A new editorial underscores the importance of embedding cultural knowledge and community leadership in chronic disease programs for Aboriginal and Torres Strait Islander peoples.
Chronic disease is a leading health concern for Aboriginal and Torres Strait Islander communities, with risk factors such as tobacco use, poor nutrition, and low physical activity contributing to poor health outcomes. However, many health promotion programs fail to address the broader social and cultural determinants of health, limiting their effectiveness.
Dr Rona Macniven (Senior Lecturer at the UNSW School of Population Health and Associate Investigator of the UNSW Ageing Futures Institute) and Associate Professor Karla Canuto (Associate Professor in Aboriginal & Torres Strait Islander Health Research) co-authored the editorial, which highlights the importance of co-designed programs that integrate traditional knowledge and practices. The research examined a dietary and lifestyle program developed with senior Yolŋu women in Northeast Arnhem Land. The program showed positive health outcomes, including improved weight, cholesterol, and physical activity levels. Crucially, its success was tied to strong community governance and Aboriginal ownership.
“Health programs must go beyond individual behaviour change and take a holistic approach, integrating cultural strengths and community-led solutions. Co-designing such programs is key to ensuring community leadership and engagement in Aboriginal and Torres Strait Islander communities,” says Dr Macniven.
“Programs embedded in cultural traditions lead to stronger participation and more sustainable health benefits – ensuring that interventions align with the needs and values of Aboriginal and Torres Strait Islander people.”
Read the full editorial here.