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Public Health Research & Practice

Angela L Todd, Don Nutbeam
OBJECTIVES: To ensure that the contribution of patients and consumers in health research is better understood, respected and fully utilised. Type of program or service: Consumer representative networks that form part of a broader quality improvement program in local health services. METHODS: Consultations were held with members of health consumer networks in Sydney, Northern Sydney and Western Sydney Local Health Districts, and the Sydney Children's Hospitals Network (at Westmead) about how to better involve consumers in health research...
June 14, 2018: Public Health Research & Practice
Sonya Nicholl, Holly Seale, Sue Campbell-Lloyd
BACKGROUND: In 2014, a high school-based measles supplementary immunisation activity (SIA) took place in New South Wales (NSW), Australia, in response to a large number of adolescents being identified as undervaccinated or unvaccinated against measles. The program focused on areas of NSW where previous measles outbreaks had occurred and where large numbers of undervaccinated adolescents lived. More than 11 000 students were vaccinated in 2014, and the program continued in 2015, when more than 4000 students in Years 11 and 12 were vaccinated...
June 14, 2018: Public Health Research & Practice
Anne Tiedemann, Sandra O'Rourke, Catherine Sherrington
Objectives and importance of study: Yoga improves balance and mobility, and therefore has potential as a fall prevention strategy, yet its validity for preventing falls has not been established. The Otago Exercise Programme (OEP) and tai chi are proven to prevent falls. This study aimed to evaluate the perceptions and preferences of older people towards a yoga-based program with potential to decrease falls, to compare these perceptions to the views expressed about the OEP and tai chi, and to identify participant characteristics associated with a preference for the yoga program...
June 14, 2018: Public Health Research & Practice
Bronwyn McGill, Blythe J O'Hara, Philayrath Phongsavan
Objectives and importance of study: Low program completion rates can undermine the public health impact of even the most effective program. Participant experiences with lifestyle programs are not well reported, but are important for program improvement and retention. The purpose of this study was to understand participant perceptions of the Get Healthy Information and Coaching Service (GHS), a 6-month telephone-based health coaching program to promote lifestyle change. We were particularly interested in participants' initial expectations, their actual experience and, for those who did not complete the program, what influenced their withdrawal...
June 14, 2018: Public Health Research & Practice
Sara Farnbach, Anne-Maree Eades, Josephine D Gwynn, Nick Glozier, Maree L Hackett
Objectives and importance of study: Values and ethics: guidelines for ethical conduct in Aboriginal and Torres Strait Islander health research (Values and ethics) describes key values that should underpin Aboriginal and Torres Strait Islander (Indigenous)-focused health research. It is unclear how research teams address this document in primary health care research. We systematically review the primary health care literature focusing on Indigenous social and emotional wellbeing (SEWB) to identify how Values and ethics and community preferences for standards of behaviour (local protocols) are addressed during research...
June 14, 2018: Public Health Research & Practice
Megan E Passey, Janelle M Stirling
BACKGROUND: Smoking during pregnancy is three times as common among Aboriginal women as non-Aboriginal women, with consequent higher rates of adverse health outcomes. Effective interventions to support Aboriginal women to quit smoking have not yet been identified. OBJECTIVES: To assess the feasibility and acceptability of implementing a culturally tailored, intensive smoking cessation program, including contingency-based financial rewards (CBFR), for pregnant Aboriginal women...
June 14, 2018: Public Health Research & Practice
Hassan Assareh, Helen M Achat, Shopna Bag, Leendert Moerkerken, Salwa Gabriel
The territory of a Local Health District (LHD) comprises multiple local government areas (LGAs). The recent amalgamation of several LGAs in metropolitan Sydney has resulted in two new LGAs being expanded across multiple LHDs, resulting in nonconcordance of boundaries. Here, we discuss the implications for planning health activities and service delivery, and ways to address them.
June 14, 2018: Public Health Research & Practice
Hannah C Moore, Christopher C Blyth
Infectious diseases remain a major cause of morbidity in Australia. A wealth of data exists in administrative datasets, which are linked through established data-linkage infrastructure in most Australian states and territories. These linkages can support robust studies to investigate the burden of disease, the relative contribution of various aetiological agents to disease, and the effectiveness of population-based prevention policies - research that is critical to the success of current and future vaccination programs...
June 14, 2018: Public Health Research & Practice
Jane Lloyd, Louise Thomas, Gawaine Powell-Davies, Regina Osten, Mark Harris
Definitions of health literacy have tended to focus on the abilities of patients and communities, rather than on the ability of the health system and its services to respond to patients' different levels of health literacy. However, health literacy is increasingly being recognised as part of a dynamic, two-way relationship, affected by both organisational factors (e.g. tailoring of communication and care to patients' needs) and community factors (e.g. individuals' ability to perceive and seek care). Developing a more comprehensive understanding of health literacy is an important step towards improving health literacy...
June 14, 2018: Public Health Research & Practice
Don Nutbeam
No abstract text is available yet for this article.
June 14, 2018: Public Health Research & Practice
Belinda Martin, Paul Douglas
As outlined in the Department of Immigration and Border Protection Annual report 2016-17, Australia granted 21 928 humanitarian visas in 2016-17, 13 760 of them offshore. This number will increase in future to a planned offshore program of 18 750 in 2018-19. The report notes that the United Nations High Commissioner for Refugees ranks Australia third for the number of refugees resettled. With such a massive program and commitment by the Australian Government, the need to ensure that health and wellbeing are maintained or gained during the settlement process is paramount...
March 15, 2018: Public Health Research & Practice
Alon Faingold, Kirsten Morley, Bethany White, Emily Walker, Paul Haber
OBJECTIVE: To analyse routinely collected data from a hospital database of drug health consultation-liaison (CL) assessments. We aimed to investigate changes in psychostimulant-related health service demand in an inner-city hospital to inform the development of locally appropriate models of care. METHODS: We used de-identified drug health CL service data from 2012 to 2015. Psychostimulant-related consultations and admissions were compared with opioid-related consultations and admissions over time, by sex and by ward type (medical units, mental health units or emergency department)...
March 15, 2018: Public Health Research & Practice
Julia M Langton, David Goldsbury, Preeyaporn Srasuebkul, Jane M Ingham, Dianne L O'Connell, Sallie-Anne Pearson
OBJECTIVES: The jurisdictional nature of routinely collected health data in Australia has created challenges for linking data across state/territory and federal government boundaries. This has impeded understanding of the interplay between service use across hospital and community care. Our objective was to demonstrate the value-add of cross-jurisdictional data using a case study of health service use and the factors associated with healthcare use towards the end of life. STUDY TYPE: Retrospective cohort study using routinely collected health data...
March 15, 2018: Public Health Research & Practice
Brian J Maguire
Objectives and importance: Paramedics have high rates of occupational injury and fatality. The objective of this study is to describe their specific risks of violence-related injury. STUDY TYPE: This retrospective cohort study is an examination of retrospective data provided by Safe Work Australia (SWA). METHODS: An examination of the 300 cases of serious claims of injury related to assaults, violence, harassment and bullying that occurred among individuals identified as ambulance officers and paramedics in Australia from 2001 to 2014...
March 15, 2018: Public Health Research & Practice
Genevieve L Fair, Mark F Harris, Mitchell M Smith
BACKGROUND AND AIM: Transition of asylum seekers from special-purpose health services to mainstream primary care is both necessary and difficult. This study explores the issues encountered by asylum seekers undergoing this transition in Sydney, Australia. METHODS: Qualitative semistructured interviews were conducted with nine asylum seeker patients and nine staff working in the sector. RESULTS: Asylum seekers faced significant challenges in the transition to mainstream primary care...
March 15, 2018: Public Health Research & Practice
Choisung C Ngo, Christine Maidment, Lisa Atkins, Sandy Eagar, Mitchell M Smith
OBJECTIVES: To describe the prevalence of certain health conditions in newly arrived refugees to Sydney, Australia, and thereby help inform screening practices. STUDY TYPE: A clinical audit of routinely collected pathology results. METHODS: Demographics and pathology results from a nurse-led health assessment program for newly arrived refugees during 2013 and 2014 were analysed. Prevalences of screened conditions were calculated, and compared by country of birth and other demographic features...
March 15, 2018: Public Health Research & Practice
Kevin Pottie, Doug Gruner, Olivia Magwood
Responsive primary health care systems and services must be at once complex and nimble. Policy makers may wish to believe that existing health systems effectively care for all populations equally, including refugees. However, we know that refugees may require a health equity approach: an approach where all levels of government, all types of health practitioners, and even the public sector, participate to ensure access to effective primary health care. This article outlines some of Canada's healthcare responses for refugee populations...
March 15, 2018: Public Health Research & Practice
Mark F Harris
Refugees have complex physical, psychological and social needs that are challenging to manage comprehensively in primary care. In recent years, many refugees settling in Australia have been sponsored by family members. Although they may receive settlement support, these new arrivals may not be assessed or managed by specialised refugee health services. Their sponsors usually link them to bilingual general practitioners, but these doctors may not be aware of or have access to a comprehensive range of services...
March 15, 2018: Public Health Research & Practice
Peter Shergold
Professor Peter Shergold was appointed as the New South Wales (NSW) Coordinator General for Refugee Resettlement in 2015, providing him with an opportunity to reimagine how the not-for-profit, public and private sectors could collaborate to improve the wellbeing of refugees settling in NSW, Australia. Through collaboration, NSW agencies are shifting the service response from one that is reactive to refugees' immediate settlement needs towards an investment approach that creates employment pathways. By identifying and building on refugees' strengths, resilience and human capital, Professor Shergold believes NSW can deliver better outcomes for both refugees and the communities they live in...
March 15, 2018: Public Health Research & Practice
Mitchell M Smith, Mark F Harris
No abstract text is available yet for this article.
March 15, 2018: Public Health Research & Practice
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