Social contributors to cardiometabolic diseases in indigenous populations: an international Delphi study.
Public Health
; 176: 133-141, 2019 Nov.
Article
em En
| MEDLINE
| ID: mdl-31796166
ABSTRACT
OBJECTIVE:
The objective of this study was to identify priority social factors contributing to indigenous cardiometabolic diseases. STUDYDESIGN:
A three-round Delphi process was used to consolidate and compare the opinions of 60 experts in indigenous cardiometabolic health from Australia, New Zealand and the United States.METHODS:
Round one three open-ended questions (i) historical, (ii) economic and (iii) sociocultural factor contributors to cardiometabolic disease risk. Round two a structured questionnaire based on the results from the first round; items were ranked according to perceived importance. Final round the items were reranked after receiving the summary feedback.RESULTS:
Several key findings were identified (i) an important historical factor is marginalisation and disempowerment; (ii) in terms of economic and sociocultural factors, the panellists came to the consensus that the socio-economic status and educational inequalities are important; and (iii) while consensus was not reached, economic and educational factors were also perceived to be historically influential.CONCLUSION:
These findings support the need for multilevel health promotion policy. For example, tackling financial barriers that limit the access to health-promoting resources, combined with improving literacy skills to permit understanding of health education.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Doenças Cardiovasculares
/
Grupos Populacionais
/
Determinantes Sociais da Saúde
/
Doenças Metabólicas
Tipo de estudo:
Guideline
/
Prognostic_studies
/
Qualitative_research
Aspecto:
Determinantes_sociais_saude
Limite:
Humans
País/Região como assunto:
America do norte
/
Oceania
Idioma:
En
Revista:
Public Health
Ano de publicação:
2019
Tipo de documento:
Article