Evidence map›Paper›PMID 39381087›Full record

ArticleThe Lancet regional health. Western Pacific2024

Population attributable fractions of depression and anxiety among Aboriginal and Torres Strait Islander peoples: a population-based study.

Subash Thapa, Kedir Y Ahmed, Santosh Giri, Anayochukwu E Anyasodor, M Mamun Huda, Peter Gibbs, Shakeel Mahmood, Feleke H Astawesegn, Jamie Newman, Allen G Ross

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In one paragraph

Article in The Lancet regional health. Western Pacific, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
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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

10 authors.

Subash ThapaRural Health Research Institute (RHRI), Charles Sturt University, Orange, NSW, 2800, Australia.
Kedir Y AhmedRural Health Research Institute (RHRI), Charles Sturt University, Orange, NSW, 2800, Australia.
Santosh GiriRural Health Research Institute (RHRI), Charles Sturt University, Orange, NSW, 2800, Australia.
Anayochukwu E AnyasodorRural Health Research Institute (RHRI), Charles Sturt University, Orange, NSW, 2800, Australia.
M Mamun HudaRural Health Research Institute (RHRI), Charles Sturt University, Orange, NSW, 2800, Australia.
Peter GibbsRegional Enterprise Development Institute (REDI.E), Dubbo, NSW, 2830, Australia.
Shakeel MahmoodRural Health Research Institute (RHRI), Charles Sturt University, Orange, NSW, 2800, Australia.
Feleke H AstawesegnRural Health Research Institute (RHRI), Charles Sturt University, Orange, NSW, 2800, Australia.
Jamie NewmanOrange Aboriginal Medical Service (OAMS), Orange, NSW, 2800, Australia.
Allen G RossRural Health Research Institute (RHRI), Charles Sturt University, Orange, NSW, 2800, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Aboriginal and Torres Strait Islander peoples face an increased risk of common mental disorders, which may be associated with underlying socio-economic challenges, racism, and discrimination. This is the first study to calculate the population attributable fractions (PAFs) for depression and anxiety attributed to potentially modifiable risk factors such as health behaviour, social and cultural characteristics, and past adverse events among Aboriginal and Torres Strait Islander peoples aged ≥15 years. Methods: This cross-sectional study examined the 2018-19 National Aboriginal and Torres Strait Islander Health Survey conducted by the Australian Bureau of Statistics. Logistic regression models were used to compute odds ratios (ORs). PAFs adjusted for communality were calculated using adjusted ORs and prevalence estimates for each risk factor. Findings: This study included a weighted sample of 5362 individuals, with a mean age of 40.8 years (SD = ±17.2). Personal income below the national average (PAF = 13.4%; 95% CI: 12.4, 14.5), severed access to Indigenous cultural affiliations (PAF = 12.8%; 95% CI: 11.8, 13.8), central obesity (PAF = 7.2%; 95% CI: 6.4, 8.0), daily smoking (PAF = 5.9%; 95% CI: 5.2, 6.7) and severed access to Indigenous knowledge (PAF = 5.2%; 95% CI: 4.5, 5.8) were associated with 45% of depression cases. Personal income below the national average (PAF = 10.7%; 95% CI: 9.8, 11.7), limited access to Aboriginal Community Controlled Health Services (PAF = 10.6%; 95% CI: 9.7, 11.6), central obesity (PAF = 7.1%; 95% CI: 6.3, 7.9), severed access to Indigenous knowledge (PAF = 5.7%; 95% CI: 4.9, 6.4) and the experience of discrimination in the last 12 months (PAF = 4.7%; 95% CI: 4.0, 5.3) were associated with 39% of anxiety cases. Interpretation: To reduce the burden of depression and anxiety disorder among Aboriginal and Torres Strait Islander peoples, addressing socio-economic and cultural harms that constrain healthy connections to people/kin, their rights, languages, land, and healthy food sources should be a priority. Funding: This work was funded by a grant from the Commonwealth of Australia, represented by the Department of Health and Aged Care (Grant Activity 4-DGEJZ1O/4-CW7UT14).

Indexed as

Aboriginal and Torres Strait Islander peoplesAnxiety disorderDepressionDiscriminationIntergenerational traumaPopulation attributable fractionStolen generation

Identifiers

PMID39381087
PMCPMC11458540

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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.