Trust, culture and communication: determinants of eye health and care among Indigenous people with diabetes in Australia.

BMJ Global Health
Aryati YashadhanaAnthony B Zwi

Abstract

Our study aimed to identify factors that influence access to eye care and eye health outcomes for remote Indigenous Australians living with diabetes. In collaboration with Indigenous Community-Based Researchers (CBR) and Aboriginal Community Controlled Health Services (ACCHS), a qualitative, participatory action research approach was taken, drawing on Indigenist and decolonising methodologies. The study was undertaken in four remote communities, in the Katherine region, Northern Territory and north-western New South Wales, Australia. Interviews and focus groups were undertaken with Indigenous adults aged ≥40 years living with diabetes (n=110), and primary care clinicians working in ACCHSs (n=37). A series of interviews with CBRs (n=13) were undertaken before and after data collection to add cultural insights and validation to participant accounts. Data were analysed inductively using grounded theory, in-depth discussion and NVivo V.11. More than one-third of all patients had little to no knowledge of how diabetes affects eye health. Limited access to health information and interpreters, language barriers, distrust of health providers and services, and limited cultural responsivity among non-Indigenous clinicians, were identifie...Continue Reading

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Citations

Mar 24, 2020·Eye·Aryati YashadhanaJacqueline Ramke
Oct 28, 2020·International Journal of Environmental Research and Public Health·Bárbara BadantaRocío de Diego-Cordero
Apr 4, 2021·International Journal of Environmental Research and Public Health·Davida Nolan-IslesKylie Gwynne
Jul 13, 2021·International Journal for Equity in Health·Hepsibah SharmilCharlotte de Crespigny

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