Abstract
The indigenous people in Australia (Aboriginal Australians and Torres Strait Islanders-ATSI) comprise about 3% of the Australian population. Their overall health profile is considerably poorer than the general Australian population, with high rates of diabetes and other chronic diseases. Rates of chronic kidney disease are substantially increased. Prevalence rates of albuminuria are very high, especially among those who living in more remote communities. Similar trends are seen in incidence of end-stage kidney disease, with an excess risk most marked for those aged 35-55, and greater for women than men. The etiology of the excess risk is multideterminant, with contributions from different sources of the life-course. Evidence from community-based screening and treatment programs indicates that effective treatment and secondary prevention can be effective, but there are a number of barriers to this at a national level. Treatment patterns of renal replacement therapy also differ, with lower rate of kidney transplantation and peritoneal dialysis.
Original language | English |
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Title of host publication | Chronic Kidney Disease in Disadvantaged Populations |
Publisher | Elsevier Inc. |
Pages | 167-180 |
Number of pages | 14 |
ISBN (Electronic) | 9780128043820 |
ISBN (Print) | 9780128043110 |
DOIs | |
Publication status | Published or Issued - 11 Jul 2017 |
Keywords
- Aboriginal
- Australia
- Dialysis
- Torres Strait Islander
- Transplantation
ASJC Scopus subject areas
- General Medicine
- General Immunology and Microbiology