• Bmc Public Health · Jul 2015

    A cross-sectional survey and latent class analysis of the prevalence and clustering of health risk factors among people attending an Aboriginal Community Controlled Health Service.

    • Natasha E Noble, Christine L Paul, Nicole Turner, Stephen V Blunden, Christopher Oldmeadow, and Heidi E Turon.
    • Priority Research Centre for Health Behaviour, School of Medicine and Public Health, University of Newcastle, Level 4 West HMRI Building, Callaghan, NSW, 2308, Australia. Natasha.Noble@newcastle.edu.au.
    • Bmc Public Health. 2015 Jul 15; 15: 666.

    BackgroundIndigenous Australians are a socially disadvantaged group who experience significantly poorer health and a higher prevalence of modifiable health behaviours than other Australians. Little is known about the clustering of health risks among Indigenous Australians. The aims of this study were to describe the clustering of key health risk factors, such as smoking, physical inactivity and alcohol consumption, and socio-demographics associated with clusters, among a predominantly Aboriginal sample.MethodsParticipants (n = 377) attending an Aboriginal Community Controlled Health Service (ACCHS) in regional/rural New South Wales, Australia, in 2012-2013 completed a self-report touch screen health risk survey. Clusters were identified using latent class analysis.ResultsCluster 1 ('low fruit/vegetable intake, lower risk'; 51%) consisted of older men and women; Cluster 2 ('risk taking'; 22%) included younger unemployed males with a high prevalence of smoking, risky alcohol, and illicit drug use. Cluster 3 ('inactive, overweight, depressed'; 28%) was characterised by younger to mid aged women likely to have experienced emotional or physical violence.ConclusionsIf future research identifies similar stable clusters of health behaviours for this population, intervention approaches targeting these clusters of risk factors should be developed and tested for Aboriginal and Torres Strait Islander Australians.

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