Evidence map›Paper›PMID 34550638›Full record

ArticleAustralian and New Zealand journal of public health2021

Risk of severe illness from COVID-19 among Aboriginal and Torres Strait Islander adults: the construct of 'vulnerable populations' obscures the root causes of health inequities.

Katherine A Thurber, Eden M Barrett, Jason Agostino, Catherine Chamberlain, James Ward, Vicki Wade, Mary Belfrage, Raglan Maddox, David Peiris, Jennie Walker and 7 more

Abstract read
In one paragraph

Article in Australian and New Zealand journal of public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
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

16 citing papers in PubMed.

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  14. Basil Hetzel Oration: The COVID-19, racism, mental health and smoking crises.Australian and New Zealand journal of public health · 2022
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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

17 authors.

Katherine A ThurberNational Centre for Epidemiology and Population Health, Australian National University, Acton Australian Capital Territory.
Eden M BarrettNational Centre for Epidemiology and Population Health, Australian National University, Acton Australian Capital Territory.
Jason AgostinoNational Centre for Epidemiology and Population Health, Australian National University, Acton Australian Capital Territory.
Catherine ChamberlainJudith Lumley Centre, La Trobe University, Bundoora, Victoria.
James WardUQ Poche Centre for Indigenous Health, The University of Queensland, St Lucia, Queensland.
Vicki WadeMenzies School of Health Research, Royal Darwin Hospital Campus, Tiwi, Northern Territory.
Mary BelfrageThe Royal Australian College of General Practitioners Ltd, East Melbourne, Victoria.
Raglan MaddoxNational Centre for Epidemiology and Population Health, Australian National University, Acton Australian Capital Territory.
David PeirisThe George Institute for Global Health, UNSW Sydney, New South Wales.
Jennie WalkerNational Centre for Epidemiology and Population Health, Australian National University, Acton Australian Capital Territory.
Bernard BaffourSchool of Demography, College of Arts and Social Sciences, The Australian National University, Australian Capital Territory.
Mark WenitongApunipima Cape York Health Council, Bungalow, Queensland.
Charlee LawNational Centre for Epidemiology and Population Health, Australian National University, Acton Australian Capital Territory.
Timothy SeniorThe Royal Australian College of General Practitioners Ltd, East Melbourne, Victoria.
Naomi PriestCentre for Social Research and Methods, College of Arts and Social Sciences, Australian National University, Acton, Australian Capital Territory.
Kate FreemanThe Royal Australian College of General Practitioners Ltd, East Melbourne, Victoria.
Tanya SchrammTasmanian School of Medicine, College of Health and Medicine, University of Tasmania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo quantify the prevalence of known health-related risk factors for severe COVID-19 illness among Aboriginal and Torres Strait Islander adults, and their relationship with social determinants.

methodsWeighted cross-sectional analysis of the 2018-19 National Aboriginal and Torres Strait Islander Health Survey; Odds Ratios for cumulative risk count category (0, 1, or ≥2 health-related risk factors) by social factors calculated using ordered logistic regression.

resultsOf the adult population, 42.9%(95%CI:40.6,45.2) had none of the examined health-related risk factors; 38.9%(36.6,41.1) had 1, and 18.2%(16.7,19.7) had ≥2. Adults experiencing relative advantage across social indicators had significantly lower cumulative risk counts, with 30-70% lower odds of being in a higher risk category.

conclusionsAboriginal and Torres Strait Islander peoples must continue to be recognised as a priority population in all stages of pandemic preparedness and response as they have disproportionate exposure to social factors associated with risk of severe COVID-19 illness. Indigeneity itself is not a 'risk' factor and must be viewed in the wider context of inequities that impact health Implications for public health: Multi-sectoral responses are required to improve health during and after the COVID-19 pandemic that: enable self-determination; improve incomes, safety, food security and culturally-safe healthcare; and address discrimination and trauma.

Indexed as

COVID-19Cross-Sectional StudiesHealth InequitiesHumansPandemicsSARS-CoV-2Vulnerable PopulationsCOVID-19racismrisk Factorssocial Determinants of Health

Identifiers

PMID34550638
PMCPMC8652479

What OpenQuestion holds

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Registered trials

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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.