Environmental Risk Conditions and Pathways to Cardiometabolic Diseases in Indigenous Populations

Posted: 18 Apr 2011

See all articles by Mark Daniel

Mark Daniel

University of South Australia

Peter Lekkas

University of South Australia

Margaret Cargo

University of South Australia - School of Health Sciences

Ivana Stankov

University of South Australia

Alex Brown

Center for Indigenous Vascular and Diabetes Research

Date Written: April 2011

Abstract

This review examines environments in relation to cardiometabolic diseases in Indigenous populations in developed countries. Environmental factors are framed in terms of context (features of places) and composition (features of populations). Indigenous peoples are seen to have endured sociopolitical marginalization and material disadvantage spanning generations. Past adverse collective experiences, modified by culture, are reflected by current heterogeneity in environmental context and composition. As risk conditions, unfavorable contextual and compositional exposures influence the expression of cardiometabolic risk for individuals. Minimal research has evaluated heterogeneity in risk conditions against heterogeneity in cardiometabolic diseases between or within Indigenous populations. Thus far, the features of populations, not of places themselves, have been implicated in relation to cardiometabolic diseases. Behavioral, psychosocial, and stress-axis pathways may explain the relationships between risk conditions and cardiometabolic diseases. Implications of environmental factors and their pathways as well as important research needs are discussed in relation to ecological prevention to reduce cardiometabolic diseases.

Suggested Citation

Daniel, Mark and Lekkas, Peter and Cargo, Margaret and Stankov, Ivana and Brown, Alex, Environmental Risk Conditions and Pathways to Cardiometabolic Diseases in Indigenous Populations (April 2011). Annual Review of Public Health, Vol. 32, pp. 327-47, 2011, Available at SSRN: https://ssrn.com/abstract=1810209 or http://dx.doi.org/10.1146/annurev.publhealth.012809.103557

Mark Daniel

University of South Australia ( email )

37-44 North Terrace, City West Campus
Adelaide, South Australia 5001
Australia

Peter Lekkas

University of South Australia ( email )

37-44 North Terrace, City West Campus
Adelaide, South Australia 5001
Australia

Margaret Cargo

University of South Australia - School of Health Sciences ( email )

Australia

Ivana Stankov

University of South Australia ( email )

37-44 North Terrace, City West Campus
Adelaide, South Australia 5001
Australia

Alex Brown

Center for Indigenous Vascular and Diabetes Research ( email )

Alice Springs, New Territories 0870
Australia

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