project aimed to evaluate features of social, built and physical (e.g., temperature) environments in relation to community-level cardiometabolic disease outcomes in 123 remote Indigenous communities of the NT [23]. With an area of approximately 1,348,094 square kilometers, and covering one-sixth of the Australian landmass, the NT is the third-largest Australian federal division. The vast majority of the NT landmass is classified as {\textquoteleft}remote{\textquoteright} following the Australian Standard Geographical Classification (ASGC) Remoteness Area [32]. According to the 2016 Census of Population and Housing [33], there were 228,833 people living in the NT, of which 58,248 people (25.5%) were Indigenous. Approximately 80% of the total Indigenous population living in the NT, lived in a remote or very remote area [33]. Funding Information: Funding: Funding for Amal Chakraborty was supported by the Australian Government Research Training Program Scholarship. This research was additionally supported by funding from the National Health and Medical Research Council (NHMRC) Project Grant (GNT1051824) awarded to Mark Daniel. Amal Chakraborty gratefully acknowledges receiving University of South Australia School of Health Sciences Conference Scholarship; Konrad Jamrozik Student Scholarship, Public Health Association of Australia—South Australia Branch; and SA State Population Health Student Scholarship, Australian Health Promotion Association—South Australia Branch. Publisher Copyright: {\textcopyright} 2021 by the authors. Licensee MDPI, Basel, Switzerland. Copyright: Copyright 2021 Elsevier B.V., All rights reserved. Funding Information: Funding: Funding for Amal Chakraborty was supported by the Australian Government Research Training Program Scholarship. This research was additionally supported by funding from the National Health and Medical Research Council (NHMRC) Project Grant (GNT1051824) awarded to Mark Daniel. Amal Chakraborty gratefully acknowledges receiving University of South Australia School of Health Sciences Conference Scholarship; Konrad Jamrozik Student Scholarship, Public Health Association of Australia—South Australia Branch; and SA State Population Health Student Scholarship, Australian Health Promotion Association—South Australia Branch. Funding Information: for Amal Chakraborty was supported by the Australian Government Research Training Program Scholarship. This research was additionally supported by funding from the National Health and Medical Research Council (NHMRC) Project Grant (GNT1051824) awarded to Mark Daniel. Amal Chakraborty gratefully acknowledges receiving University of South Australia School of Health Sciences Conference Scholarship; Konrad Jamrozik Student Scholarship, Public Health Association of Australia—South Australia Branch; and SA State Population Health Student Scholarship, Australian Health Promotion Association—South Australia Branch. Funding Information: This GCM study was nested within a four-year Australian National Health and Medical Research Council (NHMRC) funded project grant titled {\textquoteleft}Environments and Remote Indigenous Cardiometabolic Health (EnRICH){\textquoteright}. The EnRICH Project aimed to evaluate features of social, built and physical (e.g., temperature) environments in relation to community-level cardiometabolic disease outcomes in 123 remote Indigenous communities of the NT [23]. With an area of approximately 1,348,094 square kilometers, and covering one-sixth of the Australian landmass, the NT is the third-largest Australian federal division. The vast majority of the NT landmass is classified as {\textquoteleft}remote{\textquoteright} following the Australian Standard Geographical Classification (ASGC) Remoteness Area [32]. According to the 2016 Census of Population and Housing [33], there were 228,833 people living in the NT, of which 58,248 people (25.5%) were Indigenous. Approximately 80% of the total Indigenous population living in the NT, lived in a remote or very remote area [33]. Publisher Copyright: {\textcopyright} 2021 by the authors. Licensee MDPI, Basel, Switzerland.",
year = "2021",
month = may,
day = "13",
doi = "10.3390/ijerph18105178",
language = "English",
volume = "18",
pages = "1--17",
journal = "International Journal of Environmental Research and Public Health",
issn = "1661-7827",
publisher = "Multidisciplinary Digital Publishing Institute (MDPI)",
number = "10",
}
