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Jamie Perin, John S Preisser
Alternating logistic regressions is an estimating equations procedure used to model marginal means of correlated binary outcomes while simultaneously specifying a within-cluster association model for log odds ratios of outcome pairs. A recent generalization of alternating logistic regressions, known as orthogonalized residuals, is extended to incorporate finite sample adjustments in the estimation of the log odds ratio model parameters for when there is a moderately small number of clusters. Bias adjustments are made both in the sandwich variance estimators and in the estimating equations for the association parameters...
October 24, 2016: Biometrics
Holger Möller, Kathleen Falster, Rebecca Ivers, Michael O Falster, Kathleen Clapham, Louisa Jorm
OBJECTIVE: To describe the leading mechanisms of hospitalised unintentional injury in Australian Aboriginal children and identify the injury mechanisms with the largest inequalities between Aboriginal and non-Aboriginal children. METHODS: We used linked hospital and mortality data to construct a whole of population birth cohort including 1,124,717 children (1,088,645 non-Aboriginal and 35,749 Aboriginal) born in the state of New South Wales (NSW), Australia, between 1 July 2000 and 31 December 2012...
October 23, 2016: Australian and New Zealand Journal of Public Health
Christian Young, Hasantha Gunasekera, Kelvin Kong, Alison Purcell, Sumithra Muthayya, Frank Vincent, Darryl Wright, Raylene Gordon, Jennifer Bell, Guy Gillor, Julie Booker, Peter Fernando, Deanna Kalucy, Simone Sherriff, Allison Tong, Carmen Parter, Sandra Bailey, Sally Redman, Emily Banks, Jonathan C Craig
OBJECTIVE: To describe and evaluate Hearing EAr health and Language Services (HEALS), a New South Wales (NSW) health initiative implemented in 2013 and 2014 as a model for enhanced clinical services arising from Aboriginal health research. METHODS: A case-study involving a mixed-methods evaluation of the origins and outcomes of HEALS, a collaboration among five NSW Aboriginal Community Controlled Health Services (ACCHS), the Sydney Children's Hospitals Network, NSW Health, the Aboriginal Health and Medical Research Council, and local service providers...
October 23, 2016: Australian and New Zealand Journal of Public Health
Kerin O'Dea
No abstract text is available yet for this article.
February 2016: Pathology
Amy E Peden, Richard C Franklin, Peter A Leggat
OBJECTIVE: Examine the prevalence of alcohol and its contributory role in unintentional fatal river drowning in Australia to inform strategies for prevention. METHODS: Cases of unintentional fatal river drowning in Australia, 1-July-2002 to 30-June-2012, were extracted from the National Coronial Information System. Cases with positive alcohol readings found through autopsy or toxicology reports were retained for analysis. Discrete analysis was conducted on cases with a Blood Alcohol Content (BAC) of ≥0...
October 20, 2016: Accident; Analysis and Prevention
Adir Shaulov, Dvora Filon, Deborah Rund
α-Thalassemia (α-thal) is among the world's most common single gene disorders, generally attributed to a selective advantage of heterozygotes against malaria mortality. A high frequency of -α(3.7) deletion heterozygosity has been previously reported in Ashkenazi Jews despite lack of obvious malarial selection pressure in this population. Using haplotype and -α(3.7) subtype analysis we analyzed a subset of -α(3.7) homozygotes from various Israeli ethnic groups. We found a high frequency of the common Ia haplotype in Yemenite Jews and Arabs (54% and 13% respectively)...
October 19, 2016: European Journal of Medical Genetics
Héloïse Coté, Marie-Anne Boucher, André Pichette, Benoit Roger, Jean Legault
ETHNOPHARMACOLOGICAL RELEVANCE: Oleoresin of Abies balsamea (L.) Mill. was used by Aboriginal people of the boreal forest of Canada and French Canadians to treat various infections, suggesting that oleoresin has antibacterial properties. AIM OF THE STUDY: In this study, the antibacterial activity of whole oleoresin from A. balsamea was investigated against E. coli, S. aureus and two methicillin-resistant S. aureus (MRSA) strains using a new sensitive assay developed to evaluate hydrophobic matrix and compounds...
October 18, 2016: Journal of Ethnopharmacology
Kathleen Falster, Emily Banks, Sanja Lujic, Michael Falster, John Lynch, Karen Zwi, Sandra Eades, Alastair H Leyland, Louisa Jorm
BACKGROUND: Australian Aboriginal children experience a disproportionate burden of social and health disadvantage. Avoidable hospitalizations present a potentially modifiable health gap that can be targeted and monitored using population data. This study quantifies inequalities in pediatric avoidable hospitalizations between Australian Aboriginal and non-Aboriginal children. METHODS: This statewide population-based cohort study included 1 121 440 children born in New South Wales, Australia, between 1 July 2000 and 31 December 2012, including 35 609 Aboriginal children...
October 21, 2016: BMC Pediatrics
Bushra Farah Nasir, Leanne Hides, Steve Kisely, Geetha Ranmuthugala, Geoffrey C Nicholson, Emma Black, Neeraj Gill, Srinivas Kondalsamy-Chennakesavan, Maree Toombs
BACKGROUND: Suicide is a leading cause of death among Indigenous youth worldwide. The aim of this literature review was to determine the cultural appropriateness and identify evidence for the effectiveness of current gatekeeper suicide prevention training programs within the international Indigenous community. METHOD: Using a systematic strategy, relevant databases and targeted resources were searched using the following terms: 'suicide', 'gatekeeper', 'training', 'suicide prevention training', 'suicide intervention training' and 'Indigenous'...
October 21, 2016: BMC Psychiatry
Alasdair Vance, Janet McGaw, Jo Winther, Moira Rayner, Selena White, Alison Smith
OBJECTIVE: Recently, Indigenous academics have evolved an Indigenist discourse that centralises Indigenous 'ways of knowing, being and doing'. Through this dialogue, Indigenous 'ways of knowing and being' augment Western biopsychosocial treatments. METHODS: This paper outlines the authors' clinical encounters with young people from the Koori community and ongoing consultation with Koori community Elders in Victoria that led to engaging young people and their families in an Indigenist dialogue...
October 7, 2016: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
Linda Garton, Amalie Dyda, Rebecca Guy, Bronwyn Silver, Skye McGregor, Belinda Hengel, Alice Rumbold, Debbie Taylor-Thomson, Janet Knox, Lisa Maher, John Kaldor, James Ward
Background: Extremely high rates of diagnosis of Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) have been recorded in remote communities across northern and central Australia. Re-testing at 3 months, after treatment administered, of CT or NG is recommended to detect repeat infections and prevent morbidity and ongoing transmission. Methods: Baseline CT and NG laboratory data (2009-2010) from 65 remote health services participating in a cluster randomised trial was used to calculate the proportion of individuals re-tested after an initial CT or NG diagnosis at <2 months (not recommended), 2-4 months (recommended) and 5-12 months and the proportion with repeat positivity on re-test...
October 21, 2016: Sexual Health
Herenia P Lawrence, Jaime Cidro, Sonia Isaac-Mann, Sabrina Peressini, Marion Maar, Robert J Schroth, Janet N Gordon, Laurie Hoffman-Goetz, John R Broughton, Lisa Jamieson
This study assessed links between racism and oral health outcomes among pregnant Canadian Aboriginal women. Baseline data were analyzed for 541 First Nations (94.6%) and Métis (5.4%) women in an early childhood caries preventive trial conducted in urban and on-reserve communities in Ontario and Manitoba. One-third of participants experienced racism in the past year determined by the Measure of Indigenous Racism Experience. In logistic regressions, outcomes significantly associated with incidents of racism included: wearing dentures, off-reserve dental care, asked to pay for dental services, perceived need for preventive care, flossing more than once daily, having fewer than 21 natural teeth, fear of going to dentist, never received orthodontic treatment and perceived impact of oral conditions on quality of life...
2016: Journal of Health Care for the Poor and Underserved
Kelly Jones, Ngara Keeler, Chris Morris, David Brennan, Kaye Roberts-Thompson, Lisa Jamieson
OBJECTIVE: To explore and document self-reported factors contributing to Indigenous Australians' attendance and non-attendance at South Australian public dental clinics. METHODS: Semi-structured interviews were conducted with people (18 males and 26 females) referred for oral care through the Aboriginal Liaison Program of the South Australian Dental Service. Thematic analysis was performed on 44 transcribed conversations and a conceptual model developed. RESULTS: Persons completing all recommended treatment reported high self-efficacy, health literacy, social cohesion and previous use of dental services and presence of a health advocate...
2016: Journal of Health Care for the Poor and Underserved
Lisa Jamieson, Julia Bradshaw, Herenia Lawrence, John Broughton, Kamilla Venner
OBJECTIVES: This paper assessed the fidelity of an early childhood caries MI intervention among Aboriginal mothers in South Australia. METHODS: Four MI-trained staff delivered the intervention and all interviews were recorded. A randomly selected subset (n = 164, 41.2%) were tested for MI fidelity using the Motivational Interviewing Treatment Integrity (MITI) code 3.1.1. A further randomly selected 20 taped sessions were additionally scored by an external expert to assess external reliability...
2016: Journal of Health Care for the Poor and Underserved
Peter Arrow
: Limited information is available about dental service use, perceived need and perceived oral health status among Aboriginal populations in Western Australia. This study collected information from a convenience sample of people attending the opening ceremony of the 2014 National Aborigines and Islanders Day Observance Committee celebrations in Perth, Western Australia. METHODS: People who visited the Dental Health Services display stall at the event completed a questionnaire on dental service use, perceived need and self-rated oral health domains...
2016: Journal of Health Care for the Poor and Underserved
Najith Amarasena, Kostas Kapellas, Michael R Skilton, Louise J Maple-Brown, Alex Brown, Mark Bartold, Kerin O'Dea, David Celermajer, Lisa M Jamieson
OBJECTIVES: To determine factors associated with routine dental attendance in Aboriginal Australians. METHODS: Data of 271 Aboriginal adults residing in Australia's Northern Territory were used. Routine dental attendance was defined as last visiting a dentist less than one year ago or visiting a dentist for a check-up. Both bivariate and multivariable analytical techniques were used. RESULTS: While 27% visited a dentist in the past year, 29% of these visited for a check-up...
2016: Journal of Health Care for the Poor and Underserved
Simon Wooley
The Nganampa Health Council (literally "Our Health Council") is an Aboriginal community-controlled Primary Health Care service established in 1983. It was born out of the political struggle for Aboriginal Land Rights in South Australia which culminated in The Anangu Pitjantjatjara Yankunytjatjara (APY) Land Rights Act, 1981, a milestone in Indigenous Land Rights both in Australia and internationally.
2016: Journal of Health Care for the Poor and Underserved
Kylie Gwynne, Michelle J Irving, Debbie McCowen, Boe Rambaldini, John Skinner, Steve Naoum, Anthony Blinkhorn
A sustainable model of oral health care for disadvantaged Aboriginal people living in rural and remote communities in New South Wales was developed using collective impact methodology. Collective impact is a structured process which draws together organizations to develop a shared agenda and design solutions which are jointly resourced, measured and reported upon.
2016: Journal of Health Care for the Poor and Underserved
Margie Steffens, Lisa Jamieson, Kostas Kapellas
Discrimination is a very real facet of Australian Aboriginal and Torres Strait Islander (ATSI) life. Paradies has detailed the strong links between racism and chronic stress and the influence this may have on general health, confounding the pre-supposed notion that ATSI populations are more genetically predisposed to chronic diseases. For example a genetic predisposition promoting central adipose storage in populations with recent (in evolutionary terms) changes to hunter-gatherer dietary patterns is thought to contribute to the higher rates of diabetes seen in ATSI and other Native populations...
2016: Journal of Health Care for the Poor and Underserved
Samseh Abdullah Noradilah, Ii Li Lee, Tengku Shahrul Anuar, Fatmah Md Salleh, Siti Nor Azreen Abdul Manap, Noor Shazleen Husnie Mohd Mohtar, Syed Muhamad Azrul, Wan Omar Abdullah, Norhayati Moktar
In the tropics, there are too few studies on isolation of Blastocystis sp. subtypes from water sources; in addition, there is also an absence of reported studies on the occurrence of Blastocystis sp. subtypes in water during different seasons. Therefore, this study was aimed to determine the occurrence of Blastocystis sp. subtypes in river water and other water sources that drained aboriginal vicinity of highly endemic intestinal parasitic infections during wet and dry seasons. Water samples were collected from six sampling points of Sungai Krau (K1-K6) and a point at Sungai Lompat (K7) and other water sources around the aboriginal villages...
2016: PeerJ
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