Abstract：
OBJECTIVE:To explore factors associated with high psychological distress among Aboriginal and non-Aboriginal Australians and their contribution to the elevated distress prevalence among Aboriginal people. METHODS:Questionnaire data from 1,631 Aboriginal and 233,405 non-Aboriginal 45 and Up Study (NSW, Australia) participants aged ≥45 years were used to calculate adjusted prevalence ratios for high psychological distress (Kessler-10 score ≥22) for socio-demographic, health and disability-related factors, and to quantify contributions to differences in distress prevalence. RESULTS:While high-distress prevalence was increased around three-fold in Aboriginal versus non-Aboriginal participants, distress-related risk factors were similar. Morbidity and physical disability had the strongest associations; high distress affected 43.8% of Aboriginal and 20.9% of non-Aboriginal participants with severe physical limitations and 9.5% and 3.9% of those without limitations, respectively. Differences in distress prevalence between Aboriginal and non-Aboriginal participants were essentially attributable to differences in SES, morbidity, disability/functional limitations and social support (fully-adjusted PR 1.19 [95% 1.08, 1.30]); physical morbidity and disability explained the bulk. CONCLUSIONS:The markedly elevated prevalence of high distress among older Aboriginal Australians appears largely attributable to greater physical morbidity and disability. Implications for public health: Addressing upstream determinants of physical morbidity and improved integration of social and emotional wellbeing care into primary care and chronic disease management are essential.
journal_name
Aust N Z J Public Healthjournal_title
Australian and New Zealand journal of public healthauthors
McNamara BJ,Banks E,Gubhaju L,Joshy G,Williamson A,Raphael B,Eades Sdoi
10.1111/1753-6405.12766subject
Has Abstractpub_date
2018-04-01 00:00:00pages
145-152issue
2eissn
1326-0200issn
1753-6405journal_volume
42pub_type
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journal_title：Australian and New Zealand journal of public health
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journal_title：Australian and New Zealand journal of public health
pub_type： 杂志文章
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pub_type： 杂志文章
doi：10.1111/j.1467-842x.2004.tb00443.x
更新日期：2004-08-01 00:00:00
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pub_type： 杂志文章
doi：10.1111/j.1467-842x.2005.tb00760.x
更新日期：2005-06-01 00:00:00
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doi：10.1111/1753-6405.12529
更新日期：2016-08-01 00:00:00
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journal_title：Australian and New Zealand journal of public health
pub_type： 杂志文章,评审
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更新日期：1998-02-01 00:00:00
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journal_title：Australian and New Zealand journal of public health
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更新日期：2011-06-01 00:00:00
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pub_type： 杂志文章,评审
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更新日期：2011-02-01 00:00:00
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pub_type： 杂志文章
doi：10.1111/j.1753-6405.2008.00245.x
更新日期：2008-08-01 00:00:00
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doi：10.1111/j.1467-842x.1999.tb01254.x
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更新日期：2001-01-01 00:00:00
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更新日期：1998-12-01 00:00:00
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doi：10.1111/j.1467-842x.2005.tb00218.x
更新日期：2005-10-01 00:00:00
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doi：10.1111/j.1467-842x.2000.tb00526.x
更新日期：2000-12-01 00:00:00
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更新日期：2012-06-01 00:00:00
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doi：10.1111/j.1467-842x.2001.tb00309.x
更新日期：2001-12-01 00:00:00
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pub_type： 杂志文章
doi：10.1111/j.1467-842x.2002.tb00365.x
更新日期：2002-12-01 00:00:00
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pub_type： 杂志文章
doi：10.1111/j.1753-6405.2011.00779.x
更新日期：2011-12-01 00:00:00
