IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i15p9435-d877777.html
   My bibliography  Save this article

Built Environment Features and Cardiometabolic Mortality and Morbidity in Remote Indigenous Communities in the Northern Territory, Australia

Author

Listed:
  • Amal Chakraborty

    (University Centre for Rural Health, The University of Sydney, Lismore, NSW 2480, Australia)

  • Margaret Cargo

    (Health Research Institute, Faculty of Health, University of Canberra, Bruce, ACT 2601, Australia)

  • Victor Maduabuchi Oguoma

    (Poche Centre for Indigenous Health, Faculty of Health and Behavioural Sciences, The University of Queensland, St Lucia, QLD 4067, Australia)

  • Neil T. Coffee

    (Health Research Institute, Faculty of Health, University of Canberra, Bruce, ACT 2601, Australia
    Deakin Rural Health, Rural Health Multidisciplinary Training (RHMT) Program, School of Medicine, Deakin University, Warrnambool, VIC 3280, Australia
    Australian Centre for Housing Research, The University of Adelaide, Adelaide, SA 5005, Australia)

  • Alwin Chong

    (Arney Chong Consulting, Adelaide, SA 5081, Australia)

  • Mark Daniel

    (Health Research Institute, Faculty of Health, University of Canberra, Bruce, ACT 2601, Australia)

Abstract

Indigenous Australians experience poorer health than non-Indigenous Australians, with cardiometabolic diseases (CMD) being the leading causes of morbidity and mortality. Built environmental (BE) features are known to shape cardiometabolic health in urban contexts, yet little research has assessed such relationships for remote-dwelling Indigenous Australians. This study assessed associations between BE features and CMD-related morbidity and mortality in a large sample of remote Indigenous Australian communities in the Northern Territory (NT). CMD-related morbidity and mortality data were extracted from NT government health databases for 120 remote Indigenous Australian communities for the period 1 January 2010 to 31 December 2015. BE features were extracted from Serviced Land Availability Programme (SLAP) maps. Associations were estimated using negative binomial regression analysis. Univariable analysis revealed protective effects on all-cause mortality for the BE features of Education, Health, Disused Buildings, and Oval, and on CMD-related emergency department admissions for the BE feature Accommodation. Incidence rate ratios (IRR’s) were greater, however, for the BE features Infrastructure Transport and Infrastructure Shelter. Geographic Isolation was associated with elevated mortality-related IRR’s. Multivariable regression did not yield consistent associations between BE features and CMD outcomes, other than negative relationships for Indigenous Location-level median age and Geographic Isolation. This study indicates that relationships between BE features and health outcomes in urban populations do not extend to remote Indigenous Australian communities. This may reflect an overwhelming impact of broader social inequity, limited correspondence of BE measures with remote-dwelling Indigenous contexts, or a ‘tipping point’ of collective BE influences affecting health more than singular BE features.

Suggested Citation

  • Amal Chakraborty & Margaret Cargo & Victor Maduabuchi Oguoma & Neil T. Coffee & Alwin Chong & Mark Daniel, 2022. "Built Environment Features and Cardiometabolic Mortality and Morbidity in Remote Indigenous Communities in the Northern Territory, Australia," IJERPH, MDPI, vol. 19(15), pages 1-14, August.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:15:p:9435-:d:877777
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/15/9435/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/15/9435/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Mark Daniel & Margaret Cargo & Elisabeth Marks & Catherine Paquet & David Simmons & Margaret Williams & Kevin Rowley & Kerin O’Dea, 2009. "Rating Health and Social Indicators for Use with Indigenous Communities: A Tool for Balancing Cultural and Scientific Utility," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 94(2), pages 241-256, November.
    2. Amal Chakraborty & Mark Daniel & Natasha J. Howard & Alwin Chong & Nicola Slavin & Alex Brown & Margaret Cargo, 2021. "Identifying Environmental Determinants Relevant to Health and Wellbeing in Remote Australian Indigenous Communities: A Scoping Review of Grey Literature," IJERPH, MDPI, vol. 18(8), pages 1-19, April.
    3. Daphne Habibis, 2013. "Australian Housing Policy, Misrecognition and Indigenous Population Mobility," Housing Studies, Taylor & Francis Journals, vol. 28(5), pages 764-781, July.
    4. Camille Le Gal & Michael J. Dale & Margaret Cargo & Mark Daniel, 2020. "Built Environments and Cardiometabolic Morbidity and Mortality in Remote Indigenous Communities in the Northern Territory, Australia," IJERPH, MDPI, vol. 17(3), pages 1-9, January.
    5. Frank, Lawrence Douglas & Saelens, Brian E. & Powell, Ken E. & Chapman, James E., 2007. "Stepping towards causation: Do built environments or neighborhood and travel preferences explain physical activity, driving, and obesity?," Social Science & Medicine, Elsevier, vol. 65(9), pages 1898-1914, November.
    6. Johnston, Vanessa & Thomas, David P., 2008. "Smoking behaviours in a remote Australian Indigenous community: The influence of family and other factors," Social Science & Medicine, Elsevier, vol. 67(11), pages 1708-1716, December.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Feyissa, Tesfaye Regassa & Wood, Sarah M. & Vakil, Krishna & MC Namara, Kevin & Coffee, Neil T. & Alsharrah, Saad & Daniel, Mark & Versace, Vincent L., 2024. "The built environment and its association with type 2 diabetes mellitus incidence: A systematic review and meta-analysis of longitudinal studies," Social Science & Medicine, Elsevier, vol. 361(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Amal Chakraborty & Natasha J. Howard & Mark Daniel & Alwin Chong & Nicola Slavin & Alex Brown & Margaret Cargo, 2021. "Prioritizing Built Environmental Factors to Tackle Chronic and Infectious Diseases in Remote Northern Territory (NT) Communities of Australia: A Concept Mapping Study," IJERPH, MDPI, vol. 18(10), pages 1-17, May.
    2. Lauren Maksimovic & Catherine Paquet & Mark Daniel & Harold Stewart & Alwin Chong & Peter Lekkas & Margaret Cargo, 2013. "Characterising the Smoking Status and Quit Smoking Behaviour of Aboriginal Health Workers in South Australia," IJERPH, MDPI, vol. 10(12), pages 1-14, December.
    3. Hamdi Lemamsha & Chris Papadopoulos & Gurch Randhawa, 2018. "Perceived Environmental Factors Associated with Obesity in Libyan Men and Women," IJERPH, MDPI, vol. 15(2), pages 1-16, February.
    4. van de Coevering, Paul & Maat, Kees & van Wee, Bert, 2018. "Residential self-selection, reverse causality and residential dissonance. A latent class transition model of interactions between the built environment, travel attitudes and travel behavior," Transportation Research Part A: Policy and Practice, Elsevier, vol. 118(C), pages 466-479.
    5. Wang, Fenglong & Mao, Zidan & Wang, Donggen, 2020. "Residential relocation and travel satisfaction change: An empirical study in Beijing, China," Transportation Research Part A: Policy and Practice, Elsevier, vol. 135(C), pages 341-353.
    6. Yuval Arbel & Chaim Fialkoff & Amichai Kerner, 2020. "The Chicken and Egg Problem: Obesity and the Urban Monocentric Model," The Journal of Real Estate Finance and Economics, Springer, vol. 61(4), pages 576-606, November.
    7. Bentley, Rebecca & Jolley, Damien & Kavanagh, Anne Marie, 2010. "Local environments as determinants of walking in Melbourne, Australia," Social Science & Medicine, Elsevier, vol. 70(11), pages 1806-1815, June.
    8. repec:spo:wpmain:info:hdl:2441/7po41o0s2r8a280jp65ahvu46k is not listed on IDEAS
    9. Thomas Schofield & Melissa Merrick & Chia-Feng Chen, 2016. "Reciprocal Associations between Neighborhood Context and Parent Investments: Selection Effects in Two Longitudinal Samples," Working Papers wp16-08-ff, Princeton University, School of Public and International Affairs, Center for Research on Child Wellbeing..
    10. Ettema, Dick & Nieuwenhuis, Roy, 2017. "Residential self-selection and travel behaviour: What are the effects of attitudes, reasons for location choice and the built environment?," Journal of Transport Geography, Elsevier, vol. 59(C), pages 146-155.
    11. Camille Le Gal & Michael J. Dale & Margaret Cargo & Mark Daniel, 2020. "Built Environments and Cardiometabolic Morbidity and Mortality in Remote Indigenous Communities in the Northern Territory, Australia," IJERPH, MDPI, vol. 17(3), pages 1-9, January.
    12. Gerlinde Grasser & Delfien Dyck & Sylvia Titze & Willibald Stronegger, 2013. "Objectively measured walkability and active transport and weight-related outcomes in adults: a systematic review," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 58(4), pages 615-625, August.
    13. Phani Kumar, P. & Ravi Sekhar, Ch. & Parida, Manoranjan, 2018. "Residential dissonance in TOD neighborhoods," Journal of Transport Geography, Elsevier, vol. 72(C), pages 166-177.
    14. Sara Hudson & Dennis Foley & Margaret Cargo, 2022. "Indigenous Social Enterprises and Health and Wellbeing: A Scoping Review and Conceptual Framework," IJERPH, MDPI, vol. 19(21), pages 1-28, November.
    15. Lynn Phan & Weijun Yu & Jessica M. Keralis & Krishay Mukhija & Pallavi Dwivedi & Kimberly D. Brunisholz & Mehran Javanmardi & Tolga Tasdizen & Quynh C. Nguyen, 2020. "Google Street View Derived Built Environment Indicators and Associations with State-Level Obesity, Physical Activity, and Chronic Disease Mortality in the United States," IJERPH, MDPI, vol. 17(10), pages 1-10, May.
    16. Alasdair Reid, 2023. "Closing the Affordable Housing Gap: Identifying the Barriers Hindering the Sustainable Design and Construction of Affordable Homes," Sustainability, MDPI, vol. 15(11), pages 1-27, May.
    17. Brand, Christian & Goodman, Anna & Ogilvie, David, 2014. "Evaluating the impacts of new walking and cycling infrastructure on carbon dioxide emissions from motorized travel: A controlled longitudinal study," Applied Energy, Elsevier, vol. 128(C), pages 284-295.
    18. Millward, Hugh & Spinney, Jamie & Scott, Darren, 2013. "Active-transport walking behavior: destinations, durations, distances," Journal of Transport Geography, Elsevier, vol. 28(C), pages 101-110.
    19. Sun, Bindong & Yan, Hong & Zhang, Tinglin, 2017. "Built environmental impacts on individual mode choice and BMI: Evidence from China," Journal of Transport Geography, Elsevier, vol. 63(C), pages 11-21.
    20. Janke, Julia, 2021. "Re-visiting residential self-selection and dissonance: Does intra-household decision-making change the results?," Transportation Research Part A: Policy and Practice, Elsevier, vol. 148(C), pages 379-401.
    21. Yi Lu & Zhonghua Gou & Yang Xiao & Chinmoy Sarkar & John Zacharias, 2018. "Do Transit-Oriented Developments (TODs) and Established Urban Neighborhoods Have Similar Walking Levels in Hong Kong?," IJERPH, MDPI, vol. 15(3), pages 1-14, March.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:15:p:9435-:d:877777. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.