{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T01:48:13Z","timestamp":1778809693795,"version":"3.51.4"},"reference-count":45,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2020,10,8]],"date-time":"2020-10-08T00:00:00Z","timestamp":1602115200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Br J Nutr"],"published-print":{"date-parts":[[2021,7,14]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Vitamin D deficiency (serum 25-hydroxyvitamin D (25(OH)D) concentration &lt;50 nmol\/l) is recognised as a public health problem globally. The present study details the prevalence and predictors of vitamin D deficiency in a nationally representative sample (<jats:italic>n<\/jats:italic> 3250) of Australian Aboriginal and Torres Strait Islander adults aged \u226518 years. We used data from the 2012\u20132013 Australian Aboriginal and Torres Strait Islander Health Survey (AATSIHS). Serum 25(OH)D concentrations were measured by liquid chromatography-tandem MS. Survey-weighted logistic regression models were used to determine the independent predictors of vitamin D deficiency. Approximately 27 % of adult AATSIHS participants were vitamin D deficient. Vitamin D deficiency was more prevalent in remote areas (39 %) than in non-remote areas (23 %). Independent predictors of vitamin D deficiency included assessment during winter (men, adjusted OR (aOR) 5\u00b77; 95 % CI 2\u00b72, 14\u00b76; women, aOR 2\u00b72; 95 % CI 1\u00b73, 3\u00b78) and spring (men, aOR 3\u00b73; 95 % CI 1\u00b74, 7\u00b75; women, aOR 2\u00b76; 95 % CI 1\u00b75, 4\u00b75) compared with summer, and obesity (men, aOR 2\u00b76; 95 % CI 1\u00b72, 5\u00b74; women, aOR 4\u00b73; 95 % CI 2\u00b78, 6\u00b78) compared with healthy weight. Statistically significant associations were evident for current smokers (men only, aOR 2\u00b70; 95 % CI 1\u00b72, 3\u00b74), remote-dwelling women (aOR 2\u00b70; 95 % CI 1\u00b74, 2\u00b79) and university-educated women (aOR 2\u00b74; 95 % CI 1\u00b72, 4\u00b78). Given the high prevalence of vitamin D deficiency in this population, strategies to maintain adequate vitamin D status through safe sun exposure and dietary approaches are needed.<\/jats:p>","DOI":"10.1017\/s0007114520003931","type":"journal-article","created":{"date-parts":[[2020,10,8]],"date-time":"2020-10-08T05:48:21Z","timestamp":1602136101000},"page":"101-109","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":13,"title":["Prevalence and predictors of vitamin D deficiency in a nationally representative sample of Australian Aboriginal and Torres Strait Islander adults"],"prefix":"10.1017","volume":"126","author":[{"given":"Lucinda J.","family":"Black","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eleanor","family":"Dunlop","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robyn M.","family":"Lucas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Glenn","family":"Pearson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brad","family":"Farrant","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carrington C. 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Australian Bureau of Statistics (2013) 3238.0.55.001 \u2013 Estimates of Aboriginal and Torres Strait Islander Australians, June 2011: Data cube. http:\/\/www.abs.gov.au\/ausstats\/subscriber.nsf\/log?openagent&3238055001d003_201106.xls&3238.0.55.001&Data%20Cubes&C7C22D75C8ACACE9CA257BD60010DFDF&0&June%202011&30.08.2013&Latest (accessed May 2020)."},{"key":"S0007114520003931_ref21","doi-asserted-by":"publisher","DOI":"10.5694\/mja11.10301"},{"key":"S0007114520003931_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.cca.2010.08.018"},{"key":"S0007114520003931_ref35","unstructured":"35. Northern Territory Government: Department of Health and Community Services (2007) NT market basket survey 2006. https:\/\/digitallibrary.health.nt.gov.au\/prodjspui\/bitstream\/10137\/338\/1\/Market_basket_2006.pdf (accessed February 2020)."},{"key":"S0007114520003931_ref1","first-page":"32","article-title":"Vitamin D status as an international issue: national surveys and the problem of standardization","volume":"243","author":"Sempos","year":"2012","journal-title":"Scand J Clin Lab Invest"},{"key":"S0007114520003931_ref16","doi-asserted-by":"publisher","DOI":"10.1111\/ajd.12106"},{"key":"S0007114520003931_ref34","doi-asserted-by":"crossref","first-page":"9","DOI":"10.5694\/j.1326-5377.2007.tb00778.x","article-title":"The increasing cost of the foods required to promote health in Queensland","volume":"186","author":"Harrison","year":"2007","journal-title":"Med J Aust"},{"key":"S0007114520003931_ref12","doi-asserted-by":"publisher","DOI":"10.4065\/78.12.1463"},{"key":"S0007114520003931_ref15","first-page":"230","article-title":"Prevalence of musculoskeletal conditions, associated pain and disability and the barriers to managing these conditions in a rural, Australian Aboriginal community","volume":"4","author":"Vindigni","year":"2004","journal-title":"Rural Remote Health"},{"key":"S0007114520003931_ref18","unstructured":"18. Australian Bureau of Statistics (2013) Australian Aboriginal and Torres Strait Islander Health Survey: first results, Australia, 2012\u201313. http:\/\/www.abs.gov.au\/ausstats\/abs@.nsf\/mf\/4727.0.55.001 (accessed May 2020)."},{"key":"S0007114520003931_ref6","doi-asserted-by":"publisher","DOI":"10.1186\/1758-5996-6-78"},{"key":"S0007114520003931_ref13","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.329.7458.156"},{"key":"S0007114520003931_ref30","doi-asserted-by":"publisher","DOI":"10.3390\/nu9070647"},{"key":"S0007114520003931_ref42","unstructured":"42. 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Australian Institute of Family Studies (2018) Map of Australia showing areas of varying geographic remoteness. https:\/\/aifs.gov.au\/publications\/families-regional-rural-and-remote-australia\/figure1 (accessed April 2020)."},{"key":"S0007114520003931_ref43","doi-asserted-by":"crossref","first-page":"907","DOI":"10.1111\/bjd.17980","article-title":"The effect of sunscreen on vitamin D: a review","volume":"181","author":"Neale","year":"2019","journal-title":"Br J Dermatol"},{"key":"S0007114520003931_ref37","doi-asserted-by":"crossref","first-page":"149","DOI":"10.5694\/j.1326-5377.2002.tb04702.x","article-title":"Vitamin D intake and vitamin D status of Australians","volume":"177","author":"Nowson","year":"2002","journal-title":"Med J Aust"},{"key":"S0007114520003931_ref17","doi-asserted-by":"publisher","DOI":"10.1111\/ijd.12790"},{"key":"S0007114520003931_ref28","unstructured":"28. 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