Journal articles on the topic 'National characteristics, Australian'
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1
Orrock, Paul, Brett Vaughan, Michael Fleischmann, and Kylie Fitzgerald. "Clinical characteristics of Australian osteopaths who teach: A national sample." Focus on Health Professional Education: A Multi-Professional Journal 22, no. 3 (November 29, 2021): 94–109. http://dx.doi.org/10.11157/fohpe.v22i3.526.
Abstract:
Background: Health professionals involved in teaching future practitioners have been studied to some extent, but our knowledge of their clinical characteristics is variable. Our study sought to profile the clinical characteristics of osteopaths who teach in the three Australian universities delivering pre-professional osteopathy education.Materials: This study is a secondary analysis of data collected via the Australian Osteopathy Research and Innovation Network (ORION) project. Descriptive statistics were generated for each of the 27-item questionnaire variables. For binary responses, unadjusted odds ratios were calculated, and for continuous variables, independent t-tests were used. Backward step-wise regression modelling was used to identify significant characteristics associated with university teaching in osteopathy. Results: The survey demonstrated 9.9% of Australian osteopaths reported being involved in university teaching. Compared to non-teaching survey respondents, the osteopaths involved in university teaching were more likely to be female (OR 1.56), older (p 0.01) and in clinical practice for longer (p 0.01) but report fewer patient care hours (p 0.01) and patient visits per week (p 0.01). Osteopaths involved in university teaching were also more likely to be involved in research (OR 18.54) and clinical supervision (OR 12.39). They also reported a broader range of patient presentations and therapeutic modalities than their counterparts.Conclusions: This nationally representative survey demonstrates a small percentage of the Australian osteopathy profession are engaged in university teaching. Our secondary analysis has highlighted several characteristics associated with involvement in university teaching that begin to shed light on the composition of the Australian osteopathy teaching workforce. This data may inform development of a skilled and experienced teaching workforce.
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Romanenko, Olena. "SLAVIC COMMUNITIES IN AUSTRALIA: THE HISTORICAL BACKGROUND AND THE CURRENT SITUATION." Naukovì zapiski Nacìonalʹnogo unìversitetu "Ostrozʹka akademìâ". Serìâ Ìstoričnì nauki 1 (December 17, 2020): 14–23. http://dx.doi.org/10.25264/2409-6806-2020-31-14-23.
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Migration to the Australian continent has ancient origins. On 1 January 1901, the Federation of the Commonwealth of Australia included six former colonies: New South Wales, Victoria, South Australia, Tasmania, Queensland, and Western Australia. The British origin had 78% of those who were born overseas. The immigration was high on the national agenda. The most ambitious nation-building plan based on immigration was adopted in Australia in the post-World War II period. The shock of the war was so strong that even old stereotypes did not prevent Australians from embarking on immigration propaganda with the slogan “Populate or Perish”. In the middle 1950s, the Australian Department of Immigration realized that family reunion was an important component of successful settlement. In 1955 the Department implemented “Operation Reunion” – a scheme was intended to assist family members overseas to migrate to the continent and reunite with the family already living in Australia. As a result, 30000 people managed to migrate from countries such as Bulgaria, Czechoslovakia, Hungary, Poland, Romania, the Soviet Union, and the former Yugoslavia under this scheme. Today Australia’s approach to multicultural affairs is a unique model based on integration and social cohesion. On governmental level, the Australians try to maintain national unity through respect and preservation of cultural diversity. An example of such an attitude to historical memory is a database created by the Department of Home Affairs (DHA). For our research, we decided to choose information about residents of East-Central European origin (Ukraine-born, Poland-born, and Czech Republic-born citizens) in Australia, based on the information from the above mentioned database. The article provides the brief historical background of Polish, Ukrainian and Czech groups on the Continent and describes the main characteristics of these groups of people, such as geographic distribution, age, language, religion, year of arrival, median income, educational qualifications, and employment characteristics.
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Gardner, Glenn, Anne Gardner, Sandy Middleton, Julie Considine, Gerard Fitzgerald, Luke Christofis, Anna Doubrovsky, Margaret Adams, and Jane O'Connell. "Mapping workforce configuration and operational models in Australian emergency departments: a national survey." Australian Health Review 42, no. 3 (2018): 340. http://dx.doi.org/10.1071/ah16231.
Abstract:
Objective Hospital emergency departments (ED) in Australia and internationally have been experiencing increased demand, resulting in reduced hospital quality, impaired access and adverse health outcomes. Effective evaluation of new ED service models and their effect on outcomes is reliant on baseline measures of the staffing configuration and organisational characteristics of the EDs being studied. The aim of the present study was to comprehensively measure these variables in Australian EDs. Methods Australian hospital EDs with 24-h medical and nursing cover were identified and invited to participate in the study. Telephone interviews were conducted with nursing or medical department managers to collect data related to hospital characteristics, ED workforce and training and ED service and operational models. Results Surveys were completed in 87% of the population sample (n = 135). Metropolitan EDs were significantly more likely to retain higher full-time equivalents (FTEs) in several medical (staff specialist, registrar, resident and intern) and nursing (nurse practitioner (NP), nurse educator, nurse unit manager and registered nurse) positions. NPs were employed by 52% of Australian EDs overall, but this ranged from 40% to 75% depending on jurisdiction. The most commonly used operational models were FastTrack teams (72% of EDs), short-stay/observational unit (59%) and patient liaison models for aged care (84%) and mental health (61%). EDs that employed NPs were significantly more likely to use FastTrack (P = 0.002). Allied health services most frequently available within these EDs were radiology (60%), social work (69%), physiotherapy (70%) and pharmacy (65%). Conclusions The present study has established a baseline measure of the staffing configuration and organisational characteristics of Australian EDs. What is known about the topic? EDs are overcrowded due, in part, to the combined effect of increased service demand and access block. Innovative service and workforce models have been implemented by health departments aiming to improve service and performance. National uptake of these service and workforce innovations is unknown. What does this paper add? The present study is the most comprehensive to date profiling Australian EDs covering hospital characteristics, workforce configuration, operational models and NP service patterns and practice. What are the implications for practitioners? Information from the present study will assist health service planners to evaluate workforce and service reform models, and to monitor trends in emergency service development.
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GOLDSMITH, BENJAMIN E., and MATTHEW LINLEY. "Engaged or Not? Perceptions of Australian Influence among Asian Publics." Japanese Journal of Political Science 13, no. 4 (November 1, 2012): 525–51. http://dx.doi.org/10.1017/s1468109912000254.
Abstract:
AbstractDespite Australia's increasing economic ties with Asia, little is known about how it is perceived by the typical citizen in the region. This paper seeks to contribute to the Australian discussion on ‘Asian engagement’, as well as to a general understanding of the structure of foreign policy beliefs, by examining perceptions of Australia's influence among the mass publics of 14 Asian polities. Despite some anxiety in Australia on national op-ed pages and among political leaders over how the country is perceived, we find that the average person in Asia probably does not have a strong or meaningful opinion about Australia's foreign policy. Using survey data covering the years 2006 through 2008 from the AsiaBarometer project, we find that, on average, far more people view Australia's influence on their country favorably (40.5%) than view it unfavorably (6.1%). A similar percentage (41.5%), however, have neutral views of Australia's influence, and 12% of people in Asian nations express no opinion on the topic. We suggest these high frequencies of neutral perceptions and non-response are evidence of considerable indifference towards Australia. Furthermore, we investigate the correlates of perceptions of Australia's influence and find that in almost all cases citizens’ views about US and Chinese influence on their country are much better predictors of their views of Australia's influence than core values, identity, information, and demographic characteristics. We posit that opinions about Australia, even those that are favorable, may have less to do with perceptions of Australia specifically, and more to do with respondents’ general internationalist sentiment or perceptions of major powers.
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Sharman, Melanie J., Monique C. Breslin, Alexandr Kuzminov, Andrew J. Palmer, Leigh Blizzard, Martin Hensher, and Alison J. Venn. "Population estimates and characteristics of Australians potentially eligible for bariatric surgery: findings from the 2011–13 Australian Health Survey." Australian Health Review 42, no. 4 (2018): 429. http://dx.doi.org/10.1071/ah16255.
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Objective The aim of the present study was to determine the potential demand for publicly and privately funded bariatric surgery in Australia. Methods Nationally representative data from the 2011–13 Australian Health Survey were used to estimate the numbers and characteristics of Australians meeting specific eligibility criteria as recommended in National Health and Medical Research Council guidelines for the management of overweight and obesity. Results Of the 3 352 037 adult Australians (aged 18–65 years) estimated to be obese in 2011–13, 882 441 (26.3%; 95% confidence interval (CI) 23.0–29.6) were potentially eligible for bariatric surgery (accounting for 6.2% (95% CI 5.4–7.1) of the adult population aged 18–65 years (n = 14 122 020)). Of these, 396 856 (45.0%; 95% CI 40.4–49.5) had Class 3 obesity (body mass index (BMI) ≥40 kg m–2), 470945 (53.4%; 95% CI 49.0–57.7) had Class 2 obesity (BMI 35–39.9 kg m–2) with obesity-related comorbidities or risk factors and 14 640 (1.7%; 95% CI 0.6–2.7) had Class 1 obesity (BMI 30–34.9 kg m–2) with poorly controlled type 2 diabetes and increased cardiovascular risk; 458 869 (52.0%; 95% CI 46.4–57.6) were female, 404 594 (45.8%; 95% CI 37.3–54.4) had no private health insurance and 309 983 (35.1%; 95% CI 28.8–41.4) resided outside a major city. Conclusion Even if only 5% of Australian adults estimated to be eligible for bariatric surgery sought this intervention, the demand, particularly in the public health system and outside major cities, would far outstrip current capacity. Better guidance on patient prioritisation and greater resourcing of public surgery are needed. What is known about this topic? In the period 2011–13, 4 million Australian adults were estimated to be obese, with obesity disproportionately more prevalent in areas of socioeconomic disadvantage. Bariatric surgery is considered to be cost-effective and the most effective treatment for adults with obesity, but is mainly privately funded in Australia (>90%), with 16 650 primary privately funded procedures performed in 2015. The extent to which the supply of bariatric surgery is falling short of demand in Australia is unknown. What does this paper add? The present study provides important information for health service planners. For the first time, population estimates and characteristics of those potentially eligible for bariatric surgery in Australia have been described based on the best available evidence, using categories that best approximate the national recommended eligibility criteria. What are the implications for practitioners? Even if only 5% of those estimated to be potentially eligible for bariatric surgery in Australia sought a surgical pathway (44 122 of 882 441), the potential demand, particularly in the public health system and outside major cities, would still far outstrip current capacity, underscoring the immediate need for better guidance on patient prioritisation. The findings of the present study provide a strong signal that more funding of public surgery and other effective interventions to assist this population group are necessary.
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FURUKAWA, T. A., G. ANDREWS, and D. P. GOLDBERG. "Stratum-specific likelihood ratios of the General Health Questionnaire in the community: help-seeking and physical co-morbidity affect the test characteristics." Psychological Medicine 32, no. 4 (May 2002): 743–48. http://dx.doi.org/10.1017/s0033291702005494.
Abstract:
Background. In evidence-based medicine, stratum-specific likelihood ratios (SSLRs) are now being increasingly recognized as a more convenient and generalizable method to interpret diagnostic information than an optimal cut-off and its associated sensitivity and specificity. We previously examined the SSLRs of the General Health Questionnaire (GHQ) in primary care settings. The present paper aims to examine if these SSLRs are generalizable to the community settings.Methods. The Composite International Diagnostic Interview (CIDI) and the GHQ were administered on a representative sample of the Australian population in the Australian National Survey of Mental Health and Well-Being. We first compared the SSLRs of GHQ in urban Australia with the estimates that we had previously obtained from the developed urban centres in the WHO Psychological Problems in General Health Care study. If the SSLRs in the community were found to differ significantly from those in the primary care, we sought for explanatory variables.Results. The SSLRs in urban Australia and in the urban centres in the WHO study were significantly different for three out of the six strata. When we limited the sample to those with physical problems who visited a health professional, however, the SSLRs in the Australian study were strikingly close to those observed for primary care settings.Conclusions. Different sets of SSLRs apply to primary care and general population samples. For general population surveys in developed countries, the results of the Australian National Survey represent the currently available best estimates. For developing countries or rural areas, the results are less definitive and an investigator may wish to conduct a pilot study.
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Flander, Louisa, Evelien Dekker, Berit Andersen, Mette Bach Larsen, Robert J. Steele, Nea Malila, Tytti Sarkeala, et al. "What can We Learn From High-Performing Screening Programs to Increase Bowel Cancer Screening Participation in Australia?" Cancer Control 29 (January 2022): 107327482211213. http://dx.doi.org/10.1177/10732748221121383.
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Background Colorectal cancer (CRC) is the second most diagnosed cancer in men and women and second most common cause of cancer death in Australia; Australia’s CRC incidence and mortality are among the world’s highest. The Australian National Bowel Cancer Screening Program began in 2006; however, only 33% of those approached for the first time by the Program between 2018 and 2019 returned the kit. Of the 5.7 million kits sent during this period, only 44% were returned. Our aim was to identify practices and features of national bowel cancer screening programs in countries with similar programs but higher screening participation, to identify potential interventions for optimising Australian CRC screening participation. Methods We searched published and grey literature for CRC screening programs reporting at least 50% screening participation using postal invitation and free return of iFOBT home kits. Interviews were conducted with cancer registry staff and academic researchers, focused on participant and practitioner engagement in screening. Results National programs in Netherlands, Scotland, Denmark, and Finland reported over 50% screening participation rates for all invitation rounds. Shared characteristics include small populations within small geographic areas relative to Australia; relatively high literacy; a one-sample iFOBT kit; national registration systems for population cancer screening research; and screening program research including randomised trials of program features. Conclusions Apart from the one-sample kit, we identified no single solution to persistent Australian low uptake of screening. Research including randomised trials within the program promises to increase participation. Impact This screening program comparison suggests that within-program intervention trials will lead to increased Australian screening participation.
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McPhedran, Samara, Angela R. Gover, and Paul Mazerolle. "A cross-national comparison of police attitudes about domestic violence: a focus on gender." Policing: An International Journal of Police Strategies & Management 40, no. 2 (May 15, 2017): 214–27. http://dx.doi.org/10.1108/pijpsm-06-2016-0083.
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Purpose The purpose of this paper is twofold. The first goal is to conduct a cross-national examination of law enforcement officer attitudes about domestic violence (DV) by comparing officer attitudes in the USA to officer attitudes in Australia. The second goal is to examine law enforcement officer attitudes about DV using a gender lens to identify whether patterns in attitudes among male and female officers in the USA are similar to those among Australian male and female law enforcement officers. Design/methodology/approach The current study involves a comparative analysis of DV attitudes in two different countries (the USA and Australia). Officers in the USA were asked to indicate their level agreement with 28 attitudinal statements about DV. The Australian survey adapted the Gover et al. (2011) instrument by including 24 of the 28 attitudinal statements. The survey followed a mixed-methods design with both quantitative and qualitative components. Bivariate analyses were conducted to determine whether attitudes varied by country and gender of the responding officers. Analyses of attitudinal questions and categorical variables (e.g. gender) were conducted using t-tests. Findings According to survey data gathered from police officers in Colorado (USA) and Queensland (Australia), male and female officer attitudes within each country are more similar than different. When comparing the overall sample of American officer attitudes to Australian officer attitudes, they significantly differ about half the time. Research limitations/implications The Australian survey had a considerably low response rate, and therefore it cannot be stated with certainty whether the responses given are truly representative of the views of Australian officers as a whole, although the demographic characteristics of the sample were comparable with the overall police population demographics. Another limitation is that not all demographic and background variables were collected by both surveys. For example, the US survey asked about officers’ ethnicity, while the Australian survey did not, and the Australian survey asked about how many DV jobs officers attended per month, while the US survey did not. Practical implications Improving knowledge about police attitudes towards DV can help to inform future policy or practice implementation, as well as training programmes and better overall responses to the pervasive and ongoing problem of DV internationally. Originality/value This is a unique and original piece of research as it is a partial cross-national replication of an existing survey. This work does have the potential for great impact in understanding and developing innovative law enforcement responses to DV. In developing such responses officer attitudes need to be considered and integrated into the response, as their opinions will guide the support of future interventions.
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Way, J., P. Cistulli, and Y. Bin. "P132 Self-reported indicators of sleep health in Australia: a cross-sectional population-based study." SLEEP Advances 3, Supplement_1 (October 1, 2022): A72. http://dx.doi.org/10.1093/sleepadvances/zpac029.200.
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Abstract Introduction Poor sleep health is associated with adverse physical and mental health outcomes. This study aims to examine the indicators of sleep health in an Australian-based population and to analyse the relationship between sleep and sociodemographic characteristics and health conditions. Method We investigated a nationally representative sample of adults aged over 18 (n = 21,562) who participated in the 2011-2013 Australian Health Survey (AHS). Participants in the AHS were assigned to either the National Health Survey (NHS) or the National Nutrition and Physical Activity Survey (NNPAS). The NHS collected data on sleeping tablets taken for a mental health condition. Sleep duration was self-reported in the NNPAS which we categorised into three groups: short sleep (< 7 hours), recommended sleep (7 to 9hours) and long sleep (> 9 hours). Progress to Date Prevalence of sleeping tablets use among Australian adults who had a mental health condition was 9.5%. The majority used sleeping tablets for a duration of 6 months or more (73.9%) and many took it every night (42.0%). On a typical night, a majority self-reported having the recommended amount of sleep for adults (67.2%). The sociodemographic characteristics and health conditions are currently being analysed. Intended Outcome and Impact Adequately monitoring the domains of sleep health can potentially improve the overall health and wellbeing of a population. This study will highlight the current gap in the surveillance of sleep health in Australia. With limited Australian data available, there is a need to prioritise sleep-related indicators in future national health surveys.
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Dollman, Jim, Tim Olds, Kevin Norton, and David Stuart. "The Evolution of Fitness and Fatness in 10–11-Year-Old Australian Schoolchildren: Changes in Distributional Characteristics between 1985 and 1997." Pediatric Exercise Science 11, no. 2 (May 1999): 108–21. http://dx.doi.org/10.1123/pes.11.2.108.
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There is evidence that fitness has been declining and fatness increasing in Australian schoolchildren over the last generation. This study reproduced the methods of a national survey of Australian schoolchildren conducted in 1985. Anthropometric and performance tests were administered to 1,463 10- and ll-year-old South Australians. Compared to the 1985 sample, the 1997 children were heavier (by 1.4−2.9 kg), showed greater weight for height (by 0.13−0.30 kg · m−2.85), and were slower over 1.6 km (by 38−48.5 s). Furthermore, the distribution of values was markedly more skewed in the 1997 data. While there was little difference between the fittest and leanest quartiles in 1997 and their 1985 counterparts, the least fit and fattest quartiles were markedly worse in 1997. This suggests that the decline in fitness of Australian schoolchildren is not homogeneous and that interventions should target groups where the decline is most marked.
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Numbers, Ronald L. "Creationists and their critics in Australia: an autonomous culture or 'the USA with Kangaroos'?" Historical Records of Australian Science 14, no. 1 (2002): 1. http://dx.doi.org/10.1071/hr02002.
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No country outside the United States has given creationism a warmer reception than Australia, which has spawned an internationally successful creationist ministry and at times even welcomed creation science into the classrooms of state-supported schools. A half-century ago, however, when organized anti-evolutionism first appeared in Australia, it attracted virtually no attention, and for over three decades thereafter it remained isolated on the far margins of Australian society, too obscure and impotent to warrant public concern. As late as 1984 one of the best informed students of Australian fundamentalism predicted that `because of the different national traditions and educational systems, the [creationist] controversy is not likely to become as intense in Australia as in USA�.The following decade proved him a false prophet. The most intense creation-evolution debates in the world have occurred on Australian soil, and Australian creationists have insinuated themselves into the religious, scientific, educational, and political life of the country. In this brief history of creationism and anti-creationism in Australia during the past half-century or so, I highlight two distinctive (though not unique) characteristics of the Australian encounter: the efforts of both sides to tar the other with a `made in America� brush and the contribution of anti-creationists to the success of the creationists. Paradoxically, by hounding and ridiculing creationists, the critics significantly boosted the visibility and viability of creationism in Australia.
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Taylor, Bruce V., Andrew Palmer, Steve Simpson, Robyn Lucas, Rex D. Simmons, Deborah Mason, John Pearson, et al. "Assessing possible selection bias in a national voluntary MS longitudinal study in Australia." Multiple Sclerosis Journal 19, no. 12 (March 25, 2013): 1627–31. http://dx.doi.org/10.1177/1352458513481511.
Abstract:
Background: Surveying volunteer members of a multiple sclerosis registry is a very cost-effective way of assessing the impact of the disease on life outcomes. However, whether the data from such a study can be generalised to the whole population of persons living with MS in a country or region is unclear. Methods: Here we compare the demographic and disease characteristics of participants in one such study, the Australian Multiple Sclerosis Longitudinal Study (AMSLS), with two well-characterised MS prevalence studies with near-complete ascertainment of MS in their study regions. Results: Although some differences were found, these largely represented the effects of geography (sex ratios) and local factors (national immunomodulatory therapy prescribing requirements), and the cohorts were otherwise comparable. Overall, despite comprising only 12–16% of MS cases in Australia, the AMSLS is highly representative of the MS population. Conclusions: Therefore with some minor caveats, the AMSLS data can be generalised to the whole Australasian MS population. Volunteer disease registries such as this can be highly representative and provide an excellent convenience sample when studying rare conditions such as MS.
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Keel, Stuart, Jing Xie, Joshua Foreman, Hugh R. Taylor, and Mohamed Dirani. "Prevalence and characteristics of choroidal nevi: the Australian National Eye Health Survey." Clinical & Experimental Ophthalmology 46, no. 7 (March 24, 2018): 777–82. http://dx.doi.org/10.1111/ceo.13188.
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O'Hara, Rebecca, Heather Rowe, Louise Roufeil, and Jane Fisher. "Should endometriosis be managed within a chronic disease framework? An analysis of national policy documents." Australian Health Review 42, no. 6 (2018): 627. http://dx.doi.org/10.1071/ah17185.
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Objective The aim of this study was to determine whether endometriosis meets the definition for chronic disease in Australian policy documents. Methods A qualitative case study approach was used to thematically analyse the definitions contained in Australian chronic disease policy documents and technical reports. The key themes were then compared with descriptions of endometriosis in peer-reviewed literature, clinical practice guidelines and expert consensus statements. Results The search yielded 18 chronic disease documents that provided a definition or characteristics of chronic disease. The thematic analysis identified key elements of chronic diseases pertaining to onset, causation, duration, treatment, disease course and impact (individual and societal). A comparison with endometriosis descriptions indicated that endometriosis meets five of the six chronic disease key elements. Conclusion In Australia, long-term and complex conditions are managed within a chronic disease framework and include mechanisms such as chronic disease management plans (CDMPs) to assist with coordination and management of these conditions. Because endometriosis has most of the characteristics of chronic disease, it could potentially be reframed as a chronic disease in endometriosis clinical practice guidelines and consensus statements. Further, the use of CDMPs may provide a mechanism to promote individualised care and multidisciplinary management of this chronic, enigmatic and debilitating disease. What is known about the topic? In Australia, long-term complex diseases can be managed within a chronic disease framework that include mechanisms for coordinated care such as CDMPs and team care arrangements. Endometriosis is described as an inflammatory, progressive, relapsing and, for some women, debilitating condition, but is rarely described as a chronic disease in the clinical practice guidelines and consensus statements available in Australia. What does this paper add? Endometriosis shares most of the characteristics of a chronic disease so may benefit from chronic disease management systems such as CDMPs. What are the implications for practitioners? CDMPs may be a useful mechanism to coordinate and improve the effectiveness of care for women with endometriosis who experience sustained symptoms of endometriosis.
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Allan, John A., Gary D. Hanson, Nicole L. Schroder, Anna J. O’Mahony, Roxanne M. P. Foster, and Grant E. Sara. "Six years of national mental health seclusion data: the Australian experience." Australasian Psychiatry 25, no. 3 (April 4, 2017): 277–81. http://dx.doi.org/10.1177/1039856217700298.
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Objectives: Reducing or eliminating seclusion from mental health care settings has been a national priority for Australia since 2005. This paper describes Australia’s national seclusion data collection, and summarises changes in seclusion rates in Australian public mental health services. Methods: Seclusion events per 1000 patient days were calculated from 2009–2010 to 2014–2015 utilising state and territory administrative data sources. Combined national data were used to calculate results for a number of service characteristics, such as target population and location of the service. Results: The rate of seclusion events decreased by 43% over the 6 years. Child and adolescent services reported consistently higher rates of seclusion, but a shorter duration of seclusion episodes, compared with other service types. There is high variation in seclusion rates between individual services (range 0.0–53.0 seclusion events per 1000 bed days in 2014–2015). Conclusions: Seclusion event rates in Australia’s specialised public acute mental health hospital services are declining. The use of existing administrative data was instrumental in establishing a national data source to facilitate the monitoring and reporting of progress of seclusion reduction strategies.
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Millbank, Jenni. "Health Practitioner Regulation: Has the National Law Produced National Outcomes in Serious Disciplinary Matters?" Federal Law Review 47, no. 4 (September 13, 2019): 631–54. http://dx.doi.org/10.1177/0067205x19875028.
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Since 2010, a national scheme regulates the registration, accreditation and discipline of health professionals in Australia (the ‘National Law’). This research examines disciplinary cases from tribunals nationwide to address the question: Has the national regulation of health professionals produced consistency in outcomes in serious cases of professional misconduct? All publicly available Australian tribunal-level decisions concerning complaints of serious misconduct and/or impairment brought against the five most populous regulated health professions (nurses and midwives, doctors, psychologists, pharmacists and dentists) were analysed for the period from 1 July 2010 to 30 June 2017. Each case was coded by reference to a typology of misconduct, practitioner characteristics and outcome, allowing for comparisons to be drawn both as between the professions and as between jurisdictions. Major disparities were identified in outcomes across the professions, with doctors being subject to less severe outcomes than other professions, in particular in comparison with nurses, even when the same main head of misconduct was in issue. Marked disparities were also identified between outcomes in different states and territories, suggesting that the National Law is not being applied in a uniform manner. This article examines these disparities and explores possible contributing factors.
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Lee, Sangha, Daniel Bonnar, Brandy Roane, Michael Gradisar, Ian C. Dunican, Michele Lastella, Gemma Maisey, and Sooyeon Suh. "Sleep Characteristics and Mood of Professional Esports Athletes: A Multi-National Study." International Journal of Environmental Research and Public Health 18, no. 2 (January 14, 2021): 664. http://dx.doi.org/10.3390/ijerph18020664.
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Esports is becoming increasingly professionalized, yet research on performance management is remarkably lacking. The present study aimed to investigate the sleep and mood of professional esports athletes. Participants were 17 professional esports athletes from South Korea (N = 8), Australia (N = 4), and the United States (N = 5) who played first person shooter games (mean age 20 ± 3.5 years, 100% male). All participants wore a wrist-activity monitor for 7–14 days and completed subjective sleep and mood questionnaires. Participants had a median total sleep time of 6.8 h and a sleep efficiency of 86.4% per night. All participants had significantly delayed sleep patterns (median sleep onset 3:43 a.m. and wake time 11:24 a.m.). Participants had a median sleep onset latency of 20.4 min and prolonged wake after sleep onset of 47.9 min. Korean players had significantly higher depression scores compared to the other groups (p < 0.01) and trained longer per day than the Australian or United States teams (13.4 vs. 4.8 vs. 6.1 h, respectively). Depression scores were strongly correlated with number of awakenings, wake after sleep onset, and daily training time (p < 0.05). As the first pilot sleep study in the esports field, this study indicates that esports athletes show delayed sleep patterns and have prolonged wake after sleep onset. These sleep patterns may be associated with mood (depression) and training time. Sleep interventions designed specifically for esports athletes appear warranted.
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Gabbett, Tim, and Boris Georgieff. "Physiological and Anthropometric Characteristics of Australian Junior National, State, and Novice Volleyball Players." Journal of Strength and Conditioning Research 21, no. 3 (2007): 902. http://dx.doi.org/10.1519/r-20616.1.
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Jones, Tamsin, Kate Curtis, and Ramon Z. Shaban. "Academic and professional characteristics of Australian graduate emergency nursing programs: A national study." Australasian Emergency Care 23, no. 3 (September 2020): 173–80. http://dx.doi.org/10.1016/j.auec.2020.02.003.
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GABBETT, TIM, and BORIS GEORGIEFF. "PHYSIOLOGICAL AND ANTHROPOMETRIC CHARACTERISTICS OF AUSTRALIAN JUNIOR NATIONAL, STATE, AND NOVICE VOLLEYBALL PLAYERS." Journal of Strength and Conditioning Research 21, no. 3 (August 2007): 902–8. http://dx.doi.org/10.1519/00124278-200708000-00042.
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Banens, R. J., and J. R. Davis. "Comprehensive approaches to eutrophication management: the Australian example." Water Science and Technology 37, no. 3 (February 1, 1998): 217–25. http://dx.doi.org/10.2166/wst.1998.0211.
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Eutrophication is one of the major environmental issues facing Australia. Responses to this issue include short-term management strategies principally focusing on operational activities, and long-term strategies focusing on nutrient reduction, flow management, education, monitoring and research. Because nutrients were found to be largely derived from rural areas, community education and involvement of land holders formed a central element of the longer-term strategies. The voluntary and co-operative approach adopted was considered to be more effective than a regulatory or coercive approach in improving diffuse phosphorus source management. Research was particularly necessary because of a relatively poor Australian knowledge base, and the need to rely on overseas understandings and management experiences. Australia has a number of environmental characteristics - episodic rainfall and runoff, higher year-round temperatures, old shallow soils and higher river turbidity - to suggest that research into the causes and management of eutrophication under Australian conditions is necessary. Historical reports suggest that some of these factors may make Australian waters naturally susceptible to eutrophication. The National Eutrophication Management Program was established to fund, co-ordinate and communicate research activities. Preliminary research findings suggest that the accepted northern hemisphere eutrophication paradigm does not always fit.
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Velentzis, Louiza S., Sam Egger, Emily Banks, and Karen Canfell. "Menopausal hormone therapy: Characterising users in an Australian national cross-sectional study." PLOS ONE 16, no. 8 (August 11, 2021): e0253725. http://dx.doi.org/10.1371/journal.pone.0253725.
Abstract:
Menopausal hormone therapy (MHT) is effective for menopausal symptoms, however, its use is also associated with risks of serious health conditions including breast, ovarian and endometrial cancer, stroke and venous thromboembolism. MHT-related health risks increase with longer durations of use. In Australia, while overall MHT use fell when risk-related findings were published in 2002, a significant number of women continue using MHT long-term. We aimed to examine socio-demographic, health-related and lifestyle characteristics in relation to post-2002 MHT use, and to compare use for <5 and ≥5 years. Data from 1,561 participants from an Australian, national, cross-sectional survey of women aged 50–69 in 2013 were analysed. Odds ratios (ORs) were calculated using logistic regression for characteristics related to overall MHT use post-2002 and multinomial logistic regression for associations between MHT duration of use [never/<5 years/≥5 years] and personal characteristics, adjusting for sociodemographic, reproductive, health and lifestyle factors. Post-2002 MHT use was associated with increasing age (p-trend<0.001), hysterectomy versus no hysterectomy (OR:2.55, 95%CI = 1.85–3.51), bilateral oophorectomy vs no oophorectomy (OR:1.66, 95%CI = 1.09–2.53), and ever- versus never-use of therapies other than MHT for menopausal symptoms (OR:1.93, 95%CI = 1.48–2.57). Women with prior breast cancer (OR:0.35, 95%CI = 0.17–0.74) and with more children (p-trend = 0.034) were less likely than other women to use MHT. Prior hysterectomy was more strongly associated with MHT use for ≥5 years than for <5 years (p = 0.004). Ever-use of non-MHT menopausal therapies was associated with MHT use for <5 years but not with longer-term use (p = 0.004). This study reinforces the need for MHT users and their clinicians to re-evaluate continued MHT use on an ongoing basis.
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Manshin, Roman V., and Alexey V. Smirnov. "APPROACHES TO ASSESSING THE NUMBER OF RUSSIAN SPEAKING COMMUNITIES IN AUSTRALIA." Scientific Review. Series 1. Economics and Law, no. 4 (2022): 13–22. http://dx.doi.org/10.26653/2076-4650-2022-4-02.
Abstract:
The article is devoted to the analysis of approaches to assessing the number of Russian-speaking communities in Australia. The Russian-speaking community in Australia was formed under the influence of various waves of migration, differing in the degree of integration into the local society. Thus, six stages of migration to Australia can be distinguished from the end of the 19th century to the present day, which have contributed their own characteristics to the formation of the Russian-speaking community. An analysis of current Russian and Australian statistics made it possible to compare information on migration flows between countries and to identify features and shortcomings of accounting for donor and recipient countries. The results of Australian national censuses make it possible to compensate for some shortcomings in the current accounting of migration processes. The identification of key features that characterize the Russian-speaking communities in Australia made it possible to estimate the size of their main parts. Such signs are: geographical identity (birth on the territory of Russia), linguistic identity (Russian language), religious identity (Orthodoxy), ethnic identity (Russian origin).
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Zheng, Mingyue, Carla De Oliveira Bernardo, Nigel Stocks, and David Gonzalez-Chica. "Diabetes Mellitus Diagnosis and Screening in Australian General Practice: A National Study." Journal of Diabetes Research 2022 (March 23, 2022): 1–11. http://dx.doi.org/10.1155/2022/1566408.
Abstract:
Aims. To investigate the epidemiology of diabetes diagnosis and screening in Australian general practice. Methods. Cross-sectional study using electronic health records of 1,522,622 patients aged 18+ years attending 544 Australian general practices (MedicineInsight database). The prevalence of diagnosed diabetes and diabetes screening was explored using all recorded diagnoses, laboratory results, and prescriptions between 2016 and 2018. Their relationship with patient sociodemographic and clinical characteristics was also investigated. Results. Overall, 7.5% (95% CI 7.3, 7.8) of adults had diabetes diagnosis, 0.7% (95% CI 0.6, 0.7) prediabetes, and 0.3% (95% CI 0.3, 0.3) unrecorded diabetes/prediabetes (elevated glucose levels without a recorded diagnosis). Patients with unrecorded diabetes/prediabetes had clinical characteristics similar to those with recorded diabetes, except for a lower prevalence of overweight/obesity (55.5% and 69.9%, respectively). Dyslipidaemia was 1.8 times higher (36.2% vs. 19.7%), and hypertension was 15% more likely (38.6% vs. 33.8%) among patients with prediabetes than with diabetes. Diabetes screening (last three years) among people at high risk of diabetes was 55.2% (95% CI 52.7, 57.7), with lower rates among young or elderly males. Conclusions. Unrecorded diabetes/prediabetes is infrequent in Australian general practice, but prediabetes diagnosis was also lower than expected. Diabetes screening among high-risk individuals can be improved, especially in men, to enhance earlier diabetes diagnosis and management.
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Fincher, R. "Gender, Age, and Ethnicity in Immigration for an Australian Nation." Environment and Planning A: Economy and Space 29, no. 2 (February 1997): 217–36. http://dx.doi.org/10.1068/a290217.
Abstract:
Since the Second World War, large-scale immigration has been promoted by successive Australian governments as vital to national development. Most accounts of the content and implementation of the resulting immigration policies, particularly until the demise of the White Australia policy in 1972, have emphasised their racism. The ideal immigrant under these policies, however, was not merely of particular birthplace and ethnicity, but also had specified gender and age characteristics. The author proposes that selection of immigrant settlers in Australia since World War 2 has been gendered as well as racialised, often combining particular sexisms with particular racisms and specifying the ways that ethnicity and gender should coexist in immigrants of different age groups. She notes implications for immigrants once in Australia (especially women) of the category under which they have entered the country. And she suggests that a new phase relating immigration to redefinition of the Australian nation, in which the temporary migration of skilled workers is preferred to their permanent migration, may be beginning; a phase whose modes of regulation and outcomes are as distinctively gendered as were those of their predecessors.
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Currow, David Christopher, Hiromichi Matsuoka, Samuel Allingham, Belinda Fazekas, Linda Brown, Zac Vandersman, Katherine Clark, and Meera Agar. "Comparability of the Cancer Supportive Care Clinical Studies Collaborative (CSCCSC) study population to national referrals to other specialist palliative care services." Journal of Clinical Oncology 36, no. 34_suppl (December 1, 2018): 63. http://dx.doi.org/10.1200/jco.2018.36.34_suppl.63.
Abstract:
63 Background: There are no agreed national nor international criteria for referral to palliative care. Key population characteristics have been defined to aid the generalizability of research findings in palliative care clinical studies. To codify differences in key demographic factors between patients with cancer participating in the Australian national Cancer Supportive Care Clinical Studies Collaborative (CSCCSC) phase III symptom control studies and the population referred to other Australian palliative care services. Methods: This study compares two contemporaneous consecutive cohorts generated through clinical trial participation and the national palliative care clinical quality improvement registry in Australia. Age, sex, cancer diagnosis, language, and socio-economic status were compared. Results: Cohorts were people with cancer: enrolled in CSCCSC phase III clinical studies (n=902; 17 sites); and registered by the Australian national Palliative Care Outcomes Collaboration (PCOC; n=75,240; 117 sites). Participants in CSCCSC studies were younger than those of PCOC (median 71 (IQR 62, 79) versus median 73 (IQR 63, 81); p=0.003 respectively). There was no significant difference in sex (p=0.483). Patients who spoke English accounted 95.0% of enrollees in the CSCCSC group and 92.2% in the PCOC group (p = 0.004). Clinical study participants had higher socioeconomic status that the PCOC group (p=0.022). Conclusions: Overall, the slightly different demographic patterns are reflective of the differences often seen between phase III trials and the populations to whom the results will be applied. Age differences particularly need to be taken into account when considering the best way to apply each study’s findings.
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Lee, S., D. Bonnar, B. Roane, M. Gradisar, E. Jang, and S. Suh. "0192 Sleep Characteristics and Mood of Professional Esports Athletes: A Multi-National Study." Sleep 43, Supplement_1 (April 2020): A75—A76. http://dx.doi.org/10.1093/sleep/zsaa056.190.
Abstract:
Abstract Introduction Esports is becoming increasingly professionalized, yet research on performance management is remarkably lacking. The present study aimed to investigate sleep and mood in professional esports athletes. Methods Participants were 17 professional esports athletes from South Korea (8), Australia (4) and the US (5) who played First Person Shooter games (mean age 20±3.5 years, 100% male). All participants wore a wrist-activity monitor for 7–14 days, and completed subjective sleep and mood questionnaires. Results Based on data from the wrist-activity monitory, participants averaged 409±37 minutes of total sleep time, and 87±1% of sleep efficiency per night. All participants had significantly delayed sleep patterns (Average bed Time 3:41 am and wake Time 11:11 am). Participants had an average SOL of 26.15 minutes and prolonged wake after sleep onset of 51.91 (±31.84) minutes. Korean players had significantly higher depression scores compared to the other groups (p=.006) and trained longer than the Australian or US teams (13.38 vs. 4.75 vs. 6.10 hours, respectively). Depression scores were strongly correlated with number of awakenings, wake after sleep onset and training time per day (ps<.05). Conclusion As the first exploratory study in the esports field, the study indicates that esports athletes show delayed sleep patterns and have prolonged wake after sleep onset. These sleep patterns may be associated with mood (depression) and training time. There may also be cultural differences that contribute to sleep disturbance in this population. Support Korean Society of Sleep Medicine
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WEBSTER, PAM, RICHARD P. MATTICK, and ANDREW J. BAILLIE. "Characteristics of clients receiving treatment in Australian drug and alcohol agencies: a national census." Drug and Alcohol Review 11, no. 2 (April 1992): 111–19. http://dx.doi.org/10.1080/09595239200185581.
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Jeon, Yun-Hee, Anne-Nicole Casey, Kha Vo, Kris Rogers, Belinda Poole, and Judith Fethney. "Associations between clinical indicators of quality and aged-care residents’ needs and consumer and staff satisfaction: the first Australian study." Australian Health Review 43, no. 2 (2019): 133. http://dx.doi.org/10.1071/ah17213.
Abstract:
Objectives To ascertain Australian multistate prevalence and incidence of five commonly collected clinical indicators of aged-care home quality and to measure associations between these clinical indicators and levels of care needs and consumer and staff satisfaction. Methods A retrospective analysis of national audit data collected from 426 facilities between 2015 and 2016 was performed. Regression models were used to examine associations between five clinical indicators (falls, pressure injury, physical restraint, unplanned weight loss and polypharmacy) and level of care needs measured by the Aged Care Funding Instrument (ACFI) and consumer and care staff survey responses. Results With the exception of polypharmacy, commonly collected negative clinical outcomes were rare events. Compared with care homes with <25% of residents having high-level care needs (high ACFI), homes with 25<75% high-ACFI residents had more occurrences of all negative clinical outcomes except pressure injury. Homes with ≥75% high-ACFI residents reported the highest rates of polypharmacy (odds ratio 1.48, 95% confidence interval 1.39 – 1.57). Falls, unplanned weight loss and pressure injury were inversely associated with satisfaction scores adjusted for residents’ level of care needs. Conclusions This first Australian study of multistate clinical indicator data suggests interpretation of clinical indicators of aged-care home quality requires consideration of the level of residents’ care needs. What is known about the topic? Many Australian aged-care providers use quality indicators (QI) through benchmarking companies or in-house programs. The five most widely used aged-care clinical QIs in Australia are falls, pressure injury, physical restraint, unplanned weight loss and polypharmacy. Prevalence and incidence of these QIs are highly variable among Australian studies. A consistent message in the international literature is that residents’ clinical characteristics influence QI outcomes at baseline and may continue to influence outcomes over time. Study of associations between Australian aged-care home characteristics and QI outcomes has been limited. What does this paper add? This is the first Australian study of multistate clinical QI data. It is also the first to consider the level of resident care needs in the interpretation of clinical QI outcomes and exploration of the association between level of consumer and staff satisfaction and QI outcomes. What are the implications for practitioners? Understanding the connections between aged-care home characteristics, consumer and staff perceptions and clinical QIs is crucial in the meaningful interpretation of QI outcomes in context. With the recent introduction of the National Aged Care Quality Indicator Program, it is timely to review national policy, to gauge current quality of care and the measure of care quality in the sector, and to develop directions for possible research to inform and resolve debates regarding the potential influence and unplanned effects that such a program may have.
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Hickie, Ian, Tracey Davenport, Cathy Issakidis, and Gavin Andrews. "Neurasthenia: Prevalence, disability and health care characteristics in the Australian community." British Journal of Psychiatry 181, no. 1 (July 2002): 56–61. http://dx.doi.org/10.1192/bjp.181.1.56.
Abstract:
BackgroundNeurasthenia imposes a high burden on primary medical health care systems in all societies.AimsTo determine the prevalence of ICD-10 neurasthenia and associated comorbidity, disability and health care utilisation.MethodUtilisation of a national sample of Australian households previously surveyed using the Composite International Diagnostic Interview and other measures.ResultsProlonged and excessive fatigue was reported by 1465 people (13.29% of the sample). Of these, one in nine people meet current ICD-10 criteria for neurasthenia. Comorbidity was associated with affective, anxiety and physical disorders. People with neurasthenia alone (< 0.5% of the population) were less disabled and used less services than those with comorbid disorders.ConclusionsFatigue is frequent in the Australian community and is common in people attending general practice. Neurasthenia is disabling and demanding of services largely because of its comorbidity with other mental and physical disorders. Until a remedy for persistent fatigue is provided, doctors should take an active psychological approach to treatment.
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Knapman, Bruce, and Natalie Stoeckl. "Recreation User Fees: An Australian Empirical Investigation." Tourism Economics 1, no. 1 (March 1995): 5–15. http://dx.doi.org/10.1177/135481669500100102.
Abstract:
It is widely acknowledged that increasing tourism and recreation usage of natural resources in Australia has placed heavy demands on those responsible for visitor management. The consequent need for more revenue has led local government and national park management to contemplate extended implementation of the ‘user pays' principle. However, user pays may be rejected on the grounds that it is not a first-best pricing policy, and/or on the grounds that public resources funded out of the public purse should be freely available. It has been suggested in the case of entry fees to national parks that they penalize the poor. This paper uses empirical estimates of demand curves for two World-Heritage-listed national parks — Kakadu and Hinchinbrook Island — to investigate the impact of entry fees on visitation and revenue, and the efficiency of fees as a revenue-raising device. An examination of visitors' socio-economic characteristics allows some comment on the equity issue. It is concluded that modest entry fees would have little impact on visitor numbers; that, provided the administrative costs of fee imposition are not prohibitive, entry fees are not only a good potential source of revenue, but also impose smaller efficiency costs than the income taxation system; and that fees may well constitute a progressive tax.
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Gayo, Modesto, and David Rowe. "The Australian sport field: moving and watching." Media International Australia 167, no. 1 (April 19, 2018): 162–80. http://dx.doi.org/10.1177/1329878x18767423.
Abstract:
The Australian sport field (as in other countries) is powerfully influenced by the media field, and for this reason, the survey on which this article is based placed considerable emphasis on mediated spectatorship. The survey, which draws on and adapts the work of Pierre Bourdieu, revealed differences in the place of sport in the lives of respondents, with a majority never playing it, but an even larger majority watching sport through the media, especially television. Positions within the sport field can, like others, be represented as a set of clusters or divided into quadrants where variable cultural practices; degrees of cultural, educational, social and economic capital; and social characteristics are thrown into sharp relief. This article teases out such differences in relations and practices within the sport field, explores knowledge and taste with regard to playing and watching sport in Australia, and questions the relationship between sport and national culture.
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Swift, Wendy, Jan Copeland, and Wayne Hall. "Characteristics of women with alcohol and other drug problems: findings of an Australian national survey." Addiction 91, no. 8 (August 1996): 1141–50. http://dx.doi.org/10.1046/j.1360-0443.1996.91811416.x.
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Labrosciano, Clementine, Tracy Air, Rosanna Tavella, John F. Beltrame, and Isuru Ranasinghe. "Readmissions following hospitalisations for cardiovascular disease: a scoping review of the Australian literature." Australian Health Review 44, no. 1 (2020): 93. http://dx.doi.org/10.1071/ah18028.
Abstract:
Objective International studies suggest high rates of readmissions after cardiovascular hospitalisations, but the burden in Australia is uncertain. We summarised the characteristics, frequency, risk factors of readmissions and interventions to reduce readmissions following cardiovascular hospitalisation in Australia. Methods A scoping review of the published literature from 2000–2016 was performed using Medline, EMBASE and Cumulative Index to Nursing and Allied Health Literature (CINAHL) databases and relevant grey literature. Results We identified 35 studies (25 observational, 10 reporting outcomes of interventions). Observational studies were typically single-centre (11/25) and reported readmissions following hospitalisations for heart failure (HF; 10/25), acute coronary syndrome (7/25) and stroke (6/25), with other conditions infrequently reported. The definition of a readmission was heterogeneous and was assessed using diverse methods. Readmission rate, most commonly reported at 1 month (14/25), varied from 6.3% to 27%, with readmission rates of 10.1–27% for HF, 6.5–11% for stroke and 12.7–17% for acute myocardial infarction, with a high degree of heterogeneity among studies. Of the 10 studies of interventions to reduce readmissions, most (n=8) evaluated HF management programs and three reported a significant reduction in readmissions. We identified a lack of national studies of readmissions and those assessing the cost and resource impact of readmissions on the healthcare system as well as a paucity of successful interventions to lower readmissions. Conclusions High rates of readmissions are reported for cardiovascular conditions, although substantial methodological heterogeneity exists among studies. Nationally standardised definitions are required to accurately measure readmissions and further studies are needed to address knowledge gaps and test interventions to lower readmissions in Australia. What is known about the topic? International studies suggest readmissions are common following cardiovascular hospitalisations and are costly to the health system, yet little is known about the burden of readmission in the Australian setting or the effectiveness of intervention to reduce readmissions. What does this paper add? We found relatively high rates of readmissions following common cardiovascular conditions although studies differed in their methodology making it difficult to accurately gauge the readmission rate. We also found several knowledge gaps including lack of national studies, studies assessing the impact on the health system and few interventions proven to reduce readmissions in the Australian setting. What are the implications for practitioners? Practitioners should be cautious when interpreting studies of readmissions due the heterogeneity in definitions and methods used in Australian literature. Further studies are needed to test interventions to reduce readmissions in the Australians setting.
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Amarasena, Najith, Sergio Chrisopoulos, Lisa M. Jamieson, and Liana Luzzi. "Oral Health of Australian Adults: Distribution and Time Trends of Dental Caries, Periodontal Disease and Tooth Loss." International Journal of Environmental Research and Public Health 18, no. 21 (November 2, 2021): 11539. http://dx.doi.org/10.3390/ijerph182111539.
Abstract:
This study was conducted to describe the distribution and trends in dental caries, periodontal disease and tooth loss in Australian adults based on the findings of the National Study of Adult Oral Health 2017–18. A cross-sectional study of a random sample of Australians aged 15+ years was carried out, employing a three-stage stratified probability sampling design. Data were collected via online survey/telephone interviews using a questionnaire to elicit self-reported information about oral health and related characteristics. Participants were then invited to have an oral examination, conducted by calibrated dental practitioners following a standardised protocol in public dental clinics. A total of 15,731 Australians aged 15+ years were interviewed, of which 5022 dentate participants were orally examined. Results showed that nearly one third of Australian adults had at least one tooth surface with untreated dental caries and, on average, 29.7 decayed, missing or filled tooth surfaces per person. Almost 29% of adults presented with gingivitis while the overall prevalence of periodontitis was 30.1%. Overall, 4% of adults were edentulous while, on average, 4.4 teeth were lost due to pathology. Poorer oral health was evident in Australians from lower socioeconomic backgrounds, indicating socioeconomic inequalities in oral health. Time trends revealed that dental caries experience and tooth retention of Australian adults has improved over 30 years, while periodontal health has deteriorated between 2004–06 and 2017–18. These findings can be used to assist policy makers in planning and implementing future oral healthcare programs.
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Nickolayeva, Iryna. "NATIONAL AND CULTURAL PECULIARITIES OF PHONETICS IN THE AMERICAN ENGLISH." Naukovì zapiski Nacìonalʹnogo unìversitetu «Ostrozʹka akademìâ». Serìâ «Fìlologìâ» 1, no. 9(77) (January 30, 2020): 16–18. http://dx.doi.org/10.25264/2519-2558-2020-9(77)-16-18.
Abstract:
The article shows the establishment of the territorial norms on the level of phonetics in the American English. It analyses their national and cultural peculiarities. The studied and presented material shows that the phonetic characteristics of the American national version of the English language have their own territorial national and cultural characteristics. The article deals with the issue of phonetic peculiarities of the dialectic language as an ideal of the signs of the territorial jurisdiction of native speakers in terms of interpersonal communication. The main causes of regional dialects are analyzed. Separately, it is noted that the phonetic characteristics of the American national version of English in the South-West of the United States have their own regional identity. It is underlined that distinctive phonetic features of the English language in the United States include not only dialect phenomena, but they are also characteristic of the literary language. The assessment of the same linguistic facts from the point of view of American and British norms is indicative in this respect. In this article, it is discussed in detail the phonetic features of American English compared to British, officially recognized in the world community the main. The American version is of the greatest interest in comparison with Canadian, Australian and New Zealand English, because, for various reasons, it has undergone a large number of changes in all aspects of the language, including phonetic. The article emphasizes that the United States is developing its own territorial phonetic norms.
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Pridmore, Saxby, Jamshid Ahmadi, and William Pridmore. "Suicide of Australians during the Vietnam War." Australasian Psychiatry 26, no. 2 (October 9, 2017): 149–51. http://dx.doi.org/10.1177/1039856217734740.
Abstract:
Objectives: National suicide rates fall during times of war. This fits with the notion of the population coming together against a common foe. But, what happens in the case of a war which is not fully supported, which draws the population and families apart? We consider this question by examining the Australian suicide rates during the divisive Vietnam War. Methods: We graphed and examined the Australian suicide figures for 1921–2010. Results: We found clear evidence of a decrease in the suicide rate for World War II (consistent with other studies), but a marked elevation of suicide during the Vietnam War. Conclusions: The elevation of the Australian suicide rate during the Vietnam War is consistent with Durkheim’s social integration model – when social integration is lessened, either by individual characteristics or societal characteristics, the risk of suicide rises.
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CHAMBERS, Georgina. "How Did We Get Here and Where are We Going?" Fertility & Reproduction 04, no. 03n04 (September 2022): 92. http://dx.doi.org/10.1142/s2661318222740048.
Abstract:
The YourIVFSuccess website was created to help people make informed decisions about IVF treatment. It was developed by the University of New South Wales in collaboration with clinicians and consumers with funding from the Australian Government and launched in early 2021. The Website provides a searchable database of all fertility clinics in Australia, and includes comparable information on the types of patients, their treatment and their success rates compared to national averages. It also includes an IVF Success Estimator which allows patients to enter their own characteristics and receive an individualised estimate their chances of having a baby using IVF, based on data from over 600,000 IVF cycles performed in Australia. This presentation will provide background to the Website development, why each measure of success was chosen, and planned future enhancements.
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Hordacre, Brenton G., Tara Stevermuer, Frances Simmonds, Maria Crotty, and Kathy Eagar. "Lower-limb amputee rehabilitation in Australia: analysis of a national data set 2004 - 10." Australian Health Review 37, no. 1 (2013): 41. http://dx.doi.org/10.1071/ah11138.
Abstract:
Objective. Examine demographics, clinical characteristics and rehabilitation outcomes of lower-limb amputees, using the Australasian Rehabilitation Outcomes Centre (AROC) database. Methods. Lower-limb amputee rehabilitation separations between 2004 and 2010 were identified using AROC impairment codes 5.3–5.7.1 Analysis was conducted by year, impairment code, Australian National Sub-acute and Non-Acute Patient (AN-SNAP) classification (S2–224, Functional Independence Measure (FIM) motor(Mot) score 72–91; S2–225, FIM (Mot) score 14–71) and states of Australia. Results. Mean length of stay (LOS) for all lower-limb amputee episodes was 36.1 days (95% confidence interval (CI): 35.4–36.9). Majority of episodes were unilateral below knee (63.6%), males (71.8%) with a mean age of 67.9 years (95% CI: 67.6–68.3). Year-on-year analysis revealed a trend for increasing LOS and decreasing age. Analysis by impairment code demonstrated no significant difference in rehabilitation outcomes. Analysis by AN-SNAP found that LOS was 16.2 days longer for S2–225 than for S2–224 (95% CI: 14.7–17.8, P < 0.001), and FIM (Mot) change was 12.0 points higher for S2–225 than for S2–224 (95% CI: 11.5–12.6, P < 0.001). Analysis by states revealed significant variation in LOS, FIM (Mot) change and FIM (Mot) efficiency which may be associated with variations in organisation of rehabilitation services across states. Conclusion. Although amputees represented a comparatively small proportion of all rehabilitation episodes in Australia, their LOS was significant. Unlike many other rehabilitation conditions, there was no evidence of decreasing LOS over time. AN-SNAP classes were effective in distinguishing rehabilitation outcomes, and could potentially be used more effectively in planning rehabilitation programs. What is known about the topic? Literature reporting on the rehabilitation outcomes of cohorts of lower-limb amputees in Australia is limited to individual sites. No previous literature was identified that reported national data. What does this paper add? This study investigates amputee rehabilitation at a national level over a 7-year observation period (2004–10) and comprises 6588 episodes. It reports the national demographics, clinical characteristics and rehabilitation outcomes, with the aim of identifying findings that have implications for practitioners. What are the implications for practitioners? Although only a small proportion of all episodes in the AROC database, this subset of lower-limb amputee episodes has provided a useful snapshot of the current state of amputee rehabilitation in Australia. We believe these findings have significant implications for practitioners in delivery of amputee rehabilitation services across Australia. Practitioners may benefit from adjusting service delivery based upon the decreasing age of lower limb amputees. Findings from this study also indicate that AN-SNAP classifications are effective in discriminating amputee rehabilitation outcomes and may be used to streamline rehabilitation services and provide a more efficient and effective rehabilitation service to prevent further increases in LOS.
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McLean, Neil. "The evolution of information resource sharing infrastructure: an Australian perspective." Library Hi Tech 17, no. 3 (September 1, 1999): 256–64. http://dx.doi.org/10.1108/07378839910289349.
Abstract:
This paper examines the particular characteristics underpinning resource sharing among university libraries in Australia, and describes a series of projects aimed at improving the technical infrastructure of interlibrary lending. It also outlines the links between these national projects and a European flagship project aimed at building distributed information services environments. By way of conclusion, there is a summary of the challenges inherent in creating global information infrastructure.
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Eyre, Teresa J., Alaric Fisher, Leigh P. Hunt, and Alex S. Kutt. "Measure it to better manage it: a biodiversity monitoring framework for the Australian rangelands." Rangeland Journal 33, no. 3 (2011): 239. http://dx.doi.org/10.1071/rj10071.
Abstract:
The need for broad-scale, long-term biodiversity monitoring to support evidence-based policy and management in the Australian rangelands is clear and pressing but, despite protracted discussion of this need, there has been little progress towards implementation. To prompt real progress, we propose a framework of spatially hierarchical and complementary components that together use a combination of direct and indirect measures of biodiversity and drivers: • Targeted monitoring; involving localised field-based monitoring of target species, addressing specific management questions. • Surveillance monitoring; involving broad-scale, field-based sampling of multi-taxa and a set of habitat and condition attributes. • Landscape-scale monitoring; providing regional to national-scale intelligence on habitat quality and trends in threats to or drivers of biodiversity, with data obtained using systematic ground-based and remote methods. The framework aims to provide information on the response of biodiversity to rangeland management that is relevant to regional, state and national jurisdictions. We believe the characteristics of the proposed framework address many of the pitfalls that often stall biodiversity monitoring in Australia. These characteristics include: clarification of the desired outcomes and management requirements; a strong collaborative partnership that oversees the administration of the framework and ensures long-term commitment; a conceptual model that guides clear and relevant question-setting; careful design and analysis aimed at addressing the set questions; timely and relevant communication and reporting; and, regular data analysis and review, providing an adaptive mechanism for the framework to evolve and remain relevant. The proposed framework can be incrementally implemented at a moderate cost, relative to current total expenditure in natural resource management in the Australian rangelands.
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Gardasevic, Jovan, Dusko Bjelica, Ivan Vasiljevic, and Bojan Masanovic. "DIFFERENCES IN BODY COMPOSITION WITH WATER POLO NATIONAL TEAMS PLAYERS PARTICIPATED IN THE WORLD CHAMPIONSHIP." Kinesiologia Slovenica 27, no. 1 (May 12, 2021): 97–107. http://dx.doi.org/10.52165/kinsi.27.1.97-107.
Abstract:
This research aimed to determine the differences between the junior (U20) water polo players of national teams of Serbia, Montenegro, and Australia in the anthropometric characteristics and body composition. The first sub-sample of the subjects consisted of 15 water polo players of the Serbian national team, the vice-champions of the FINA World Men's Junior Water Polo Championship in Kuwait 2019. The second sub-sample consisted of 18 water polo players of the Montenegrin national team, who occupied the sixth position and the last sub-sample of the examinees consisted of 13 water polo players of the Australian national team, who occupied the eleventh position on the championship. The players were tested at the final preparations just before the World Championship. Anthropometric characteristics and body composition were evaluated using a battery of 11 tests: body height, body weight, triceps skinfold, biceps skinfold, skinfold of the back, abdominal skinfold, upper-leg skinfold, lower leg skinfold, body mass index, fat percentage, and muscle mass. The results of the ANOVA displayed that the water polo players of the three national teams do not have statistically significant differences in the variables for assessing anthropometric characteristics and body composition. The results obtained in this research showed average team values for the estimated variables of water polo players of the three national teams (U20) who participated in the World Championship. That can serve as model parameters for all teams who want to participate in U20 water polo World Championship. Differences in classification among water polo players may be related to the motor abilities, technical and tactical parameters as their anthropometric parameters were found to be similar.
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Reavley, N. J., A. J. Morgan, and A. F. Jorm. "Disclosure of mental health problems: findings from an Australian national survey." Epidemiology and Psychiatric Sciences 27, no. 4 (January 11, 2017): 346–56. http://dx.doi.org/10.1017/s204579601600113x.
Abstract:
Aims.The aim of the current study was to carry out a national population-based survey to assess the proportion of people disclosing mental health problems in a variety of settings. A further aim was to explore respondent characteristics associated with disclosure.Methods.In 2014, telephone interviews were carried out with 5220 Australians aged 18+, 1381 of whom reported a mental health problem or scored highly on a symptom screening questionnaire. Questions covered disclosure of mental health problems to friends, intimate partners, other family members, supervisors or other colleagues in the workplace, teachers, lecturers or other students in the educational institution, health professionals and others in the community. Other than for intimate partners or supervisors, participants were asked whether or not they told everybody, some people or no one. Multinomial logistic regression was used to model the correlates of disclosure in each setting.Results.For friends and family, respondents were more likely to disclose to some people than to everyone or to no one. In most other domains, non-disclosure was most common, including in the workplace, where non-disclosure to supervisors was more likely than disclosure. Disclosure was associated with having received treatment or with support in all settings except healthcare, while it was only associated with discrimination in two settings (healthcare and education).Conclusions.Disclosure of mental health problems does not appear to be linked to discrimination in most settings, and is typically associated with receiving support. Selective or non-disclosure may be particularly critical in workplaces, education and healthcare settings.
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Keel, Stuart, Myra B. McGuinness, Joshua Foreman, Jane Scheetz, Hugh R. Taylor, and Mohamed Dirani. "Prevalence, associations and characteristics of severe uncorrected refractive error in the Australian National Eye Health Survey." Clinical & Experimental Ophthalmology 48, no. 1 (October 16, 2019): 14–23. http://dx.doi.org/10.1111/ceo.13647.
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Purdie, D. M. "Health and demographic characteristics of respondents in an Australian national sexuality survey: comparison with population norms." Journal of Epidemiology & Community Health 56, no. 10 (October 1, 2002): 748–53. http://dx.doi.org/10.1136/jech.56.10.748.
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Woods, Carl T., Sam Robertson, Wade H. Sinclair, Kevin Till, Leesa Pearce, and Anthony S. Leicht. "A comparison of game-play characteristics between elite youth and senior Australian National Rugby League competitions." Journal of Science and Medicine in Sport 21, no. 6 (June 2018): 626–30. http://dx.doi.org/10.1016/j.jsams.2017.10.003.
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Jo, Helen E., Ian Glaspole, Christopher Grainge, Nicole Goh, Peter M. A. Hopkins, Yuben Moodley, Paul N. Reynolds, et al. "Baseline characteristics of idiopathic pulmonary fibrosis: analysis from the Australian Idiopathic Pulmonary Fibrosis Registry." European Respiratory Journal 49, no. 2 (February 2017): 1601592. http://dx.doi.org/10.1183/13993003.01592-2016.
Abstract:
The prevalence of idiopathic pulmonary fibrosis (IPF), a fatal and progressive lung disease, is estimated at 1.25–63 out of 100 000, making large population studies difficult. Recently, the need for large longitudinal registries to study IPF has been recognised.The Australian IPF Registry (AIPFR) is a national registry collating comprehensive longitudinal data of IPF patients across Australia. We explored the characteristics of this IPF cohort and the effect of demographic and physiological parameters and specific management on mortality.Participants in the AIPFR (n=647, mean age 70.9±8.5 years, 67.7% male, median follow up 2 years, range 6 months–4.5 years) displayed a wide range of age, disease severity and co-morbidities that is not present in clinical trial cohorts. The cumulative mortality rate in year one, two, three and four was 5%, 24%, 37% and 44% respectively. Baseline lung function (forced vital capacity, diffusing capacity of the lung for carbon monoxide, composite physiological index) and GAP (gender, age, physiology) stage (hazard ratio 4.64, 95% CI 3.33–6.47, p<0.001) were strong predictors of mortality. Patients receiving anti-fibrotic medications had better survival (hazard ratio 0.56, 95% CI 0.34–0.92, p=0.022) than those not on anti-fibrotic medications, independent of underlying disease severity.The AIPFR provides important insights into the understanding of the natural history and clinical management of IPF.
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Rowe, Heather, Sara Holton, Maggie Kirkman, Christine Bayly, Lynne Jordan, Kathleen McNamee, John McBain, Vikki Sinnott, and Jane Fisher. "Abortion: findings from women and men participating in the Understanding Fertility Management in contemporary Australia national survey." Sexual Health 14, no. 6 (2017): 566. http://dx.doi.org/10.1071/sh17004.
Abstract:
Background There are few reliable Australian abortion data. The aim was to investigate prevalence, sexual experiences and socioeconomic characteristics of women and men who report having had or being a partner in an abortion. Methods: A cross-sectional survey of women and men aged 18–50 years randomly selected from the Australian Electoral Roll was used. Weighted multivariable analyses were conducted. Results: Data from 2235 returned (of 15 480) mailed surveys were analysed. One in six women and one in 10 men had experienced or been a partner in an abortion. In adjusted analyses, for women, experience of sexual coercion [adjusted odds ratio (AOR) 2.18, 95% confidence interval (CI) 1.46, 3.24] was associated with significantly increased odds of abortion, and socioeconomic advantage (AOR = 0.57; 95% CI 0.39, 0.84), being comfortable negotiating contraceptive use (AOR 0.26; 95% CI 0.09, 0.73) and importance of religion in fertility choices (AOR = 0.55; 95% CI 0.35, 0.87) were associated with significantly reduced odds. For men, sexual coercion (AOR = 3.05; 95% CI 1.51, 6.18) and metropolitan residence (AOR = 1.70; 95% CI 1.06, 2.75) significantly increased the odds of reporting being a partner in an abortion. Conclusions: The findings contribute to scarce information about abortion in Australia. The high prevalence of abortion suggests that effective contraceptive counselling and accessible contraception services are not sufficient, and that there is a continuing need for universal pregnancy advice and abortion services. The association between sexual coercion and abortion warrants further investigation.
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Bobevski, I., A. Rosen, and G. Meadows. "Mental health service use and need for care of Australians without diagnoses of mental disorders: findings from a large epidemiological survey." Epidemiology and Psychiatric Sciences 26, no. 6 (June 19, 2017): 596–606. http://dx.doi.org/10.1017/s2045796017000300.
Abstract:
Aims.While epidemiological surveys worldwide have found a considerable proportion of people using mental health services not to have a diagnosis of a mental disorder, with possible implications of service overuse, other work has suggested that most people without a current diagnosis who used services exhibited other indicators of need. The aims of the present study were, using somewhat different categorisations than previous work, to investigate whether: (1) Australians without a diagnosis of a mental disorder who used mental health services had other indicators of need; and (2) how rate and frequency of service use in Australia related to level of need, then to discuss the findings in light of recent developments in Australian Mental Health Policy and other epidemiological and services research findings.Methods.Data from the Australian National Survey of Mental Health and Wellbeing (NSMHWB) 2007 was analysed.Results.Most people using mental health services had evident indicators of need for mental health care (MHC), and most of those with lower evident levels of need did not make heavy use of services. Only a small proportion of individuals without any disorders or need indicators received MHC (4%). Although this latter group comprises a fair proportion of service users when extrapolating to the Australian population (16%), the vast majority of these individuals only sought brief primary-care or counselling treatment rather than consultations with psychiatrists. Access and frequency of MHC consultations were highest for people with diagnosed lifetime disorders, followed by people with no diagnosed disorders but other need indicators, and least for people with no identified need indicators. Limitations include some disorders not assessed in interview and constraints based on survey size to investigate subgroups defined, for instance, by socioeconomic advantage and disadvantage individually or by characteristics of area.Conclusions.MHC for individuals with no recognised disorders or other reasonable need for such care may be occurring but if so is likely to be an area-specific phenomenon. Rather than revealing a large national pool of treatment resources being expended on the so-called ‘worried well’, the findings suggested a generally appropriate dose–response relationship between need indicators and service use. Definitive ascertainment of area-specific disparities in this national pattern would require a different survey approach. Government proposals for widespread introduction of stepped-care models that may seek to divert patients from existing treatment pathways need to be implemented with care and well informed by local data.
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Lemieux, Frederic, Samantha Bricknell, and Tim Prenzler. "Mass shootings in Australia and the United States, 1981-2013." Journal of Criminological Research, Policy and Practice 1, no. 3 (September 21, 2015): 131–42. http://dx.doi.org/10.1108/jcrpp-05-2015-0013.
Abstract:
Purpose – The purpose of this paper is to compare the incidence and main characteristics of mass shooting events in Australia and the USA in the period 1981-2013. Design/methodology/approach – The study adopted a conservative definition of mass shootings derived from the US Federal Bureau of Investigation, covering four or more fatalities not including the offender. Australian cases were accessed from the Australian Institute of Criminology’s National Homicide Monitoring Programme (NHMP) database and several secondary sources. The US data were collected from the Mother Jones database, a report prepared for Mayors Against Illegal Guns and a New York Police Department report. The time series data were related to changes in firearms regulations in the two jurisdictions. Findings – For Australia, the study identified 13 mass shooting events and 104 fatalities from gunshot wounds. For the USA, there were 73 events and 576 victims. Of note is the fact that all cases in Australia pre-dated the implementation of the restrictive 1996 National Firearms Agreement. In the USA, a small decline was evident during the 1994-2004 Federal Assault Weapon Ban. Incidents and fatalities increased after 2004. Research limitations/implications – Of necessity, the paper adopts a conservative FBI-based definition of mass shootings that limits the number of cases captured. The absence of an official government US database also most likely limits the number of cases identified. Practical implications – The findings lend support to policy considerations regarding regulating access to firearms. Originality/value – The paper is unique in comparing mass shootings in these two jurisdictions over three decades in association with changes in firearms regulation.