Risk factors for CKD are highly prevalent among Aboriginal and Torres Strait Islander
people (ABS & AIHW 2003). Tobacco smoking, poor nutrition, high blood pressure, alcohol
abuse, obesity, diabetes, and preventable infections are common in many Aboriginal and
Torres Strait Islander communities and have been associated with kidney impairment in this
population (McDonald & Russ 2003). Results of the 2001 National Health Survey showed
higher rates of diabetes, high blood pressure, smoking and obesity among Indigenous
Australians compared with other Australians (ABS 2001). This, along with their poorer
socioeconomic status and often remote location leading to poor access to health services,
contributes to the increased rates of CKD and other chronic diseases among Indigenous
Australians. In particular it is believed that the high incidence of streptococcal skin and
throat infections among Indigenous Australians contributes to increased risk of
glomerulonephritis (Chadban & Atkins 2005). Low birth weight is also common among
Indigenous Australians, and there is evidence that this may be associated with greater risk
for kidney disease, independent of other risk factors (Hoy et al. 1998).
From
AIHW (2005). Chronic kidney disease in Australia 2005, Australian Institute of Health and Welfare, accessed June 6 2010 from
http://www.aihw.gov.au/publications/index.cfm/title/10137