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Luke, Joanne N., Ian P. Anderson, Graham J. Gee, Reg Thorpe, Kevin G. Rowley, Rachel E. Reilly, Alister Thorpe, and Paul J. Stewart. "Suicide Ideation and Attempt in a Community Cohort of Urban Aboriginal Youth: A Cross-Sectional Study." Crisis 34, no. 4 (July 1, 2013): 251–61. http://dx.doi.org/10.1027/0227-5910/a000187.
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Background: There has been increasing attention over the last decade on the issue of indigenous youth suicide. A number of studies have documented the high prevalence of suicide behavior and mortality in Australia and internationally. However, no studies have focused on documenting the correlates of suicide behavior for indigenous youth in Australia. Aims: To examine the prevalence of suicide ideation and attempt and the associated factors for a community 1 The term ”community” refers specifically to Koori people affiliated with the Victorian Aboriginal Health Service. cohort of Koori 2 The term ”Koori” refers to indigenous people from the south-eastern region of Australia, including Melbourne. The term ”Aboriginal” has been used when referring to indigenous people from Australia. The term ”indigenous” has been used throughout this article when referring to the first people of a nation within an international context. (Aboriginal) youth. Method: Data were obtained from the Victorian Aboriginal Health Service (VAHS) Young People’s Project (YPP), a community initiated cross-sectional data set. In 1997/1998, self-reported data were collected for 172 Koori youth aged 12–26 years living in Melbourne, Australia. The data were analyzed to assess the prevalence of current suicide ideation and lifetime suicide attempt. Principal components analysis (PCA) was used to identify closely associated social, emotional, behavioral, and cultural variables at baseline and Cox regression modeling was then used to identify associations between PCA components and suicide ideation and attempt. Results: Ideation and attempt were reported at 23.3% and 24.4%, respectively. PCA yielded five components: (1) emotional distress, (2) social distress A, (3) social distress B, (4) cultural connection, (5) behavioral. All were positively and independently associated with suicide ideation and attempt, while cultural connection showed a negative association. Conclusions: Suicide ideation and attempt were common in this cross-section of indigenous youth with an unfavorable profile for the emotional, social, cultural, and behavioral factors.
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Colucci, Erminia, and David Lester. "A cross-cultural study of attitudes toward suicide among young people in India, Italy and Australia." International Journal of Social Psychiatry 66, no. 7 (June 19, 2020): 700–706. http://dx.doi.org/10.1177/0020764020926551.
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Background: An understanding of the cultural aspects of suicidal behavior is essential for the development of culturally appropriate suicide prevention and intervention strategies. Aims: This study explored the attitudes toward youth suicide in 686 Italian, Indian and Australian undergraduate students (18–24 years old). Method: A 21-item suicide attitude inventory titled Attitude towards Youth Suicide (AtYS) scale, included in this paper, was used in the three samples. Results: Four factors were extracted, labeled negative attitudes toward suicide, belief that suicide was not preventable, suicide as acceptable and normal, and the existence of risk signs for suicide. Country differences were found for all four subscales, with Indian students having the most negative attitudes toward suicide. Sex differences were found in all three countries with women, on the whole, having less negative attitudes toward suicide, more belief in the preventability of suicide in India and more belief in risk signs for suicide in Italy. Conclusion: Attitudes are linked to suicide in a complex manner. More quantitative and qualitative studies, including in lower-income and non-English speaking Western societies, are needed.
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Seth, Nimish, Alexa Seal, Peter Ruchin, and Joe McGirr. "The Accuracy of Self-Perception of Obesity in a Rural Australian Population: A Cross-Sectional Study." Journal of Primary Care & Community Health 13 (January 2022): 215013192211152. http://dx.doi.org/10.1177/21501319221115256.
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Introduction: Obesity is a major public health concern. Accurate perception of body weight may be critical to the successful adoption of weight loss behavior. The aim of this study was to determine the accuracy of self-perception of BMI class. Methods: Patients admitted to the acute medical service in one regional hospital completed a questionnaire and classified their weight as: “underweight,” “normal,” “overweight,” or “obese.” Reponses were compared to clinically measured BMIs, based on the WHO Classification. Patients were also questioned about health-related behavior. Data were analyzed via Pearson’s Chi-squared test. Results: Almost 70% of the participating patient population (n = 90) incorrectly perceived their weight category, with 62% underestimating their weight. Only 34% of patients who were overweight and 14% of patients with obesity correctly identified their weight status. Two-thirds of patients who were overweight and one-fifth of patients with obesity considered themselves to be “normal” or “underweight.” Patients with obesity were 6.5-fold more likely to misperceive their weight status. Amongst patients with overweight/obesity, those who misperceived their weight were significantly less likely to have plans to lose weight. Almost 60% had not made any recent health behavior changes. This is one of the first regional Australian studies demonstrating that hospitalized patients significantly misperceive their weight. Conclusion: Patients with overweight/obesity had significantly higher rates of weight misperception and the majority had no intention to lose weight or to undertake any health behavior modification. Given the association between weight perception and weight reduction behavior, it introduces barriers to addressing weight loss and reducing the increasing prevalence of obesity in rural Australia. It highlights that doctors have an important role in addressing weight misperception.
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Horyniak, Danielle, Stuart Armstrong, Peter Higgs, David Wain, and Campbell Aitken. "Poor Man's Smack: A Qualitative Study of Buprenorphine Injecting in Melbourne, Australia." Contemporary Drug Problems 34, no. 3 (September 2007): 525–48. http://dx.doi.org/10.1177/009145090703400310.
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Cross-sectional studies indicate that diversion and injection of buprenorphine intended for oral use is an emerging health issue for Victorian injecting drug users (IDUs). Between June and September 2006 we conducted in-depth interviews with 23 IDUs from Melbourne, Australia, exploring their motivations for engaging in this behavior. Thematic analysis of the data suggests that convenience was a key motivation for buprenorphine injection in Melbourne as buprenorphine is cheap and readily available. “Needle fixation” was also a commonly cited motivation. Participants highlighted a variety of benefits associated with buprenorphine injecting, including reductions in illicit drug use and time spent engaging in drug-seeking behaviors, leading to greater stability in their lives. Interviewees were not well-informed about the risks of injecting drugs designed for sublingual use and vein damage was widespread and occasionally severe. The views expressed by study participants indicate a need to explore more appropriate opiate treatment solutions, including the option of injectable opiate pharmacotherapies.
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Day, Cheryl. "Does my bum look big in this? Reconsidering anorexia nervosa within the culture context of 20th century Australia." Surveillance & Society 6, no. 2 (February 27, 2009): 142–50. http://dx.doi.org/10.24908/ss.v6i2.3254.
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Anorexia Nervosa is a mental health issue that has a history over many centuries, but has relatively recently been identified as a ‘real’ mental illness. A condition that predominantly afflicts young, middle class women it had long been subsumed among the ‘natural weaknesses’ of women, not unlike the manner in which ‘Hysteria’ was diagnosed within the Freudian understanding of women’s health. However, since the 1970s, and especially with the deaths of some high profile young women it has undergone a reassessment. While clinical understandings of Anorexia Nervosa remain contentious, there is an increasing recognition that the condition is also grounded within specific cultural understandings. The article presents a brief historical overview of the construction of ‘self-starvation’ as applied to ‘fasting saints’ and to modern anorexic women. However, the major focus of the paper is an examination of the cultural situation as exemplified in contemporary Australia. Drawing on the Foucaudian notions of self surveillance the article suggests that TV programs can be used as a vehicle for modern day ‘self surveillance ’and as guidelines for the construction of self. Briefly, TV programs, especially so called ‘reality TV,’ portray a mirror image of how we as consumers should behave. The programs I have chosen to highlight are the phenomenally popular cooking shows that are aired daily on Australian TV screens. Through an examination of the social meanings constructed around food with the TV programs as a primary carrier of these cultural references, the article seeks to address some of the contradictions with other images presented in different but contemporaneous media. While this can never be a definitive explanation of all anorectic behavior, the paper examines the images of womanhood as presented by these programs. These ‘competent and enthusiastic cooks’ are contrasted with the slim, athletic ideal as portrayed in the fashion magazines and many other ‘lifestyle’ TV programs such as holiday shows.
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Mwanri, Lillian, Nelsensius Klau Fauk, Anna Ziersch, Hailay Abrha Gesesew, Gregorius Abanit Asa, and Paul Russell Ward. "Post-Migration Stressors and Mental Health for African Migrants in South Australia: A Qualitative Study." International Journal of Environmental Research and Public Health 19, no. 13 (June 28, 2022): 7914. http://dx.doi.org/10.3390/ijerph19137914.
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We conducted a qualitative study involving African migrants (n = 20) and service providers (n = 10) in South Australia to explore mental health stressors, access to mental health services and how to improve mental health services for African migrant populations. This paper presents the views and experiences of African migrants about the post-migration stressors they faced in resettlement that pose mental health challenges. The participants were recruited using the snowball sampling technique. To align with the COVID-19 pandemic protocol, the data collection was conducted using one-on-one online interviews through Zoom or WhatsApp video calls. Data analysis was guided by the framework analysis. The post-migration stressors, including separation from family members and significant others, especially spouses, imposed significant difficulties on care provision and in managing children’s attitudes and behavior-related troubles at school. African cultural practices involving the community, especially elders in care provision and disciplining children, were not consistent with Australian norms, compounding the mental health stressors for all involved. The African cultural norms, that do not allow young unmarried people to live together, also contributed to child–parent conflicts, enhancing parental mental stressors. Additionally, poor economic conditions and employment-related difficulties were post-migration stressors that the participants faced. The findings indicate the need for policy and intervention programs that address the above challenges. The provision of interventions, including social support such as subsidized or free childcare services, could help leverage their time and scheduled paid employment, creating time for effective parenting and improving their mental health and wellbeing. Future studies exploring what needs to be achieved by government and non-governmental institutions to support enhanced access to social and employment opportunities for the African migrant population are also recommended.
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Heris, Christina L., Catherine Chamberlain, Lina Gubhaju, David P. Thomas, and Sandra J. Eades. "Factors Influencing Smoking Among Indigenous Adolescents Aged 10–24 Years Living in Australia, New Zealand, Canada, and the United States: A Systematic Review." Nicotine & Tobacco Research 22, no. 11 (November 27, 2019): 1946–56. http://dx.doi.org/10.1093/ntr/ntz219.
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Abstract Introduction Smoking rates are higher among Indigenous populations in most high-income countries with initiation primarily occurring in adolescence for all population groups. This review aims to identify protective and risk factors for smoking behavior among Indigenous adolescents and young adults. Aims and Methods We searched Medline, Embase, and Psychinfo for all original research published between January 2006 and December 2016 that reported influences on smoking for Indigenous adolescents or young adults aged 10–24 living in Australia, New Zealand, Canada, and the United States (US). Extracted data were coded to individual, social, and environmental level categories using a modified Theory of Triadic Influence framework. Results A total of 55 studies were included, 41 were descriptive quantitative and 14 qualitative, and 26 included Indigenous participants only. The majority were from the US (32). Frequently reported influences were at the individual and social levels such as increasing age; attitudes and knowledge; substance use; peer and family relationships; smoking norms; mental health; physical activity. At the environmental level, smoke-free spaces; second-hand smoke exposure; high community level prevalence; and social marketing campaigns were also frequently reported. Some studies referenced price, access, and traditional tobacco use. Few reported historical and cultural factors. Conclusions Young Indigenous people experience similar influences to other populations such as smoking among family and friends. Greater youth smoking is related to broader community level prevalence, but few studies explore the distal or historical contributing factors such as traditional tobacco use, colonization, experiences of intergenerational trauma and discrimination, or the role of cultural connection. Implications This review identified a range of factors that influence Indigenous youth smoking and contributes to an understanding of what prevention measures may be effective. Youth tobacco use occurs alongside other substance use and may also serve as an indicator of mental health. Comprehensive community-based programs that work more broadly to address the risk factors related to tobacco, including improving youth mental health, will be important for other behaviors as well. This research highlights the importance of social influence and need for ongoing denormalization of smoking. Future Indigenous led and community owned research is needed to identify likely protective cultural factors.
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Russell, Bob, Chris Smith, Raffaella Valsecchi, and Monica Andersson Bäck. "System, society and dominance effects in the adoption of tele-health: A tri-country comparison." Economic and Industrial Democracy 38, no. 3 (June 26, 2015): 425–47. http://dx.doi.org/10.1177/0143831x15579287.
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Although there have been many studies of low skilled call centre operators, research on professional workers in call centres is less common and cross-national research on such operations even rarer. This article compares the labour process experiences of tele-nurses – registered nurses in call centre settings – across three countries: the UK, Australia and Sweden. Using cross-national, comparative ethnographies, through a system, society and dominance (SSD) approach, the article explores the common problems tele-nurses face as well as distinctive societal differences in the ways in which this branch of e-health care is being established. The outcomes reveal both societal diversity and mounting pressures towards a globalizing conformity between the three countries with regard to the working practices of tele-nursing. The findings have important implications for whether or not a professional project can be developed around tele-health care.
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Bezzina, Aaron, Emma K. Austin, Trent Watson, Lee Ashton, and Carole L. James. "Health and wellness in the Australian coal mining industry: A cross sectional analysis of baseline findings from the RESHAPE workplace wellness program." PLOS ONE 16, no. 6 (June 4, 2021): e0252802. http://dx.doi.org/10.1371/journal.pone.0252802.
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Overweight and obesity has reach pandemic levels, with two-thirds (67%) of adult Australians classified as overweight or obese. As two of the most significant behavioral risk factors for obesity are modifiable (diet and exercise), there exists an opportunity for treatment through workplace health promotion initiatives. As one of Australia’s largest industries with its own unique workplace factors, the mining industry has previously reported higher than population levels of overweight and obesity. This represented an opportune setting to test the RESHAPE workplace wellness program. RESHAPE is an eight-step framework (based on the WHO ‘Health Workplace Framework and Model’) which aims to provide a sustained approach to wellness in the workplace. This paper presents baseline findings from a pilot study that aimed to implement RESHAPE at three mine sites in NSW, Australia, and investigates the issue of overweight and obesity in the coal mining industry. Across three mine sites, 949 coal miners were examined cross-sectionally on a range of workplace, wellness, health, diet, and exercise factors using a paper-based survey. This was a predominantly male sample (90.4%) with the majority (59.2%) of participants aged 25–44 years. Self-reported height and weight measures indicated that less than 20 percent (18.9%) of participants were in a healthy BMI range, while there were effectively equal numbers of overweight (40.9%) and obese (39.1%) participants. Only 3.5% of participants met the daily recommendation for vegetables (5 serves) and shift-workers had greater association with elevated BMI compared to non-shift workers (B = 1.21, 95% CI: 0.23, 2.20, p = 0.016). Poor nutrition is likely to be a key component in elevated levels of overweight and obesity within this industry, with workplace factors compounding challenges workers face in implementing health behavior change. Future studies would benefit from assessing diet and physical activity knowledge in relation to recommendations and serving sizes.
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Mulraney, Melissa, Nardia Zendarski, Fiona Mensah, Harriet Hiscock, and Emma Sciberras. "Do early internalizing and externalizing problems predict later irritability in adolescents with attention-deficit/hyperactivity disorder?" Australian & New Zealand Journal of Psychiatry 51, no. 4 (August 20, 2016): 393–402. http://dx.doi.org/10.1177/0004867416659365.
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Objective: Irritable mood is common in children with attention-deficit/hyperactivity disorder. Research to date has primarily comprised cross-sectional studies; thus, little is known about the antecedents of irritability. Furthermore, existing cross-sectional studies generally focus on the association between irritability and comorbidities and do not examine broader aspects of functioning. Finally, previous research has neglected to include child-report of irritability. This study aimed to address these gaps using data from a longitudinal study of children with attention-deficit/hyperactivity disorder. Method: Children aged 5–13 years (mean = 10.2; standard deviation = 1.9) with attention-deficit/hyperactivity disorder were recruited from pediatric practices across Victoria, Australia. This study reports on those who had reached adolescence (12 years or older, mean = 13.8; standard deviation = 1.2) at the 3-year follow-up ( n = 140). Internalizing and externalizing problems were measured using the Strengths and Difficulties Questionnaire. At follow-up, parent-reported and adolescent self-reported irritability was assessed using the Affective Reactivity Index. Parent and adolescent outcomes measured at follow-up included attention-deficit/hyperactivity disorder symptom severity, sleep, behavior and parent mental health. Results: Children with externalizing problems at age 10 had higher parent-reported irritability (β = 0.31, 95% confidence interval = [0.17,–0.45], p = 0.001) in adolescence. Cross-sectional analyses found that irritability was associated with increased attention-deficit/hyperactivity disorder symptom severity and sleep problems; poorer emotional, behavioral and social functioning; and poorer parent mental health. Conclusion: Our findings highlight the importance of assessing for and managing early conduct problems in children with attention-deficit/hyperactivity disorder, as these predict ongoing irritability which, in turn, is associated with poorer functioning across a number of domains.
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Shroff, Farah M., and David Jung. "Here's to sound action on global hearing health through public health approaches." International Journal of Health Governance 25, no. 3 (July 31, 2020): 235–44. http://dx.doi.org/10.1108/ijhg-01-2020-0004.
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PurposeA global pandemic, non-occupational noise-induced hearing loss (NIHL) is a completely preventable public health problem, which receives limited air time. This study has dual purposes: to contribute to scholarly literature that puts non-occupational NIHL on the global priority map and to effect change in the City of Vancouver's policies toward noise.Design/methodology/approachExperts in public health and hearing health were contacted in addition to a scoping literature search on PubMed. Information pertaining to both developed and developing countries was obtained, and comparison was made to Canada where possible. The authors met with elected officials at the City of Vancouver to inform them of the win–win aspects of policies that promoted better hearing.FindingsNon-occupational NIHL is an underappreciated issue in Canada and many other countries, as seen by the lack of epidemiological data and public health initiatives. Other countries, such as Australia, have more robust research and public health programs, but most of the world lags behind. Better hearing health is possible through targeted campaigns addressing root causes of non-occupational, recreational noise – positive associations with loud noise. By redefining social norms so that soft to moderate sounds are associated with positive values and loud sounds are negatively attributed, the societies will prevent leisure NIHL. The authors recommend widespread national all-age campaigns that benefit from successful public health campaigns of the past, such as smoking cessation, safety belts and others. Soft Sounds are Healthy (SSH) is a suggested name for a campaign that would take many years, ample resources and sophisticated understanding of behavior change to be effective.Research limitations/implicationsA gap exists in the collection of non-occupational NIHL data. Creating indicators and regularly collecting data is a high priority for most nations. Beyond data collection, prevention of non-occupational NIHL ought to be a high priority. Studies in each region would propel understanding, partly to discern the cultural factors that would predispose the general population to change favorable attitudes toward loud sounds to associations of moderate sounds with positivity. Evaluations of these campaigns would then follow.Practical implicationsEveryday life for many people around the world, particularly in cities, is loud. Traffic, construction, loudspeakers, music and other loud sounds abound. Many people have adapted to these loud soundscapes, and others suffer from the lack of peace and quiet. Changing cultural attitudes toward loud sound will improve human and animal health, lessen the burden on healthcare systems and positively impact the economy.Social implicationsIndustries that create loud technologies and machinery ought to be required to find ways to soften noise. Regulatory mechanisms that are enforced by law and fines ought to be in place. When governments take up the banner of hearing health, they will help to set a new tone toward loud sounds as undesirable, and this will partially address the root causes of the problem of non-occupational NIHL.Originality/valueVery little public health literature addresses NIHL. It is a relatively ignored health problem. This project aims to spurn public health campaigns, offering our own infographic with a possible title of Soft Sounds are Healthy (SSH) or Soft Sounds are Sexy (SSS). The study also aimed to influence city officials in the authors’ home, Vancouver, and they were able to do this.
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Savage, Michael P., and Derek R. Holcomb. "Physical Activity Levels and Self-Reported Risk-Taking Behavior among Rural Australian and American 7th–9th Grade Adolescents." International Quarterly of Community Health Education 17, no. 4 (January 1998): 345–60. http://dx.doi.org/10.2190/kgpg-6c8e-tn5y-8rck.
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This study compares self-reported physical activities and selected health behaviors (i.e., participation in physical activity, alcohol and cigarette use, perceived level of energy, and satisfaction with body weight) of a sample of seventh and ninth grade adolescents from Australia and the United States. A modified version of the Personal Wellness Profile 400™ (PWP 400) was used to measure adolescents' participation in physical activity and health behaviors. Five of the seven items studied showed significant differences ( p < .05). Ninety-seven percent of Australian adolescents reported they engaged in physical activity long enough to work up a sweat four or more times per week, compared to 94 percent of U.S. adolescents. The Australian cohort, however, reported a significantly higher level of ever smoking (34.1% vs. 12.3%), and drinking alcohol during the past year than did U.S. adolescents (55.0% vs. 16.0%). Male adolescents demonstrated significant differences on five of the seven items measured. Australian males reported greater participation in physical activity, smoking and drinking, and reported they had higher levels of energy than did U.S. males. The female adolescents also demonstrated significant differences on five of the seven items measured, e.g., over 76 percent of Australian females reported engaging in strength exercises at least once a week compared to 59 percent of U.S. females, and only 23 percent of Australian females reported they were sedentary compared to 41 percent of U.S. females. Finally, the relationship between physical activity and involvement with risk-taking behaviors and health-related attitudes for both samples was examined. Increased activity was associated with less smoking, more satisfaction with body weight, and perceived higher energy level for U.S. adolescents. Drinking alcohol was not associated with activity level for U.S. adolescents. For Australian adolescents there was no association between physical activity and risk-taking behaviors and health-related attitudes. Future research should continue to examine cultural differences.
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Choudhry, Fahad, Long Ming, Khadeeja Munawar, Syed Zaidi, Rahul Patel, Tahir Khan, and Shandell Elmer. "Health Literacy Studies Conducted in Australia: A Scoping Review." International Journal of Environmental Research and Public Health 16, no. 7 (March 28, 2019): 1112. http://dx.doi.org/10.3390/ijerph16071112.
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Health literacy (HL) is an essential component of various literacies mentioned in the field of health and education, including cultural, technological, media and scientific literacies. It is important for motivating higher consumer engagement. We aimed to review previous studies of HL in Australia to inform future studies, extend current knowledge and further enhance HL. Using search strings, a systematic search of four databases (i.e., MEDLINE; Embase; CINAHL and Eric) was carried out. A Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) based search strategy led to identification of a total of N = 9696 records, that were further screened for inclusion in the review. The review findings were categorized into three major themes: (1) HL and health numeracy; (2) contrast of: knowledge deficiency, knowledge gained, problems of current health care system and (3) HL measurement methods and its domains. The findings from this scoping review show a dearth of measurement tools with sound psychometric properties for assessing HL. The findings also reveal low levels of HL in consumers which is in turn affecting health-related behaviors, utilization of health services and navigation of the health system. More recent developments have tried to integrate vital aspects, including introduction of applications to increase HL and exploring HL in Aboriginal communities.
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Box, Jayne Brim, Glenis McBurnie, Karin Strehlow, Tracey Guest, Martin Campbell, Andy Bubb, Kathy McConnell, et al. "The impact of feral camels (Camelus dromedarius) on remote waterholes in central Australia." Rangeland Journal 38, no. 2 (2016): 191. http://dx.doi.org/10.1071/rj15074.
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The Katiti and Petermann Aboriginal Land Trusts (KPALT) in central Australia contain significant biological and cultural assets, including the World Heritage-listed Uluṟu-Kata Tjuṯa National Park. Until relatively recently, waterbodies in this remote region were not well studied, even though most have deep cultural and ecological significance to local Aboriginal people. The region also contains some of the highest densities of feral dromedary camels (Camelus dromedarius) in the nation, and was a focus area for the recently completed Australian Feral Camel Management Project. Within the project, the specific impacts of feral camels on waterholes were assessed throughout the KPALT. We found that aquatic macroinvertebrate biodiversity was significantly lower at camel-accessible sites, and fewer aquatic taxa considered ‘sensitive’ to habitat degradation were found at sites when or after camels were present. Water quality at camel-accessible sites was also significantly poorer (e.g. more turbid) than at sites inaccessible to camels. These results, in combination with emerging research and anecdotal evidence, suggest that large feral herbivores, such as feral camels and feral horses, are the main immediate threat to many waterbodies in central Australia. Management of large feral herbivores will be a key component in efforts to maintain and improve the health of waterbodies in central Australia, especially those not afforded protection within the national park system.
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Maher, Rachel, and Blaise Murphet. "Community engagement in Australia’s COVID-19 communications response: learning lessons from the humanitarian sector." Media International Australia 177, no. 1 (August 17, 2020): 113–18. http://dx.doi.org/10.1177/1329878x20948289.
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This essay analyses the official communications response to COVID-19 in Australia in relation to its effectiveness in engaging communities to encourage the behaviour changes required to address the outbreak. In particular, it outlines three key considerations regarding the way in which the use of community engagement in the humanitarian sector during the Ebola outbreak in West Africa and the Democratic Republic of Congo can inform current and future information preparedness of Governments in Australia in response to health and social crises.
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Shah, Dhara, and Michelle Barker. "Cracking the cultural code." International Journal of Cross Cultural Management 17, no. 2 (May 17, 2017): 215–36. http://dx.doi.org/10.1177/1470595817706383.
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The growth of Indian Information Technology (IT) sector has resulted in many Indian IT expatriates conducting projects at international client sites. Yet little is known about the sociocultural communication challenges these expatriates encounter. Adopting a qualitative, interpretive approach, semi-structured interviews were conducted with 47 Indian IT expatriates at client sites in Australia. The cultural validation and sociocultural competencies framework of the Excellence in Cultural Experiential Learning and Leadership Intercultural Skills Program was used to analyse expatriates’ workplace interactions. Respondents reported a lack of understanding of the ‘unwritten’ sociocultural communication rules in Australia. Communication differences contributed to their frustrations and dissatisfaction during expatriation. Insights into Indian IT expatriates’ experiences of negotiating communication competencies abroad can inform cross-cultural management scholarship and cross-cultural training. Making cultural norms explicit by embedding a cultural learning framework in cross-cultural training programs can contribute to productive, culturally diverse workplaces. The findings may provide fresh perspectives for organizations who prepare or receive expatriates, especially Indian professionals on assignment in Australia or other western countries.
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Tiwari, T., L. Jamieson, J. Broughton, H. P. Lawrence, T. S. Batliner, R. Arantes, and J. Albino. "Reducing Indigenous Oral Health Inequalities: A Review from 5 Nations." Journal of Dental Research 97, no. 8 (March 19, 2018): 869–77. http://dx.doi.org/10.1177/0022034518763605.
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Indigenous populations around the world experience a disproportionate burden in terms of oral diseases and conditions. These inequalities are likely due to a complex web of social determinants that includes poverty, historical consequences of colonialism, social exclusion, government policies of assimilation, cultural annihilation, and racism in all its forms (societal, institutional). Despite documented oral health disparities, prevention interventions have been scarce in Indigenous communities. This review describes oral health interventions and their outcomes conducted for Indigenous populations of the United States, Canada, Brazil, Australia, and New Zealand. The review includes research published since 2006 that are available in English in electronic databases, including MEDLINE. A total of 13 studies were included from the United States, Canada, Brazil, and Australia. The studies reviewed provide a wide range of initiatives, including interventions for prevention and treatment of dental disease, as well as interventions that improve oral health knowledge, behaviors, and other psychosocial factors. Overall, 6 studies resulted in improved oral health in the study participants, including improvements in periodontal health, caries reduction, and oral health literacy. Preferred intervention methodologies included community-based research approaches, culturally tailored strategies, and use of community workers to deliver the initiative. Although these studies were conducted with discrete Indigenous populations, investigators reported similar challenges in research implementation. Recommendations for future work in reducing oral health disparities include addressing social determinants of health in various Indigenous populations, training future generations of dental providers in cultural competency, and making Indigenous communities true partners in research.
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Hughes, Cathy, and Trang Thomas. "Adapting the Career Development Inventory-Australia for cross-cultural research." Journal of Vocational Behavior 69, no. 2 (October 2006): 276–88. http://dx.doi.org/10.1016/j.jvb.2006.05.008.
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Fernandez, D., L. McDaid, N. Tran, D. Jabran, S. King, and Y. Fatima. "P041 Poor Sleep and Mental Health Issues Among First Nations Peoples." SLEEP Advances 3, Supplement_1 (October 1, 2022): A44. http://dx.doi.org/10.1093/sleepadvances/zpac029.114.
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Abstract To evaluate the evidence on sleep and mental health issues in First Nations peoples. A systematic literature search was conducted covering academic and grey literature databases for studies with quantitative data on sleep and mental health association in First Nations Peoples published until November 2021. The National Institutes of Health Quality Assessment Tool was used for quality assessment, and the Aboriginal and Torres Strait Islander Quality Appraisal Tool helped assess cultural appropriate conduct of research. Seven studies (6 cross-sectional and 1 longitudinal) among three First Nations groups (n=3075) were included. In Indigenous Australian children, arousal problems increased aggression, and withdrawn behaviour, while early bedtime protected against behavioural problems (OR: 0.48, 95% CI: 0.28 -0.82). In Native American youth, insomnia symptoms increased depressive symptoms (OR: 4.87, 95% CI: 2.4 to 9.89), while in adults, short sleep increased the risk of anxiety (16%) and affective disorders (16%). Clinical sleep issues, restless leg (OR: 1.82; 95% CI: 0.53 to 3.12), insomnia (OR: 4.49; 95% CI: 3.14 to 5.83), and apnoea (OR: 2.46; 95%CI: 0.47 to 4.46) were associated with depression. Similarly, in Ameridian/Mestizo adults, restless leg syndrome increased the risk of depression (OR: 4.5, 95% CI: 2.2 to 9.7) and anxiety (OR: 3.6, 95% CI: 1.7 to 7.7). Majority of the studies scored high in quality assessment but the lack of information limited adequately assessing cultural appropriateness. There is limited but strong evidence suggesting a strong role of poor sleep in mental health issues in First Nations peoples which compels investment in sleep health.
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Silitonga, Mirdat, Herien Puspitawati, and Istiqlaliyah Muflikhati. "MODAL SOSIAL, COPING EKONOMI, GEJALA STRES SUAMI DAN KESEJAHTERAAN SUBJEKTIF KELUARGA PADA KELUARGA TKW." JKKP (Jurnal Kesejahteraan Keluarga dan Pendidikan) 5, no. 1 (April 17, 2018): 20–30. http://dx.doi.org/10.21009/jkkp.051.03.
Full textAbstract:
The achievement of family well - being is an aspiration of all families including families of migrant workers, to achieve the well - being of one of the ways that the families of migrant workers with the departure of the wife work as domestic servants in various countries. The purpose of this study was to analyze social capital, economic coping, sress symptom’s husband and family subjektive well - being of women migrant workers. This research use cross sectional studies. The location was chosen purposively in Tanggeung Village, Pagermaneuh Village, Margaluyu Village, Karangtengah Village, Tanggeung District and Pasirdalam Village Kadupandak District, Cianjur, West Java, Indonesia. Seventy five families were selected purposively among the families of women migrant workers. The finding indicates that social capital is in the moderate category, the coping economy is in the moderate category, the sress symptom’s husband is in the low category and the family well-being is in the low category. Finding in this study family subjective well-being is influenced by income per capita, sress symptom’s husband and economic coping.
Keywords: economic coping, family subjective well-being, social capital, stress symptom
Abstrak
Kesejahteraan keluarga merupakan sesuatu yang ingin dicapai seluruh keluarga, termasuk keluarga Tenaga Kerja Wanita (TKW), untuk mencapai kesejahteraan tersebut salah satu cara yang dilakukan oleh keluarga TKW adalah mengirim istri sebagai pembantu rumah tangga di berbagai negara. Tujuan dari penelitian ini adalah untuk menganalisis modal sosial, coping ekonomi, gejala stres suami, dan kesejahteraan subjektif keluarga TKW. Penelitian ini menggunakan cross sectional studies. Lokasi dipilih dengan metode purposive di Provinsi Jawa Barat, Kabupaten Cianjur, Kecamatan Tanggeung, Desa Pagermaneuh, Desa Marguluyu, Desa Karangtengah, Desa Tanggeung, Kecamatan Kadupandak, Desa Pasirdalam. Jumlah sampel sebanyak 75 keluarga TKW dengan metode purposive sampling. Penelitian ini menemukan modal sosial berada pada kategori sedang, coping ekonomi berada pada kategori sedang, gelaja stres suami berada pada kategori rendah, dan kesejahteraan subjektif berada pada kategori rendah. Penelitian ini juga menemukan kesejahteraan keluarga berpengaruh terhadap pendapatan perkapita, gelaja stres suami, dan coping ekonomi.
Kata kunci : coping ekonomi, gejala stres, kesejahteraan subjektif, modal sosial.
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Mindel, A., C. Marks, R. Tideman, J. Taylor, C. Seifert, G. Berry, B. Trudinger, and A. Cunningham. "Sexual behaviour and social class in Australian women." International Journal of STD & AIDS 14, no. 5 (May 1, 2003): 344–49. http://dx.doi.org/10.1258/095646203321605567.
Full textAbstract:
Sexual behaviour is determined by social, cultural and personal factors. Sexual behaviour studies have been conducted in many countries. However, information from Australia is limited. This study was conducted in Obstetrics Department, Westmead Hospital, Sydney. Questionnaire-derived demographic and behavioural characteristics for public and private patients were compared using bivariate and logistic regression analyses. Of the patients, 3036 were public, and 595 private. On bivariate analysis some significant differences were private patients more likely to be born in Australia and have a higher education level whereas public patients were more likely to have had a greater number of lifetime sexual partners and younger age at first sex. Public patients were more likely to be herpes simplex virus type 2 (HSV-2) antibody positive (12%) than private patients (6%). On logistic regression significant variables included country of birth, being HSV-2 antibody positive, and age at first sex. A number of sexual and social variables were significantly different, comparing patients in the public and private sectors. Evaluation of interventions to reduce the sexual risk to women in the public sector should be considered, including encouraging young women to delay their sexual debut, and reducing the number of sexual partners.
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Alshammari, Muna, Zafer Alajmi, Victoria L. Vidal, and Fatma Alabdullah. "Health Behavior Changes among Maternity Nurses during the COVID-19 Pandemic: A Cross-Sectional Study." Open Journal of Nursing 12, no. 10 (2022): 665–82. http://dx.doi.org/10.4236/ojn.2022.1210046.
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Tarzia, Laura, Molly Wellington, Jennifer Marino, and Kelsey Hegarty. "“A Huge, Hidden Problem”: Australian Health Practitioners’ Views and Understandings of Reproductive Coercion." Qualitative Health Research 29, no. 10 (December 25, 2018): 1395–407. http://dx.doi.org/10.1177/1049732318819839.
Full textAbstract:
Reproductive coercion is understood as behavior interfering with a woman’s reproductive autonomy. It is usually perpetrated by a male partner, and sometimes by other family members. Reproductive coercion encompasses violence, threats, or coercion to force a woman to become or remain pregnant, or to terminate a pregnancy. To date, few studies have focused on this topic, particularly using qualitative methods. In this article, we aim to explore how Australian health practitioners understand and perceive reproductive coercion. We conducted semistructured interviews with health practitioners from an Australian public hospital, and the resulting data were analyzed thematically. Overall, reproductive coercion was described as complex and hidden. There were diverse understandings around its parameters and scope, which were shaped by the participants’ disciplines and paradigms. Our findings point toward a need for greater clarity around reproductive coercion and how it sits within a broader framework of violence against women, to facilitate cross-disciplinary collaborative responses.
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Gilles, Marisa T., John Wakerman, and Angela Durey. ""If it wasn't for OTDs, there would be no AMS": overseas-trained doctors working in rural and remote Aboriginal health settings." Australian Health Review 32, no. 4 (2008): 655. http://dx.doi.org/10.1071/ah080655.
Full textAbstract:
Australian-trained doctors are often reluctant to work in rural and remote areas and overseastrained doctors (OTDs) are recruited to practise in many rural Aboriginal medical services. This paper focuses on recent research carried out in Australia to analyse factors affecting OTDs? professional, cultural and social integration and examine their training and support needs. Ten case studies were conducted throughout Australia with OTDs, which also included interviews with spouses/partners, professional colleagues, co-workers, and Aboriginal and Torres Strait Islander community members associated with the health service. Key themes emerging from the data across all informants included the need to better address recruitment, orientation and cross-cultural issues; the importance of effective communication and building community and institutional relationships, both with the local health service and the broader medical establishment.
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Wulan, Sri, and Lara Fridani. "Teaching Strategy in Early Childhood Education: Child-Friendly Classroom Management to Anticipate Bullying Behaviours." JPUD - Jurnal Pendidikan Usia Dini 15, no. 2 (November 30, 2021): 379–94. http://dx.doi.org/10.21009/jpud.152.10.
Full textAbstract:
Bullying behaviour can have a negative impact on a child's physical and psychological health. Bullying in the classroom is a challenge for early-childhood educators. Preschool is the first place outside the home where children face social challenges when interacting with their classmates. Child-Friendly Class is the first step and part of the Children Friendly School (CSF) as a UNICEF program and an important Indonesian government policy to prevent the emergence of child bullying behaviour. This study aims to identify needs in the process of developing a Child-Friendly Classroom Management model to anticipate bullying behaviour. This research and development method uses an adaptation of the Rowntree model which includes three stages of the process and data collection techniques using interviews, questionnaires, and observation. The results of this study indicate that the preparation of an effective classroom management guidebook to create child-friendly classes needs to be followed up immediately. Several findings related to teachers' perceptions of classroom management, and child-friendly classes prove that child-friendly classes have not been implemented properly in PAUD institutions, with bullying behaviour still appearing in early childhood in PAUD institutions. PAUD teachers understand that it is important to implement classroom management but so far there has been no manual on how to manage effective classrooms as well as training related to the implementation of effective classroom management. The creation of child-friendly classes is believed to be able to help teachers suppress the emergence of bullying behaviour in early childhood.
Keywords: Child-Friendly Classroom Management, Bullying Prevention, Early Childhood Education
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Stevanovic, Dejan, Peyman Jafari, Rajna Knez, Tomislav Franic, Olayinka Atilola, Nikolina Davidovic, Zahra Bagheri, and Aneta Lakic. "Can we really use available scales for child and adolescent psychopathology across cultures? A systematic review of cross-cultural measurement invariance data." Transcultural Psychiatry 54, no. 1 (February 2017): 125–52. http://dx.doi.org/10.1177/1363461516689215.
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In this systematic review, we assessed available evidence for cross-cultural measurement invariance of assessment scales for child and adolescent psychopathology as an indicator of cross-cultural validity. A literature search was conducted using the Medline, PsychInfo, Scopus, Web of Science, and Google Scholar databases. Cross-cultural measurement invariance data was available for 26 scales. Based on the aggregation of the evidence from the studies under review, none of the evaluated scales have strong evidence for cross-cultural validity and suitability for cross-cultural comparison. A few of the studies showed a moderate level of measurement invariance for some scales (such as the Fear Survey Schedule for Children-Revised, Multidimensional Anxiety Scale for Children, Revised Child Anxiety and Depression Scale, Revised Children's Manifest Anxiety Scale, Mood and Feelings Questionnaire, and Disruptive Behavior Rating Scale), which may make them suitable in cross-cultural comparative studies. The remainder of the scales either showed weak or outright lack of measurement invariance. This review showed only limited testing for measurement invariance across cultural groups of scales for pediatric psychopathology, with evidence of cross-cultural validity for only a few scales. This study also revealed a need to improve practices of statistical analysis reporting in testing measurement invariance. Implications for future research are discussed.
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Afshari, Leila. "Motivating toward organizational commitment: A cross-comparative perspective." International Journal of Cross Cultural Management 20, no. 2 (April 1, 2020): 141–57. http://dx.doi.org/10.1177/1470595820914643.
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This article investigates how factors that contribute to the development of organizational commitment can be adjusted to take account of cultural diversity among employees, by taking the mediating effects of motivational processes and leadership into account. Survey data were obtained from two similar organizations in two different cultural contexts—Australia and Iran. The findings showed that both intrinsic and identified motivations and leadership are critical to the development of desirable organizational commitment. The introjected form of motivation was found to be the factor that mediates variances in employee commitment between the two cultural contexts. The current study explains this mediation role by referring to the different degrees to which conformity is salient across the two contexts, thereby providing managers, who are working in culturally diverse contexts, a means of understanding how and why different motivational techniques are more or less likely to contribute to the development of organizational commitment. Furthermore, the present study contributes to the existing literature on organizational commitment by comparing and contrasting the nature and prominence of employee commitment profiles in two different cultural contexts.
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Lumley, Mia, Mary Katsikitis, and Dixie Statham. "Depression, Anxiety, and Acculturative Stress Among Resettled Bhutanese Refugees in Australia." Journal of Cross-Cultural Psychology 49, no. 8 (July 17, 2018): 1269–82. http://dx.doi.org/10.1177/0022022118786458.
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Despite awareness of the difficulties faced by refugees in flight, little is known about their mental health following resettlement. This article investigated rates, predictors, and moderators of anxiety, depression, and acculturative stress among members of the resettled Bhutanese refugee community in northern Queensland. A total of 148 participants (51% male), 18 to 83 years of age, participated in this cross-sectional study. A questionnaire was comprised of bilingual (English–Nepali) versions of the Depression, Anxiety, and Stress Scale (DASS-21; anxiety and depression), the Multidimensional Acculturative Stress Scale (MASS; acculturative stress), Brief-COPE (coping style), Multidimensional Scale of Perceived Social Support (MSPSS; social support), and socio-demographics. Participants reported severe levels of anxiety and moderate levels of depression, and moderate to high levels of acculturative stress. Acculturative stress was a substantive contributor to both depression and anxiety scores. Additional risk factors included the use of maladaptive/avoidant coping styles, age, and education. English language proficiency was strongly protective, as was education to Year 12 and current employment. This research is the first of its kind with this refugee group in Australia, and highlights the longevity and severity of mental health issues that affect Bhutanese refugees resettled in Australia.
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Carter, Gregory L., Cathy Issakidis, and Kerrie Clover. "Correlates of Youth Suicide Attempters in Australian Community and Clinical Samples." Australian & New Zealand Journal of Psychiatry 37, no. 3 (June 2003): 286–93. http://dx.doi.org/10.1046/j.1440-1614.2003.01179.x.
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Objective: This study (i) explores differences between a clinical sample of deliberate selfpoisoning (DSP) patients and a community sample who reported previous attempted suicide (AS); and (ii) examines correlates of suicidal behaviour in these groups compared with a community control group (CC) with no suicidal behaviour. Method: The study design was: case–case, case–control and cross-sectional population studies. A clinical sample of DSP (n = 51), a community sample of AS (n = 31) and a community sample with no suicidal behaviour (n = 842) were used, all aged 18–24 years. The DSP and AS groups were compared on several variables and two logistic regression models were developed for risk of (i) DSP and (ii) AS compared to community controls. Results: The adjusted odds ratios for DSP were: female gender (OR = 5.7, CI = 1.7–19.4), anxiety (OR = 7.4, CI = 2.2–25.1), affective (OR = 23.0, CI = 6.9–76.5), or substance-use disorder (OR = 19.2, CI = 5.6–65.4) and greater mental health related disability (OR = 0.5, CI = 0.3–0.7 for 1 SD decrease). For AS the results were: anxiety (OR = 9.4, CI = 1.7–52.8) or substance-use disorder (OR = 3.0, CI = 1.1–8.7) and greater mental health disability (OR = 0.5, CI = 0.4–0.7). Affective disorder was close to significant for the AS group (OR = 4.0, CI = 0.9–17.1). Conclusions: Correlates of DSP/AS were usually more powerful in the clinical group, but showed a similar pattern of psychiatric disorder and disability factors in both groups, supporting a continuum of risk factors across these groups. Interventions based on modifiable risk factors could target the same factors for public health, primary care or hospital populations: anxiety, depression and substance use disorders and mental health related disability.
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Sharma, Nila, Elizabeth Harris, Jane Lloyd, Sabuj Kanti Mistry, and Mark Harris. "Community health workers involvement in preventative care in primary healthcare: a systematic scoping review." BMJ Open 9, no. 12 (December 2019): e031666. http://dx.doi.org/10.1136/bmjopen-2019-031666.
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ObjectivesTo review effective models of community health worker (CHW) involvement in preventive care for disadvantaged culturally and linguistically diverse (CALD) patients in primary healthcare (PHC) that may be applicable to the Australian context.DesignSystematic scoping review.Data sourcesThe studies were gathered through searching Medline, EMBASE, EMCARE, PsycINFO, CINAHL and online portals of relevant organisations.Eligibility criteriaAll selected studies were original research studies which essentially evaluated preventive intervention undertake by CHWs in PHC. The intervened population were adults with or without diagnosed chronic health disease, culturally and linguistically diverse, or vulnerable due to geographic, economic and/or cultural characteristics that impede or compromise their access to healthcare.Data extraction and synthesisData extraction was undertaken systematically in an excel spreadsheet while the findings were synthesised in a narrative manner. The quality appraisal of the selected studies was performed using effective public health practice project quality assessment tool.ResultsA total of 1066 articles were identified during the initial search of six bibliographic databases. After screening the title, abstract and full text, 37 articles met the selection and methodological criteria and underwent data extraction. A high-quality evidence-base supporting the positive impact of CHWs supporting patients’ access to healthcare and influencing positive behaviour change was found. Positive impacts of CHW interventions included improvements in clinical disease indicators, screening rates and behavioural change. Education-focused interventions were more effective in improving patient behaviour, whereas navigation interventions were most effective in improving access to services. Implementation was enhanced by cultural and linguistic congruence and specific training of CHWs in the intervention but reduced by short duration interventions, dropouts and poor adherence of patients.ConclusionThe evidence generated from this systematic scoping review demonstrates the contribution of CHWs to improving access to preventive care for patients from CALD and disadvantaged backgrounds by providing both education and navigational interventions. More research is needed on CHW training and the incorporation of CHWs into primary health care (PHC) teams.
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Werner, Perla, and Sarang Kim. "A Cross-National Study of Dementia Stigma Among the General Public in Israel and Australia." Journal of Alzheimer's Disease 83, no. 1 (August 31, 2021): 103–10. http://dx.doi.org/10.3233/jad-210277.
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Background: Despite the increasing amount of research on dementia stigma, there is a dearth of cross-national studies conducted on this subject. This is surprising since the experience of stigma is closely associated to socio-cultural aspects. Objective: The present study intended to expand knowledge about the impact of culture on dementia stigma by comparing the level and correlates of stigmatic beliefs about dementia among the general public in Israel and Australia. Methods: A cross-sectional study using an online survey was conducted with two age-matched samples: 447 adults in Israel and 290 adults in Australia. Results: Overall, dementia stigma was moderate in both countries. However, the level of dementia stigma was significantly higher in Australia than in Israel. Lower levels of subjective knowledge and higher levels of ageism were associated with increased levels of stigmatic beliefs in both countries. Gender was a significant correlate of dementia stigma, with male participants reporting higher levels of public stigma than women, although this gender difference was mainly driven by the Australian sample. Conclusion: Our findings indicate that providing knowledge and decreasing ageist attitudes should be key considerations in dementia awareness and stigma reduction campaigns despite the cultural context. In addition, developing gender-specific messages should be considered as a way of improving the effects of such campaigns.
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Brijnath, Bianca, and Josefine Antoniades. "What is at stake? Exploring the moral experience of stigma with Indian-Australians and Anglo-Australians living with depression." Transcultural Psychiatry 55, no. 2 (February 7, 2018): 178–97. http://dx.doi.org/10.1177/1363461518756519.
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This article applies the framework of moral experience to examine the cultural experience of stigma with Indian-Australians and Anglo-Australians living with depression in Melbourne, Australia. To date few studies have examined this dynamic in relation to mental illness and culture, and no studies have applied this framework in a culturally comparative way. Based on 58 in-depth interviews with people with depression recruited from the community, we explicate how stigma modulates what is at stake upon disclosure of depression, participants’ lived experience following that disclosure, and how practices of health-seeking become stigmatised. Findings show that the social acceptance of depression jars against participants’ experience of living with it. Denialism and fear of disclosure were overwhelming themes to emerge from our analysis with significant cultural differences; the Anglo-Australians disclosed their depression to family and friends and encountered significant resistance about the legitimacy of their illness. In contrast, many Indian-Australians, especially men, did not disclose their illness for fear of a damaged reputation and damaged social relations. For Indian-Australians, social relations in the community were at stake, whereas for Anglo-Australians workplace relations (but not community relations) were at stake. Participants’ experiences in these settings also influenced their patterns of health-seeking behaviors and age and inter-generational relationships were important mediators of stigma and social support. These findings illuminate how stigma, culture, and setting are linked and they provide critical information necessary to identify and develop customised strategies to mitigate the harmful effects of stigma in particular cultural groups.
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Kleitman, Sabina, Dayna J. Fullerton, Lisa M. Zhang, Matthew D. Blanchard, Jihyun Lee, Lazar Stankov, and Valerie Thompson. "To comply or not comply? A latent profile analysis of behaviours and attitudes during the COVID-19 pandemic." PLOS ONE 16, no. 7 (July 29, 2021): e0255268. http://dx.doi.org/10.1371/journal.pone.0255268.
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How and why do people comply with protective behaviours during COVID-19? The emerging literature employs a variable-centered approach, typically using a narrow selection of constructs within a study. This study is the first to adopt a person-centred approach to identify complex patterns of compliance, and holistically examine underlying psychological differences, integrating multiple psychology paradigms and epidemiology. 1575 participants from Australia, US, UK, and Canada indicated their behaviours, attitudes, personality, cognitive/decision-making ability, resilience, adaptability, coping, political and cultural factors, and information consumption during the pandemic’s first wave. Using Latent Profile Analysis, two broad groups were identified. The compliant group (90%) reported greater worries, and perceived protective measures as effective, whilst the non-compliant group (about 10%) perceived them as problematic. The non-compliant group were lower on agreeableness and cultural tightness-looseness, but more extraverted, and reactant. They utilised more maladaptive coping strategies, checked/trusted the news less, and used official sources less. Females showed greater compliance than males. By promoting greater appreciation of the complexity of behaviour during COVID-19, this research provides a critical platform to inform future studies, public health policy, and targeted behaviour change interventions during pandemics. The results also challenge age-related stereotypes and assumptions.
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Gast, Julie, Terry Peak, and Anne Hunt. "Latino Health Behavior: An Exploratory Analysis of Health Risk and Health Protective Factors in a Community Sample." American Journal of Lifestyle Medicine 14, no. 1 (June 23, 2017): 97–106. http://dx.doi.org/10.1177/1559827617716613.
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Background. Demographic and cultural factors have been found to affect health behaviors in Latinos in both positive and negative ways, but few studies have examined the impact of culture and adherence to machismo norms on health behaviors in a mixed gender community sample of Latinos. Of particular interest was if positive ( caballerismo) or negative aspects of machismo would affect Latino health behaviors. Methods. A paper survey was given to a community sample of Latinos in northern Utah to explore the variables that affect both health promoting and health risking behaviors in this cross-sectional study (final N = 144 participants). Results. Life satisfaction, self-reported health, health insurance status, language preference, and gender were significantly related to overall health score. Surprisingly, the cultural variables of fatalism, machismo, and caballerismo were nonsignificant in all analyses. Conclusion. Access to health care mediated by health insurance and self-reported health status may be the most effective way to encourage Latinos to engage in protective health behaviors.
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Domino, George, Sushila Niles, and Sunita Devi Raj. "Attitudes toward Suicide: A Cross-Cultural Comparison of Singaporean and Australian University Students." OMEGA - Journal of Death and Dying 28, no. 2 (March 1994): 125–37. http://dx.doi.org/10.2190/menk-8y8p-9tuj-44cy.
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The Suicide Opinion Questionnaire (SOQ), a measure of attitudes toward suicide, was administered to two samples of university students, one from Singapore ( n = 100) and one from Australia ( n = 82). Of the fifteen SOQ factors, ten showed statistically significant mean differences, with Singaporean students endorsing greater disagreement on the factors of Acceptability and Demographic aspects, and Australian students endorsing greater disagreement on the factors of Suicide as semiserious, Religion, Lethality, Normality, Irreversibility, Aging, Individual Aspects, and Sensation seeking. A regression analysis of the SOQ factors as related to self-reported religiosity indicated that for the Singaporean students religious attendance was related to the SOQ factors of Acceptability, Mental and Moral Illness, and Lethality, while self-reported degree of religiosity was related to the SOQ factor of Religion. For the Australian students degree of religiosity was related to the SOQ factors of Acceptability, Mental and Moral Illness, and Religion.
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Small, Rhonda, Judith Lumley, and Jane Yelland. "Cross-cultural experiences of maternal depression: associations and contributing factors for Vietnamese, Turkish and Filipino immigrant women in Victoria, Australia." Ethnicity & Health 8, no. 3 (August 2003): 189–206. http://dx.doi.org/10.1080/1355785032000136416.
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Paiano, Ronê, Maria Cristina Triguero Veloz Teixeira, Carla Nunes Cantiere, Maria A. Efstratopoulou, and Luiz Renato Rodrigues Carreiro. "Translation and cross-cultural adaptation of the Motor Behavior Checklist (MBC) into Brazilian Portuguese." Trends in Psychiatry and Psychotherapy 41, no. 2 (June 2019): 167–75. http://dx.doi.org/10.1590/2237-6089-2017-0104.
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Abstract Introduction There are only a few instruments available to assess behavioral problems in school-age children based on reports of physical education teachers. The Motor Behavior Checklist (MBC) was designed to be completed by this professional in free play-situations or during physical education classes to rate students’ motor-related behavior using 5-point Likert scales. The MBC comprises 59 items distributed into two broadband factors (externalizing and internalizing) and seven behavior problem scales: rule breaking, hyperactivity/impulsivity, lack of attention, low energy, stereotyped behaviors, lack of social interaction, and lack of self-regulation. The objective of this study was to describe the translation and cross-cultural adaptation processes of the MBC into Brazilian Portuguese. Method The following procedures were conducted: forward translation of the original instrument, production of a synthesized version, back-translation, literal and semantic comparison, back-translator’s evaluation of divergent items, synthesized version with back-translator’s suggestions, clarity assessment of the synthesized version by professionals (physical education teachers), focus group to assess clarity indicators of the instrument, evaluation of adjustments by the author of the instrument, and production of the final version. Results The results indicated a satisfactory level of agreement between the original and the back-translated versions, with 68% of exact equivalence between the translated items and 16% of terms requiring minor adjustments. In the draft version, 84% of the items were evaluated as clear by physical education teachers. Conclusion The translated version has compatible content with the original version. Future studies should be conducted to assess the psychometric properties of the Brazilian Portuguese version of the MBC.
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Hitch, Danielle, Kate Lhuede, Susan Giles, Robyn Low, Kathryn Cranwell, and Rachel Stefaniak. "Perceptions of leadership styles in occupational therapy practice." Leadership in Health Services 33, no. 3 (April 22, 2020): 295–306. http://dx.doi.org/10.1108/lhs-11-2019-0074.
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Purpose Leadership is a critical topic in healthcare because of its influence on direction and culture. This study aims to measure perceptions of leadership styles amongst occupational therapy clinicians. The study also sought to identify any significant differences between the perceptions of clinician groups, compare findings with established norms and explore associations between leadership styles and outcomes. Design/methodology/approach A cross sectional, descriptive study method was used, using the multifactor leadership questionnaire 5X (MLQ-5X) to survey occupational therapists working in physical and mental health clinical services in Australia. Descriptive statistics were used to address the aims of this study. Findings A number of significant differences in leadership perceptions were identified between junior and senior clinicians, however, very few differences were detected between the physical and mental health settings. The scores provided by participants were consistently lower than those reported for geographically relevant norms, with the majority on or close to the 40th percentile. A significant relationship was found between transformative leadership and outcomes, and a strong relationship between contingent reward and outcomes. However, the negative relationships between other leadership styles and outcomes reported in other studies were not found. Research limitations/implications Transformational leadership, and some aspects of transactional leadership, are used in occupational therapy. The career stage has an impact on how leadership behaviours are perceived. The MLQ-5X could enable a consistent approach to research into healthcare leadership, and the exploration of whether these findings are generalisable beyond the Australian context. Practical implications Career stage may be a more significant influence on leadership perception than service setting, and efforts to develop leadership in occupational therapy should focus on both transformative and transactional leadership. Perceptions of occupational leadership from all areas of the workforce are important to understand, given their potential impact on workplace behaviour, career progression, recruitment and retention. Originality/value This study is a partial replication of a previous study conducted in the USA, being the first to use the MLQ-5X with the Australian occupational therapy workforce. As such, it consolidates the existing evidence base in this area and also enables international comparisons of findings.
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Granger, Catherine L., Linda Denehy, Christine F. McDonald, Louis Irving, and Ross A. Clark. "Physical Activity Measured Using Global Positioning System Tracking in Non–Small Cell Lung Cancer." Integrative Cancer Therapies 13, no. 6 (July 7, 2014): 482–92. http://dx.doi.org/10.1177/1534735414542484.
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Introduction. Increasingly physical activity (PA) is being recognized as an important outcome in non–small cell lung cancer (NSCLC). We investigated PA using novel global positioning system (GPS) tracking individuals with NSCLC and a group of similar-aged healthy individuals. Methods. A prospective cross-sectional multicenter study. Fifty individuals with NSCLC from 3 Australian tertiary hospitals and 35 similar-aged healthy individuals without cancer were included. Individuals with NSCLC were assessed pretreatment. Primary measures were triaxial accelerometery (steps/day) and GPS tracking (outdoor PA behavior). Secondary measures were questionnaires assessing depression, motivation to exercise, and environmental barriers to PA. Between-group comparisons were analyzed using analysis of covariance. Results. Individuals with NSCLC engaged in significantly less PA than similar-aged healthy individuals (mean difference 2363 steps/day, P = .007) and had higher levels of depression ( P = .027) and lower motivation to exercise ( P = .001). Daily outdoor walking time ( P = .874) and distance travelled away from home ( P = .883) were not different between groups. Individuals with NSCLC spent less time outdoors in their local neighborhood area ( P < .001). A greater number of steps per day was seen in patients who were less depressed ( r = .39) or had better access to nonresidential destinations such as shopping centers ( r = .25). Conclusion. Global positioning system tracking appears to be a feasible methodology for adult cancer patients and holds promise for use in future studies investigating PA and or lifestyle behaviors.
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Fuentes Pacheco, Andrea, Gabriela Carrillo Balam, Daryll Archibald, Elizabeth Grant, and Valeria Skafida. "Exploring the relationship between local food environments and obesity in UK, Ireland, Australia and New Zealand: a systematic review protocol." BMJ Open 8, no. 2 (February 2018): e018701. http://dx.doi.org/10.1136/bmjopen-2017-018701.
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IntroductionObesity is a global pandemic that affects all socioeconomic strata, however, the highest figures have been observed in the most disadvantaged social groups. Evidence from the USA and Canada showed that specific urban settings encourage obesogenic behaviour in the population living and/or working there. We aim to examine the evidence on the association between local food environments and obesity in the UK, Ireland, Australia and New Zealand.MethodsSix databases from 1990 to 2017 will be searched: MEDLINE (Ovid), Embase (Ovid), Scopus, The Cumulative Index to Nursing and Allied Health Literature (CINAHL), Applied Social Sciences Index and Abstracts (ASSIA) and Web of Science. Grey literature will also be sought by searching Opengrey Europe, The Grey Literature Report and relevant government websites. Additional studies will be retrieved from the reference lists of the selected articles. It will include cohort, longitudinal, case study and cross-sectional studies that have assessed the relationship between local food environments and obesity in the UK, Ireland, Australia and New Zealand regardless of sex, age and ethnicity of the population. Two researchers will independently select the studies and extract the data. Data items will incorporate: author names, title, study design, year of study, year exposure data collected, country, city, urban/rural, age range, study exclusions, special characteristics of study populations, aims, working definitions of food environments and food outlets, exposure and methods of data collection, outcomes and key findings. A narrative synthesis and a summary of the results will be produced separately for children and adults, according to the type of food exposure–outcome. All the selected studies will be assessed using The Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies.Ethics and disseminationThis study will be based on published literature, and therefore ethical approval has not been sought. Our findings will be presented at relevant national and international scientific conferences and published in a peer-reviewed journal.
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Geiger, James, Judith Natale Sabino, Eric Gertner, Jarret R. Patton, Llewellyn J. Cornelius, and Debbie Salas-Lopez. "Bienvenidos: The Initial Phase of Organizational Transformation to Enhance Cross-cultural Health Care Delivery in a Large Health Network." International Journal of Organizational Diversity 12, no. 4 (2013): 25–36. http://dx.doi.org/10.18848/2328-6261/cgp/v12i04/40174.
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Lajunen, Timo. "Cross-Cultural Evaluation of Antonovsky’s Orientation to Life Questionnaire: Comparison Between Australian, Finnish, and Turkish Young Adults." Psychological Reports 122, no. 2 (March 20, 2018): 731–47. http://dx.doi.org/10.1177/0033294118765420.
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Antonovsky’s concept “sense of coherence” (SOC) and the related measurement instrument “The Orientation to Life Questionnaire” (OLQ) has been widely applied in studies on health and well-being. The purpose of the present study is to investigate the cultural differences in factor structures and psychometric properties as well as mean scores of the 13-item form of Antonovsky’s OLQ among Australian (n = 201), Finnish (n = 203), and Turkish (n = 152) students. Three models of factor structure were studied by using confirmatory factor analysis: single-factor model, first-order correlated-three-factor model, and the second-order three-factor model. Results obtained in all three countries suggest that the first- and second-order three-factor models fitted the data better that the single-factor model. Hence, the OLQ scoring based on comprehensibility, manageability, and meaningfulness scales was supported. Scale reliabilities and inter-correlations were in line with those reported in earlier studies. Two-way analyses of variance (gender × nationality) with age as a covariate showed no cultural differences in SOC scale scores. Women got higher scores on the meaningfulness scale than men, and age was positively related to all SOC scale scores indicating that SOC increases in early adulthood. The results support the three-factor model of OLQ which thus should be used in Australia, Finland, and Turkey instead of a single-factor model. Need for cross-cultural studies taking into account cultural correlates of SOC and its relation to health and well-being indicators as well as studies on gender differences in the OLQ are emphasized.
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Iqbal, Nida, Andrew Joyce, Alana Russo, and Jaya Earnest. "Resettlement Experiences of Afghan Hazara Female Adolescents: A Case Study from Melbourne, Australia." International Journal of Population Research 2012 (February 14, 2012): 1–9. http://dx.doi.org/10.1155/2012/868230.
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Young people from refugee backgrounds face a number of challenges in adjusting to life in a new country. Recently, there have been more studies documenting some of these challenges and experiences, and offering recommendations for the health and education sector to appropriately respond to their needs. This study sought to investigate some of the experiences and challenges faced by female Afghan Hazara refugee adolescents as a precursor to program development occurring within a community health service in the outer southeastern suburbs of Melbourne, Australia. This paper reports on a cross-sectional participatory qualitative research study undertaken with young Afghan female adolescents aged 14–17 years of Hazara ethnicity. The results document some of the key contested gender and cultural challenges facing these young women, their aspirations for their lives in Australia, and how this research has informed community health practice.
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Ahmad, Saima, Syed Fazal-e-hasan, and Ahmad Kaleem. "Is the meaning of ethical leadership constant across cultures? A test of cross-cultural measurement invariance." International Journal of Manpower 41, no. 8 (April 28, 2020): 1323–40. http://dx.doi.org/10.1108/ijm-02-2019-0079.
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PurposeThis paper empirically addresses the question of whether the meaning of ethical leadership is constant across cultures. Drawing on the implicit leadership theory (ILT), we examine whether people in Australia and Pakistan respond to perceived ethical leadership in a similar or different manner. By comparing employees' interpretation of the key attributes associated with ethical leadership, we advance construct-specific knowledge in cross-national contexts.Design/methodology/approachSince meaningful cross-country comparisons of a research construct require an equivalent measurement of it, we examine the issue of cross-cultural measurement invariance of ethical leadership. Specifically, this study explores the configural, metric and scalar invariance of ethical leadership by obtaining data from matched international samples.FindingsThe findings broadly support cross-cultural generalisability of the construct's meaning and cross-cultural transferability of the ethical leadership scale (ELS). They suggest that measures of ethical leadership constructs should be used in different cultures with caution because significant differences may exist at the item level.Originality/valueThis study provides cross-cultural endorsement to the construal of ethical leadership by presenting evidence that supports convergence in the construct's meaning across Eastern and Western cultures. The study has enhanced the construct validity of ethical leadership through the use of the refined multiple-sample analytical approach. Previous studies have assumed that measures of ethical leadership are invariant across various contexts. However, this is the first study to employ a robust methodological technique (metric and path invariance) that demonstrates the significant difference between each item and path and generalises the validity of ethical leadership construct and its measures by using international samples.
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Brown, Allan. "Media Ownership in the Digital Age: An Economic Perspective." Media International Australia 95, no. 1 (May 2000): 49–61. http://dx.doi.org/10.1177/1329878x0009500107.
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The restrictions on ownership in the Australian broadcasting legislation reflect the recognition that the media industries are more than mere producers of consumer goods and services; instead, the nature of their output gives them a more fundamental influence on society. It is claimed by some that the arrival of the new media technologies, especially digitalisation and the Internet, has undermined the rationale for the current restrictions on media ownership. This claim is based on the assumption that the new technologies will bring about a significant increase in the number of media outlets, and that the restrictions established for the ‘old’ media will become unnecessary, ineffective and/or irrelevant. This paper points out, however, that there are divergent views concerning the implications of the new technologies for the structure and ownership of the media, and that it would be premature to remove restrictions on media ownership. In the short term at least, any liberalisation of the concentration or cross-media restrictions is more likely to bring about greater ownership consolidation with adverse consequences for media diversity and the health of democracy in Australia.
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Essau, C. A., S. I. Ishikawa, and S. Sasagawa. "Early learning experience and adolescent anxiety: A cross-cultural comparison between Japan and England." European Psychiatry 26, S2 (March 2011): 2046. http://dx.doi.org/10.1016/s0924-9338(11)73749-x.
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Anxiety disorders are among the most common psychiatric conditions in children and adolescents. One of the most consistent findings across studies is that anxiety disorders tend to run in families. While these high prevalence rates suggest that anxiety may be “transmitted” within the family, the exact mechanism involved in this transmission is still unclear. An area that has been suggested in the transmission of anxiety from parents to children is the role of learning experiences (i.e., through modeling and information transfer). While these studies have enhanced our knowledge on the association between learning experience and anxiety symptoms, it is not known whether these findings which were based on studies conducted in Western culture could be replicated in Eastern culture.The present study compared the frequency of anxiety symptoms among adolescents in Japan and England, and examined the association between early learning experiences and anxiety symptoms. 299 adolescents (147 from England and 152 from Japan) were investigated. Adolescents in England reported significantly higher levels of anxiety symptoms than adolescents in Japan. No significant differences emerged between the two countries for parent punishment/reinforcement of anxious behavior. However, for non-anxiety symptoms, adolescents in England scored significantly higher in parent punishment and the Japanese sample scored higher in parent reinforcement. Parent verbal transmission about the danger of anxiety and cold symptoms was more common in Japan than in England. The impact of learning experience on adolescent's anxiety seemed to differ across cultures, which underscore the importance of cultural factors on adolescent's anxiety.
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Perkins, Kym C., Robert Ware, Lemalu Felise Tautalasoo, Ranandy Stanley, Lote Scanlan-Savelio, and Lisa Schubert. "Dietary habits of Samoan adults in an urban Australian setting: a cross-sectional study." Public Health Nutrition 19, no. 5 (August 25, 2015): 788–95. http://dx.doi.org/10.1017/s1368980015001998.
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AbstractObjectiveTo describe key characteristics of the dietary habits of Samoans residing in Logan, Queensland and to compare these characteristics with comparable populations.DesignDietary intake was measured using a self-administered structured questionnaire between December 2012 and March 2013. Demographic characteristics included age and sex. Questionnaire results were compared with data from samples of Brisbane residents of similar social and economic characteristics and Pacific Islanders in New Zealand. The association between demographic characteristics and diet was investigated.SettingLogan, Queensland, Australia.SubjectsSamoans aged 16 years and older.ResultsA total of 207 Samoans participated, ninety-six (46 %) of whom were male. Of the participants, seventy-nine (38 %) were aged 16–29 years, sixty-three (30 %) were aged 30–49 years and sixty-five (31 %) were aged ≥50 years. Younger adults were significantly more likely to eat hamburgers, pizza, cakes, savoury pastries, potato crisps, sweets and soft drinks (all variablesP<0·001). Among Samoans, 44·7 % consumed two or more pieces of fruit daily, compared with 43·8 % of comparable Brisbane residents (relative risk=1·0; 95 % CI 0·8, 1·2). Three or more servings of vegetables each day were consumed by 9·2 % of Samoans compared with 36·6 % of comparable Brisbane residents (relative risk=3·8; 95 % CI 2·5, 6·0).ConclusionsSamoans are consuming significantly fewer vegetables and more discretionary foods than other populations. Socio-economic factors, length of stay in Australia and cultural practices may impact upon Samoans’ diets. Further comprehensive studies on Samoans’ dietary habits in Australia are recommended.
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Wollmann, Lucas, Lisiane Hauser, Sotero Serrate Mengue, Rudi Roman, and Christina M. Van Der Feltz-Cornelis. "Cross-cultural adaptation of the PatientDoctor Relationship Questionnaire (PDRQ-9) in Brazil." Revista de Saúde Pública 52 (August 3, 2018): 71. http://dx.doi.org/10.11606/s1518-8787.2018052000380.
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OBJECTIVE: To describe the process of cross-cultural adaptation of the Patient-Doctor Relationship Questionnaire (PDRQ-9), as well as compare the agreement between two different types of application. METHODS: This is a cross-sectional study with 133 adult users of a Primary Health Service in Porto Alegre, State of Rio Grande do Sul, Brazil. The PDRQ-9 was answered by the participants as a self-administered questionnaire and in an interview. The instrument was also validated by interview, using data from 628 participants of the Mais Médicos Program Evaluation Research, which is a cross-sectional study with a systematic sample of Primary Care Services in all regions of Brazil. We evaluated the semantic, conceptual, and item equivalence, as well as factor analysis and reliability. RESULTS: All items presented factor loading > 0.5 in the different methods of application and populations in the factor analysis. We found Cronbach’s alpha of 0.94 in the self-administered method. We found Cronbach’s alpha of 0.95 and 0.94 in the two different samples in the interview application. The use of PDRQ-9 with an interview or self-administered was considered equivalent. CONCLUSIONS: The cross-cultural adaptation of the PDRQ-9 in Brazil replicated the factorial structure found in the original study, with high internal consistency. The instrument can be used as a new dimension in the evaluation of the quality of health care in clinical research, in the evaluation of services and public health, in health management, and in professional training. Further studies can evaluate other properties of the instrument, as well as its behavior in different populations and contexts.
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Villalobos, Jennifer, Lawrence B. Chan, Christopher Chen, and Stewart I. Donaldson. "Exploring adaptability and proactivity across cultural contexts." International Journal of Cross Cultural Management 20, no. 3 (December 2020): 345–60. http://dx.doi.org/10.1177/1470595820971011.
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Behavioral performance indicators linked to traits of adaptability and proactivity have been increasingly promoted in workplace management initiatives as predictors of high performance and employee potential (Grant and Ashford, 2008; Griffin et al., 2007). While these behaviors have been found to be helpful heuristics in Western workplace research samples, additional insight would help managers understand how they vary across geographical regions amidst rapidly expanding multinational markets. This study aimed to examine the relationship between workplace performance behaviors of adaptability and proactivity across diverse geographical regions, including North and South America, Asia, Africa, Europe, and Oceania. Using data gathered from professional employees from global companies, the study sample consisted of 3,860 participants working across 15 countries (Australia, Brazil, China, France, Germany, Great Britain, India, Ireland, Italy, Japan, Netherlands, New Zealand, Philippines, South Africa, and the United States). The results indicate that there is a statistically significant relationship between work performance adaptability and proactivity across countries, though a much smaller effect across groupings based on subsets of high versus low economic gross domestic product (GDP). Implications for talent management approaches to better develop these constructs cross-culturally are discussed.
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Hoffmann, Jochen, Ulrike Röttger, Diana Ingenhoff, and Anis Hamidati. "The rehabilitation of the “nation variable”." Corporate Communications: An International Journal 20, no. 4 (October 5, 2015): 483–99. http://dx.doi.org/10.1108/ccij-10-2014-0071.
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Purpose – Despite an impressive body of international research, there is a lack of empirical evidence describing the ways in which organisational environments influence the practices of corporate communications (CC). A cross-cultural survey in five countries contributes to closing this research gap. The paper aims to discuss this issue. Design/methodology/approach – What makes the research design innovative is that the questionnaire incorporates both practitioners’ perceptions of the cultural context and the relevance of CC practices. The sample comprises 418 practitioners from the most senior positions in CC in the biggest companies in Australia, Austria, Germany, Indonesia, and Switzerland. By choosing a systematic access to the field the authors circumvent shortcomings of “snowball” sampling techniques. Findings – While cultural perceptions and CC priorities vary to a certain degree, there are hardly any significant correlations between the two. Meanwhile, the “nation variable”, and the institutional settings associated with it, are more instructive when explaining differences in CC. Research limitations/implications – A large cross-cultural survey needs to take a “birds eye view” and, as such, is able to identify only general tendencies when describing relations between perceptions of culture and CC practices. Future case studies and qualitative research could explore more subtle ways in which CC is influenced not only by the cultural context, but also – and probably even more – by institutional environments. Originality/value – This is the first cross-cultural survey to systematically describe on the level of primary data, the links between CC practices and perceptions of the organisational environment. Since the results indicate only a limited impact of culture, the authors would recommend the rehabilitation of the “nation variable”. Provided it is understood and differentiated as a representation of specific institutional contexts, the nation variable is likely to prove highly instructive when accounting for the diversity of CC observed around the world.