Tackling the Burden of Osteoarthritis as a Health Care Opportunity in Indigenous Communities—A Call to Action
1. Why Is Osteoarthritis Important?
2. What Do We Know and What Are the Gaps?
3. Call to Action
- Recognise that osteoarthritis is a leading cause of mobility restriction among Indigenous peoples and is therefore a central piece in the chronic disease puzzle. Building capacity in the Indigenous health workforce to recognize and respond to osteoarthritis must be a priority. This involves widespread training in the provision of evidence-based, culturally secure osteoarthritis care.
- Engage Indigenous voices in research efforts to better understand the experience of osteoarthritis from an Indigenous perspective. Through building the capabilities of Indigenous researchers to work in musculoskeletal health areas and adopting an Indigenous health lens, we can start to generate much-needed knowledge on the impact of osteoarthritis from the perspective of Indigenous communities.
- Improve access to culturally secure osteoarthritis care for Indigenous communities. Cultural security in health care occurs when services are offered in a way that will not compromise the cultural rights, values, beliefs, knowledge systems and expectations of Indigenous peoples [23,24]. Embedding these principles into the structures, policies and workforce of health services is essential to improve access to osteoarthritis care so that Indigenous peoples can remain active, healthy members of their communities [23,24].
Conflicts of Interest
- Wittenauer, R.; Smith, L.; Aden, K. Background Paper 6.12 Osteoarthritis. Priority Medicines for Europe and the World: 2013 Update; World Health Organization Essential Medicine and Health Product Information Portal: Geneva, Switzerland, 2013. [Google Scholar]
- Hunter, D.J.; Schofield, D.; Callander, E. The individual and socioeconomic impact of osteoarthritis. Nat. Rev. Rheumatol. 2014, 10, 437–441. [Google Scholar] [CrossRef] [PubMed]
- Dunlop, D.D.; Manheim, L.M.; Song, J.; Chang, R.W. Arthritis prevalence and activity limitations in older adults. Arthritis Rheum. 2001, 44, 212–221. [Google Scholar] [CrossRef]
- Arthritis and Osteoporosis Victoria. A Problem Worth Solving; Arthritis and Osteoporosis Victoria: Elsternwick, Australia, 2013. [Google Scholar]
- Australian Institute of Health and Welfare. Australia’s Health 2014; Australian Institute of Health and Welfare: Canberra, Australia, 2014. [Google Scholar]
- Brand, C.A.; Harrison, C.; Tropea, J.; Hinman, R.S.; Britt, H.; Bennell, K. Management of osteoarthritis in general practice in Australia. Arthritis Care Res. 2014, 66, 551–558. [Google Scholar] [CrossRef] [PubMed]
- United Nations. State of the World’s Indigenous Peoples; United Nations Publications: New York, NY, USA, 2010. [Google Scholar]
- Australian Bureau of Statistcs. Aboriginal and Torres Strait Islander Social Survey 2014–15; Australian Bureau of Statistics: Canberra, Australia, 2016.
- Ministry of Health. Annual Data Explorer 2018/19: New Zealand Health Survey 2019. Available online: https://minhealthnz.shinyapps.io/nz-health-survey-2018-19-annual-data-explorer (accessed on 14 February 2020).
- Digiacomo, M.; Davidson, P.; Abbott, P.; Davison, J.; Moore, L.; Thompson, S. Smoking cessation in indigenous populations of Australia, New Zealand, Canada, and the United States: Elements of effective interventions. Int. J. Environ. Res Public Health 2011, 8, 388–410. [Google Scholar] [CrossRef] [PubMed]
- Statistics Canada. Health Fact Sheets: Smoking, 2018; Statistics Canada: Ottawa, QC, Canada, 2019.
- Jamal, A.; Phillips, E.; Gentzke, A.S.; Homa, D.M.; Babb, S.D.; King, B.A.; Neff, L.J. Current cigarette smoking among adults—United States, 2016. MMWR Morb. Mortal Wkly. Rep. 2018, 67, 53–59. [Google Scholar] [CrossRef] [PubMed][Green Version]
- Australian Institute of Health and Welfare. Australia’s Health 2018; Australian Institute of Health and Welfare: Canberra, Australia, 2018.
- Cross, M.; Smith, E.; Hoy, D.; Nolte, S.; Ackerman, I.; Fransen, M.; Bridgett, L.; Williams, S.; Guillemin, F.; Hill, C.L.; et al. The global burden of hip and knee osteoarthritis: Estimates from the global burden of disease 2010 study. Ann. Rheum. Dis. 2014, 73, 1323–1330. [Google Scholar] [CrossRef] [PubMed]
- Nuesch, E.; Dieppe, P.; Reichenbach, S.; Williams, S.; Iff, S.; Juni, P. All cause and disease specific mortality in patients with knee or hip osteoarthritis: Population based cohort study. BMJ 2011, 342, d1165. [Google Scholar] [CrossRef][Green Version]
- Australian Institute of Health and Welfare. The Burden of Musculoskeletal Conditions in Australia; Australian Institute of Health and Welfare: Canberra, Australia, 2017. [Google Scholar]
- Hurd, K.; Barnabe, C. Systematic review of rheumatic disease phenotypes and outcomes in the Indigenous populations of Canada, the USA, Australia and New Zealand. Rheumatol. Int. 2017, 37, 503–521. [Google Scholar] [CrossRef] [PubMed][Green Version]
- Barnabe, C.; Hemmelgarn, B.; Jones, C.A.; Peschken, C.A.; Voaklander, D.; Joseph, L.; Bernatsky, S.; Esdaile, J.M.; Marshall, D.A. Imbalance of prevalence and specialty care for osteoarthritis for first nations people in Alberta, Canada. J. Rheumatol. 2015, 42, 323–328. [Google Scholar] [CrossRef] [PubMed]
- Bolen, J.; Schieb, L.; Hootman, J.M.; Helmick, C.G.; Theis, K.; Murphy, L.B.; Langmaid, G. Differences in the prevalence and severity of arthritis among racial/ethnic groups in the United States, National Health Interview Survey, 2002, 2003, and 2006. Prev. Chronic Dis. 2010, 7, A64. [Google Scholar] [PubMed]
- Dixon, T.; Urquhart, D.M.; Berry, P.; Bhatia, K.; Wang, Y.; Graves, S.; Cicuttini, F.M. Variation in rates of hip and knee joint replacement in Australia based on socio-economic status, geographical locality, birthplace and indigenous status. ANZ J. Surg. 2011, 81, 26–31. [Google Scholar] [CrossRef] [PubMed]
- McDougall, C.; Hurd, K.; Barnabe, C. Systematic review of rheumatic disease epidemiology in the indigenous populations of Canada, the United States, Australia, and New Zealand. Semin. Arthritis Rheum. 2017, 46, 675–686. [Google Scholar] [CrossRef] [PubMed][Green Version]
- Lin, I.B.; Bunzli, S.; Mak, D.B.; Green, C.; Goucke, R.; Coffin, J.; O’Sullivan, P.B. Unmet needs of Aboriginal Australians with musculoskeletal pain: A mixed-method systematic review. Arthritis Care Res. 2018, 70, 1335–1347. [Google Scholar] [CrossRef] [PubMed][Green Version]
- Coffin, J. Rising to the challenge in Aboriginal health by creating cultural security. Aborig. Isl. Health Work J. 2007, 31, 22. [Google Scholar]
- Northern Territory Department of Health. Northern Territory Health Aboriginal Cultural Security Framework 2016–2026; Darwin Department of Health: Darwin, Australia, 2016. [Google Scholar]
|Why Is This Topic Important?||What Is the Issue?||How can We Fix the Issue?||Who Should Be Responsible?|
|(1) World-wide, osteoarthritis is a leading cause of activity restriction.|
(2) People with osteoarthritis live shorter lives with lower quality of life.
(3) Indigenous populations within countries of similar socio-political context (Australia, Canada, New Zealand, USA) experience higher prevalence of osteoarthritis (up to 32%), greater burden of disease and access care at lower rates.
|(1) Osteoarthritis is an under-recognised and under-researched area of Indigenous health.|
Osteoarthritis plays an important role in chronic disease management.
(2) The impact of osteoarthritis and the related healthcare needs of Indigenous communities have not been investigated.
Indigenous voices must be heard and supported in osteoarthritis research and service provision.
|(1) To raise the osteoarthritis agenda in Indigenous health we must engage meaningfully and collaboratively with communities to:|
(i) Recognise the interrelated nature of osteoarthritis and chronic disease.
(ii) Understand osteoarthritis through an Indigenous lens.
(iii) Design and implement culturally secure osteoarthritis care.
(iv) Build Indigenous capacity in the field.
|(1) Funding bodies and policy makers need to prioritise musculoskeletal health research for Indigenous people as well as build capabilities for health services to provide culturally secure osteoarthritis care.|
(2) Researchers need to ensure that ethical principles of Indigenous health research are upheld throughout their research practices. This includes significant improvement in community.
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O’Brien, P.; Bunzli, S.; Lin, I.; Gunatillake, T.; Bessarab, D.; Coffin, J.; Garvey, G.; Dowsey, M.; Choong, P. Tackling the Burden of Osteoarthritis as a Health Care Opportunity in Indigenous Communities—A Call to Action. J. Clin. Med. 2020, 9, 2393. https://doi.org/10.3390/jcm9082393
O’Brien P, Bunzli S, Lin I, Gunatillake T, Bessarab D, Coffin J, Garvey G, Dowsey M, Choong P. Tackling the Burden of Osteoarthritis as a Health Care Opportunity in Indigenous Communities—A Call to Action. Journal of Clinical Medicine. 2020; 9(8):2393. https://doi.org/10.3390/jcm9082393Chicago/Turabian Style
O’Brien, Penny, Samantha Bunzli, Ivan Lin, Tilini Gunatillake, Dawn Bessarab, Juli Coffin, Gail Garvey, Michelle Dowsey, and Peter Choong. 2020. "Tackling the Burden of Osteoarthritis as a Health Care Opportunity in Indigenous Communities—A Call to Action" Journal of Clinical Medicine 9, no. 8: 2393. https://doi.org/10.3390/jcm9082393