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Relational Conceptions Of Paternalism: A Way To Rebut Nanny-State Accusations And Evaluate Public Health Interventions, Stacy M. Carter, Vikki A. Entwistle, Miles Little

Faculty of Social Sciences - Papers (Archive)

Objectives 'Nanny-state' accusations can function as powerful rhetorical weapons against interventions intended to promote public health. Public health advocates often lack effective rebuttals to these criticisms. Nanny-state accusations are largely accusations of paternalism. They conjure up emotive concern about undue governmental interference undermining peoples' autonomy. But autonomy can be understood in various ways. We outline three main conceptions of autonomy, argue that these that can underpin three different conceptions of paternalism, and consider implications for responses to nanny-state accusations and the assessment of public health interventions. Study design and methods Detailed conceptual analysis. Results The conceptions of paternalism implicit in …

Which Public And Why Deliberate? - A Scoping Review Of Public Deliberation In Public Health And Health Policy Research, Christopher J. Degeling, Stacy M. Carter, Lucie Rychetnik

Faculty of Social Sciences - Papers (Archive)

Deliberative methods are of increasing interest to public health researchers and policymakers. We systematically searched the peer-reviewed literature to identify public health and health policy research involving deliberative methods and report how deliberative methods have been used. We applied a taxonomy developed with reference to health policy and science and technology studies literatures to distinguish how deliberative methods engage different publics: citizens (ordinary people who are unfamiliar with the issues), consumers (those with relevant personal experience e.g. of illness) and advocates (those with technical expertise or partisan interests). We searched four databases for empirical studies in English published 1996-2013. This …

Delivering The Mental Health First Aid (Mhfa) Course Within The National Rugby League (Nrl): Evaluation Report, Jioji Ravulo

Faculty of Social Sciences - Papers (Archive)

Mental illness is a reality for many Australians. The National Survey of Mental Health and Wellbeing, conducted in 2007 with people aged 16-85, revealed that one in five Australians, or 3.2 million people, had a 12-month mental disorder (a mental illness occurring 12 months before the survey took place) (ABS, 2007). The survey further revealed that 16 million Australians (45%) within this age bracket suffered with a mental illness at some point in their lives. While these findings are slowly becoming public knowledge, there is still a limited understanding amongst laypeople regarding the overt and more covert symptoms of mental …

Benzodiazepine Use Among Chronic Pain Patients Prescribed Opioids: Associations With Pain, Physical And Mental Health, And Health Service Utilization, Suzanne Nielsen, Nicholas Lintzeris, Raimondo Bruno, Gabrielle Campbell, Briony K. Larance, Wayne Hall, Bianca Hoban, Milton Cohen, Louisa Degenhardt

Faculty of Social Sciences - Papers (Archive)

Objective

Benzodiazepines (BZDs) are commonly used by chronic pain patients, despite limited evidence of any long-term benefits and concerns regarding adverse events and drug interactions, particularly in older patients. This article aims to: describe patterns of BZDs use; the demographic, physical, and mental health correlates of BZD use; and examine if negative health outcomes are associated with BZD use after controlling for confounders. Subjects

A national sample of 1,220 chronic noncancer pain (CNCP) patients prescribed long-term opioids. Methods

We report on baseline data from a prospective cohort study comparing four groups based on their current BZD use patterns. General demographics, …

A Global Charter For The Public's Health - The Public's Health: The Role, Functions, Competencies, Education, B Borisch, C Jenkins, I Hernandez, R Krech, U Laaser, M Lomazzi, E Miron, M Moore, J Nurse, P Robinson, Heather Yeatman

Faculty of Social Sciences - Papers (Archive)

Political leaders increasingly perceive health as being crucial to achieving growth, development, equity and stability throughout the world. Health is now understood as a product of complex and dynamic relations generated by numerous determinants at different levels of governance. Governments need to take into account the impact of social, environmental and behavioural health determinants, including economic constraints, living conditions, demographic changes and unhealthy lifestyles in many of the World Health Organization (WHO) Member States. This understanding and increasing globalization means it is very timely to review the role of (global) public health in this changing societal and political environment.

Flourishing, Languishing And Moderate Mental Health: Prevalence And Change In Mental Health During Recovery From Drug And Alcohol Problems, Breanna Mcgaffin, Frank P. Deane, Peter James Kelly, Joseph Ciarrochi

Faculty of Social Sciences - Papers (Archive)

The aim was to explore the utility of Keyes' concept of mental health in a substance addiction context. Mental health is considered the presence of emotional wellbeing in conjunction with high levels of social and psychological functioning. Using Keyes' measure, the frequency of languishing and flourishing is compared between clients who became abstinent and those continuing to use substances following treatment. It was hypothesised that there would be a significant interaction between substance use and levels of mental health over time. Participants were 794 individuals (79.5% male) attending residential substance abuse treatment provided by The Australian Salvation Army. The current …

Health Reform And Mortality In China: Multilevel Time-Series Analysis Of Regional And Socioeconomic Inequities In A Sample Of 73 Million, Thomas Astell-Burt, Yunning Liu, Xiaoqi Feng, Peng Yin, Andrew Page, Shiwei Liu, Jiangmei Liu, Lijun Wang, Maigeng Zhou

Faculty of Social Sciences - Papers (Archive)

Chinas 2009 expansion of universal health insurance has received global interest, but little empirical investigation. This epidemiological study was a first attempt to assess potential impacts on population health and health equity. Multilevel negative binomial regression was used to analyse all-cause and non-communicable disease (NCD) mortality between 2006 and 2012 from a representative sample including all 31 provinces. The age-standardised ratios (per 100,000) in 2006 were 860.4 and 732.9 for mortality from all-causes and NCDs respectively. These ratios decreased over time to 737.5 (all-causes) and 642.9 (NCD) by 2012. Modelling indicated these trajectories were curvilinear, dipping more rapidly from 2009 …

Public Preferences For Engagement In Health Technology Assessment Decision-Making: Protocol Of A Mixed Methods Study, Sally Wortley, Allison Tong, Emily Lancsar, Glenn P. Salkeld, Kirsten Howard

Faculty of Social Sciences - Papers (Archive)

Background Much attention in recent years has been given to the topic of public engagement in health technology assessment (HTA) decision-making. HTA organizations spend substantial resources and time on undertaking public engagement, and numerous studies have examined challenges and barriers to engagement in the decision-making process however uncertainty remains as to optimal methods to incorporate the views of the public in HTA decision-making. Little research has been done to ascertain whether current engagement processes align with public preferences and to what extent their desire for engagement is dependent on the question being asked by decision-makers or the characteristics of the …

The Determinants Of Young Adult Social Well-Being And Health (Dash) Study: Diversity, Psychosocial Determinants And Health, Seeromanie Harding, Ursula M. Read, Oarabile R. Molaodi, Aidan Cassidy, Maria J. Maynard, Erik Lenguerrand, Thomas E. Astell-Burt, Alison Teyhan, Melissa Whitrow, Zinat E. Enayat

Faculty of Social Sciences - Papers (Archive)

Purpose The Determinants of young Adult Social well-being and Health longitudinal study draws on life-course models to understand ethnic differences in health. A key hypothesis relates to the role of psychosocial factors in nurturing the health and well-being of ethnic minorities growing up in the UK. We report the effects of culturally patterned exposures in childhood. Methods In 2002/2003, 6643 11-13 year olds in London, ~80 % ethnic minorities, participated in the baseline survey. In 2005/2006, 4782 were followed-up. In 2012-2014, 665 took part in a pilot follow-up aged 21-23 years, including 42 qualitative interviews. Measures of socioeconomic and psychosocial …

Protocol For A Systematic Review Of Telephone Delivered Psychosocial Interventions On Relapse Prevention, Adherence To Psychiatric Medication And Health Risk Behaviours In Adults With A Psychotic Disorder, Alison K. Beck, Amanda Baker, Alyna Turner, Gillian Haddock, Peter James Kelly, Katherine Berry, Sandra Bucci

Faculty of Social Sciences - Papers (Archive)

Introduction The mental and physical health of individuals with a psychotic illness are typically poor. When adhered to, medication can reduce relapse. However, despite adherence, relapse remains common and functional outcomes often remain compromised. Compliance is also typically low. Cardiovascular-related morbidity and mortality is also elevated, along with several important modifiable health risk behaviours. Access to psychosocial interventions is therefore important, but currently limited. Telephone delivered interventions represent a promising solution, although further clarity is needed. Accordingly, we aim to provide an overview and critical analysis of the current state of evidence for telephone delivered psychosocial interventions targeting key health …

Neighborhood Walkability, Fear And Risk Of Falling And Response To Walking Promotion: The Easy Steps To Health 12-Month Randomized Controlled Trial, Dafna Merom, K Gebel, Paul P. Fahey, Thomas E. Astell-Burt, A Voukelatos, Chris Rissel, Cathie Sherrington

Faculty of Social Sciences - Papers (Archive)

In older adults the relationships between health, fall-related risk factors, perceived neighborhood walkability, walking behavior and intervention impacts are poorly understood. To determine whether: i) health and fall-related risk factors were associated with perceptions of neighborhood walkability; ii) perceived environmental attributes, and fall-related risk factors predicted change in walking behavior at 12 months; and iii) perceived environmental attributes and fall-related risk factors moderated the effect of a self-paced walking program on walking behavior. Randomized trial on walking and falls conducted between 2009 and 2012 involving 315 community-dwelling inactive adults ≥ 65 years living in Sydney, Australia. Measures were: mobility status, …

Navigating The World Of Advertising Through Integrating English And Health (Ps), Chloe Gordon

Faculty of Social Sciences - Papers (Archive)

Abstract of paper presented at the AATE & ALEA Joint National Conference, 3-6 July 2015, Canberra, Australia

Policy Capacity Is Necessary But Not Sufficient: Comment On "Health Reform Requires Policy Capacity", Sheldon Gen, Amy Conley Wright

Faculty of Social Sciences - Papers (Archive)

Policy capacity focuses on the managerial and organizational abilities to inform policy decisions with sound research and analysis, and facilitate policy implementation with operational efficiency. It stems from a view of the policy process that is rational and positivistic, in which optimal policy choices can be identified, selected, and implemented with objectivity. By itself, however, policy capacity neglects the political aspects of policy-making that can dominate the process, even in health policies. These technical capabilities are certainly needed to advance reforms in health policies, but they are not sufficient. Instead, they must be complemented with public engagement and policy advocacy …

Health Promotion Practice, Research Ethics And Publishing In The Health Promotion Journal Of Australia, Stacy M. Carter, Annette J. Braunack-Mayer, Jonine Jancey

Faculty of Social Sciences - Papers (Archive)

This special issue of the HPJA focuses on ethics in the context of health promotion practice. This editorial takes a narrower focus: the issue of Human Research Ethics Committee (HREC) approval for health promotion research, evaluation and quality assurance (QA). We will focus on three papers in the special issue: each argue that those working in health promotion should consider ethics from the very beginning of their research, evaluation and/or QA activities. The first paper, by Ainsley Newson and Wendy Lipworth, is entitled ‘Why should ethics approval be required before publication of health promotion research?’ In it they argue that …

Ethics And Health Promotion: Research, Theory, Policy And Practice, Annette J. Braunack-Mayer, Stacy M. Carter

Faculty of Social Sciences - Papers (Archive)

This special issue of the HPJA deals with ethics and health promotion. The accompanying editorial focuses particularly on Human Research Ethics Committee (HREC) approval for health promotion research, evaluation and quality assurance (QA), based on the first three papers in this issue. In this brief editorial, we introduce the remaining papers, noting some common threads that are woven through the papers.

A Collaborative Initiative Working Towards Closing The Education And Health Gap In Remote Aboriginal Communities, Cathrine Marguerite Neilsen-Hewett, Marina Papic

Faculty of Social Sciences - Papers (Archive)

Abstract presented at The Inaugural Early Start Conference, 28-30 September 2015, Wollongong, Australia

Recovery In Mental Health In Western Sydney: Use Of The Integrated Atlas Of Care For Context Analysis And Planning, L Salvador-Carulla, A Fernandez, Thomas Astell-Burt, Xiaoqi Feng, J Gillespie, J Smith-Merry

Faculty of Social Sciences - Papers (Archive)

Abstract presented at the 15th International Conference on Integrated Care, 25-27 March 2015, Edinburgh, Scotland

Childhood Adhd Symptoms: Association With Parental Social Networks And Mental Health Service Use During Adolescence, Regina Bussing, Johanna Meyer, Bonnie T. Zima, Dana M. Mason, Faye A. Gary, Cynthia Wilson Garvan

Faculty of Social Sciences - Papers (Archive)

Objective: This study examines the associations of childhood attention-deficit/hyperactivity disorder (ADHD) risk status with subsequent parental social network characteristics and caregiver strain in adolescence; and examines predictors of adolescent mental health service use. Methods: Baseline ADHD screening identified children at high risk (n = 207) and low risk (n = 167) for ADHD. At eight-year follow-up, parents reported their social network characteristics, caregiver strain, adolescents' psychopathology and mental health service utilization, whereas adolescents self-reported their emotional status and ADHD stigma perceptions. Analyses were conducted using ANOVAs and nested logistic regression modeling. Results: Parents of youth with childhood ADHD reported support …

Flooding And Mental Health: A Systematic Mapping Review, Ana Fernandez, John Black, Mairwen Jones, Leigh Wilson, Luis Salvador-Carulla, Thomas E. Astell-Burt, Deborah A. Black

Faculty of Social Sciences - Papers (Archive)

Background Floods are the most common type of global natural disaster. Floods have a negative impact on mental health. Comprehensive evaluation and review of the literature are lacking. Objective To systematically map and review available scientific evidence on mental health impacts of floods caused by extended periods of heavy rain in river catchments. Methods We performed a systematic mapping review of published scientific literature in five languages for mixed studies on floods and mental health. PUBMED and Web of Science were searched to identify all relevant articles from 1994 to May 2014 (no restrictions). Results The electronic search strategy identified …