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EHSE SPG| 14 March 2016 | Slide 1 School of Psychological and Clinical Sciences Prevalence of Short and Disturbed Sleep in Aboriginal Australians and Impact on Physical and Social and Emotional Well-Being Prof Timothy Skinner, Prof Isabelle Skinner, Prof Marilynne Kirshbaum & Dr Jim Lee

Prof Timothy Skinner, Prof Isabelle Skinner, Prof Marilynne Kirshbaum & Dr Jim Lee · 2016-07-21 · Prof Timothy Skinner, Prof Isabelle Skinner, Prof Marilynne Kirshbaum & Dr Jim

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Page 1: Prof Timothy Skinner, Prof Isabelle Skinner, Prof Marilynne Kirshbaum & Dr Jim Lee · 2016-07-21 · Prof Timothy Skinner, Prof Isabelle Skinner, Prof Marilynne Kirshbaum & Dr Jim

EHSE SPG| 14 March 2016 | Slide 1

School of Psychological and Clinical Sciences

Prevalence of Short and Disturbed Sleep in Aboriginal

Australians and Impact on Physical and Social and

Emotional Well-Being

Prof Timothy Skinner, Prof Isabelle Skinner, Prof

Marilynne Kirshbaum & Dr Jim Lee

Page 2: Prof Timothy Skinner, Prof Isabelle Skinner, Prof Marilynne Kirshbaum & Dr Jim Lee · 2016-07-21 · Prof Timothy Skinner, Prof Isabelle Skinner, Prof Marilynne Kirshbaum & Dr Jim

Prevalence of Short and Disturbed Sleep in Aboriginal Australians and Impact on Physical

and Social and Emotional Well-Being

Page 3: Prof Timothy Skinner, Prof Isabelle Skinner, Prof Marilynne Kirshbaum & Dr Jim Lee · 2016-07-21 · Prof Timothy Skinner, Prof Isabelle Skinner, Prof Marilynne Kirshbaum & Dr Jim

Team• Timothy Skinner – Health Psychologist, CDU

• Marilynne Krishbaum – Nurse, CDU

• Jim Lee – Sport & Exercise Scientist, CDU

• Ruth Wallace - Aboriginal Research Capacity / Methodologies

• Alan Cass – Consultant Physician, Menzies

• Isabelle Skinner – Remote Health Service Manager Menzies/CDU

• Romola Bucks – Neuropsychologist, UWA

• Peter Eastwood – Respiratory & Sleep Physiologist, UWA

• Geoff Barker – Architect, PM+D ARCHITECTS

Page 4: Prof Timothy Skinner, Prof Isabelle Skinner, Prof Marilynne Kirshbaum & Dr Jim Lee · 2016-07-21 · Prof Timothy Skinner, Prof Isabelle Skinner, Prof Marilynne Kirshbaum & Dr Jim

Trudy, Anne & Shirley Hayes

Ganthalha Enterprises Pty Ltd

Team continues

Page 5: Prof Timothy Skinner, Prof Isabelle Skinner, Prof Marilynne Kirshbaum & Dr Jim Lee · 2016-07-21 · Prof Timothy Skinner, Prof Isabelle Skinner, Prof Marilynne Kirshbaum & Dr Jim

Theory

• Poor Quality Sleep (short and disturbed) is predictive and thought to be a causative agent in the development of obesity, type 2 diabetes and other chronic conditions

• Poor Quality Sleep is more common in low socio-economic groups and minority groups (African and Latino) in US.

• Poor Quality Sleep has been shown to meditate the relationship between socio-economic and ethnic minority and higher morbidity in the US

Page 6: Prof Timothy Skinner, Prof Isabelle Skinner, Prof Marilynne Kirshbaum & Dr Jim Lee · 2016-07-21 · Prof Timothy Skinner, Prof Isabelle Skinner, Prof Marilynne Kirshbaum & Dr Jim
Page 7: Prof Timothy Skinner, Prof Isabelle Skinner, Prof Marilynne Kirshbaum & Dr Jim Lee · 2016-07-21 · Prof Timothy Skinner, Prof Isabelle Skinner, Prof Marilynne Kirshbaum & Dr Jim

Also

• Poor quality sleep is associated with :-– Poorer psycho-social well-being

– Poorer cognitive (executive functioning)

– Poorer educational attainment

• Poor quality sleep is caused by – Poor quality housing

– Overcrowded housing

– Psychological morbidity

– Exposure to racial discrimination

– Bereavement

Page 8: Prof Timothy Skinner, Prof Isabelle Skinner, Prof Marilynne Kirshbaum & Dr Jim Lee · 2016-07-21 · Prof Timothy Skinner, Prof Isabelle Skinner, Prof Marilynne Kirshbaum & Dr Jim

• There is no published data on sleep quality of Aboriginal Australians.

• Plenty of anecdotal evidence that Aboriginal Australians have poorer quality sleep that non-Aboriginal Australians.

Therefore

• Could poor sleep quality account for some of the health disparities experienced by Aboriginal Australians

Page 9: Prof Timothy Skinner, Prof Isabelle Skinner, Prof Marilynne Kirshbaum & Dr Jim Lee · 2016-07-21 · Prof Timothy Skinner, Prof Isabelle Skinner, Prof Marilynne Kirshbaum & Dr Jim

Therefore we sought to • Develop a methodology for assessing quality of sleep for

Aboriginal Australians that is scientifically robust and culturally appropriate and acceptable

• Conduct a pilot study to assess sleep quality objectively and subjectively in an Aboriginal Community

Page 10: Prof Timothy Skinner, Prof Isabelle Skinner, Prof Marilynne Kirshbaum & Dr Jim Lee · 2016-07-21 · Prof Timothy Skinner, Prof Isabelle Skinner, Prof Marilynne Kirshbaum & Dr Jim

Onslow, WA

• Remote community with mixed Aboriginal Australian and non-Aboriginal Australian community

• Diversity in living circumstances amongst Aboriginal Australian community

• Long term relationship with the community

• Community interested in understanding why they have poorer health

Page 11: Prof Timothy Skinner, Prof Isabelle Skinner, Prof Marilynne Kirshbaum & Dr Jim Lee · 2016-07-21 · Prof Timothy Skinner, Prof Isabelle Skinner, Prof Marilynne Kirshbaum & Dr Jim

What we have done

Onslow

Two team meetings with the Aboriginal Community and EldersMeetings with all local health service providers and school

Page 12: Prof Timothy Skinner, Prof Isabelle Skinner, Prof Marilynne Kirshbaum & Dr Jim Lee · 2016-07-21 · Prof Timothy Skinner, Prof Isabelle Skinner, Prof Marilynne Kirshbaum & Dr Jim

• Developed a multidisciplinary research collaborative

• Methodology for research established with support from community secured

• Established service provision options for identified needs (e.g. OSA)

• Additional funding secured to complete empirical data collection in 2016

• One PhD student to work on the project, 2nd ?

What we have achieved

Page 13: Prof Timothy Skinner, Prof Isabelle Skinner, Prof Marilynne Kirshbaum & Dr Jim Lee · 2016-07-21 · Prof Timothy Skinner, Prof Isabelle Skinner, Prof Marilynne Kirshbaum & Dr Jim

What next