Journal articles on the topic 'Health behavior South Australia'
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Goldney, Robert D., Maxine Donald, Michael G. Sawyer, Robert J. Kosky, and Susan Priest. "Emotional Health of Indonesian Adoptees Living in Australian Families." Australian & New Zealand Journal of Psychiatry 30, no. 4 (August 1996): 534–39. http://dx.doi.org/10.3109/00048679609065029.
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Objective: To compare the prevalence of emotional and behavioural problems in adolescent adoptees from Indonesia living in South Australian families with that of adolescents living in the community and those referred to mental health clinics in South Australia. Method: Thirty-four Indonesian adoptees completed the Youth Self-Report and their adoptive mothers completed the Child Behaviour Checklist. The results on these instruments were compared with the scores of a community sample and a mental health clinic population. Results: There was a striking similarity between scores on the Youth Self-Report and the Child Behaviour Checklist instruments for the adoption and community groups. Both these groups had significantly fewer problems than adolescents referred to mental health clinics. Conclusions: These results indicate that the outcome in terms of emotional and behavioural health for intercountry adoptions between Indonesia and Australia is favourable.
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Shaughnessy, Peter D., Catherine M. Kemper, David Stemmer, and Jane McKenzie. "Records of vagrant fur seals (family Otariidae) in South Australia." Australian Mammalogy 36, no. 2 (2014): 154. http://dx.doi.org/10.1071/am13038.
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Two fur seal species breed on the southern coast of Australia: the Australian fur seal (Arctocephalus pusillus doriferus) and the New Zealand fur seal (A. forsteri). Two other species are vagrants: the subantarctic fur seal (A. tropicalis) and the Antarctic fur seal (A. gazella). We document records of vagrant fur seals in South Australia from 1982 to 2012 based primarily on records from the South Australian Museum. There were 86 subantarctic fur seals: 49 specimens and 37 sightings. Most (77%) were recorded from July to October and 83% of all records were juveniles. All but two specimens were collected between July and November. Sightings were prevalent during the same period, but there were also nine sightings during summer (December–February), several of healthy-looking adults. Notable concentrations were near Victor Harbor, on Kangaroo Island and Eyre Peninsula. Likely sources of subantarctic fur seals seen in South Australia are Macquarie and Amsterdam Islands in the South Indian Ocean, ~2700 km south-east and 5200 km west of SA, respectively. There were two sightings of Antarctic fur seals, both of adults, on Kangaroo Island at New Zealand fur seal breeding colonies. Records of this species for continental Australia and nearby islands are infrequent.
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Tremblay, Mark S. "Introducing 24-Hour Movement Guidelines for the Early Years: A New Paradigm Gaining Momentum." Journal of Physical Activity and Health 17, no. 1 (January 1, 2020): 92–95. http://dx.doi.org/10.1123/jpah.2019-0401.
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Background: Emerging research shows that the composition of movement behaviors throughout the day (physical activities, sedentary behaviors, sleep) is related to indicators of health, suggesting previous research that isolated single movement behaviors maybe incomplete, misleading, and/or unnecessarily constrained. Methods: This brief report summarizes evidence to support a 24-hour movement behavior paradigm and efforts to date by a variety of jurisdictions to consult, develop, release, promote, and study 24-hour movement guidelines. It also introduces and summarizes the accompanying series of articles related specifically to 24-hour movement guidelines for the early years. Results: Using robust and transparent processes, Canada, Australia, New Zealand, South Africa, and the World Health Organization have developed and released 24-hour movement guidelines for the early years: an integration of physical activity, sedentary behavior, and sleep. Other countries are exploring a similar approach and related research is expanding rapidly. Articles related to guideline development in South Africa, the United Kingdom, Australia, and by the World Health Organization are a part of this special series. Conclusions: A new paradigm employing 24-hour movement guidelines for the early years that combines recommendations for movement behaviors across the whole day is gaining momentum across the globe.
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Lorig, Kate, Philip L. Ritter, Kathryn Plant, Diana D. Laurent, Pauline Kelly, and Sally Rowe. "The South Australia Health Chronic Disease Self-Management Internet Trial." Health Education & Behavior 40, no. 1 (April 4, 2012): 67–77. http://dx.doi.org/10.1177/1090198112436969.
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Objectives. To evaluate the effectiveness of an online chronic disease self-management program for South Australia residents. Method. Data were collected online at baseline, 6 months, and 12 months. The intervention was an asynchronous 6-week chronic disease self-management program offered online. The authors measured eight health status measures, seven behaviors, and four utilization measures; self-efficacy; and health care satisfaction. Results. Two hundred fifty-four South Australian adults with one or more chronic conditions completed baseline data. One hundred forty-four completed 6 months and 194 completed 1 year. Significant improvements ( p < .05) were found at 6 months for four health status measures, six health behaviors, self-efficacy, and visits to emergency departments. At 12 months, five health status indicators, six health behaviors, self-efficacy, and visits to emergency departments remained significant. Satisfaction with health care trended toward significance. Discussion. The peer-led online program was both acceptable and useful for this population. It appeared to decrease symptoms, improve health behaviors, self-efficacy, and reduce health care utilization up to 1 year. This intervention also has large potential implications for the use of a public health education model for reaching large numbers of people. It demonstrates that an Internet self-management program, which includes social media, can reach rural and underserved people as well as be effective and reduce health care costs. If this intervention can be brought to scale, it has the potential for improving the lives of large numbers of people with chronic illness. It represents a way the medical care and public health sectors can interact.
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McLellan, Lyndall, Chris Rissel, Neil Donnelly, and Adrian Bauman. "Health behaviour and the school environment in New South Wales, Australia." Social Science & Medicine 49, no. 5 (September 1999): 611–19. http://dx.doi.org/10.1016/s0277-9536(99)00136-7.
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Drummond, Murray, Sam Elliott, Claire Drummond, and Felicity Lewis. "Men’s physical activity and dietary behaviours on Kangaroo Island, South Australia." Health Education Journal 76, no. 2 (July 28, 2016): 145–55. http://dx.doi.org/10.1177/0017896916652434.
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Background: Men’s health has been subjected to diverse approaches to research over the past two decades. Much of the literature has focused on specific medical and health issues. Other contributions have focused more broadly on masculinities and its relationship to health. It is arguable that there has not been a lot of attention paid to Australian rural men’s health and even less on their understanding of health as it relates to physical activity and dietary behavior. Objectives: To gain a better understanding of these issues this paper provides rich, descriptive qualitative data from men living on Kangaroo Island, which is 13.5 kilometres off the South Australian mainland and is regarded as a rural and remote area. Methods: Qualitative data is used to develop greater understanding of the men’s attitudes and behaviours as they relate to physical activity and dietary behaviours. The semistructured interviews and focus groups were conducted with 40 men aged between 23–64. Conclusions: The results indicated that the locality in which the men lived provided them with an excellent opportunity to be physically active and eat fresh, locally produced, foods. However, it was identified that many of the men did not have a comprehensive understanding of health and seemingly displayed low levels of health knowledge. As a result for many of these men, their physical health was left to chance. There was little evidence of any planned health promotion to assist them with making improvements to their nutrition and physical activity levels as they aged. Recommendations and population-based strategies are provided to assist men living in remote rural settings to enhance not only their health ultimately their health knowledge. This will positively impact community health.
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Dolan, Kate, David Lowe, and James Shearer. "Evaluation of the Condom Distribution Program in New South Wales Prisons, Australia." Journal of Law, Medicine & Ethics 32, no. 1 (2004): 124–28. http://dx.doi.org/10.1111/j.1748-720x.2004.tb00457.x.
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Male to male unprotected anal sex is the main route of HIV transmission in Australia. The Australian Study of Health and Relationships, a large, representative population survey of sexual health behaviors, found that six percent of males in the general population have engaged in homosexual activity. These findings were consistent with studies in Europeand North America. Condoms have been shown to reduce the transmission of HIV in the community. Barriers to the use of condoms include access,stigma,and cost? Nevertheless, increased condom use has been reported among homosexual males, sex workers and injecting drug users although recent declines in condom use among homosexuals has presented new challenges in HIV prevention.The prevalence of male to male sexual activity may be higher in prison than in the general population. Sexual activity in prison can be consensual and non-consensual involving both homosexual / bisexual and heterosexual men.
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Zulfiqar, Tehzeeb, Lyndall Strazdins, and Cathy Banwell. "How to Fit In? Acculturation and Risk of Overweight and Obesity. Experiences of Australian Immigrant Mothers From South Asia and Their 8- to 11-Year-Old Children." SAGE Open 11, no. 3 (July 2021): 215824402110317. http://dx.doi.org/10.1177/21582440211031798.
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This study of 14 Australian immigrant mothers from Bangladesh, India, and Pakistan and their 12 children aged 8 to 11 years aims to explore the interplay of cultural and social processes that might elevate the risk of obesity. Mothers and their children were asked in semi-structured, face-to-face interviews about changes in their diet and physical activities after immigration to Australia. Thematic analysis of these interviews showed a transformation in immigrant families’ diets and physical activities as they transitioned from their traditional lifestyles to an Australian pattern. Both mothers and their children recognized the problem—and causes—of obesity. However, different frames of reference—origin countries for mothers and Australian peers for children—resulted in generational disjuncture about healthy bodyweight and the strategies to achieve it. Mothers’ cultural values and high social status associated with overweight and obesity in origin countries led them to struggle to adapt to new health behaviors in Australia. In contrast, their children preferred to eat Australian foods and have high physical activities to fit in with their Australian peers. Children with higher body weights were commonly ridiculed and were unpopular among their peers. Our findings reveal that the social status of food and physical activity reflects cultural meanings from both origin and host countries, creating contradictions and tensions for immigrants that public health campaigns will need to help them navigate.
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Long, M., R. J. Reid, and C. M. Kemper. "Cadmium Accumulation and Toxicity in The Bottlenose Dolphin Tursiops truncatus, The Common Dolphin Delphinus delphis, and Some Dolphin Prey Species in South Australia." Australian Mammalogy 20, no. 1 (1998): 25. http://dx.doi.org/10.1071/am97025.
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Twenty Tursiops truncatus and 20 Delphinus delphis from South Australia were analysed for cadmium levels, as were some fish and squid species which form part of their diet. In the dolphins, cadmium was accumulated mainly in the kidneys (range 0-38 μg/g), with levels in many individuals exceeding 20 μg/g (wet weight). On average, levels in kidney were three-fold higher than in liver and 26-fold higher than in muscle. Cadmium concentrations related to dolphin body length, but the relationship with tooth development class was less clear. 80% of the prey fish species analysed from Spencer Gulf exceeded NH & MRC health recommendations of 0.2 μg/g (wet weight) for human consumption. Sepioteuthis australis from upper Spencer Gulf contained significantly higher cadmium levels than Ceduna samples (0.21 ± 0.01 μg/g versus 0.13 ± 0.01 μg/g, p<0.001) (wet weight). On histological examination, 32% of adult dolphin kidneys showed pathological changes, proteinuria being the most common abnormality. High levels of cadmium were found in dolphins from widely spaced locations in South Australia.
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Brandimarti, Maquel E., Rachael Gray, Fabiola R. O. Silva, and Catherine A. Herbert. "Kangaroos at maximum capacity: health assessment of free-ranging eastern grey kangaroos on a coastal headland." Journal of Mammalogy 102, no. 3 (March 30, 2021): 837–51. http://dx.doi.org/10.1093/jmammal/gyab022.
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Abstract Sprawling urban development is fragmenting the landscape and native wildlife habitats on the Australian east coast. The impact of this rapid urbanization on wildlife health is largely unknown. This study surveyed the health of a high-density (5.4 individuals per ha) population of eastern grey kangaroos (Macropus giganteus) affected by urban encroachment and prolonged drought. Blood parameters (hematological and serum protein), trace element and heavy metal concentrations, and parasite counts (fecal worm egg counts, ticks, and mites) are reported for a sample of ≤ 54 kangaroos at Look at Me Now Headland, New South Wales, Australia. These parameters were compared to lower density kangaroo populations from other sites in New South Wales. We found the health and welfare of this population to be severely compromised, with nonregenerative anemia and nutritional deficiencies evident. Our results indicate that high-density kangaroo populations isolated by urban encroachment are at significant health risk. To prevent further decline in this population’s health, we discuss management strategies that could be employed, concurrent with ongoing health and disease monitoring, to mitigate the poor health outcomes in this population. We conclude that it is essential to retain habitat connectivity when altering land use in areas with resident kangaroo populations if managers are to maintain healthy populations.
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Ho, Tze Gek, Hassan Hosseinzadeh, Bayzidur Rahman, and Mohamud Sheikh. "Health literacy and health-promoting behaviours among Australian-Singaporean communities living in Sydney metropolitan area." Proceedings of Singapore Healthcare 27, no. 2 (November 12, 2017): 125–31. http://dx.doi.org/10.1177/2010105817741906.
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Background: Health literacy affects how individuals navigate and make decisions within the healthcare system and has been recognized to influence health behaviours. However, less is known about its associations with health-promoting behaviours amongst Australian migrant populations. This study is an attempt to fill this gap by investigating the level of health literacy and its associations with physical activity, healthy diet, smoking and health services utilization among Australian-Singaporean communities. Methods: A total of 157 participants were recruited from Singaporean communities living in Sydney metropolitan areas, New South Wales, Australia. Data was collected through a cross-sectional online survey from January 2016 to August 2016. Results: Most of the respondents were female (56.1%), employed (70.7%) and had lived in Sydney for >5 years (80.3%). About 60% of the participants were inadequately health-literate (Brief Health Literacy Screening Tool score ≤ 16). The level of health literacy varied significantly based on participants’ socioeconomic status. Regression analysis indicated that health literacy was a reliable predictor of health-promoting behaviours including diet, body mass index, smoking and alcohol consumption, physical activity and having a medical check-up. Conclusions: This study’s findings have significant implications for health policy makers and suggest that health literacy should be encouraged and included in any health-promoting behaviour interventions amongst migrant populations.
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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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Le, Tran Tuan Anh, Robert S. Ware, Simon Denny, Nicholas Lennox, Lyn McPherson, and David Harley. "Health Profile of Australian Adolescents with Intellectual Disability." Disabilities 1, no. 4 (October 19, 2021): 377–87. http://dx.doi.org/10.3390/disabilities1040026.
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Background: Data on the health of adolescents with intellectual disability are scarce. This study describes carer-reported symptoms, chronic illnesses, level of functioning, and behaviour among Australian adolescents with intellectual disability. We compare students attending mainstream and special schools. Methods: Cross-sectional questionnaire data were obtained from a cohort of 592 adolescents (10–21 years) with intellectual disability attending school and living in South-East Queensland, Australia, in May 2007. We analysed data from a subset (176) who completed a health check before visiting their general practitioners. Results: Adolescents had significant health needs, and those in special education schools had worse health than those from mainstream schools. There was a discrepancy between the prevalence of significant psychopathology detected via the short form Developmental Behaviour Checklist (DBC-P24) and psychiatric conditions reported by carers. Conclusions: Given the significant health needs of this population, carefully designed and targeted programs, potentially including medical visits to these schools, are needed.
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Bender, Isobel, James Pittock, and Jane Roberts. "Snowy River environmental flows post-2002: lessons to be learnt." Marine and Freshwater Research 73, no. 4 (February 7, 2022): 454–68. http://dx.doi.org/10.1071/mf21209.
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In 2002, the Australian, New South Wales and Victorian governments agreed to the Snowy Water Inquiry Outcomes Implementation Deed for environmental flows to (in part) restore the health of the Snowy River in south-eastern Australia. This was the first legally binding commitment to deliver annual environmental flows in Australia. Twenty years on, we assess this Deed and its implementation to derive lessons that can inform environmental flows agreements globally. Information from governance documents, flow release data and interviews with stakeholders are used to evaluate the effectiveness of the Deed. The target of 212 GL year−1 from 2012 has not once been reached. In turn, we find that implementation has been hindered by release of too little water, overly complex institutions that lack ownership and accountability, and no provision for review of the Deed. The lessons for effective environmental flow institutions are: (a) set clear, science-based environmental restoration objectives with stakeholders; (b) make roles and responsibilities for implementation clear; (c) enable independent and transparent monitoring, reporting and regulation; and (d) undertake periodic review to incorporate new knowledge, and to adapt to climatic and other unanticipated changes.
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Taggart, Patrick L., Bronwyn A. Fancourt, Andrew J. Bengsen, David E. Peacock, Patrick Hodgens, John L. Read, Milton M. McAllister, and Charles G. B. Caraguel. "Evidence of significantly higher island feral cat abundance compared with the adjacent mainland." Wildlife Research 46, no. 5 (2019): 378. http://dx.doi.org/10.1071/wr18118.
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Context Feral cats (Felis catus) impact the health and welfare of wildlife, livestock and humans worldwide. They are particularly damaging where they have been introduced into island countries such as Australia and New Zealand, where native prey species evolved without feline predators. Kangaroo Island, in South Australia, is Australia’s third largest island and supports several threatened and endemic species. Cat densities on Kangaroo Island are thought to be greater than those on the adjacent South Australian mainland, based on one cat density estimate on the island that is higher than most estimates from the mainland. The prevalence of cat-borne disease in cats and sheep is also higher on Kangaroo Island than the mainland, suggesting higher cat densities. A recent continental-scale spatial model of cat density predicted that cat density on Kangaroo Island should be about double that of the adjacent mainland. However, although cats are believed to have severe impacts on some native species on the island, other species that are generally considered vulnerable to cat predation have relatively secure populations on the island compared with the mainland. Aims The present study aimed to compare feral cat abundance between Kangaroo Island and the adjacent South Australian mainland using simultaneous standardised methods. Based on previous findings, we predicted that the relative abundance of feral cats on Kangaroo Island would be approximately double that on the South Australian mainland. Methods Standardised camera trap surveys were used to simultaneously estimate the relative abundance of feral cats on Kangaroo Island and the adjacent South Australian mainland. Survey data were analysed using the Royle–Nichols abundance-induced heterogeneity model to estimate feral cat relative abundance at each site. Key results Cat abundance on the island was estimated to be over 10 times greater than that on the adjacent mainland. Conclusions Consistent with predictions, cat abundance on the island was greater than on the adjacent mainland. However, the magnitude of this difference was much greater than expected. Implications The findings show that the actual densities of cats at local sites can vary substantially from predictions generated by continental-scale models. The study also demonstrates the value of estimating abundance or density simultaneously across sites using standardised methods.
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Anikeeva, Olga, Paul Arbon, Kathryn Zeitz, Murk Bottema, Adam Lund, Sheila Turris, and Malinda Steenkamp. "Patient Presentation Trends at 15 Mass-Gathering Events in South Australia." Prehospital and Disaster Medicine 33, no. 4 (June 26, 2018): 368–74. http://dx.doi.org/10.1017/s1049023x1800050x.
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AbstractIntroductionMass gatherings are complex events that present a unique set of challenges to attendees’ health and well-being. There are numerous factors that influence the number and type of injuries and illnesses that occur at these events, including weather, event and venue type, and crowd demographics and behavior.ProblemWhile the impact of some factors, such as weather conditions and the availability of alcohol, on patient presentations at mass gatherings have been described previously, the influence of many other variables, including crowd demographics, crowd behavior, and event type, is poorly understood. Furthermore, a large number of studies reporting on the influence of these variables on patient presentations are based on anecdotal evidence at a single mass-gathering event.MethodsData were collected by trained fieldworkers at 15 mass gatherings in South Australia and included event characteristics, crowd demographics, and weather. De-identified patient records were obtained from on-site health care providers. Data analysis included the calculation of patient proportions in each variable category, as well as the total number of patient presentations per event and the patient presentation rate (PPR).ResultsThe total number of expected attendees at the 15 mass gatherings was 303,500, of which 146 presented to on-site health care services. The majority of patient presentations occurred at events with a mean temperature between 20°C and 25°C. The PPR was more than double at events with a predominantly male crowd compared to events with a more equal sex distribution. Almost 90.0% of patient presentations occurred at events where alcohol was available.Conclusion:The results of the study suggest that several weather, crowd, and event variables influence the type and number of patient presentations observed at mass-gathering events. Given that the study sample size did not allow for these interactions to be quantified, further research is warranted to investigate the relationships between alcohol availability, crowd demographics, crowd mobility, venue design, and injuries and illnesses.Anikeeva O, Arbon P, Zeitz K, Bottema M, Lund A, Turris S, Steenkamp M. Patient presentation trends at 15 mass-gathering events in South Australia. Prehosp Disaster Med. 2018;33(4):368–374.
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Webb, Cameron Ewart, Raffaele Catanzariti, and Steven Hodosi. "Response of Mosquitoes Associated with Estuarine Wetlands to Bushfire in Australia." Journal of the American Mosquito Control Association 37, no. 2 (June 1, 2021): 101–5. http://dx.doi.org/10.2987/20-6972.1.
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ABSTRACT The response of mosquitoes to bushfire is poorly understood. During the 2019–20 summer, many regions of Australia were impacted by devastating bushfires. An area of estuarine and brackish-water wetlands alongside the Georges River, Sydney, New South Wales, was burned in January 2020. Mosquito populations within the area were monitored as part of the local authority's mosquito management program, providing a unique opportunity to record the response of key mosquitoes of pest and public health concern to bushfire. Ground pools within a tidally influenced swamp oak forest dominated by Casuarina glauca and associated wetlands dominated by Phragmites australis and Bolboschoenus spp. had been identified as suitable habitat for a range of mosquitoes, including Aedes alternans, Ae. vigilax, and Verrallina funerea. Surveys of immature stages of mosquitoes within recently burned habitats inundated by tides demonstrated that mosquito eggs survived the direct and indirect impacts of fire and immature stages successfully completed development as reflected in concomitant changes in adult mosquito populations following the bushfire. This unique observation has implications for mosquito management following bushfire in Australia and internationally.
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Breen, Helen M., Nerilee Hing, and Ashley Gordon. "Indigenous Gambling Motivations, Behaviour and Consequences in Northern New South Wales, Australia." International Journal of Mental Health and Addiction 9, no. 6 (November 17, 2010): 723–39. http://dx.doi.org/10.1007/s11469-010-9293-2.
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Ali, Hammad, Basil Donovan, Bette Liu, Jane S. Hocking, Paul Agius, James Ward, Christopher Bourne, John M. Kaldor, and Rebecca J. Guy. "Chlamydia prevention indicators for Australia: review of the evidence from New South Wales." Sexual Health 9, no. 5 (2012): 399. http://dx.doi.org/10.1071/sh11183.
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Background: Annual notifications of chlamydia (Chlamydia trachomatis) diagnoses have increased steadily in Australia in the last decade. To guide public health programs, we developed 10 national chlamydia prevention indicators and report on each indicator for New South Wales (NSW). Methods: Using systematic methods, we reviewed the literature to report on the 10 health and behaviour indicators for 15- to 29–year-old heterosexuals in NSW from 2000. We included data with two or more time points. Results: Chlamydia notification rates (Indicator 1) in 15- to 29–year-olds have increased by 299%, from 237 per 100 000 population in 2001 to 946 per 100 000 population in 2010; and the percent of 15- to 34-year-olds with an annual Medicare-rebated chlamydia test (Indicator 2) increased by 326%, from 1.9% in 2001 to 8.1% in 2010. Since 2004, sentinel surveillance showed a 28% increase in chlamydia prevalence (Indicator 3) in 15- to 29-year-old females tested at their first sexual health service visit (from 8.5% in 2004 to 10.9% in 2010) but no significant increase in males. No NSW-specific chlamydia incidence (Indicator 4) was available. Pelvic inflammatory disease hospitalisation separations rate decreased from 0.58 per 1000 in 2001 to 0.44 per 1000 in 2010 in 15- to 29-year-old females (Indicator 5).Secondary school surveys in 2002 and 2008 showed chlamydia knowledge increased in males. The sexual risk-taking behaviour of young people remained unchanged (Indicators 6–10). Conclusions: Although notifications have risen steeply, the modest increase in chlamydia prevalence maybe a more realistic reflection of transmission rates. Strategies are needed to increase testing and to modify sexual risk behaviour. Crucial gaps in epidemiological data were identified.
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Douglas, G., M. Palmer, G. Caitcheon, and P. Orr. "Identification of sediment sources to Lake Wivenhoe, south-east Queensland, Australia." Marine and Freshwater Research 58, no. 9 (2007): 793. http://dx.doi.org/10.1071/mf05175.
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Effective management of sediment fluxes in aquatic systems involves, in part, the identification of catchment sediment sources. Lake Wivenhoe (LW), the largest water storage in south-east Queensland, serves two important roles: it supplies 80% of the drinking water to the region and acts as a major flood mitigation feature for the city of Brisbane. Highly developed subcatchments in LW have resulted in declining waterway health, with sediment movement from the catchment to LW of major concern. Although there is considerable hydrological information, only limited data exist on sediment and nutrient fluxes. A detailed lake sediment (128 samples) and reconnaissance catchment soil sampling program (89 samples) was undertaken. Geochemical, Nd–Sr isotopic and statistical analyses were used to identify major sources of sediment to LW. A purpose-built Bayesian mixing model was then used to quantitatively estimate the proportion of sediment from major catchment sources. Approximately 36% of the LW catchment delivers the majority of sediment; enrichment factors for the three major sediment sources (dam to catchment ratio) range from ~2 to 5. The Esk Formation is the major sediment source comprising ~10% of catchment area but contributing 50% of the sediment and 33% of the total phosphorus delivered to LW.
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Maksimovic, Lauren, Catherine Paquet, Mark Daniel, Harold Stewart, Alwin Chong, Peter Lekkas, and Margaret Cargo. "Characterising the Smoking Status and Quit Smoking Behaviour of Aboriginal Health Workers in South Australia." International Journal of Environmental Research and Public Health 10, no. 12 (December 13, 2013): 7193–206. http://dx.doi.org/10.3390/ijerph10127193.
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Campbell, Cherie Joy, Fiona Linda Freestone, Richard P. Duncan, Will Higgisson, and Sascha Jade Healy. "The more the merrier: using environmental flows to improve floodplain vegetation condition." Marine and Freshwater Research 72, no. 8 (2021): 1185. http://dx.doi.org/10.1071/mf20303.
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Environmental flows are increasingly being used to restore degraded floodplain vegetation; however, the type of flow regime required for recovery to healthy condition can vary depending on the extent of degradation before restoration. Regulation of the River Murray has affected floodplain ecosystems at many locations, including Bottle Bend Reserve, in south-western New South Wales, Australia. Within Bottle Bend Reserve, tangled lignum (Duma florulenta) dominates sections of the higher floodplain elevations. Lignum is an important and widely distributed Australian shrub occurring in arid and semiarid river systems within the Murray–Darling and Lake Eyre Basins. In an effort to restore floodplain vegetation, three environmental flows were delivered to Bottle Bend Reserve between 2013 and 2016. Flows varied in magnitude, leading to a mosaic of different regimes across the area. Condition surveys were undertaken over 1 year, namely, before, during and after delivery of the September 2016 environmental flow. This study found that the greatest response occurred in lignum plants with no recent environmental water, although lignum plants with one or two recent environmental flows still responded relative to the control. Lignum was in a better condition at sites that received more environmental flows, demonstrating the value of increased frequency of flows in recovering vegetation health.
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Phillipson, Lyn, Sandra C. Jones, and Elizabeth Wiese. "Effective Communication Only Part of the Strategy Needed to Promote Help-Seeking of Young People with Mental Health Problems." Social Marketing Quarterly 15, no. 2 (May 22, 2009): 50–62. http://dx.doi.org/10.1080/15245000902878860.
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Formative research was undertaken in the Illawarra region of New South Wales (south of Sydney, Australia) to identify local communication strategies to influence the help-seeking behavior of young people in relation to a new youth-focused general practice (or physician) led mental health service. Research with the target market (12–25years) revealed the need for a local campaign to address the stigma associated with the use of mental health services and the need to emphasize the central role of the general practitioner or physician to the service. The results also indicated that any overarching campaign should be complemented by segment-specific strategies which tailor not only communication variables and channels to reach different market segments, but also consider varying aspects of the product or service to reach a broad cross-section of the target group.
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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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Low, AB, and BB Lamont. "Aerial and Belowground Phytomass of Banksia Scrub-Heath at Eneabba, South-Western Australia." Australian Journal of Botany 38, no. 4 (1990): 351. http://dx.doi.org/10.1071/bt9900351.
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Three Banksia spp. accounted for 80% of the aerial biomass of scrub-heath on deep sand. Reproductive structures contributed relatively more than leaves or stems to biomass of a non-sprouting Banksia, which also retained most of its dead leaves, than to the two resprouting species. Sclerophyllous hemicryptophytes accounted for only 1% of the aerial biomass. Litter contributed 19% of above-ground dead plus live phytomass and was poorly decomposed. The overall root f shoot ratio, to a depth of 2.5 m, was a high 2.35. Rootstocks, laterals and proteoid roots made major contributions to below-ground phytomass even though they were confined to the uppermost 15 cm of soil. Despite an exponential decline in root mass with depth, the gradient was less than in related ecosystems due to the abundance of well developed tap roots and vertical laterals (sinkers) to a depth of at least 5 m.
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Riggs, Damien, and Ryan Ogilvy. "Professional Carer Experiences of Working with Young People in Specialist Care Placements in South Australia." Children Australia 40, no. 4 (January 29, 2015): 361–66. http://dx.doi.org/10.1017/cha.2014.50.
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Despite the emphasis within Australian child protection upon family-based care as the preferred placement option, it has been increasingly recognised that some young people may be best served in specialist care placements, such as residential or therapeutic care. This paper presents a thematic analysis of 20 interviews undertaken with professional carers who, at the time, were working in a specialist care programme in South Australia known as Individual Packages of Care. The analysis suggests that three key issues were at stake for participants: (1) the impact of role conflict between engaging in caring relationships with young people and maintaining professional boundaries; (2) the impact of additional stakeholders (such as mental health professionals) upon the stability of the placement; and (3) the use of restraint as a form of behaviour management. The paper concludes by discussing the interesting relationship identified in the data between caring relationships and the use of restraint, and makes recommendations from the data for issues requiring further consideration with regard to specialist care placements.
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D'Cunha, Nathan, Jane Kellett, Stephen Isbel, Elizabeth Low, Stephanie Mulhall, Brittany Harriden, Felix Liu, et al. "Nutrition and Healthy Ageing Trajectories in Retirement Living in the Australian Capital Territory: Study Protocol." Current Developments in Nutrition 5, Supplement_2 (June 2021): 1271. http://dx.doi.org/10.1093/cdn/nzab057_001.
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Abstract Objectives There are a growing number of people aged over 55 years living in retirement communities in Australia. These communities typically consist of accommodation, services and community facilities which cater to older people and the desire to maintain independence. The Nutrition and Healthy Ageing Trajectories in Retirement Living (NutriHAT-RL) study aims to investigate the nutrition and lifestyle-based behaviours which contribute to healthy ageing and the maintenance of social and physical functioning among older people living in retirement communities. Methods This study will recruit a total of 2,770 people aged 55 years or over living in retirement communities in the Australian Capital Territory and southern New South Wales regions of Australia for a four-year prospective longitudinal study commencing in March 2021. A range of measures, including nutritional intake, health and lifestyle behaviours, cognitive and psychological function, and physical health, will be completed on three occasions over a total of four years. Participants will complete a face-to-face comprehensive, validated food frequency questionnaire at each time point. Risk of malnutrition and nutritional behaviour (emotional appetite and intuitive eating) will also be evaluated. Multiple mental, social, and physical health domains will be assessed at each time point. This will include cognitive and mental health (depression, anxiety, and loneliness) screening, social and occupational functioning questionnaires, self-reported and observed physical function assessments, and sleep quality. Bitter taste endophenotype, salivary C-reactive protein, telomere length, and blood biomarkers associated with healthy ageing will also be evaluated. Results Ethics approval has been obtained through the University of Canberra Human Ethics Research Committee (UCHREC-2306). To reduce risk of COVID-19 transmissions, a risk mitigation plan has been developed. Conclusions The NutriHAT-RL study will be the first Australian longitudinal study with a focus on nutrition and healthy ageing in people living in retirement communities. Findings from this study will contribute to understanding of nutrition and healthy ageing in this growing population and will inform policy and practice related to nutrition and ageing in place. Funding Sources N/A.
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Plotnikoff, Ronald C., Klaus Gebel, and David Revalds Lubans. "Self-Efficacy, Physical Activity, and Sedentary Behavior in Adolescent Girls: Testing Mediating Effects of the Perceived School and Home Environment." Journal of Physical Activity and Health 11, no. 8 (November 2014): 1579–86. http://dx.doi.org/10.1123/jpah.2012-0414.
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Background:According to social-cognitive theory (SCT), self-efficacy affects health behavior both directly and indirectly by influencing how individuals perceive their environment. This study examines whether perceptions of home and school environment mediate the association between self-efficacy and physical activity (PA) and sedentary behavior in adolescent girls.Methods:Baseline data from the Nutrition and Enjoyable Activity for Teen Girls (NEAT) was used for this study. Grade 8 female students (n = 357) were recruited from 12 secondary schools located in low-income communities in the Hunter Region, New South Wales, Australia. PA was assessed using accelerometers, and sedentary behavior by self-report and accelerometers. Self-reported measures were used for perceived home and school environment and self-efficacy. Multilevel regression models were calculated to determine if the perceived environment mediated the relationship between self-efficacy with both PA and sedentary behavior.Results:The perceptions of the school and home environment did not mediate the relationship between PA self-efficacy and PA behavior or sedentary behavior.Conclusion:The mediated models were not supported for PA or sedentary behavior. However, other results of this paper may be helpful for future theory development and practice. More research is needed to understand behaviors in unique populations such as this.
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Eldridge, DJ, and JM Ferris. "Recovery of Populations of the Soil Lichen Psora Crenata After Disturbance in Arid South Australia." Rangeland Journal 21, no. 2 (1999): 194. http://dx.doi.org/10.1071/rj9990194.
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Measurements were made of density, size and shape of colonies of the soil lichen Psora crenata at sites with varying disturbance histories at Maralinga in arid South Australia. Lichens were measured along transects at 10 sites with recovery intervals ranging from 3 to 42 years, and on four undisturbed control sites. As the time since disturbance increased, the number of lichen colonies increased markedly, colony size declined, but colony shape remained unchanged. We tentatively suggest that at least 60 years is required for disturbed sites to approach the condition of undisturbed sites. These results reinforce the notion that lichen recovery is very slow, and suggest that colony density of Psora could be a useful indicator of recovery after disturbance in rangelands where crusts are a common component of the soil surface. Keywords: Psora crenata, rangelands, soil crusts, cryptogams, rangeland health
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Forero, R., L. McLellan, C. Rissel, and A. Bauman. "Bullying behaviour and psychosocial health among school students in New South Wales, Australia: cross sectional survey." BMJ 319, no. 7206 (August 7, 1999): 344–48. http://dx.doi.org/10.1136/bmj.319.7206.344.
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Waudby, Helen P., Sophie Petit, and Guy Robinson. "Pastoralists’ knowledge of plant palatability and grazing indicators in an arid region of South Australia." Rangeland Journal 35, no. 4 (2013): 445. http://dx.doi.org/10.1071/rj13021.
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Indicator species have been used for several decades as measures of ecosystem health. In arid Australian rangelands, which are dominated by commercial grazing enterprises reliant on native pastures, the development of efficacious indicators is particularly important to monitor production and biodiversity values. The high temporal and spatial climatic variability of arid rangelands means that developing broad indicators is difficult and resource intensive. However, pastoralists, who observe their pastures and the species favoured by stock under a range of conditions, can provide information on local indicators. This paper examines pastoralists’ knowledge in terms of its value for natural resource management in rangelands, including their use of local indicators and understanding of palatability of selected plant species. A survey was mailed to all 51 occupants of pastoral properties in the Stony Plains region of South Australia. Pastoralists were asked what species they considered indicators of overgrazing, whether they would destock if they noted changes in these indicators, what they knew of the palatability of certain plant species, and the usefulness of cracking-clay areas (a key landscape feature in the region) for grazing. Views of respondents on indicator species and plant palatability mostly concurred with published reports on the preferences of livestock for these species. A wide range of indicators (all perennial plant species and no animal species) was listed by respondents, suggesting that indicators are highly location-specific, plant-focussed, and not viewed consistently among pastoralists. Respondents related specific information about cracking-clay areas on their leases, including the influence of the timing and amount of rainfall on pasture productivity, and the value of these areas for livestock. It can be difficult for natural resource management practitioners, who may not observe the landscape regularly, to evaluate land condition and prescribe appropriate land management strategies. It is argued that the participation of pastoralists in science and policy development is fundamental to achieving sustainable land management, providing opportunities for social learning within an adaptive management framework.
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Cosh, Suzanne, Lauren Maksimovic, Kerry Ettridge, David Copley, and Jacqueline A. Bowden. "Aboriginal and Torres Strait Islander utilisation of the Quitline service for smoking cessation in South Australia." Australian Journal of Primary Health 19, no. 2 (2013): 113. http://dx.doi.org/10.1071/py11152.
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Smoking prevalence among Indigenous Australians far exceeds that of non-Indigenous Australians and is considered the greatest contributor to burden of disease for Indigenous Australians. The Quitline is a primary intervention for facilitating smoking cessation and, given the health implications of tobacco use, maximising its effectiveness for Indigenous Australians is imperative. However, the utilisation and effectiveness of this service within the Indigenous Australian population has not been examined. This study explores the utilisation of the South Australian Quitline by smokers identifying as Indigenous Australian. Quitline counsellors collected data regarding demographic characteristics, and smoking and quitting behaviour from Quitline callers in 2010. Results indicated that the proportion of Indigenous and non-Indigenous smokers who registered for the service was comparable. Demographic variables and smoking addiction at time of registration with the Quitline were similar for Indigenous and non-Indigenous callers. However, results indicated that Indigenous callers received significantly fewer callbacks than non-Indigenous callers and were significantly less likely to set a quit date. Significantly fewer Indigenous callers reported that they were still successfully quit at 3 months. Thus, Indigenous Australian callers may be less engaged with the Quitline and further research is required exploring whether the service could be tailored to make it more engaging for Indigenous Australians who smoke.
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de Vries, P. J., E. L. Davids, C. Mathews, and L. E. Aarø. "Measuring adolescent mental health around the globe: psychometric properties of the self-report Strengths and Difficulties Questionnaire in South Africa, and comparison with UK, Australian and Chinese data." Epidemiology and Psychiatric Sciences 27, no. 4 (January 23, 2017): 369–80. http://dx.doi.org/10.1017/s2045796016001207.
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Aims.This study evaluated the psychometric properties of the Strengths and Difficulties Questionnaire Self-Report (SDQ-S) in South African adolescents, and compared findings with data from the UK, Australia and China.Methods.A sample of 3451 South African adolescents in grade 8, the first year of secondary school (Mage = 13.7 years), completed the SDQ-S in Afrikaans, English or isiXhosa. Means, group differences and internal consistency were analysed using SPSS V22, and confirmatory factor analyses were conducted using MPlus V7.Results.In the South African sample, significant gender differences were found for four of the five sub-scale means and for total difficulties, but gender differences of alpha scores were negligible. The internal consistency for the total difficulties, prosocial behaviour and emotional symptoms sub-scales were fair. UK cut-off values for caseness (set to identify the top 10% of scores in a UK sample) led to a higher proportion of South African adolescents classified in the ‘abnormal’ range on emotional and peer difficulties and a lower proportion classified in the ‘abnormal’ range for hyperactivity. South African cut-offs were therefore generated. The cross-country comparison with UK, Australian and Chinese data showed that South African adolescent boys and girls had the highest mean scores on total difficulties as well as on the subscales of emotional symptoms and conduct problems. In contrast, South African boys and girls had the lowest mean scores for hyperactivity/inattention. The UK boys and girls had the highest mean scores for hyperactivity/inattention, while the Australian sample had the highest scores for prosocial behaviours. The Chinese boys had the highest peer problem mean scores and Chinese boys and girls had the lowest means on prosocial behaviours. Confirmatory factor analyses showed significant item loadings with loadings higher than 0.40 for the emotional and prosocial behaviour sub-scales on the five-factor model, but not for all relevant items on the other three domains.Conclusions.Findings support the potential usefulness of the SDQ-S in a South African setting, but suggest that the SDQ-S should not be used with UK cut-off values, and indicate the need for further validation and standardisation work in South African adolescents. We recommend that in-country cut-offs for ‘caseness’ should be used for clinical purposes in South Africa, that cross-country comparisons should be made with caution, and that further examination of naturalistic clusters and factors of the SDQ should be performed in culturally and contextually diverse settings.
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Ben-Tovim, D. I., Nandini Subbiah, Brenton Scheutz, and Jacqueline Morton. "Bulimia: Symptoms and Syndromes in an Urban Population." Australian & New Zealand Journal of Psychiatry 23, no. 1 (March 1989): 73–80. http://dx.doi.org/10.3109/00048678909062595.
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The widely used DSM-Ill criteria for the diagnosis of bulimia essentially define bulimia as a syndrome of guilty, secretive and subjectively hard to control binge over-eating. A self-report questionnaire for bulimic behavior was administered to three community and two hospital populations in South Australia. 13% of females in the community samples could be categorized as bulimic according to the DSM-Ill criteria. Those criteria did not adequately define the behaviour of patients in treatment for bulimia in a Weight Disorders Unit, 85% of whom not only binged, but induced vomiting afterwards. When diagnostic criteria were more closely aligned to clinical experience, the prevalence of bulimia in the community appeared closer to 1–2%. New DSM criteria (DSM-Ill-R) have been proposed and prevalence rates using them fell within the 1–2% range.
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Hinchliffe, Julie, and John G. Conran. "Life-class stages in coast daisy-bush (Olearia axillaris: Asteraceae) as a possible means of monitoring coastal dunes." Australian Journal of Botany 53, no. 2 (2005): 133. http://dx.doi.org/10.1071/bt04042.
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Olearia axillaris (DC.) F.Muell. ex Benth.: Asteraceae) shrubs in the remnant coastal foredunes at Tennyson in suburban Adelaide, South Australia, were measured for height, width, largest trunk diameter, percentage stem reflexing, percentage procumbent stems and percentage dead stems. Cluster analysis grouped the plants into three distinct life classes: Juvenile, with erect trunks <1 m tall and main trunk <5 cm in diameter; Mature, at ~1.5 m tall and with numerous reflexed stems 8–12 cm in diameter; and Senescent, at ~2 m tall, trunk 8–12 cm in diameter, with numerous procumbent stems and dead branches. A survey of the site also found that although abundant, indicating continuing recruitment, juveniles were most common on the foredunes. Application of this life-classing technique to several burnt and unburnt sites in the Coorong, South Australia, confirmed its utility for assessing population structure, with recently burnt sites showing significantly fewer specimens from later life classes. The ability to life class O. axillaris permits rapid assessment of population structure in this dominant coastal foredune shrub, allowing dune health and recruitment to be monitored easily and managed more efficiently.
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Sawyer, Michael G., Jane Mudge, Vanessa Carty, Peter Baghurst, and Anthony McMichael. "A Prospective Study of Childhood Emotional and Behavioural Problems in Port Pirie, South Australia." Australian & New Zealand Journal of Psychiatry 30, no. 6 (December 1996): 781–87. http://dx.doi.org/10.3109/00048679609065045.
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Objective: To describe the extent to which emotional and behavioural problems experienced by 5-year-old children living in or around Port Pirie, South Australia, persisted when the children were aged 11–12 years. Method: Childhood emotional and behavioural problems were identified at the age of 5 years using Child Behaviour Checklists completed by mothers. When the children were aged 11–12 years, problems were identified using checklists completed by mothers, children and teachers. Results: Attention problems, aggressive behaviour and anxious/depressed problems were the most persistent problems over this period of the children's lives. In general, the strongest relationship over time occurred when reports were obtained from mothers on each occasion. A weaker relationship existed between earlier mother-reported problems and later teacher-reported problems, while the relationship between mother-reported problems and later self-reported problems occupied an intermediate position. Conclusion: The course of problems among children in Port Pirie appeared similar to that previously reported for children in Holland and North America. To better understand the aetiology of psychiatric disorders and to plan for effective interventions, more information is needed about the natural course of childhood emotional and behavioural disorders in Australia.
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Nitschke, Monika, Alana Hansen, Peng Bi, Dino Pisaniello, Jonathan Newbury, Alison Kitson, Graeme Tucker, Jodie Avery, and Eleonora Dal Grande. "Risk Factors, Health Effects and Behaviour in Older People during Extreme Heat: A Survey in South Australia." International Journal of Environmental Research and Public Health 10, no. 12 (December 3, 2013): 6721–33. http://dx.doi.org/10.3390/ijerph10126721.
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Pople, A. R., A. N. Gordon, and J. Ng. "Trace metal concentrations in livers and kidneys of sea turtles from south-eastern Queensland, Australia." Marine and Freshwater Research 49, no. 5 (1998): 409. http://dx.doi.org/10.1071/mf97266.
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The concentrations of some or all of arsenic (As), cadmium (Cd), mercury (Hg), selenium (Se) and zinc (Zn) were determined in the livers and kidneys of 50 stranded sea turtles (38 Chelonia mydas, eight Caretta caretta, three Eretmochelys imbricata, one Lepidochelys olivacea) from the Moreton Bay region of south-eastern Queensland, Australia. Concentrations of Cd, Se and Zn in the kidney tended to decrease with age, whereas concentrations of Zn in the liver tended to increase. Concentrations of Cd in all sea turtle species (1.7–75.9 µg g-1 wet weight) were amongst the highest recorded for marine vertebrates globally. Although there was no obvious association between metal concentrations and particular diseases in C. mydas, the high concentrations of Cd found in edible turtle tissues may pose a threat to the health of indigenous people whose diet includes C. mydas.
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Ferreira, Paulo H., Vinicius C. Oliveira, Daniela R. Junqueira, Lígia C. Cisneros, Lucas C. Ferreira, Kate Murphy, Juan R. Ordoñana, John L. Hopper, and Luci F. Teixeira-Salmela. "The Brazilian Twin Registry." Twin Research and Human Genetics 19, no. 6 (November 17, 2016): 687–91. http://dx.doi.org/10.1017/thg.2016.83.
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The Brazilian Twin Registry (BTR) was established in 2013 and has impelled twin research in South America. The main aim of the initiative was to create a resource that would be accessible to the Brazilian scientific community as well as international researchers interested in the investigation of the contribution of genetic and environmental factors in the development of common diseases, phenotypes, and human behavior traits. The BTR is a joint effort between academic and governmental institutions from Brazil and Australia. The collaboration includes the Federal University of Minas Gerais (UFMG) in Brazil, the University of Sydney and University of Melbourne in Australia, the Australian Twin Registry, as well as the research foundations CNPq and CAPES in Brazil. The BTR is a member of the International Network of Twin Registries. Recruitment strategies used to register twins have been through participation in a longitudinal study investigating genetic and environmental factors for low back pain occurrence, and from a variety of sources including media campaigns and social networking. Currently, 291 twins are registered in the BTR, with data on demographics, zygosity, anthropometrics, and health history having been collected from 151 twins using a standardized self-reported questionnaire. Future BTR plans include the registration of thousands of Brazilian twins identified from different sources and collaborate nationally and internationally with other research groups interested on twin studies.
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Thomas, Susie, and Shylie Mackintosh. "Use of the Theoretical Domains Framework to Develop an Intervention to Improve Physical Therapist Management of the Risk of Falls After Discharge." Physical Therapy 94, no. 11 (November 1, 2014): 1660–75. http://dx.doi.org/10.2522/ptj.20130412.
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Background and Purpose Older adults have an increased risk of falls after discharge from the hospital. Guidelines to manage this risk of falls are well documented but are not commonly implemented. The aim of this case report is to describe the novel approach of using the Theoretical Domains Framework (TDF) to develop an intervention to change the clinical behavior of physical therapists. Case Description This project had 4 phases: identifying the evidence-practice gap, identifying barriers and enablers that needed to be addressed, identifying behavior change techniques to overcome the barriers, and determining outcome measures for evaluating behavior change. Outcomes The evidence-practice gap was represented by the outcome that few patients who had undergone surgery for hip fracture were recognized as having a risk of falls or had a documented referral to a community agency for follow-up regarding the prevention of falls. Project aims aligned with best practice guidelines were established; 12 of the 14 TDF domains were considered to be relevant to behaviors in the project, and 6 behavior change strategies were implemented. Primary outcome measures included the proportion of patients who had documentation of the risk of falls and were referred for a comprehensive assessment of the risk of falls after discharge from the hospital. Discussion A systematic approach involving the TDF was useful for designing a multifaceted intervention to improve physical therapist management of the risk of falls after discharge of patients from an acute care setting in South Australia, Australia. This framework enabled the identification of targeted intervention strategies that were likely to influence health care professional behavior. Early case note audit results indicated that positive changes were being made to reduce the evidence-practice gap.
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Lim, Renly, Luke Bereznicki, Megan Corlis, Lisa M. Kalisch Ellett, Ai Choo Kang, Tracy Merlin, Gaynor Parfitt, et al. "Reducing medicine-induced deterioration and adverse reactions (ReMInDAR) trial: study protocol for a randomised controlled trial in residential aged-care facilities assessing frailty as the primary outcome." BMJ Open 10, no. 4 (April 2020): e032851. http://dx.doi.org/10.1136/bmjopen-2019-032851.
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IntroductionMany medicines have adverse effects which are difficult to detect and frequently go unrecognised. Pharmacist monitoring of changes in signs and symptoms of these adverse effects, which we describe as medicine-induced deterioration, may reduce the risk of developing frailty. The aim of this trial is to determine the effectiveness of a 12-month pharmacist service compared with usual care in reducing medicine-induced deterioration, frailty and adverse reactions in older people living in aged-care facilities in Australia.Methods and analysisThe reducing medicine-induced deterioration and adverse reactions trial is a multicentre, open-label randomised controlled trial. Participants will be recruited from 39 facilities in South Australia and Tasmania. Residents will be included if they are using four or more medicines at the time of recruitment, or taking more than one medicine with anticholinergic or sedative properties. The intervention group will receive a pharmacist assessment which occurs every 8 weeks. The pharmacists will liaise with the participants’ general practitioners when medicine-induced deterioration is evident or adverse events are considered serious. The primary outcome is a reduction in medicine-induced deterioration from baseline to 6 and 12 months, as measured by change in frailty index. The secondary outcomes are changes in cognition scores, 24-hour movement behaviour, grip strength, weight, percentage robust, pre-frail and frail classification, rate of adverse medicine events, health-related quality of life and health resource use. The statistical analysis will use mixed-models adjusted for baseline to account for repeated outcome measures. A health economic evaluation will be conducted following trial completion using data collected during the trial.Ethics and disseminationEthics approvals have been obtained from the Human Research Ethics Committee of University of South Australia (ID:0000036440) and University of Tasmania (ID:H0017022). A copy of the final report will be provided to the Australian Government Department of Health.Trial registration numberAustralian and New Zealand Trials Registry ACTRN12618000766213.
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Crowe, Ruth, Yasmine Probst, Jennifer Norman, Susan Furber, Lisa Franco, Rebecca M. Stanley, Cecilia Vuong, et al. "Healthy eating and physical activity environments in out-of-school hours care: an observational study protocol." BMJ Open 10, no. 9 (September 2020): e036397. http://dx.doi.org/10.1136/bmjopen-2019-036397.
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IntroductionChildcare settings have been widely identified as important venues for promoting healthy lifestyles to children. Out-of-school hours care (OSHC) is a rapidly growing childcare service, yet there has been limited research reported on healthy eating and physical activity (HEPA) environments within the Australian OSHC setting. This research aims to describe the HEPA environments related to foods and beverages served, staff behaviours and child physical activity levels across two local health districts within New South Wales, Australia. This study will provide evidence to support future interventions and policies in Australian OSHC settings.Methods and analysisA cross-sectional study design will be used to describe the food and beverages provided and child activity levels, and report on environmental correlates. OSHC programmes will be visited on non-consecutive weekdays between 2018 and 2020. The frequency of foods and beverages offered will be observed and categorised into food groups aligned to the Australian Dietary Guidelines. Children’s physical activity will be measured using ActiGraph wGT3X-BT accelerometers. Staff behaviour will be captured via direct observation and the System for Observing Staff Promotion of Activity and Nutrition. Short interviews with programme directors will gather contextual information about OSHC practices and policies.Ethics and disseminationFindings will be disseminated through peer-reviewed scientific journals, conference presentations and individualised feedback to each participating service. Ethical approval was granted by the University of Wollongong Human Research Ethics Committee (HE17/490).
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Maddox, Atticus, and Lynette Mackenzie. "Occupational Violence Experienced by Care Workers in the Australian Home Care Sector When Assisting People with Dementia." International Journal of Environmental Research and Public Health 20, no. 1 (December 27, 2022): 438. http://dx.doi.org/10.3390/ijerph20010438.
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Background: People with advancing dementia may be dependent on community services from home care workers and nurses to be supported at home. However, these care workers face difficulty undertaking their roles due to challenging behaviours or occupational violence. This study aimed to explore the challenges faced by home care workers and nurses working with people diagnosed with dementia in the community, to identify job demands contributing to their vulnerability to occupational violence, and to determine ways to help manage occupational violence. Methods: A qualitative descriptive study was conducted by interviewing 10 homecare workers and six registered nurses from agencies in South Australia and New South Wales, Australia. Interviews were audiotaped, transcribed and inductive thematic data analysis was conducted. Results: The following themes were identified: (i) sources of threats; (ii) categories of violent, threatening or challenging behaviour; (iii) aggravating factors; (iv) early warning signs; (v) education and training; (vi) managing occupational violence, (vii) resources, (viii) outcomes associated with exposure to occupational violence. Conclusion: Serious issues were identified by participants, yet very little is known about occupational violence for these community care workers. Findings can inform what aspects of work design can be improved to moderate the effects of occupational violence exposure or mitigate rates of exposure, to enable long-term services for people with dementia.
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Riley, Ben J., Amii Larsen, Malcolm Battersby, and Peter Harvey. "Problem Gambling Among Australian Male Prisoners: Lifetime Prevalence, Help-Seeking, and Association With Incarceration and Aboriginality." International Journal of Offender Therapy and Comparative Criminology 62, no. 11 (November 7, 2017): 3447–59. http://dx.doi.org/10.1177/0306624x17740557.
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Prisoners represent a group containing the highest problem gambling (PG) rate found in any population. PG is of particular concern among Indigenous Australians. Little data exist concerning PG rates among Indigenous Australian prisoners. The present study aimed to address this gap in the literature by examining the lifetime prevalence of PG among male prisoners, whilst identifying prisoners of Aboriginal background. The EIGHT Gambling Screen (Early Intervention Gambling Health Test) was administered to 296 prisoners across three male prisons in South Australia. Previous help-seeking behaviour and forms of gambling were also examined. Sixty percent of prisoners indicated a lifetime prevalence of PG with 18% reporting they were incarcerated due to offending relating to their gambling problem. Indigenous Australian prisoners indicated a significantly higher prevalence of PG (75%) than non-Indigenous prisoners (57%) and reported less than half the rate of help-seeking. Given the high levels of PG and overall low rates of help-seeking among prisoners, prisons may provide an important opportunity to engage this high-risk population with effective treatment programs, in particular culturally appropriate targeted interventions for Australian Indigenous prisoners.
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Cullen, Patricia, Kate Hunter, Kathleen Clapham, Teresa Senserrick, Kris Rogers, James E. Harrison, and Rebecca Q. Ivers. "Road user behaviour, attitudes and crashes: a survey of Aboriginal and Torres Strait Islander people in Australia." Injury Prevention 26, no. 2 (March 5, 2019): 123–28. http://dx.doi.org/10.1136/injuryprev-2018-043011.
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ObjectiveThis study aimed to describe road user behaviour, attitudes and crashes in Aboriginal and Torres Strait Islander people in four urban, regional and remote communities located in New South Wales (NSW) and South Australia (SA).MethodsFace-to-face surveys were administered to clients (n=625) in Aboriginal Community Controlled Health Services (ACCHS). All Aboriginal and Torres Strait Islander clients attending the ACCHS for any reason were approached to participate over a 2-week period. Surveys included questions on sociodemographic factors, crash involvement, road behaviours and road safety attitudes drawn from tools used in national surveys.ResultsThe participation rate was high (69%–75%). Seat belt wearing rates were very high, particularly in the front of a car, although rear seat belt wearing rates in SA (77%) were substantially lower than in NSW (93%). Among drivers, 11% reported always or mostly driving 10 km/hour over the speed limit, and this was higher among drivers in SA (13.4%). Drivers aged 55 years and over and/or women were more likely to report that they do not drink at any time or restricted what they drank when driving. These results enable comparison with the Community Attitude to Road Safety survey conducted Australia-wide in 2013.ConclusionsThis study confirms that Aboriginal and Torres Strait Islander people are inclined to report attitudes or road safety behaviours similar to the rest of the population; however, rear restraint use was lower and self-reported speeding was higher. These issues are likely attributable to transport options and geography in remote communities, which can contribute to overcrowding and unsafe driving practices.
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Atkinson, Jo-An, Adam Skinner, Sue Hackney, Linda Mason, Mark Heffernan, Dianne Currier, Kylie King, and Jane Pirkis. "Systems modelling and simulation to inform strategic decision making for suicide prevention in rural New South Wales (Australia)." Australian & New Zealand Journal of Psychiatry 54, no. 9 (June 17, 2020): 892–901. http://dx.doi.org/10.1177/0004867420932639.
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Background: The need to understand and respond to the unique characteristics and drivers of suicidal behaviour in rural areas has been enabled through the Australian Government’s 2015 mental health reforms facilitating a move to an evidence-based, regional approach to suicide prevention. However, a key challenge has been the complex decision-making environment and lack of appropriate tools to facilitate the use of evidence, data and expert knowledge in a way that can inform contextually appropriate strategies that will deliver the greatest impact. This paper reports the co-development of an advanced decision support tool that enables regional decision makers to explore the likely impacts of their decisions before implementing them in the real world. Methods: A system dynamics model for the rural and remote population catchment of Western New South Wales was developed. The model was based on defined pathways to mental health care and suicidal behaviour and reproduced historic trends in the incidence of attempted suicide (self-harm hospitalisations) and suicide deaths in the region. A series of intervention scenarios were investigated to forecast their impact on suicidal behaviour over a 10-year period. Results: Post-suicide attempt assertive aftercare was forecast to deliver the greatest impact, reducing the numbers of self-harm hospitalisations and suicide deaths by 5.65% (95% interval, 4.87−6.42%) and 5.45% (4.68−6.22%), respectively. Reductions were also projected for community support programs (self-harm hospitalisations: 2.83%, 95% interval 2.23−3.46%; suicide deaths: 4.38%, 95% interval 3.78−5.00%). Some scenarios produced unintuitive impacts or effect sizes that were significantly lower than what has been anticipated under the traditional evidence-based approach to suicide prevention and provide an opportunity for learning. Conclusion: Systems modelling and simulation offers significant potential for regional decision makers to better understand and respond to the unique characteristics and drivers of suicidal behaviour in their catchments and more effectively allocate limited health resources.
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To, Quyen G., Mitch J. Duncan, Anetta Van Itallie, and Corneel Vandelanotte. "Impact of COVID-19 on Physical Activity Among 10,000 Steps Members and Engagement With the Program in Australia: Prospective Study." Journal of Medical Internet Research 23, no. 1 (January 25, 2021): e23946. http://dx.doi.org/10.2196/23946.
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Background Physical activity is an important health behavior, due to its association with many physical and mental health conditions. During distressing events, such as the COVID-19 pandemic, there is a concern that physical activity levels may be negatively impacted. However, recent studies have shown inconsistent results. Additionally, there is a lack of studies in Australia on this topic. Objective The aim of this study is to investigate changes in physical activity reported through the 10,000 Steps program and changes in engagement with the program during the COVID-19 pandemic. Methods Data between January 1, 2018, and June 30, 2020, from registered members of the 10,000 Steps program, which included 3,548,825 days with step data, were used. The number of daily steps were logged manually by the members or synced automatically from their activity trackers connected to the program. Measures on program usage were the number of new registered members per day, the number of newly registered organizations per day, the number of steps logged per day, and the number of step entries per day. Key dates used for comparison were as follows: the first case with symptoms in Wuhan, China; the first case reported in Australia; the implementation of a 14-day ban for noncitizens arriving in Australia from China; the start of the lockdown in Australia; and the relaxing of restrictions by the Australian Government. Wilcoxon signed-rank tests were used to test for significant differences in number of steps between subgroups, between engagement measures in 2019 versus 2020, and before and after an event. Results A decrease in steps was observed after the first case in Australia was reported (1.5%; P=.02) and after the start of the lockdown (3.4%; P<.001). At the time that the relaxing of restrictions started, the steps had already recovered from the lockdown. Additionally, the trends were consistent across genders and age groups. New South Wales, Australian Capital Territory, and Victoria had the greatest step reductions, with decreases of 7.0% (P<.001), 6.2% (P=.02), and 4.7% (P<.001), respectively. During the lockdown, the use of the program increased steeply. On the peak day, there were more than 9000 step entries per day, with nearly 100 million steps logged per day; in addition, more than 450 new users and more than 15 new organizations registered per day, although the numbers decreased quickly when restrictions were relaxed. On average per day, there were about 55 new registered users (P<.001), 2 new organizations (P<.001), 25.6 million steps (P<.001), and 2672 log entries (P<.001) more in 2020 compared to the same period in 2019. Conclusions The pandemic has had negative effects on steps among Australians across age groups and genders. However, the effect was relatively small, with steps recovering quickly after the lockdown. There was a large increase in program usage during the pandemic, which might help minimize the health impact of the lockdown and confirms the important role of physical activity programs during times of distress and lockdowns.
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Booth, Susan L., and John Coveney. "Survival on the Streets: Prosocial and Moral Behaviors Among Food Insecure Homeless Youth in Adelaide, South Australia." Journal of Hunger & Environmental Nutrition 2, no. 1 (December 30, 2007): 41–53. http://dx.doi.org/10.1080/19320240802080874.
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Harriott, Lana, Matthew Gentle, Rebecca Traub, Ricardo J. Soares Magalhães, and Rowland Cobbold. "Zoonotic and economically significant pathogens of peri-urban wild dogs across north-eastern New South Wales and south-eastern Queensland, Australia." Wildlife Research 46, no. 3 (2019): 212. http://dx.doi.org/10.1071/wr18110.
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Context Peri-urban wild dogs are known to reside within high-risk and densely populated regions and are capable of harbouring a variety of zoonotic pathogens. Despite recognising the potential of peri-urban wild dogs to carry zoonotic pathogens, limited prevalence data are currently available to assist in understanding the potential risks that peri-urban wild dogs pose within developed communities. Aims The aim of the present research was to establish the current status of key zoonotic and economically significant pathogens in peri-urban wild dogs. Methods Two hundred and one peri-urban wild dog cadavers were collected from south-eastern Queensland and northern New South Wales. In addition, whole blood, serum and faecal samples were also collected. Pathogens were identified through several morphological, microbiological and molecular methods. Key results Helminth parasites were detected within 79.6% of peri-urban wild dogs; Echinococcus granulosus was the most common pathogen, with adult worms being detected within 50.7 ± 6.9% of intestines, followed by Spirometra erinacei (36.6 ± 6.4%); hookworms, including Ancylostoma caninum and Uncinaria stenocephala (28.8 ± 7.1%); Toxocara canis (5.4 ± 3.1%) and Taenia spp., including T. serialis and T. pisiformis (4.5 ± 2.8%). Bacterial pathogens detected included methicillin-resistant Escherichia coli (20.0 ± 10.1%), Salmonella spp. (3.7 ± 4.0%) and methicillin-sensitive Staphylococcus aureus (3.3 ± 2.7%). Conclusions The present study is the most comprehensive investigation of zoonotic pathogen carriage in peri-urban wild dogs in Australia. Parasitic infections in peri-urban wild dogs are common, with tapeworms representing the majority of intestinal pathogens. Important zoonotic bacterial pathogens are carried by peri-urban wild dogs, although at a much lower prevalence than are parasites. Implications The presence of these pathogens in free-ranging peri-urban dog populations suggests a strong potential for public health risk, most notably from E. granulosus. These data are inherently important as baseline information, which is essential to guide risk-based management of peri-urban wild dog impacts.
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Melville, Jane, Luke P. Shoo, and Paul Doughty. "Phylogenetic relationships of the heath dragons (Rankinia adelaidensis and R. parviceps) from the south-western Australian biodiversity hotspot." Australian Journal of Zoology 56, no. 3 (2008): 159. http://dx.doi.org/10.1071/zo07069.
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Although the south-western Australian region is recognised as a global biodiversity hotspot, there are still significant gaps in our understanding of the biodiversity of this region. We present a phylogenetic study of the heath dragons (Rankinia adelaidensis and R. parviceps) from this region, incorporating a 1612-bp section of mtDNA and two nuclear introns, Gapdh (~244 bp) and Enol (~330 bp). In addition, we present a generic-level analysis of three gene regions (mtDNA, Gapdh, BDNF), which provides clear evidence that Rankinia adelaidensis and R. parviceps are not closely related to Rankinia diemensis from eastern Australia. Instead, the heath dragons are strongly supported as forming a clade with the genus Ctenophorus. In addition, we find that there are significant levels of haplotype divergence between currently recognised subspecies of the heath dragons (R. a. adelaidensis, R. a. chapmani, R. p. parviceps, R. p. butleri). We suggest that the genetic divergences between subspecies result from geographic isolation in allopatry owing to habitat preferences, followed by drift and/or selection. On the basis of these deep divergences and consistent morphological differences between subspecies, we recommend elevating all taxa to full species, and provide a taxonomic revision of the genera Rankinia and Ctenophorus.