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Table 1 Description of items used to assess health risk factors, source of items and cut-offs used to classify participants as ‘at-risk’

From: A cross-sectional survey and latent class analysis of the prevalence and clustering of health risk factors among people attending an Aboriginal Community Controlled Health Service

Risk Factor and description of item used to assess risk

Cut-off used to classify ‘at-risk’ participants

Body Mass Index (BMI)

Measured height and weight

BMI ≥ 25 kg/m2 (excluding pregnant women)

Smoking status

Single item [12]; ‘Which of the following best describes your smoking?’

Current smokers (daily or occasional smokers)

Risky alcohol use

Two items based on third question (AUDIT-3) of the AUDIT-C [6, 48] modified to current NHMRC guidelines [31]; ‘How often do you have more than 2/4 standard drinks in one day/ on one occasion?’

>2 stand. drinks daily or almost daily; and/or >4 stand.drinks weekly or more often

Physical inactivity

Single item [46]; ‘Do you usually do at least half an hour of moderate or vigorous exercise on five or more days a week?’

<30 mins of exercise on five or more days per week [36]

Fruit and Vegetable Consumption

Two items [12]; ‘How many serves of fruit/vegetables do you usually eat each day?’

< two serves of fruit; and/or < five serves of vegetables daily [33]

Depression

Version of the Patient Health Questionnaire (PHQ-9) modified for use with Indigenous Australians [20]a

PHQ-9 score ≥ 10

Illicit drug use

Participants were asked when they last used any illicit or illegal drugs

Any drug use in the last 12 months; including those who responded ‘prefer not to answer’

Screening for blood pressure, cholesterol, diabetes and cancer: Underscreened

Participants were asked when they last had their blood pressure, blood cholesterol, and blood sugar (or HbA1c for those with diabetes) checked; and how long ago they had their most recent mammogram, pap test or bowel cancer testb

Not screened within recommended intervals for any age/gender appropriate screening test [30], including those who responded ‘can’t remember’

  1. aWe selected the modified version of the PHQ-9 as the tool’s authors suggested that the unmodified PHQ-9 [26] was unacceptable for use with Aboriginal and Torres Strait Islander people because of its wording and rating scale [20]. However, the authors also proposed including an additional item assessing anger (resulting in a total of 10 items), and in a subsequent validation study, using a cut-off score of 9, for the modified tool [19]. We did not include this additional anger item, nor use the modified cut-off score to classify possible cases of depression. This was due to a lack of psychometrics for the anger item and the small sample size of the scoring validation study (n = 34); bSurvey programming tailored these questions to the age and gender of participants and adjusted for more frequent screening requirements for those at increased risk. Those with a self-reported history of cervical, breast or colorectal cancer did not answer cancer screening questions