Evidence map›Paper›PMID 33879480›Full record

ArticleBMJ open2021

Traumatic life events and risk of post-traumatic stress disorder among the Indigenous population of regional, remote and metropolitan Central-Eastern Australia: a cross-sectional study.

Bushra F Nasir, Emma Black, Maree Toombs, Steve Kisely, Neeraj Gill, Gavin Beccaria, Srinivas Kondalsamy-Chennakesavan, Geoffrey Nicholson

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Bushra F NasirRural Clinical School, Faculty of Medicine, The University of Queensland, Toowoomba, Queensland, Australia b.nasir@uq.edu.au.ORCID 0000-0002-8372-4877
Emma BlackRural Clinical School, Faculty of Medicine, The University of Queensland, Toowoomba, Queensland, Australia.
Maree ToombsRural Clinical School, Faculty of Medicine, The University of Queensland, Toowoomba, Queensland, Australia.
Steve KiselyPrincess Alexandra Hospital Southside Clinical Unit, Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia.ORCID 0000-0003-4021-2924
Neeraj GillRural Clinical School, Faculty of Medicine, The University of Queensland, Toowoomba, Queensland, Australia.ORCID 0000-0003-2106-9843
Gavin BeccariaSchool of Psychology and Counselling, University of Southern Queensland, Toowoomba, Queensland, Australia.
Srinivas Kondalsamy-ChennakesavanRural Clinical School, Faculty of Medicine, The University of Queensland, Toowoomba, Queensland, Australia.
Geoffrey NicholsonRural Clinical School, Faculty of Medicine, The University of Queensland, Toowoomba, Queensland, Australia.
The University of Queensland · AUUniversity of Southern Queensland · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTrauma is reported by 70% of the global population and 4% of those exposed develop post-traumatic stress disorder (PTSD), but data from Indigenous populations are limited. We aimed to determine the prevalence, types and age of occurrence of traumatic events among community-living Indigenous Australians and associations with PTSD.

designLifetime trauma and PTSD were quantified among a broadly representative sample of 544 Indigenous participants using a diagnostic clinical interview. Logistic regression examined predictors of PTSD.

settingMetropolitan, regional and remote areas of Southern Queensland and Northern New South Wales.

participantsIndigenous Australians 18 years and older. OUTCOME MEASURES: Prevalence of traumatic life events and risk of PTSD.

results64.9% of participants (standardised prevalence 62.6%) reported lifetime trauma, with more than one trauma category in 62.3%. Females reported 2.3 times more sexual violence, otherwise no gender differences existed. The prevalence of four common trauma categories were 1.7-3.0 times higher than in the Australian population; physical violence being the highest relative risk. Although overall childhood trauma was not increased, sexual or physical violence before age 15 was twice more common than in the Australian population.The standardised prevalence of 12-month PTSD was 13.3% (95% CI 10.4 to 16.1), 16.1% (95% CI 12.2 to 19.9) in females and 8.2% (95% CI 5.3 to 11.1) in males, three times the Australian rates. In multiple regression analysis, independent predictors of PTSD were female gender (OR 2.1), rural residence (OR 3.0), trauma under age 10 (OR 2.2), sexual (without physical) violence (OR 2.5), physical (without sexual) violence (OR 2.3), and both sexual and physical violence (OR 5.0).

conclusionIndigenous Australians are more likely to experience potentially harmful traumas and develop PTSD than other Australians. Mitigation of trauma among Indigenous Australians, particularly childhood exposure and sexual or physical violence, is essential to reduce their high burden of PTSD.

Indexed as

Stress Disorders, Post-TraumaticAdolescentAdultAustraliaCross-Sectional StudiesFemaleHumansLife Change EventsMaleNew South WalesPopulation GroupsPrevalenceQueenslandYoung Adultepidemiologymental healthtrauma management

Identifiers

PMID33879480
PMCPMC8061833
OpenAlexW3153085222

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.