Prioritizing Built Environmental Factors to Tackle Chronic and Infectious Diseases in Remote Northern Territory (NT) Communities of Australia: A Concept Mapping Study
Abstract
:1. Introduction
- (1)
- consolidate built environmental indicators relevant to the development of chronic disease and infectious disease;
- (2)
- engage stakeholders to sort a set of consolidated built environmental indicators into conceptually meaningful groupings;
- (3)
- engage stakeholders to rate a set of consolidated built environmental indicators on perceived importance in relation to their influence on chronic disease and infectious disease; and
- (4)
- engage stakeholder organizations in the interpretation and utilization of the results to further inform environmental public health practice in remote Indigenous communities in the NT.
2. Materials and Methods
2.1. Study Context
2.2. Research Approach
2.3. Study Design: Concept Mapping
2.3.1. Preparation
2.3.2. Brainstorming
A list of built environmental living conditions that contribute to the development of preventable chronic disease and infectious disease in remote Indigenous communities is given below. This information is taken and summarized from the publicly available planning documents that were developed through community consultations. Please review the following list and refine/add further built environmental living conditions that you think contribute to the development of chronic disease and infectious diseases in Indigenous communities where you live and/or work ….
2.3.3. Sorting
2.3.4. Rating
Rating activity—chronic disease: For Aboriginal and Torres Strait Islander people living in remote communities, please rate on a scale of 1 to 5 how important each of the following statements are in relation to their influence on chronic disease (e.g., type 2 diabetes, kidney disease, heart disease). The influence of the environment on chronic disease can be direct or indirect.
Rating activity—infectious disease: For Aboriginal and Torres Strait Islander people living in remote communities, please rate on a scale of 1 to 5 how important each of the following statements are in relation to their influence on infectious disease (e.g., skin infection, ear infection, respiratory infection). The influence of the environment on infectious disease can be direct or indirect.
2.3.5. Analysis
2.3.6. Interpretation and Utilization
3. Results
3.1. Participant Characteristics
3.2. Sorting
3.3. Rating
4. Discussion
4.1. Implications for Public and Environmental Health Policy and Practice
4.2. Strengths
4.3. Limitations
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Categories | Sorting (n = 29) | Rating (n = 42) |
---|---|---|
Type of organization | ||
Government | 26 (90%) | 36 (85%) |
Aboriginal and Torres Strait Islander Community Controlled | 3 (10%) | 4 (10%) |
Other non-government organization | 0 (0%) | 2 (5%) |
Areas of work | ||
NT mostly remote | 18 (62%) | 24 (57%) |
NT mostly rural | 4 (14%) | 5 (12%) |
NT mostly urban | 7 (24%) | 9 (21%) |
Other remote | 0 (0%) | 4 (10%) |
Indigenous status | ||
Aboriginal | 9 (31%) | 10 (24%) |
Neither Aboriginal or Torres Strait Islander | 20 (69%) | 32 (76%) |
Duration in the position | ||
<6 years | 9 (31%) | 13 (31%) |
6–9 years | 2 (7%) | 5 (12%) |
≥10 years | 18 (62%) | 24 (57%) |
Position or role | ||
Frontline worker | 18 (62%) | 25 (60%) |
Project Officer | 4 (14%) | 4 (10%) |
Program Manager | 1 (3%) | 6 (14%) |
Policy Officer | 2 (7%) | 2 (5%) |
Other managerial or policy level position | 4 (14%) | 5 (11%) |
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Chakraborty, A.; Howard, N.J.; Daniel, M.; Chong, A.; Slavin, N.; Brown, A.; Cargo, M. Prioritizing Built Environmental Factors to Tackle Chronic and Infectious Diseases in Remote Northern Territory (NT) Communities of Australia: A Concept Mapping Study. Int. J. Environ. Res. Public Health 2021, 18, 5178. https://doi.org/10.3390/ijerph18105178
Chakraborty A, Howard NJ, Daniel M, Chong A, Slavin N, Brown A, Cargo M. Prioritizing Built Environmental Factors to Tackle Chronic and Infectious Diseases in Remote Northern Territory (NT) Communities of Australia: A Concept Mapping Study. International Journal of Environmental Research and Public Health. 2021; 18(10):5178. https://doi.org/10.3390/ijerph18105178
Chicago/Turabian StyleChakraborty, Amal, Natasha J. Howard, Mark Daniel, Alwin Chong, Nicola Slavin, Alex Brown, and 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" International Journal of Environmental Research and Public Health 18, no. 10: 5178. https://doi.org/10.3390/ijerph18105178