Journal articles on the topic 'Women and the environment – Australia'
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1
Myers, Helen, Leonie Segal, Derrick Lopez, Ian W. Li, and David B. Preen. "Impact of family-friendly prison policies on health, justice and child protection outcomes for incarcerated mothers and their dependent children: a cohort study protocol." BMJ Open 7, no. 8 (August 2017): e016302. http://dx.doi.org/10.1136/bmjopen-2017-016302.
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IntroductionFemale imprisonment has numerous health and social sequelae for both women prisoners and their children. Examples of comprehensive family-friendly prison policies that seek to improve the health and social functioning of women prisoners and their children exist but have not been evaluated. This study will determine the impact of exposure to a family-friendly prison environment on health, child protection and justice outcomes for incarcerated mothers and their dependent children.Methods and analysisA longitudinal retrospective cohort design will be used to compare outcomes for mothers incarcerated at Boronia Pre-release Centre, a women’s prison with a dedicated family-friendly environment, and their dependent children, with outcomes for mothers incarcerated at other prisons in Western Australia (that do not offer this environment) and their dependent children. Routinely collected administrative data from 1985 to 2013 will be used to determine child and mother outcomes such as hospital admissions, emergency department presentations, custodial sentences, community service orders and placement in out-of home care. The sample consists of all children born in Western Australia between 1 January 1985 and 31 December 2011 who had a mother in a West Australian prison between 1990 and 2012 and their mothers. Children are included if they were alive and aged less than 18 years at the time of their mother’s incarceration. The sample comprises an exposed group of 665 women incarcerated at Boronia and their 1714 dependent children and a non-exposed comparison sample of 2976 women incarcerated at other West Australian prisons and their 7186 dependent children, creating a total study sample of 3641 women and 8900 children.Ethics and disseminationThis project received ethics approval from the Western Australian Department of Health Human Research Ethics Committee, the Western Australian Aboriginal Health Ethics Committee and the University of Western Australia Human Research Ethics Committee.
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Kirk, KM, HH Maes, MC Neale, AC Heath, NG Martin, and LJ Eaves. "Frequency of church attendance in Australia and the United States: models of family resemblance." Twin Research 2, no. 2 (April 1, 1999): 99–107. http://dx.doi.org/10.1375/twin.2.2.99.
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AbstractData on frequency of church attendance have been obtained from separate cohorts of twins and their families from the USA and Australia (29 063 and 20 714 individuals from 5670 and 5615 families, respectively). The United States sample displayed considerably higher frequency of attendance at church services. Sources of family resemblance for this trait also differed between the Australian and US data, but both indicated significant additive genetic and shared environment effects on church attendance, with minor contributions from twin environment, assortative mating and parent–offspring environmental transmission. Principal differences between the populations were in greater maternal environmental effects in the US sample, as opposed to paternal effects in the Australian sample, and smaller shared environment effects observed for both women and men in the US cohort.
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Drummond, Peter D., Ayse Mizan, and Bernadette Wright. "HIV/AIDS knowledge and attitudes among West African immigrant women in Western Australia." Sexual Health 5, no. 3 (2008): 251. http://dx.doi.org/10.1071/sh07077.
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Background: Most women who live in sub-Saharan countries have heard of HIV/AIDS, but there is still widespread misunderstanding about how HIV is spread, the consequences of infection, and how to protect against infection. The aim of the present study was to investigate knowledge about HIV and attitudes towards condom use in West African refugees who had settled in Perth, Western Australia, within the past 5 years. Methods: Knowledge about transmission of HIV, myths about how HIV is spread, incorrect beliefs about protective factors, the effectiveness of condoms in protecting against sexually transmissible infections, and attitudes towards condom use were investigated by survey in 51 West African women, and in 100 Australian women for comparison. Where possible, each West African woman was matched for age and level of education with an Australian woman. Results: Knowledge of HIV was poorest in the least educated West African women, but many of the more highly educated women also had misconceptions about how HIV is spread, how to protect against HIV, and the effectiveness of condoms in protecting against HIV. Moreover, most West African women held negative attitudes towards condom use. Within the Australian sample, HIV knowledge was greatest in women with tertiary qualifications, and was greater in younger than older women; in addition, attitudes towards condom use differed across the age span. Conclusions: The findings in the present study suggest that educational programs that focus on knowledge about HIV should be tailored to meet the needs and cultural sensitivities of newly emerging immigrant communities, and should target particular demographic groups within the Australian population.
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Williams, Lauren K., Lukar Thornton, Kylie Ball, and David Crawford. "Is the objective food environment associated with perceptions of the food environment?" Public Health Nutrition 15, no. 2 (August 11, 2011): 291–98. http://dx.doi.org/10.1017/s1368980011001947.
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AbstractObjectiveThe present study examined whether objective measures of the food environment are associated with perceptions of the food environment and whether this relationship varies by socio-economic disadvantage.DesignThe study is a cross-sectional analysis of self-report surveys and objective environment data. Women reported their perceptions on the nutrition environment. Participants’ homes and food stores were geocoded to measure the objective community nutrition environment. Data on the average price and variety of fruit and vegetables were used to measure the objective consumer nutrition environment.SettingThe study was conducted in Melbourne, Australia, in 2003–2004.SubjectsData presented are from a sample of 1393 women aged 18–65 years.ResultsOverall the match between the perceived and objective environment was poor, underscoring the limitations in using perceptions of the environment as a proxy for the objective environment. Socio-economic disadvantage had limited impact on the relationship between perceived and objective nutrition environment.ConclusionsFurther research is needed to understand the determinants of perceptions of the nutrition environment to enhance our understanding of the role of perceptions in nutrition choices and drivers of socio-economic inequalities in nutrition.
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Doyal, Lesley. "Keynote Addresses: What Makes Women Sick? Promoting Women's Health: The Changing Agenda for Health Promotion." Australian Journal of Primary Health 4, no. 3 (1998): 8. http://dx.doi.org/10.1071/py98027.
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The creation of a National Women's Health Policy in 1989 put Australia at the forefront of developments in women's health. By contrast, in the United Kingdom there is still no clear strategy for improving gender equity in the health service, and many of the principles taken for granted in Australia are not even on the National Health Service agenda. The current reforms of our health service do reflect a backing away from the 'quasi markets' of the Conservative era. However, little attention has been paid during this process to the specific needs of women. So Australia is still ahead, with Victoria in particular playing a key role in disseminating examples of good practice, both at home and internationally. The Australian Women's Health Policy and Program provides a fertile environment for innovation in good practice, but this does not mean that there is nothing left to achieve. Indeed, it may well require considerable effort just to maintain what has already been put in place. To move forward will mean continuing to confront those challenges in trying to improve women's health around the world. These are addressed by looking at three key themes: reconfiguring medicine; dealing with diversity; and gendering the social model of health. In each case these themes are placed in a global context.
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Yusuf, Farhat, and Dora K. Briggs. "Incidence of hysterectomy and tubal ligation in public hospitals in South Australia, 1980–82." Journal of Biosocial Science 20, no. 4 (October 1988): 453–59. http://dx.doi.org/10.1017/s0021932000017570.
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SummaryThis paper presents information on the incidence of hysterectomy and tubal ligation in South Australia in the period 1980–82, and on the age, marital status and ethnicity of women undergoing these procedures in public hospitals during the period. A typical woman undergoing one of these procedures was married or previously married and in her mid-40s for hysterectomy or mid-30s for tubal ligation. South Australian women had a lifetime chance of one in six of undergoing hysterectomy and of one in five of undergoing tubal ligation. The findings are consonant with the suggestion that increasing numbers of women are choosing forms of sterilization as means of contraception.
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Martínez-Rives, Noelia Lucía, Bibha Dhungel, Pilar Martin, and Stuart Gilmour. "Method-Specific Suicide Mortality Trends in Australian Men from 1978 to 2017." International Journal of Environmental Research and Public Health 18, no. 9 (April 25, 2021): 4557. http://dx.doi.org/10.3390/ijerph18094557.
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In 2017 Australia saw the highest overall suicide rate in the past 10 years, with male suicide rates three times higher than in women. Since the mid-1980s there have been major changes in suicide epidemiology in Australia with large shifts in method of suicide among both men and women. This study examined method-specific suicide trends in Australian men over the past 40 years by state. Suicide mortality data for the period 1978 to 2017 was obtained from the Australian Institute of Health and Welfare (AIHW) National Mortality Database and log-linear Poisson regression analysis was used to analyse suicide mortality. This study found large differences between states in patterns and trends in suicide mortality from 1978 to 2017. Hanging, gas and firearms were the most common methods of suicide in Australia. We found statistically significant increasing trends in hanging suicide among men in all six states. The study findings highlight the growing concern of hanging-related suicide in all states in Australia since the late 1970s. New suicide prevention strategies focusing on the ubiquity and ease of hanging as a method will be needed in order for Australia to reduce suicide mortality in future.
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Byrne, Margaret, Linda Broadhurst, Michelle Leishman, and Kathy Belov. "Women in conservation science making a difference." Pacific Conservation Biology 24, no. 3 (2018): 209. http://dx.doi.org/10.1071/pc18061.
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Conservation science has a long history of providing the evidence-base that underpins management of diverse and unique biota and landscapes. This special issue brings together the stories of a range of women in conservation science to showcase the great work being done to develop and improve our knowledge and understanding of Australian plants, animals and ecosystems, across a range of disciplines and sectors. We focus on Australia in recognition of recent commitments by Australian institutions to achieve gender parity in Australian science, while acknowledging the achievements of women in conservation science globally. In this overview we highlight several exemplary women who have paved the way for those of us who have come after them, and present a brief snapshot of the careers of these women to acknowledge their contributions to the development of conservation science, and its associated disciplines. We also distil some common themes that have been identified by the women in the articles featured in this special issue, particularly passion and enthusiasm for the natural environment; multiple pathways that women have taken; satisfaction derived from working collaboratively across disciplines and with a variety of scientists, policy, managers and practitioners; and seeking to embrace diversity. A striking point from many of the stories, that we hope is changing now, is that many of the women had few female role models, yet the stories highlight their resilience and determination and their desire to inspire other young women to take up the challenge of a career in conservation science.
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Renfree, Marilyn B. "WOMEN IN REPRODUCTIVE SCIENCE: Reproduction down under." Reproduction 158, no. 6 (December 2019): F127—F137. http://dx.doi.org/10.1530/rep-19-0230.
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Australia is home to a unique assembly of mammals – the marsupials and monotremes. Despite this uniqueness, they have been largely ignored by the biomedical scientific community, and yet study of marsupials has contributed to modern research on reproduction, development, evolution, conservation, molecular and comparative genomics. My lifetime passion for these long-neglected Australian fauna has led to unexpected discoveries and insights that challenged assumptions and opened up new areas of international research. I used a range of disciplinary expertise to pursue the study of these unique mammals. My main experimental species has been the tammar wallaby that I have used as a model species to investigate and understand not only biomedical problems but also to provide knowledge that is critical for the continued conservation and management of Australia’s dwindling native mammals. This model provided more than a few surprises for me and my wonderful team of students, post-docs and collaborators about how hormones, genes and signalling molecules control reproductive biology and development in a wider context as well as how the interactions of the environment with mother and conceptus, with mother and fetus and mother and young ultimately control most aspects of successful reproduction in mammals.
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M. Wallace, Euan. "Prenatal Screening Strategies for Down Syndrome: Many Options but Few Answers." Australian Journal of Primary Health 4, no. 3 (1998): 229. http://dx.doi.org/10.1071/py98053.
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Down syndrome is the single most common cause of severe mental handicap in Australia. Prenatal screening for Down syndrome is therefore an important component of modern antenatal care. However, while effective second trimester serum screening for Down syndrome has been available in Australia for almost a decade it appears that the majority of Australian women, particularly those outside South Australia and New South Wales, are still not offered it. Newer methods of screening have been recently described and are already being offered in routine clinical practice. These methods, including nuchal translucency, will afford results earlier in pregnancy than second trimester serum screening and so are attractive to women. However, available evidence suggests that nuchal translucency may not perform as well as second trimester serum screening and further evaluation of the newer screening strategies in an Australian population is urgently required. Alteration of practice prior to such an evaluation is simply not warranted at this time.
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Rawson, Helen, and Pranee Liamputtong. "Influence of traditional Vietnamese culture on the utilisation of mainstream health services for sexual health issues by second-generation Vietnamese Australian young women." Sexual Health 6, no. 1 (2009): 75. http://dx.doi.org/10.1071/sh08040.
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Background: The present paper discusses the impact the traditional Vietnamese culture has on the uptake of mainstream health services for sexual health matters by Vietnamese Australian young women. It is part of a wider qualitative study that explored the factors that shaped the sexual behaviour of Vietnamese Australian young women living in Australia. Methods: A Grounded Theory methodology was used, involving in-depth interviews with 15 Vietnamese Australian young women aged 18 to 25 years who reside in Victoria, Australia. Results: The findings demonstrated that the ethnicity of the general practitioner had a clear impact on the women utilising the health service. They perceived that a Vietnamese doctor would hold the traditional view of sex as held by their parents’ generation. They rationalised that due to cultural mores, optimum sexual health care could only be achieved with a non-Vietnamese health professional. Conclusion: It is evident from the present study that cultural influences can impact on the sexual health of young people from culturally diverse backgrounds and in Australia’s multicultural society, provision of sexual health services must acknowledge the specific needs of ethnically diverse young people.
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Antoniades, Hera, and Clive M. J. Warren. "The portrayal of Australian women in property publications." Property Management 36, no. 1 (February 19, 2018): 119–29. http://dx.doi.org/10.1108/pm-10-2017-0058.
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Purpose The purpose of this paper is to undertake an analysis of the visual portrayal of women published in a professional journal within the built environment and to establish whether or not there is gender stereotyping through these published images. Design/methodology/approach A prominent property professional industry journal was selected for the research analysis. This journal was selected because of the national coverage within Australia and high prominence within the property industry. The analysis focused on a total of 166 pictures in the 2015 issues. The coding identified the publication year, issue number and page number of each photograph analysed and total number of pictures on each page. After this information was tabulated, each photograph was analysed using a thematic analysis approach. Findings The research identified that given the opportunity to be photographed ad hoc, women tend to take the dominant stance and yet when the pictures were posed, the women showed a tendency to adopt a submissive stance. Male images were 13.39 per cent in the dominance category indicating a higher score in comparison to females at 3.45 per cent. Practical implications Whilst it is generally accepted that there are more males in the built environment, the reality leans towards the notion that with less woman on property boards and management roles, it will be difficult to portray women in positions of authority and to balance the gender portrayal. In summary, the marginalisation of women is evident, and marketing media can be highly influential and unintentionally promote gender inequity with image portrayal. Originality/value This research provides a valuable insight on how women are portrayed in the property profession. The property industry and the professional bodies can provide an influential role to promote gender equality.
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Pittard, A. J. "Nancy Fanny Millis 1922–2012." Historical Records of Australian Science 24, no. 2 (2013): 283. http://dx.doi.org/10.1071/hr13006.
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Professor Emeritus Nancy Millis AC, MBE, FAA, FTSE died on 29 September 2012 at the age of 90. She was one of the first women to be appointed Professor at the University of Melbourne, had been President of the Australian Society for Microbiology and after her retirement was Chancellor at La Trobe University. Nancy introduced the teaching of Industrial Microbiology into Australia and by her research and involvement with various organizations promoted a continuing analysis of water utilization and the environment. She will also be remembered for her role, over twenty years, in guiding the committees responsible for overseeing the development of recombinant DNA research in Australia. Her tireless dedication to the service of others, her wit and her forthright approach endeared her to many. Nancy Millis was elected to the Australian Academy of Science in 2004 by Special Election in recognition of her conspicuous service to the cause of science with her outstanding career in Microbiology. This report chronicles some of the very significant and far-reaching contributions that Nancy made to the discipline of Microbiology and to the larger Australian community during her long and very productive life.
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Roberts-Witteveen, April, Kate Pennington, Nasra Higgins, Carolyn Lang, Monica Lahra, Russell Waddell, and John Kaldor. "Epidemiology of gonorrhoea notifications in Australia, 2007–12." Sexual Health 11, no. 4 (2014): 324. http://dx.doi.org/10.1071/sh13205.
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Background An increase in the notification rate of gonorrhoea was observed in the national surveillance system. In Australia, gonorrhoea is relatively rare, apart from among some populations of Aboriginal people and men who have sex with men. Methods: Data about gonorrhoea cases reported between 2007 and 2012 from all Australian jurisdictions were extracted from the National Notifiable Diseases Surveillance System. Analyses were undertaken of the time trends in counts and rates, according to jurisdiction, gender, Aboriginal and Torres Strait Islander status, diagnosis method and sexual orientation. Results: The largest increase in notifications between 2007 and 2012 was observed in both men and women in New South Wales (2.9- and 3.7-fold greater in 2012 than 2007, respectively) and Victoria (2.4- and 2.7-fold greater in 2012 than 2007, respectively), men in the Australian Capital Territory and women in Queensland. The highest notification rates remained in Indigenous people in the Northern Territory and Western Australia, and particularly in women, although rates may have decreased over the study period. Changes in age and sex distribution, antimicrobial resistance and patterns of exposure and acquisition were negligible. Conclusions: There is an ongoing gonorrhoea epidemic affecting Aboriginal and Torres Strait Islander people in Australia, but the increases in notifications have occurred primarily in non-Aboriginal populations in the larger jurisdictions. Interpretation of these surveillance data, especially in relation to changes in population subgroups, would be enhanced by laboratory testing data. Further efforts are needed to decrease infection rates in populations at highest risk.
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Caroine, Norma. "The Koreanization of the Australian Sex Industry: A Policy and Legislative Challenge." Korean Journal of Policy Studies 26, no. 3 (December 31, 2011): 13–36. http://dx.doi.org/10.52372/kjps26302.
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South Korea enacted Legislation in 2004 that penalizes pimps, traffickers, and sex industry customers while decriminalizing people in prostitution and offering assistance to leave the sex industry. In contrast, Australia Legally recognizes most sex industry activities. This article argues that Australia`s Laissezfaire approach to the sex industry hampers South Korean government efforts to prevent the crime of sex trafficking. Since 2004, pimps and traffickers have moved their activities from South Korea to countries like Australia and the US that maintain relatively hospitable operating environments for the sex industry. The Australian government should reconsider its approach to prostitution on the basis of its diplomatic obligations to countries Like South Korea and the need to uphold the human rights of women in Asia who are being trafficked and murdered as a result of sexual demand emanating from Australia. Australia should coordinate its policy on prostitution with South Korea to strengthen the region`s transnational anti-trafficking response.
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Dhakal, Purushottam, Retha Wiesner, and Tek Maraseni. "When Entrepreneurial Leadership Identity and Passion Meet Venture Growth Intention." Sustainability 14, no. 20 (October 13, 2022): 13129. http://dx.doi.org/10.3390/su142013129.
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Within the emerging domain of entrepreneurial leadership research, gender issues have been largely ignored. This study aims to examine the nexus between entrepreneurial leader identity, entrepreneurial passion, and growth intention. This is done within the stacked context of being a woman entrepreneur, and in rural, regional and remote (RRR) Australia. This unique study draws upon a cross-sectional survey of 99 women entrepreneurs, employing a partial least square structural equation model. The study has found a positive relationship between entrepreneurial leader identity on the one hand and growth intention and passion on the other but could not find any conclusive evidence of a relationship between entrepreneurial passion and venture growth intention. The study opens new research avenues into the novel construct of entrepreneurial leader identity and helps to better understand the dynamics of RRR women entrepreneurship in the Australian context.
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Tran, Dai Binh, and Hanh Thi My Tran. "Women’s health: a benefit of education in Australia." Health Education 119, no. 4 (June 3, 2019): 259–76. http://dx.doi.org/10.1108/he-11-2018-0053.
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Purpose The purpose of this paper is to examine the relationship between education and health amongst Australian women. Design/methodology/approach This study uses the Household, Income and Labour Dynamics in Australia data set. Spouse’s education is employed as an instrument to solve the potential endogeneity of educational attainment. Findings The results indicate that an additional year of schooling can lead to an increase in self-reported health, physical health, mental health and a reduced likelihood of having long-term health conditions. Women who are not in the labour force are likely to enjoy higher benefits of education compared to their employed counterparts. The findings also suggest that the relationship between education and health can be explained by the extent of positive health behaviours and social capital as mediators. Research limitations/implications The conclusion from the results might be different in the case of men, reducing the generalisability of the results. Several objective health variables should be used to provide further aspects of health on which education has an impact. Practical implications As the positive effect of education on women’s health is empirically found, investment in women’s education should be seriously considered and reevaluated. Originality/value This paper focuses on Australian women which not only reduces the heterogeneity between genders but also adds to the rare number of studies on this topic in Australia. This paper also employs a formal mediation analysis to examine what are the mechanisms explaining the relationship between education and health.
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Hardtke, Mellissa, Leila Khanjaninejad, Candace Lang, and Noushin Nasiri. "Gender Complexity and Experience of Women Undergraduate Students within the Engineering Domain." Sustainability 15, no. 1 (December 27, 2022): 467. http://dx.doi.org/10.3390/su15010467.
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Despite continuous efforts for reducing gender inequality in Science, Technology, Engineering, Mathematics (STEM), engineering still steadfastly remains one of the least equitable fields in Australian universities. There has been an increasing growth of international scholarship on women’s underrepresentation in engineering; nevertheless, research on understanding contributing factors to the Australian women students’ participation in engineering is relatively underdeveloped. To address this knowledge gap, we examine the experience of women undergraduate students and explore influential factors that contribute to the complexity of pursuing engineering. Applying a qualitative approach, we conducted 16 interviews with women undergraduate students enrolled across five engineering courses at Macquarie University, Australia. The results of the thematic analysis indicate that women students often have a supporting network of relationships and view themselves as intellectually fit to study engineering. However, they have been facing several interrelated obstacles that negatively impact their experiences and persistence in engineering. Findings show that gendered perceptions around femininity and masculinity appear to be the origin of gender stereotypes surrounding engineering identity. These not only negatively impact women students’ experiences within the bound of university but also create systemic barriers in the future workplace environment and opportunities. These (mis)perceptions have actively and passively made women students feel out of place, doubt their abilities and feel alienated. We offer suggestions to shift engineering identity outside the dominant masculine construct towards ‘co-construct’ and ‘co-enact’. This will create windows of opportunities to move towards gender equality in engineering.
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Goller, Jane L., Jacqueline Coombe, Christopher Bourne, Deborah Bateson, Meredith Temple-Smith, Jane Tomnay, Alaina Vaisey, et al. "Patient-delivered partner therapy for chlamydia in Australia: can it become part of routine care?" Sexual Health 17, no. 4 (2020): 321. http://dx.doi.org/10.1071/sh20024.
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Abstract Background Patient-delivered partner therapy (PDPT) is a method for an index patient to give treatment for genital chlamydia to their sexual partner(s) directly. In Australia, PDPT is considered suitable for heterosexual partners of men and women, but is not uniformly endorsed. We explored the policy environment for PDPT in Australia and considered how PDPT might become a routine option. Methods: Structured interviews were conducted with 10 key informants (KIs) representing six of eight Australian jurisdictions and documents relevant to PDPT were appraised. Interview transcripts and documents were analysed together, drawing on KIs’ understanding of their jurisdiction to explore our research topics, namely the current context for PDPT, challenges, and actions needed for PDPT to become routine. Results: PDPT was allowable in three jurisdictions (Victoria, New South Wales, Northern Territory) where State governments have formally supported PDPT. In three jurisdictions (Western Australia, Australian Capital Territory, Tasmania), KIs viewed PDPT as potentially allowable under relevant prescribing regulations; however, no guidance was available. Concern about antimicrobial stewardship precluded PDPT inclusion in the South Australian strategy. For Queensland, KIs viewed PDPT as not allowable under current prescribing regulations and, although a Medicine and Poisons Act was passed in 2019, it is unclear if PDPT will be possible under new regulations. Clarifying the doctor–partner treating relationship and clinical guidance within a care standard were viewed as crucial for PDPT uptake, irrespective of regulatory contexts. Conclusion: Endorsement and guidance are essential so doctors can confidently and routinely offer PDPT in respect to professional standards and regulatory requirements.
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Toussaint, Sandy, Donna Mak, and Judith Straton. "Marnin Business: Anthropological Interpretations of Cervical Screening among Australian Aboriginal Women." Australian Journal of Primary Health 4, no. 2 (1998): 43. http://dx.doi.org/10.1071/py98019.
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Cervical cancer remains a significant cause of morbidity and mortality among Australian Aboriginal women despite the existence of effective prevention in the form of the Papanicolaou (Pap) Smear. An anthropological assessment of a successful cervical screening program in remote northern Australia reveals that a large proportion of women participated in the program because of the gender, skills, dedication and history of a female medical practitioner, and work practices which incorporated recognition of indigenous beliefs and practices. Without the direct involvement of the practitioner, and with health services which undermined the influence of local cultural behaviours, the program declined. Aboriginal and non-Aboriginal responses to the program are described, and it is suggested that understandings about culture and gender are crucial to the design and application of future Pap Smear programs. Committed health care practitioners, cross-cultural education, and improved socioeconomic conditions for indigenous populations, are also identified as key elements for better service delivery in regard to cervical screening and other health-related issues in Aboriginal Australia.
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d’Emden, Michael, Donald McLeod, Jacobus Ungerer, Charles Appleton, and David Kanowski. "Development of a fasting blood glucose-based strategy to diagnose women with gestational diabetes mellitus at increased risk of adverse outcomes in a COVID-19 environment." PLOS ONE 15, no. 12 (December 3, 2020): e0243192. http://dx.doi.org/10.1371/journal.pone.0243192.
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Objective To evaluate the role of fasting blood glucose (FBG) to minimise the use of the oral glucose tolerance test in pregnancy (POGTT) for the diagnosis of gestational diabetes mellitus (GDM). Research design and methods We analysed the POGTTs of 26,242 pregnant women in Queensland, Australia, performed between 1 January 2015 and 30 June 2015. A receiver operator characteristics (ROC) assessment was undertaken to indicate the FBG level that most effectively identified women at low risk of an abnormal result. Results There were 3,946 (15.0%) patients having GDM with 2,262 (8.6%) having FBG ≥ 5.1mmol/l. The ROC identified FBG levels >4.6mmol/l having the best specificity (77%) and sensitivity (54%) for elevated 1 and/or 2hr BGLs. There were 19,321 (73.7%) women having FBG < 4.7mmol/l with a prevalence of GDM of 4.0%, less than 1/3rd the overall rate. Only 4,638 (17.7%) women having FBGs from 4.7–5.0mmol/l would require further evaluation to confirm or exclude the diagnosis. Conclusion This contemporary study of women across the state of Queensland, Australia suggests the FBG can be used effectively to define glucose tolerance in pregnancy, minimising their contact with pathology laboratories and potential exposure to the corona virus. This analysis, used in conjunction with outcome data from the HAPO study, provides reassurance to women and their health professionals that FBG < 4.7mmol/l has both a low rate of abnormal glucose tolerance and minimal adverse pregnancy-associated complications.
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Parkinson, Debra, Alyssa Duncan, and Frank Archer. "Barriers and enablers to women in fire and emergency leadership roles." Gender in Management: An International Journal 34, no. 2 (April 8, 2019): 78–93. http://dx.doi.org/10.1108/gm-07-2017-0090.
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Purpose The purpose of this paper is to understand what (if any) actual and perceived barriers exist for women to take on fire and emergency management leadership roles within the Department of Environment, Land, Water and Planning, Victoria, Australia. Design/methodology/approach An anonymous quantitative online survey was used to collect data about opinions and thoughts of staff. This informed the qualitative component of the research – in-depth, semi-structured interviews and a focus group. The combination of these techniques provides deeper insight into the nature of the barriers for women. Findings Respondents identified real barriers for women accessing leadership roles in fire and emergency. Reflecting the wider literature on barriers to women in executive roles, those identified related to sexism, career penalties not faced by men for family responsibilities, and assumptions of women helping other women’s careers. There were more men in senior roles, leaving senior women isolated and often overlooked. Women had fewer role models and sponsors than men and less developed networks, finding it harder to access training and deployments. The context was described by most as “a boys’ club”, where men were seen to dominate meetings and stereotype the abilities of women. Originality/value This paper analyses the barriers to women in fire and emergency leadership roles within a masculine workplace and is rare in including a qualitative aspect to the issue in the Australian context.
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Sila Ahmad, Kham, Fay Sudweeks, and Jocelyn Armarego. "Learning English Vocabulary in a Mobile Assisted Language Learning (MALL) Environment: A Sociocultural Study of Migrant Women." Interdisciplinary Journal of e-Skills and Lifelong Learning 11 (2015): 025–45. http://dx.doi.org/10.28945/2202.
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This paper reports on a case study of a group of six non-native English speaking migrant women’s experiences learning English vocabulary in a mobile assisted language learning (MALL) environment at a small community centre in Western Australia. A sociocultural approach to learning vocabulary was adopted in designing the MALL lessons that the women undertook. The women provided demographic information, responded to questions in a pre-MALL semi-structured interview, attended the MALL lessons, and completed a post-MALL semi-structured interview. This study explores the sociocultural factors that affect migrant women’s language learning in general, and vocabulary in particular. The women’s responses to MALL lessons and using the tablet reveal a positive effect in their vocabulary learning.
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Yusuf, Farhat, and Dora Briggs. "Trends in legalized abortion in South Australia: 1970–81." Journal of Biosocial Science 17, no. 2 (April 1985): 215–21. http://dx.doi.org/10.1017/s0021932000015674.
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SummaryOfficial abortion statistics for South Australia for the years 1977–81 were examined and compared with those for 1970–76 reported earlier. The period 1970–81 represents the first 12 years' experience of legalized abortion in South Australia. A consistent increase in the incidence of abortion was noted, both in absolute numbers and in proportion to the number of live births. South Australia continued to experience lower fertility than other Australian states, although this would have been higher than in other states had it not been for the legalization of abortion. More of the younger and the unmarried women were obtaining abortions, indicating that they were increasingly using abortion as a form of birth control.
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Byles, Julie, Jennifer Powers, Catherine Chojenta, and Penny Warner-Smith. "Older women in Australia: ageing in urban, rural and remote environments." Australasian Journal on Ageing 25, no. 3 (August 1, 2006): 151–57. http://dx.doi.org/10.1111/j.1741-6612.2006.00171.x.
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Marks, Gary N. "The Contribution of Genes and the Environment to Educational and Socioeconomic Attainments in Australia." Twin Research and Human Genetics 20, no. 4 (June 13, 2017): 281–89. http://dx.doi.org/10.1017/thg.2017.32.
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This article analyzes the contribution of genetics and the environment to educational attainment, occupational status, and income using data from over 1,100 monozygotic and 400 dizygotic Australian twin pairs aged from 18 to 99. The respective heritability estimates were 0.54, 0.37, and 0.18. The bivariate heritabilities were 0.71 for educational attainment and occupational status, 0.37 for education and income, and 0.61 for occupational status and income. There were no gender and cohort differences in the heritabilities for education and occupation, but for income, contrary to expectations, the heritabilities were significantly higher among women and for the older cohort (aged 50 or older). The sizable contribution of genes to these socioeconomic outcomes suggests that standard sociological and economic theories on the socioeconomic career require substantial modification to accommodate the role of genetics.
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Lesjak, Margaret, Jeanette Ward, and Chris Rissel. "Cervical Screening of Arabic-Speaking Women in Australian General Practice." Journal of Medical Screening 4, no. 2 (June 1997): 107–11. http://dx.doi.org/10.1177/096914139700400208.
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Abstract Objective— To determine recency and predictors of cervical screening among Arabic-speaking women in Sydney, Australia. Method— A consecutive sample of Arabic-speaking women, attending 20 Arabic-speaking general practitioners, was asked to complete a self administered health risk questionnaire available in Arabic or English which included three questions about cervical screening knowledge and behaviour. Results— Of 756 eligible women, 526 (70%) returned completed questionnaires. Of these, 69 (13%) did not know what a cervical smear was. Sixteen per cent of overseas-born compared with 2% of Australian-born women at risk had not heard of a cervical smear. Women were defined as being at risk of cervical cancer if they had both been married and not had a hysterectomy. Of 318 women at risk for cervical cancer who knew what a cervical smear was, 66% had had a smear in the last two years, a further 7% were attending for one that day while 11% had not had a smear for at least two years, 9% had never had one and 7% did not answer/could not remember. Religion, age, and residence in Australia for more than 10 years were significant and independent predictors of screening after adjustment for other variables in a simultaneous logistic regression model (P = 0.002, P = 0.002, and P = 0.040 respectively). Muslim women and older women were more likely to be under-screened, and women with more than 10 years' residence in Australia were more likely to have been screened in the last two years. Acculturation, smoking status, health status, duration of relationship with participating doctor, and chronic disease were not significant predictors of a recent smear. Conclusion— As only 73% of women at risk had been screened in the last two years, including women attending on the day, and 9% had never been screened, Arabic-speaking women should be a priority for public campaigns, particularly Muslim and older women. Studies to evaluate the effectiveness and acceptability of reminders by ethnic general pratitioners are recommended.
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Rogers, Mary E., Peter A. Creed, and Judy Searle. "Why are junior doctors deterred from choosing a surgical career?" Australian Health Review 36, no. 2 (2012): 191. http://dx.doi.org/10.1071/ah11999.
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Objective. To identify the reasons why interns would not choose a surgical career. Methods. This qualitative study used semi-structured telephone interviews to explore the future career choices of 41 junior doctors (14 men, 27 women). Doctors were asked to identify specialties they would not take up, and state why this was the case. Results. Thirty (73.2%) of the 41 interns nominated surgery as a specialty they would not choose. Themes relating to reasons for not wanting to pursue a surgical career included the lifestyle associated with surgery (66.7%), the culture within the surgical work environment (53.3%), the lack of interest in performing surgical work (36.7%), and the training requirements associated with surgery (33.3%). Both sexes had similar reasons for not wanting to choose a surgical career; but additionally, women referred to the male domination of surgery, and the difficulty and inflexibility of the training program as deterrents. Conclusions. Efforts are needed to promote interest in surgery as a career especially for women, to improve the surgical work environment so that medical students and junior doctors have exposure to positive role models and surgical placements, and to provide a more flexible approach to surgical training. What is known about the topic? In Australia, there is an anticipated future shortage of surgeons, with acute shortages expected in some locations. Lifestyle issues are reported as the primary contributing factor. What does this paper add? Little is known about Australian junior doctors’ perceptions of surgery as a possible specialty choice. The results of this qualitative study reveal that perceived lack of lifestyle, the culture within the surgical environment, the lack of interest in performing surgery, and concerns relating to the training program were the main disincentives to choosing a surgical career. These results add to the international literature in this area. What are the implications for practitioners? To meet current and future workforce needs, educators need to be aware that positive role models and positive work environments are very important in attracting more medical students and graduates to choosing surgery as a career.
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Firebrace, Sharon. "Issues in Service Delivery for Women Statewide: Koori Context." Australian Journal of Primary Health 4, no. 3 (1998): 89. http://dx.doi.org/10.1071/py98034.
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For introduction, let me state what most of us will readily acknowledge as fact: the Koori health profile contains the greatest challenge for health providers on all levels today. This has been the case for decades and current indicators confirm the relatively stagnant health outcomes of Australia's indigenous population. Similarly challenged indigenous populations throughout the world -especially in New Zealand, Canada and USA - have improved their indigenous health profiles while we, in Australia, lag behind. Despite the best intentions of government and indigenous agencies, the state of indigenous health remains a damning indictment of our society's human rights conscience.
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Hure, Alexis, Anne Young, Roger Smith, and Clare Collins. "Diet and pregnancy status in Australian women." Public Health Nutrition 12, no. 6 (June 2009): 853–61. http://dx.doi.org/10.1017/s1368980008003212.
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AbstractObjectiveTo investigate and report the diet quality of young Australian women by pregnancy status.DesignPregnancy status was defined as pregnant (n 606), trying to conceive (n 454), had a baby in the last 12 months (n 829) and other (n 5597). The Dietary Questionnaire for Epidemiological Studies was used to calculate diet quality using the Australian Recommended Food Score (ARFS) methodology. Nutrient intakes were compared with the Nutrient Reference Values for Australia and New Zealand.SettingA population-based cohort participating in the Australian Longitudinal Study on Women’s Health (ALSWH).SubjectsA nationally representative sample of Australian women, aged 25 to 30 years, who completed Survey 3 of the ALSWH. The 7486 women with biologically plausible energy intake estimates, defined as >4·5 but <20·0 MJ/d, were included in the analyses.ResultsPregnancy status was not significantly predictive of diet quality, before or after adjusting for area of residence and socio-economic status. Pregnant women and those who had given birth in the previous 12 months had marginally higher ARFS (mean (se): 30·2 (0·4) and 30·2 (0·3), respectively) than ‘other’ women (29·1 (0·1)). No single food group accounted for this small difference. Across all pregnancy categories there were important nutrients that did not meet the current nationally recommended levels of intake, including dietary folate and fibre.ConclusionWomen do not appear to consume a wider variety of nutritious foods when planning to become pregnant or during pregnancy. Many young Australian women are failing to meet key nutrient targets as nationally recommended.
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Sila Ahmad, Kham, Jocelyn Armarego, and Fay Sudweeks. "The Impact of Utilising Mobile Assisted Language Learning (MALL) on Vocabulary Acquisition among Migrant Women English Learners." Interdisciplinary Journal of e-Skills and Lifelong Learning 13 (2017): 037–57. http://dx.doi.org/10.28945/3703.
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Aim/Purpose: To develop a framework for utilizing Mobile Assisted Language Learning (MALL) to assist non-native English migrant women to acquire English vocabulary in a non-formal learning setting. Background: The women in this study migrated to Australia with varied backgrounds including voluntary or forced migration, very low to high levels of their first language (L1), low proficiency in English, and isolated fulltime stay-at-home mothers. Methodology: A case study method using semi-structured interviews and observations was used. Six migrant women learners attended a minimum of five non-MALL sessions and three participants continued on and attended a minimum of five MALL sessions. Participants were interviewed pre- and post-sessions. Data were analysed thematically. Contribution: The MALL framework is capable of enriching migrant women’s learning experience and vocabulary acquisition. Findings: Vocabulary acquisition occurred in women from both non-MALL and MALL environment; however, the MALL environment provided significantly enriched vocabulary learning experience. Future Research: A standardised approach to measure the effectiveness of MALL for vocabulary acquisition among migrant women in non-formal setting
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Alam, Zufishan, Hanoor Deol, Judith Ann Dean, and Monika Janda. "Reasons behind Low Cervical Screening Uptake among South Asian Immigrant Women: A Qualitative Exploration." International Journal of Environmental Research and Public Health 19, no. 3 (January 28, 2022): 1527. http://dx.doi.org/10.3390/ijerph19031527.
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Despite advancements in prevention strategies, cervical cancer remains a leading cause of death among underprivileged women. Although Australia has low age-standardized cervical cancer incidence rates compared with other countries, disparities exist in cervical screening uptake among certain population subgroups, especially those from culturally and linguistically diverse (CALD) backgrounds. South Asian immigrant women have been reported to have lower cervical screening uptake than Australian-born women and those from other immigrant backgrounds. The objective of this study was to gain insight into the reasons and barriers for low cervical screening participation among South Asian immigrant women, through qualitative exploration. Semi-structured, in-depth interviews were conducted with 20 women, aged 26–50 years, living in Queensland, Australia, who were recruited via purposive sampling. After translation and transcription of recorded interviews, data was analysed via inductive thematic approach. Resulting themes, illustrating barriers towards screening, included: lack of cervical cancer and screening knowledge, especially of the changes in the revised screening program; effect of preventive, health-seeking behaviours; health care system factors; role of practical constraints and influence of sociocultural beliefs. Results suggest that culturally informed interventions, that involve relevant information provision and behavioural change strategies, to clarify women’s misconceptions, are required.
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Byles, Julie E., Gita Mishra, and Margot Schofield. "Factors associated with hysterectomy among women in Australia." Health & Place 6, no. 4 (December 2000): 301–8. http://dx.doi.org/10.1016/s1353-8292(00)00011-3.
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Team, Victoria, Lenore H. Manderson, and Milica Markovic. "From state care to self-care: cancer screening behaviours among Russian-speaking Australian women." Australian Journal of Primary Health 19, no. 2 (2013): 130. http://dx.doi.org/10.1071/py11158.
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In this article, we report on a small qualitative scale study with immigrant Russian-speaking Australian women, carers of dependent family members. Drawing on in-depth interviews, we explore women’s health-related behaviours, in particular their participation in breast and cervical cancer screening. Differences in preventive health care policies in country of origin and Australia explain their poor participation in cancer screening. Our participants had grown up in the former Soviet Union, where health checks were compulsory but where advice about frequency and timing was the responsibility of doctors. Following migration, women continued to believe that the responsibility for checks was their doctor’s, and they maintained that, compared with their experience of preventive medicine in the former Soviet Union, Australian practice was poor. Women argued that if reproductive health screening were important in cancer prevention, then health care providers would take a lead role to ensure that all women participated. Data suggest how women’s participation in screening may be improved.
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Cohn, Amanda, Mya Cubitt, Anita Goh, Allison Hempenstall, Rebekah Hoffman, Christine Lai, Jane Munro, et al. "Gender Equity in Australian Health Leadership." Asia Pacific Journal of Health Management 16, no. 1 (February 28, 2021): 6–10. http://dx.doi.org/10.24083/apjhm.v16i1.519.
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Objective: To ascertain the gender distribution across public health boards in Australia. Design & Setting: Analysis of data and information obtained from a cross sectional audit of online publicly listed health boards within Australia from October to December 2019. Results: The majority of public health boards have close to equal representation of women as board members however women are underrepresented in Chair roles. Victoria has significantly more women on health boards, whereas New South Wales has significantly less women on health boards and in Chair positions. Conclusions: Further efforts are required to drive gender equity in senior leadership roles in public health boards across Australia
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Ghani, Fatima, Jerome N. Rachele, Venurs HY Loh, Simon Washington, and Gavin Turrell. "Do Differences in Social Environments Explain Gender Differences in Recreational Walking across Neighbourhoods?" International Journal of Environmental Research and Public Health 16, no. 11 (June 4, 2019): 1980. http://dx.doi.org/10.3390/ijerph16111980.
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Within a city, gender differences in walking for recreation (WfR) vary significantly across neighbourhoods, although the reasons remain unknown. This cross-sectional study investigated the contribution of the social environment (SE) to explaining such variation, using 2009 data from the How Areas in Brisbane Influence healTh and AcTivity (HABITAT) study, including 7866 residents aged 42–67 years within 200 neighbourhoods in Brisbane, Australia (72.6% response rate). The analytical sample comprised 200 neighbourhoods and 6643 participants (mean 33 per neighbourhood, range 8–99, 95% CI 30.6–35.8). Self-reported weekly minutes of WfR were categorised into 0 and 1–840 mins. The SE was conceptualised through neighbourhood-level perceptions of social cohesion, incivilities and safety from crime. Analyses included multilevel binomial logistic regression with gender as main predictor, adjusting for age, socioeconomic position, residential self-selection and neighbourhood disadvantage. On average, women walked more for recreation than men prior to adjustment for covariates. Gender differences in WfR varied significantly across neighbourhoods, and the magnitude of the variation for women was twice that of men. The SE did not explain neighbourhood differences in the gender–WfR relationship, nor the between-neighbourhood variation in WfR for men or women. Neighbourhood-level factors seem to influence the WfR of men and women differently, with women being more sensitive to their environment, although Brisbane’s SE did not seem such a factor.
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Huynh, Dao, Dominique Condo, Robert Gibson, Maria Makrides, Beverly Muhlhausler, and Shao Jia Zhou. "Comparison of breast-milk iodine concentration of lactating women in Australia pre and post mandatory iodine fortification." Public Health Nutrition 20, no. 1 (August 19, 2016): 12–17. http://dx.doi.org/10.1017/s1368980016002032.
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AbstractObjectiveTo compare the breast-milk iodine concentrations (BMIC) of lactating women before and after the mandatory iodine fortification of bread in Australia in 2009.DesignCross-sectional study. Breast milk samples were collected from two cohorts of women in South Australia within 7 d of delivery to determine BMIC. The percentage of samples with iodine concentration below 100 µg/l, a level considered adequate for breast-fed infants, was calculated. Sociodemographic information and intake of dietary supplements were obtained from all women.SettingThe breast milk samples were collected between 2006 and 2007 in the pre-fortification cohort and between 2012 and 2013 in the post-fortification cohort.ResultsThe median (interquartile range) BMIC was higher in the post-fortification samples compared with samples collected in the pre-fortification period (187 (130–276)v.103 (73–156) µg/l;P<0·05). Overall, the percentage of women with BMIC <100 µg/l was lower in the post-fortification cohort than in the pre-fortification cohort (13v.49 %;P<0·01). The percentage of women with BMIC <100 µg/l in the post-fortification cohort was lower among women who took iodine supplements in pregnancy (12v. 29 %;P<0·01).ConclusionsMandatory iodine fortification of bread has resulted in an increase in the iodine content of breast milk in Australian women. However, iodine supplementation may still be required in some women post-iodine fortification to reach the level of BMIC that is considered adequate to meet the iodine requirement of full-term infants.
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Hawkes, Clare, Kimberley Norris, Janine Joyce, and Douglas Paton. "Resettlement Stressors for Women of Refugee Background Resettled in Regional Australia." International Journal of Environmental Research and Public Health 18, no. 8 (April 9, 2021): 3942. http://dx.doi.org/10.3390/ijerph18083942.
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Women of Refugee Background (WoRB) have been repeatedly identified as an extremely vulnerable population. Within an Australian context, WoRB are increasingly resettled to non-metropolitan locations, otherwise known as regional locations. Despite this, to date, no research has focused on the lived experience and challenges associated with the resettlement of WoRB to regional contexts. This study aimed to address this gap in the literature by investigating the resettlement experience of WoRB resettled in Tasmania—a state in Australia classified as a rural and regional location. Qualitative interviews were conducted with a group of 21 individuals (nine WoRB and 12 service providers). Thematic analysis identified four overarching themes—Communication Barriers and Lack of Fluency in English, Challenges Accessing Everyday Basic Needs, Loss of Connection to Culture of Origin and Inability to Access Mainstream Mental Health Services for Help. Participants also highlighted a number of unique gender-related vulnerabilities experienced during resettlement, which were exacerbated in regional locations due to health services being overstretched and under-resourced. Results of the current study are discussed in regard to policy and practical implications, taking into consideration the unique vulnerabilities experienced by WoRB, which, to date, are often overlooked.
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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.
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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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Gale, Fay. "The participation of Australian aboriginal women in a changing political environment." Political Geography Quarterly 9, no. 4 (October 1990): 381–95. http://dx.doi.org/10.1016/0260-9827(90)90035-9.
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Liu, Bette, Basil Donovan, Jim Parker, Rebecca Guy, Jane Hocking, John M. Kaldor, Handan Wand, and Louisa Jorm. "Increasing chlamydia diagnoses but little change in hospitalisations for ectopic pregnancy and infertility among women in New South Wales from 2001 to 2008." Sexual Health 9, no. 4 (2012): 355. http://dx.doi.org/10.1071/sh11143.
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Background As genital chlamydia (Chlamydia trachomatis) notifications have increased in Australia, time trends in hospitalisations for ectopic pregnancy and female infertility between 2001 and 2008 in New South Wales (NSW), Australia, and their relationship to trends in chlamydia notifications in women were assessed. Methods: Annual rates of chlamydia notification, and hospitalisations for female infertility or ectopic pregnancy in women aged 15–44 years in NSW were calculated using routinely collected data. Chlamydia notifications and hospital separations occurring within each year belonging to the same woman were linked using probabilistic linkage of identifiers so that multiple notifications and admissions for one woman in each calendar year were only counted once. Results: From 2001 to 2008, the annual rate of chlamydia diagnoses in women increased from 157 to 477 per 100 000 population (Ptrend < 0.001). Over the same period, the annual hospitalisation rate for women with an ectopic pregnancy decreased from 14.3 to 12.6 per 1000 births (Ptrend < 0.001). This decrease was mostly in women aged 25–44 years, with no appreciable fall in women aged 15–24 years (Ptrend = 0.8). Meanwhile, the hospitalisation rate for women with infertility of female origin did not follow a consistent trend: between 2001 and 2008, it fluctuated between a low of 479 and a high of 554 per 10 000 women who were seeking pregnancy. Conclusions: These trends in ectopic pregnancy and female infertility suggest that the large increase in chlamydia notifications may not reflect hospitalisations for these two proposed chlamydia-related sequelae.
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Bryson, Lois. "The Women's Health Australia Project and Policy Development." Australian Journal of Primary Health 4, no. 3 (1998): 59. http://dx.doi.org/10.1071/py98031.
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The Women's Health Australia (WHA) project plans to follow the health of a national sample of around 42,000 women who, in 1996, were in the age cohorts 18-22, 45-49 and 70-74. The multi-disciplinary research team adopts a social approach to health, focuses on biological, psychological, social and lifestyle factors and their relationship to physical health and emotional wellbeing, and is examining the use of, and satisfaction with, health care services. Base-line survey data highlight diversity and the need for health policy to tailor communications to the different age groups. In terms of general wellbeing and service appropriateness, the young are the most problematic, the mid cohort next, while older women indicate fewest problems. Young women experience the highest levels of stress, often suffer from tiredness and are over-concerned with their weight and shape. They are also most dissatisfied with GP services. Issues of employment and health are also central. In general employment is associated with good health, but strains are evident when there are family commitments. As employment becomes increasingly normalised for women, health policy must be mindful of these effects and the significant difficulties faced by a small group of women whose health precludes employment.
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Chambers, Georgina M., Sean Randall, Cathrine Mihalopoulos, Nicole Reilly, Elizabeth A. Sullivan, Nicole Highet, Vera A. Morgan, Maxine L. Croft, Mary Lou Chatterton, and Marie-Paule Austin. "Mental health consultations in the perinatal period: a cost-analysis of Medicare services provided to women during a period of intense mental health reform in Australia." Australian Health Review 42, no. 5 (2018): 514. http://dx.doi.org/10.1071/ah17118.
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Objective To quantify total provider fees, benefits paid by the Australian Government and out-of-pocket patients’ costs of mental health Medicare Benefits Schedule (MBS) consultations provided to women in the perinatal period (pregnancy to end of the first postnatal year). Method A retrospective study of MBS utilisation and costs (in 2011–12 A$) for women giving birth between 2006 and 2010 by state, provider-type, and geographic remoteness was undertaken. Results The cost of mental health consultations during the perinatal period was A$17.5 million for women giving birth in 2007, rising to A$29 million in 2010. Almost 9% of women giving birth in 2007 had a mental health consultation compared with more than 14% in 2010. An increase in women accessing consultations, along with an increase in the average number of consultations received, were the main drivers of the increased cost, with costs per service remaining stable. There was a shift to non-specialist care and bulk billing rates increased from 44% to 52% over the study period. In 2010, the average total cost (provider fees) per woman accessing mental health consultations during the perinatal period was A$689, and the average cost per service was A$133. Compared with women residing in regional and remote areas, women residing in major cities where more likely to access consultations, and these were more likely to be with a psychiatrist rather than an allied health professional or general practitioner. Conclusion Increased access to mental health consultations has coincided with the introduction of recent mental health initiatives, however disparities exist based on geographic location. This detailed cost analysis identifies inequities of access to perinatal mental health services in regional and remote areas and provides important data for economic and policy analysis of future mental health initiatives. What is known about the topic? The mental healthcare landscape in Australia has changed significantly over the last decade, with the introduction of numerous policies aimed at prevention, screening and improving access to treatment. Several of these policies have been aimed at perinatal depression, which affects 15% of women giving birth. What does this paper add? This is the first population-based, cost analysis of mental health consultations during the perinatal period (pregnancy to end of the first postnatal year) in Australia. Almost 9% of women giving birth in 2007 had a mental health consultation funded though the MBS, compared with more than 14% in 2010. Over the same period there was a shift from psychiatric consultations to allied health and primary care consultations. In 2010, the total cost (provider fee) of these consultations was A$29 million, equating to an average cost per woman of A$689 and A$133 per service. Despite the changing policy environment, significant disparities exist in access to care according to geographic remoteness. What are the implications for practitioners? Recent policy initiatives have resulted in increasing access to mental health consultations for women around the time of childbirth. However, policies are needed that target women outside of major cities. Furthermore, evidence is needed on whether the increase in access has resulted in improved mental health outcomes for women at this vulnerable time. The cost data provided by this study are unique and will inform future mental health policy development and health economic evaluations.
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Smith, Caroline, and Hannah Dahlen. "Caring for the Pregnant Woman and Her Baby in a Changing Maternity Service Environment: The Role of Acupuncture." Acupuncture in Medicine 27, no. 3 (September 2009): 123–25. http://dx.doi.org/10.1136/aim.2009.001115.
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Women have traditionally been high users of complementary therapies and use of these therapies continues during pregnancy and birthing. While women look to acupuncture and other therapies to support them during this time, traditional maternity services are in a state of change. In Australia, there is an increase in births, a workforce crisis, an increase in birthing in labour ward settings, few opportunities for women to birth at home, increased caesarean sections and an increase in obstetric interventions. The future role of acupuncture in this changed environment will be influenced by the evidence of safety and effectiveness of acupuncture. Research evaluating acupuncture during the antenatal period, labour preparation and birthing is small in quantity, but there are encouraging findings suggesting acupuncture maybe safe and effective. Women have prioritised interventions to manage pregnancy symptoms such as nausea and back pain, and interventions to prepare for labour and manage pain in labour as important. Further acupuncture trials are needed to ensure women have reliable and valid information to inform their decision making. Assessment of safety requires contributions from researchers, practitioners and integration with institutional data collection systems. Research of effectiveness should involve rigorous designs, but with debate about the appropriateness of traditional randomised controlled trial designs to evaluate complex interventions, and the limitations of sham controls, different approaches with mixed research methods should be considered. Exploring new research methods, especially those which explore the woman's experience with acupuncture, are also key to defining a role in the future.
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Koupil, Ilona, Leigh Tooth, Amy Heshmati, and Gita Mishra. "Social patterning of overeating, binge eating, compensatory behaviours and symptoms of bulimia nervosa in young adult women: results from the Australian Longitudinal Study on Women’s Health." Public Health Nutrition 19, no. 17 (June 22, 2016): 3158–68. http://dx.doi.org/10.1017/s1368980016001440.
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AbstractObjectiveTo study social patterning of overeating and symptoms of disordered eating in a general population.DesignA representative, population-based cohort study.SettingThe Australian Longitudinal Study on Women’s Health (ALSWH), Survey 1 in 1996 and Survey 2 in 2000.SubjectsWomen (n12 599) aged 18–23 years completed a questionnaire survey at baseline, of whom 6866 could be studied prospectively.ResultsSeventeen per cent of women reported episodes of overeating, 16 % reported binge eating and 10 % reported compensatory behaviours. Almost 4 % of women reported symptoms consistent with bulimia nervosa. Low education, not living with family, perceived financial difficulty (OR=1·8 and 1·3 for women with severe and some financial difficulty, respectively, compared with none) and European language other than English spoken at home (OR=1·5 for European compared with Australian/English) were associated with higher prevalence of binge eating. Furthermore, longitudinal analyses indicated increased risk of persistent binge eating among women with a history of being overweight in childhood, those residing in metropolitan Australia, women with higher BMI, smokers and binge drinkers.ConclusionsOvereating, binge eating and symptoms of bulimia nervosa are common among young Australian women and cluster with binge drinking. Perceived financial stress appears to increase the risk of binge eating and bulimia nervosa. It is unclear whether women of European origin and those with a history of childhood overweight carry higher risk of binge eating because of genetic or cultural reasons.
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Kwan, Kellie S. H., Carolien M. Giele, Barry Combs, and Donna B. Mak. "Improvement in antenatal testing for sexually transmissible infections and blood-borne viruses in Western Australian hospitals, 2007 to 2010." Sexual Health 9, no. 4 (2012): 349. http://dx.doi.org/10.1071/sh11151.
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Objective Antenatal testing for specified sexually transmissible infections (STIs) and blood-borne viruses (BBVs) is recommended by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG). In 2007, the Department of Health, Western Australia (DoHWA) issued an operational directive (OD) recommending universal testing for chlamydia and additional testing for women in the STI endemic regions of Western Australia (WA). To assess adherence to these guidelines, seven WA public hospitals were audited. Design and setting: Demographic details and testing information of the last 200 women who gave birth immediately before 30 June 2007 (baseline audit) and 30 June 2010 (follow-up audit) were obtained from each hospital’s antenatal records. Results: Data from 2718 women who delivered at ≥36 weeks’ gestation were analysed (baselinen = 1353; follow-upn = 1365). Testing at the first antenatal visit in accordance with the guidelines improved over time (RANZCOG: 68–74%; χ2-test = 13.96, d.f. = 1, P < 0.001; DoHWA OD: 12–40%; χ2-test = 279.71, d.f. = 1, P < 0.001). Retesting at 28–36 weeks’ gestation in the STI endemic regions improved for chlamydia (3–10%; χ2-test = 17.40, d.f. = 1, P < 0.001) and gonorrhoea (3–7%; χ2-test = 6.62, d.f. = 1, P < 0.05), but not for syphilis or HIV. Chlamydia prevalence was 3% and 8% among nonAboriginal and Aboriginal women, respectively. Conclusion: The proportion of women delivering in WA public hospitals who had antenatal STI and BBV tests improved after publication and promotion of the OD.
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Khoo, Siew-Ean, and S. Krishnamoorthy. "Changes in the timing of births in Melbourne, Australia." Journal of Biosocial Science 17, no. 2 (April 1985): 235–47. http://dx.doi.org/10.1017/s0021932000015698.
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SummaryTwo 10-year marriage cohorts from two surveys of married women in Melbourne were compared on their timing of the first and second births. The results showed that women who were married in the early 1970s were much more likely to delay their first birth until about the third or fourth year of marriage compared with women who married in the 1960s. However, there was no difference in the timing of their second birth in relation to the first birth between the two marriage cohorts. Women who delayed childbearing also preferred smaller families. Economic reasons were most frequently mentioned for delaying childbearing.
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PARR, NICHOLAS J. "FAMILY BACKGROUND, SCHOOLING AND CHILDLESSNESS IN AUSTRALIA." Journal of Biosocial Science 37, no. 2 (March 16, 2004): 229–43. http://dx.doi.org/10.1017/s0021932004006546.
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Using data from Wave 1 of the Household Income and Labour Dynamics in Australia (HILDA) survey, this paper analyses the extent to which childlessness among Australian women aged 40–54 years varies according to the size and type of family in which they were brought up, and the level and type of schooling they had. Multilevel logistic analysis shows that having been educated in a non-government school, having stayed at school to year 12, having a small number of siblings, at age 14 having a father who was either dead or absent, at age 14 having a father who was employed in a professional occupation, or being a migrant from North or West Europe, North America, East Asia or South-East Asia, all are significantly associated with higher rates of childlessness among women in the 40–54 years age range. The effects of these early lifecourse variables on marital and socioeconomic status in later life, and hence on childlessness, are also considered. The implications of the findings for fertility trends and for Australia’s public debate are discussed.
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Sinclair, Justin, Susanne Armour, Jones Asafo Akowuah, Andrew Proudfoot, and Mike Armour. "“Should I Inhale?”—Perceptions, Barriers, and Drivers for Medicinal Cannabis Use amongst Australian Women with Primary Dysmenorrhoea: A Qualitative Study." International Journal of Environmental Research and Public Health 19, no. 3 (January 29, 2022): 1536. http://dx.doi.org/10.3390/ijerph19031536.
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Objective: This study sought to investigate the perceptions, barriers, and drivers associated with medicinal cannabis use among Australian women with primary dysmenorrhea. A qualitative study via virtual focus groups involving 26 women experiencing regular, moderate, or greater menstrual pain explored categories including cost, associated stigma, current drug driving laws, community and workplace ethics, and geographical isolation within the context of patient access under current Australian laws and regulations. Results: A qualitative descriptive analysis identified that dissatisfaction with current management strategies such as over-the-counter analgesic usage was the key driver for wanting to use medicinal cannabis. A number of significant barriers to use were identified including patient access to medical prescribers, medical practitioner bias, current drug driving laws, geographic location, and cost. Community and cultural factors such as the history of cannabis as an illicit drug and the resulting stigma, even when prescribed by a medical doctor, still existed and was of concern to our participants. Conclusion: Whilst medicinal cannabis is legal in all states and territories within Australia, several barriers to access exist that require government regulatory attention to assist in increasing patient adoption, including possible subsidisation of cost. The high cost of legal, medicinal cannabis was a key factor in women’s choice to use illicit cannabis. Overall, the concerns raised by our participants are consistent with the broader findings of a recent Australian Senate inquiry report into barriers to patient access to medicinal cannabis in Australia, suggesting many of the issues are systematic rather than disease-specific. Given the interest in use of medicinal cannabis amongst women with primary dysmenorrhea, clinical trials in this area are urgently needed.
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Sarpy, Caroline, Heidi Shukralla, Heath Greville, and Sandra C. Thompson. "Exploring the Implementation of Workplace-Focused Primary Prevention Efforts to Reduce Family Violence in a Regional City: The Need for Clarity, Capacity, and Communication." International Journal of Environmental Research and Public Health 19, no. 24 (December 13, 2022): 16703. http://dx.doi.org/10.3390/ijerph192416703.
Full textAbstract:
In response to the high burden of family and domestic violence (FDV), The Australian National Plan to End Violence Against Women and Children has established that primary prevention measures are necessary to reduce FDV’s harmful impacts on health. The Community, Respect, and Equality (CRE) project is a primary prevention initiative aimed towards changing harmful social norms and practices that enable FDV in Geraldton, Western Australia. Organizations affiliated with the CRE are required to promote gender equality and a respectful work environment. However, there is a gap in the literature regarding the impact and effectiveness of such interventions, especially in rural/regional areas. As such, this study served to evaluate the project’s effectiveness in a CRE-certified workspace, a local non-profit social services provider. Investigators conducted interviews to learn how the organization had implemented the CRE, and whether the CRE had had an impact on social norms and practices within the work environment. Findings indicated that the project had largely failed to permeate workplace culture due to a lack of effective promotion, low perceived benefits, and low resources. Future interventions must take persuasive measures, even for organizations perceived to be receptive to change.