Topics
Indigenous health
Values in health and health care for Indigenous people globally: an umbrella review
Culture, strong cultural identity, connection to land and Country, and spirit and spirituality are important values in health for Indigenous people
Lynda J Coe · Yvonne Dimitropoulos · Kiri Mealings · Dylan Barnes · Catherine M McMahon
Voluntary assisted dying: challenges in Northern Territory remote Aboriginal communities
Discussion of findings from a public voluntary assisted dying consultation process in the Northern Territory and how to ensure equitable access and cultural safety. Telehealth could improve access but presents clinical and legal challenges
Geetanjali Lamba · Kane Vellar · C Paul Burgess · Camille La Brooy · Paul A Komesaroff
The 2024 report of the MJA–Lancet Countdown on health and climate change: Australia emerging as a hotspot for litigation
Paul J Beggs · Alistair J Woodward · Kathryn Bowen
2025 Special Issue on Indigenous Health
We are very proud that this MJA Special Issue on Indigenous health — “Carving our path with spirit, strength and solidarity” — is the second to be edited by a team of Aboriginal and Torres Strait Islander Guest Editors: Professor Pat Dudgeon (Bardi), Professor Jaquelyne Hughes (Wagadagam), Associate Professor Michelle Kennedy (Wiradjuri), Professor Kelvin Kong (Worimi), Professor Odette Pearson (Eastern Kuku‐Yalanji and Torres Strait Islander), and Associate Professor Paul Saunders (Biripi). This Special Issue consists of work led by Aboriginal and Torres Strait Islander authors and that underwent careful assessment, discussion, and guidance by the Guest Editors across all stages of the editorial and publication process. The final published articles reflect the care that went into this undertaking. The Editorial1 for this Special Issue is a reflective piece by the Guest Editors, where they examine the vision and impact of this issue. This year, as last,2 we received many more articles than could be accommodated in one issue, and we plan to publish additional articles from this Special Issue process later in the year. At the MJA, we understand the privilege that it is to publish articles from Aboriginal and Torres Strait Islander researchers. We also understand that a journal like the MJA has a duty to acknowledge and address the imbalance of power that has led in the past to publication in the MJA being a hard and uncomfortable experience for many Aboriginal and Torres Strait Islander authors. As editors of this Journal, we have an ongoing commitment to ensuring that the MJA is a welcoming and respectful place for Aboriginal and Torres Strait Islander authors and their publications, and we look forward to receiving future submissions. For the MJA team, it has been an enormous privilege to work with the Guest Editors, and we thank them for their generosity in sharing their time and expertise. We are also very privileged to have on the cover of this Special Issue the powerful carving by Uncle Paul Scott that describes the issue's purpose (Box). His story is a reminder of a shared future: “a story of resilience, of shared journeys, and of walking together, side by side, with respect for each other and the land beneath our feet”. Box – Artist's story
on behalf of the <em>MJA</em> team
Taking up the challenge of eliminating racism in health care through talking about race (and culture)
Transformative change cannot be enacted without challenging the workings of racial power, and health systems must adopt a broader antiracist strategy that engages with the structural and lived realities of race and racism
Chelsea J Watego · David Singh · Kevin Yow Yeh · Helena Kajlich · Saran Singh
Decolonising primary health care practice: a definition and its importance
This perspective reports on a highly collaborative research process through which a clear definition of decolonising primary health care practice in an Australian context has been developed, and how this can be applied
Tamara J Mackean · Kim O'Donnell · Juanita Sherwood · Shane D'Angelo · Madison Shakespeare · Cleone Wellington · Toby Freeman · Anna M Ziersch · Matt Fisher · Deborah A Askew · Judith M Dwyer · Annette J Browne · Fran Baum AO
Climate and environmental crisis: effects on ear and hearing health in Australia and for Aboriginal and Torres Strait Islander peoples
Otitis media is just one example of a common and serious childhood illness with economic, social and environmental risk factors on track to escalate with the effects of climate change
Georgia M Tongs (Wiradjuri) · Isabella Ludbrook · Jennifer H Martin · Robert Eisenberg · Kelvin M Kong (Worimi)
Core components of a best practice First Nations cancer coordinator role
The core elements of a First Nations cancer care coordination role developed by iterative yarning with First Nations stakeholders, audits of current care, and recommendations from existing patient coordinator programs
Mollie C Wilson · Marissa Mulcahy · Jennifer Philip · Brian H Le · Gail Garvey
Fulfilling First Nations health, cultural safety and equity accreditation standards in primary medical education: reflections from a First Nations desktop review team
An Aboriginal desktop review team evaluated the preliminary self-assessments of primary medical education providers to gauge how they are currently positioned to meet the new standards pertaining to First Nations health, cultural safety, and equity
Paul Saunders · Nicole Mercer · Maria Mackay · Ian Lee · Madelyne Hudson‐Buhagiar · Miriam Cavanagh · Emma Milliss · Melody Muscat · Kathleen Martin · Adam Shipp · Melissa Johnson · Belinda Gibb
Indigenous Health Special Issue 2025: carving our path with spirit, strength and solidarity
The path forward is one where Indigenous voices are central, the knowledge and wisdom of Elders can guide the next generation, and Indigenous ways of knowing, being, and doing can be safely applied across an array of contexts
Paul Saunders (Biripi) · Pat Dudgeon (Bardi) · Michelle Kennedy (Wiradjuri) · Kelvin M Kong (Worimi) · Jaquelyne T Hughes (Wagadagam) · Odette Pearson (Eastern Kuku‐Yalanji and Torres Strait Islander)
What do Aboriginal people in the Northern Territory value during the operation journey? A qualitative study
Integrating culturally informed, patient-centred care models that prioritise respect and trust building is essential to improving accessibility, experience and surgical outcomes
Edith B Waugh · Marita Hefler · Sophie Pascoe · Mark Mayo · Matthew JL Hare · David A Story · Neil Wilkshire · Peter Henwood · David Croker · Jampijinpa Ross
Aboriginal and Torres Strait Islander voices on the National Lung Cancer Screening Program: a qualitative study from Worimi and Awabakal country
The NLCSP provides a timely opportunity to improve health outcomes for Aboriginal and Torres Strait Islander peoples. However, it is critical that the program is tailored to the needs of each community and upholds rights to self-determination to be successful
Tanika L Ridgeway (Worimi) · Kayden Roberts‐Barker (Wiradjuri) · Kade Booth · Michelle Kennedy (Wiradjuri)
Am I on the list? Clinician‐reported factors for kidney transplantation non‐waitlisting among Aboriginal and Torres Strait Islander people with kidney failure: a cross‐sectional study
Transplantation equity requires a prioritised investment in system and quality improvements, from enhanced referral and assessment pathways to optimising all elements of care and ongoing accountability measures
Stephen P McDonald AM · Katie Cundale · Christopher E Davies · Kelli Karrikarringka Owen (Kaurna, Nharangga, and Ngarrindjeri) · Kerry Dole · Feruza Kholmurodova · Matilda D’Antoine (Paakantyi) · Jaquelyne T Hughes (Wagadagam)
A call to Indigenise occupational wellbeing
Occupational wellbeing is framed by Western perspectives, which overlook cultural, relational and regenerative dimensions that underpin Indigenous peoples’ worldview. This article calls for the Indigenising of occupational wellbeing so that work supports the survivance and thrivance of Indigenous Australians
Maria M Raciti · Chontel Gibson
The intersection of rurality and dementia prevalence in Australia for Aboriginal and Torres Strait Islander and non‐Indigenous peoples
Geographic considerations are of crucial significance in dementia epidemiology, particularly for Aboriginal and Torres Strait Islander peoples
Antonia J Clarke · Marwan Ahmed · Judith M Katzenellenbogen · John Towney (Wiradjuri) · Anna H Balabanski · Adrienne Withall (Dharawal Yuin) · Kylie Radford · Amy Brodtmann
Improved cancer survival in the Northern Territory: identifying progress and disparities for Aboriginal peoples, 1991–2020
Despite the improvement in cancer survival for Aboriginal and non-Aboriginal peoples in the NT, the gap in survival outcomes for Aboriginal peoples persists. Further research is required on pathways to close the gap
Rowena Boyd · Michail Charakidis · C Paul Burgess · Sarah Dugdale · Craig Castillon (Jawoyn, Katherine Region, NT) · Dzulfikaar Sutandar · Alyson Wright
Current gaps in knowledge and future research directions for Aboriginal and Torres Strait Islander children with cancer
A discussion on what is known about cancer in Aboriginal and Torres Strait Islander children, including a summary of literature on Indigenous childhood cancer around the world. Future areas of research and clinical advances are outlined.
Alexandra Truong · Kayla Williams‐Tucker (Ngarluma, Wongutha, Wudjari Noongar) · Ahmi Narkle (Whadjuk Goreng Noongar) · Eden Slicer (Gundungurra) · Jessica‐Elise Chapman (Kamilaroi, Bundjalung) · Jessica Lawler · Rishi S Kotecha · Hetal Dholaria · Justine R Clark (Adnyamathanha) · Alex Brown (Yuin) · Raelene Endersby · Nicholas G Gottardo · Jessica Buck (Kamilaroi)
Social determinants of health and intensive care unit admission rates and outcomes for children, Australia, 2013–2020: analysis of national registry data
Targeted interventions based on further research are needed to reduce differences associated with social determinants of health
for the Australian and New Zealand Intensive Care Society Paediatric Study Group and Centre for Outcomes and Resource Evaluation
Embedding culture in co‐designed chronic disease programs for Aboriginal and Torres Strait Islander people
Aboriginal community-controlled health organisations holistically take the social determinants of health into account in service and program delivery
Rona Macniven · Karla J Canuto
Improving cardiometabolic risk factors in Aboriginal and Torres Strait Islander people in northeast Arnhem Land: single arm trial of a co‐designed dietary and lifestyle program
Culturally acceptable strategies for improving risk factors could reduce cardiometabolic disease in remote Aboriginal and Torres Strait Islander communities
Hasthi UW Dissanayake · George Gurruwiwi · J Dhurrkay · Josh C Tynan · Sabine Braat · Benjamin Harrap · Tim Trudgen · Sarah Hanieh · Bronwyn Clark · Michaela Spencer · Michael Christie · Emma Tonkin · Emily Armstrong · Leonard C Harrison · John M Wentworth · Julie K Brimblecombe · Beverley‐Ann Biggs
Potentially preventable medication‐related hospitalisations with cardiovascular disease of Aboriginal and Torres Strait Islander people, Queensland, 2013–2017: a retrospective cohort study
Culturally appropriate and more targeted medication safety services are required
Jean Spinks · Gabor Mihala · Warren Jennings · Robert S Ware · Lisa M Kalisch Ellett · Elizabeth E Roughead · Daniel Williamson
Shortages of benzathine benzylpenicillin G in Australia highlight the need for new sovereign manufacturing capability
A proactive national response to ongoing benzathine benzylpenicillin G shortages is required, and this includes exploring sovereign manufacturing capacity
Rosemary Wyber · Glenn Pearson · Laurens Manning
Murru Minya: a national exploration of ethical research and research ethics in Aboriginal and Torres Strait Islander health and medical research
This work is an invitation to address the urgent systemic change required to safeguard Aboriginal and Torres Strait Islander peoples and communities on our terms
Felicity Collis (Gomeroi) · Michelle Kennedy (Wiradjuri)
Aboriginal and Torres Strait Islander community experiences and recommendations for health and medical research: a mixed methods study
Researchers, funding bodies and institutions should invest in communities to lead, control and govern their own research
Felicity Collis (Gomeroi) · Kade Booth · Jamie Bryant · Tanika Ridgeway (Worimi) · Catherine Chamberlain (Palawa) · Jaquelyne Hughes (Wagadagam) · Kalinda E Griffiths (Yawuru) · Mark Wenitong (Kabi Kabi) · Peter O'Mara (Wiradjuri) · Alex Brown (Yuin) · Sandra J Eades (Noongar) · Kelvin M Kong (Worimi) · Michelle Kennedy (Wiradjuri)