{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T16:00:12Z","timestamp":1781020812038,"version":"3.54.1"},"reference-count":46,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2012,4,26]],"date-time":"2012-04-26T00:00:00Z","timestamp":1335398400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Drug and Alcohol Review"],"published-print":{"date-parts":[[2012,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Introduction and Aims.<\/jats:bold>  <jats:italic>Primary health\u2010care services need to maximise prevention activities to improve the health of Aboriginal and Torres Strait Islander people. This study determined Aboriginal and Torres Strait Islander people's risk status and screening history for cardiovascular, diabetes and cancer, and identified opportunities for prevention based on patient's health concerns.<\/jats:italic><\/jats:p><jats:p><jats:bold>Design and Methods.<\/jats:bold>  <jats:italic>Consenting adult patients attending an Aboriginal Community Controlled Health Service completed interview surveys. Outcome measures were: patient's self\u2010reported rates of smoking, at\u2010risk alcohol consumption, body mass index and screening rates for cholesterol, diabetes, blood pressure, cervical and breast cancer, the proportion of patients with multiple risk factors and health information patients prioritise to receive from their doctor.<\/jats:italic><\/jats:p><jats:p><jats:bold>Results.<\/jats:bold>  <jats:italic>We surveyed 587 patients giving a consent rate of 77%. Patient's self\u2010reported being at risk due to smoking (51%), harmful alcohol consumption in both short term (10%) and long term (10%), and overweight (28%) and obese (49%) body mass index. The proportion of patients who had not been screened within the recommended guidelines was 27% for cholesterol, 24% for diabetes, 40% for blood pressure, 47% for cervical cancer and 54% for breast cancer. The majority (73%) of patients had multiple risk factors. Patients prioritised receiving health information on diabetes (45%), weight (43%) and heart disease (43%).<\/jats:italic><\/jats:p><jats:p><jats:bold>Discussion and conclusions.<\/jats:bold>  <jats:italic>Many patients were at high risk, and were concerned about the health risks they experience. Strategies are needed to help clinic staff identify risks, and maximise prevention activities according to best\u2010practice guidelines, particularly to patients who experience multiple risk factors. <\/jats:italic>[Stewart JM, Sanson\u2010Fisher RW, Eades S, Fitzgerald M. The risk status, screening history and health concerns of Aboriginal and Torres Strait Islander people attending an Aboriginal Community Controlled Health Service. <jats:italic>Drug Alcohol Rev<\/jats:italic> 2012;31:617\u2013624]<\/jats:p>","DOI":"10.1111\/j.1465-3362.2012.00455.x","type":"journal-article","created":{"date-parts":[[2012,4,26]],"date-time":"2012-04-26T04:08:06Z","timestamp":1335413286000},"page":"617-624","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["The risk status, screening history and health concerns of Aboriginal and Torres Strait Islander people attending an Aboriginal Community Controlled Health Service"],"prefix":"10.1111","volume":"31","author":[{"given":"JESSICA M.","family":"STEWART","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"ROB W.","family":"SANSON\u2010FISHER","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"SANDRA","family":"EADES","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"MICHAEL","family":"FITZGERALD","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,4,26]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyn240"},{"key":"e_1_2_7_3_2","volume-title":"National Aboriginal and Torres Strait Islander Health Survey 2004\u201305","author":"Australian Bureau of Statistics","year":"2008"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-6-8"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2009.tb02563.x"},{"key":"e_1_2_7_6_2","first-page":"324","article-title":"Hypertension, dyslipidemia, body mass index, diabetes and smoking status in Aboriginal Australians in a remote community","volume":"13","author":"Wang Z","year":"2003","journal-title":"Ethn Dis"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2009.tb02811.x"},{"key":"e_1_2_7_8_2","volume-title":"Aboriginal primary health care: an evidence\u2010based approach","author":"Couzos S","year":"2003"},{"key":"e_1_2_7_9_2","first-page":"302","volume-title":"General practice in Australia: 2004","author":"Anderson I","year":"2005"},{"key":"e_1_2_7_10_2","first-page":"119","volume-title":"Health policy in Australia","author":"Anderson I","year":"1997"},{"key":"e_1_2_7_11_2","unstructured":"Australian Institute for Health and Welfare and Australian Bureau of Statistics.The Health and Welfare of Australia's Aboriginal and Torres Strait Islander Peoples.2008."},{"key":"e_1_2_7_12_2","volume-title":"Aboriginal and Torres Strait Islander Health Services Report 2008\u201309","author":"Office of Aboriginal and Torres Strait Islander Health","year":"2010"},{"key":"e_1_2_7_13_2","volume-title":"The link between primary health care and health outcomes for Aboriginal and Torres Strait Islander Australians","author":"Office of Aboriginal and Torres Strait Islander Health","year":"2008"},{"key":"e_1_2_7_14_2","volume-title":"National guide to a preventive health assessment in Aboriginal and Torres Strait Islander peoples","author":"National Aboriginal Community Controlled Health Organisation","year":"2005"},{"key":"e_1_2_7_15_2","volume-title":"Evidence base to a preventive health assessment in Aboriginal and Torres Strait Islander peoples","author":"National Aboriginal Community Controlled Health Organisation","year":"2005"},{"key":"e_1_2_7_16_2","unstructured":"Royal Australasian College of General Practitioners.Guidelines for preventive activities in general practice (the Red Book). 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