Browsing by Author "Rowley K.G."
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Item Identifying psychosocial mediators of health amongst Indigenous Australians for the heart health project.(2008-09-15) Reilly R.E.; Doyle J.; Bretherton D.; Rowley K.G.; Harvey J.L.; Briggs P.; Charles S.; Calleja J.; Patten R.; Atkinson V.Objective. The Heart Health Project is an ongoing community-directed health promotion programme encompassing the collection of health-related data and interventions promoting cardiovascular health. Following research which has emphasised the importance of psychological factors including mastery, or personal control, in mitigating cardiovascular health outcomes, this qualitative study explored whether such constructs were relevant from Indigenous perspectives, or whether there were other, more meaningful and relevant psychosocial factors identified by participants that should be incorporated into models of Indigenous health and which could be effective targets for change. Design. The study fits within the broader participatory action research design of the Heart Health Project. Data comprised 30 in-depth interviews with members of a rural Aboriginal community in south-eastern Australia to identify psychosocial factors relevant to their health. Interviews were semi-structured and carried out by two interviewers, one Aboriginal and one non-Aboriginal. Qualitative analysis using QN6 software resulted in a number of salient themes and sub-themes. These are summarised using extracts from the data. Results/Conclusions. Five major themes and 15 sub-themes emerged from data analysis. The findings indicated that while a sense of control may be one factor impacting on health and health behaviours, there were other factors that participants spoke about more readily that have specific relevance to the social and cultural context of Indigenous health. These included history, relationship with mainstream and connectedness. These may be worthy of further empirical investigation and are likely to assist in the design of community health promotion interventions for Aboriginal people. © 2008 Taylor & Francis.Item Suicide ideation and attempt in a community cohort of urban Aboriginal youth: a cross-sectional study.(2014-03-13) Luke J.N.; Anderson I.P.; Gee G.J.; Thorpe R.; Rowley K.G.; Reilly R.E.; Thorpe A.; Stewart P.J.Background: There has been increasing attention over the last decade on the issue of Indigenous youth suicide. A number of studies have documented the high prevalence of suicide behavior and mortality in Australia and internationally. However, no studies have focused on documenting the correlates of suicide behavior for Indigenous youth in Australia. Aim(s): To examine the prevalence of suicide ideation and attempt and the associated factors for a community cohort of Koori (Aboriginal) youth. Method(s): Data were obtained from the Victorian Aboriginal Health Service (VAHS) Young People's Project (YPP), a community initiated cross-sectional data set. In 1997/1998, self-reported data were collected for 172 Koori youth aged 12-26 years living in Melbourne, Australia. The data were analyzed to assess the prevalence of current suicide ideation and lifetime suicide attempt. Principal components analysis (PCA) was used to identify closely associated social, emotional, behavioral, and cultural variables at baseline and Cox regression modeling was then used to identify associations between PCA components and suicide ideation and attempt. Result(s): Ideation and attempt were reported at 23.3% and 24.4%, respectively. PCA yielded fi ve components: (1) emotional distress, (2) social distress A, (3) social distress B, (4) cultural connection, (5) behavioral. All were positively and independently associated with suicide ideation and attempt, while cultural connection showed a negative association. Conclusion(s): Suicide ideation and attempt were common in this cross-section of Indigenous youth with an unfavorable profi le for the emotional, social, cultural, and behavioral factors.