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2016

University of Wollongong

Health

Articles 1 - 16 of 16

Full-Text Articles in Education

Analysis Of Health Service Amenable And Non-Amenable Mortality Before And Since China's Expansion Of Health Coverage In 2009, Xiaoqi Feng, Yunning Liu, Thomas E. Astell-Burt, Peng Yin, Andrew Page, Shiwei Liu, Jiangmei Liu, Lijun Wang, Maigeng Zhou Jan 2016

Analysis Of Health Service Amenable And Non-Amenable Mortality Before And Since China's Expansion Of Health Coverage In 2009, Xiaoqi Feng, Yunning Liu, Thomas E. Astell-Burt, Peng Yin, Andrew Page, Shiwei Liu, Jiangmei Liu, Lijun Wang, Maigeng Zhou

Faculty of Social Sciences - Papers

Objective To explore early impacts of China's health reforms in 2009 on mortality. Methods Annual mortality counts were obtained from 161 counties across all 31 provinces of mainland China between 2006 and 2012. We examined time-series of health service amenable mortality counts, including separate analyses for deaths from stroke and ischaemic heart diseases (IHD). Non-amenable mortality counts, including separate models for oesophageal and pancreatic cancers, were also analysed as part of a negative-outcome strategy to provide stronger foundations for falsification. Deaths due to amenable causes were hypothesised to decrease, whereas non-amenable causes of mortality would remain uninfluenced. All analyses ...


Large-Scale Investment In Green Space As An Intervention For Physical Activity, Mental And Cardiometabolic Health: Study Protocol For A Quasi-Experimental Evaluation Of A Natural Experiment, Thomas E. Astell-Burt, Xiaoqi Feng, Gregory Kolt Jan 2016

Large-Scale Investment In Green Space As An Intervention For Physical Activity, Mental And Cardiometabolic Health: Study Protocol For A Quasi-Experimental Evaluation Of A Natural Experiment, Thomas E. Astell-Burt, Xiaoqi Feng, Gregory Kolt

Faculty of Social Sciences - Papers

Introduction 'Green spaces' such as public parks are regarded as determinants of health, but evidence from tends to be based on cross-sectional designs. This protocol describes a study that will evaluate a large-scale investment in approximately 5280 hectares of green space stretching 27 km north to south in Western Sydney, Australia. Methods and analysis A Geographic Information System was used to identify 7272 participants in the 45 and Up Study baseline data (2006-2008) living within 5 km of the Western Sydney Parklands and some of the features that have been constructed since 2009, such as public access points, advertising billboards ...


Hpe Teachers' Negotiation Of Environmental Health Spaces: Discursive Positions, Embodiment And Materialism, Nicole Taylor, Jan Wright, Gabrielle H. O'Flynn Jan 2016

Hpe Teachers' Negotiation Of Environmental Health Spaces: Discursive Positions, Embodiment And Materialism, Nicole Taylor, Jan Wright, Gabrielle H. O'Flynn

Faculty of Social Sciences - Papers

A National Curriculum in Health and Physical Education (HPE) has recently been developed in Australia. This new curriculum reflects, among other educational priorities, both environmental sensitivities and a commitment to the enhancement of young people's health and wellbeing. HPE is one of the key sites in the curriculum where a focused consideration of the relationship between the environment and health is possible. However, to date no research has considered the ways that HPE teachers might recognise and negotiate these spaces. The research described in this paper addresses this gap through an analysis of semi-structured interviews with generalist primary and ...


Incorporating Health Literacy In Education For Socially Disadvantaged Adults: An Australian Feasibility Study, Danielle M. Muscat, Sian Smith, Haryana M. Dhillon, Suzanne Morony, Esther Davis, Karen Luxford, Heather L. Shepherd, Andrew Hayen, John Comings, Don Nutbeam, Kirsten Mccaffery Jan 2016

Incorporating Health Literacy In Education For Socially Disadvantaged Adults: An Australian Feasibility Study, Danielle M. Muscat, Sian Smith, Haryana M. Dhillon, Suzanne Morony, Esther Davis, Karen Luxford, Heather L. Shepherd, Andrew Hayen, John Comings, Don Nutbeam, Kirsten Mccaffery

Faculty of Social Sciences - Papers

Background Adult education institutions have been identified as potential settings to improve health literacy and address the health inequalities that stem from limited health literacy. However, few health literacy interventions have been tested in this setting. Methods Feasibility study for an RCT of the UK Skilled for Health Program adapted for implementation in Australian adult education settings. Implementation at two sites with mixed methods evaluation to examine feasibility, test for change in participants' health literacy and pilot test health literacy measures. Results Twenty-two socially disadvantaged adults with low literacy participated in the program and received 80-90 hours of health literacy ...


Objectively Measured Sedentary Behaviour And Health And Development In Children And Adolescents: Systematic Review And Meta-Analysis, Dylan P. Cliff, Kylie Hesketh, Stewart A. Vella, Trina Hinkley, Margarita D. Tsiros, Nicola D. Ridgers, Alison Carver, Jenny Veitch, Anne-Maree Parrish, Louise L. Hardy, Ronald Plotnikoff, Anthony D. Okely, Jo Salmon, David R. Lubans Jan 2016

Objectively Measured Sedentary Behaviour And Health And Development In Children And Adolescents: Systematic Review And Meta-Analysis, Dylan P. Cliff, Kylie Hesketh, Stewart A. Vella, Trina Hinkley, Margarita D. Tsiros, Nicola D. Ridgers, Alison Carver, Jenny Veitch, Anne-Maree Parrish, Louise L. Hardy, Ronald Plotnikoff, Anthony D. Okely, Jo Salmon, David R. Lubans

Faculty of Social Sciences - Papers

Sedentary behaviour has emerged as a unique determinant of health in adults. Studies in children and adolescents have been less consistent. We reviewed the evidence to determine if the total volume and patterns (i.e. breaks and bouts) of objectively measured sedentary behaviour were associated with adverse health outcomes in young people, independent of moderate-intensity to vigorous-intensity physical activity. Four electronic databases (EMBASE MEDLINE, Ovid EMBASE, PubMed and Scopus) were searched (up to 12 November 2015) to retrieve studies among 2- to 18-year-olds, which used cross-sectional, longitudinal or experimental designs, and examined associations with health outcomes (adiposity, cardio-metabolic, fitness, respiratory ...


Cultural Relativism, Emergent Technology And Aboriginal Health Discourse, Kishan A. Kariippanon Jan 2016

Cultural Relativism, Emergent Technology And Aboriginal Health Discourse, Kishan A. Kariippanon

Faculty of Social Sciences - Papers

The incorporation of mobile phones and social media by Indigenous youth (Senior and Chenhall, 2016; Carlson, Farelli, Frazer & Brothwick, 2015; Kral, 2014) has prompted a migration of online engagement and social marketing interventions in health promotion programs according to Brusse, Gardner, MacAulley & Dowden (2014). According to Kral (2014 p. 4) “the rapid development of new information and communication technologies, an increase in affordable, small mobile technologies” including research by Taylor (2012) on the increase in Telstra’s Internet enabled ‘Next G’ connections over the vast remote regions in the Northern Territory of Australia, has created “an explosion of new modes of channels for communication and multimedia production” in remote Aboriginal communities (Kral 2014). The accessibility of the Internet in the Northern Territory remote regions (Taylor, 2012) has made Aboriginal people “avid social media users” where their use of the Internet includes a range of activities associated with mental health and wellbeing (Carlson et al. 2015) including the use of Internet banking (Taylor, 2012) and establishing and maintaining social relationships (Kral, 2010; Taylor, 2012; Senior and Chenhall, 2016). The high penetration of the mobile phones and access to social media has surpassed adolescent use of TV and video games “spawning a mobile phone culture in some remote areas” where media material such as pictures and video clips flow freely within a community and between communities” (Brusse et al. 2014).


Ethical Justifications In Alcohol-Related Health Warning Discourse, Emma Muhlack, Jaklin Eliott, D Carter, Annette J. Braunack-Mayer Jan 2016

Ethical Justifications In Alcohol-Related Health Warning Discourse, Emma Muhlack, Jaklin Eliott, D Carter, Annette J. Braunack-Mayer

Faculty of Social Sciences - Papers

Cancer is the second most common cause of alcohol-related death in both men and women in Australia. In view of this and other health risks, mandatory health warnings on alcoholic beverages have been proposed in Australia and introduced elsewhere. This paper reviews academic literature and statements from selected advocacy groups to identify the ethical justifications that are used in relation to mandatory health warnings on alcoholic beverages. The paper then analyses how these justifications relate to the ethics of public health interventions in the context of cancer prevention. This involves examining the potential tension between the utilitarian nature of public ...


A Cluster-Randomised Controlled Trial Of Values-Based Training To Promote Autonomously Held Recovery Values In Mental Health Workers, Virginia Williams, Frank P. Deane, Lindsay G. Oades, Trevor P. Crowe, Joseph Ciarrochi, Retta Andresen Jan 2016

A Cluster-Randomised Controlled Trial Of Values-Based Training To Promote Autonomously Held Recovery Values In Mental Health Workers, Virginia Williams, Frank P. Deane, Lindsay G. Oades, Trevor P. Crowe, Joseph Ciarrochi, Retta Andresen

Faculty of Social Sciences - Papers

Background The implementation and use of evidence-based practices is a key priority for recovery-oriented mental health service provision. Training and development programmes for employees continue to be a key method of knowledge and skill development, despite acknowledged difficulties with uptake and maintenance of behaviour change. Self-determination theory suggests that autonomy, or a sense that behaviour is self-generated, is a key motivator to sustained behaviour change, in this case practices in mental health services. This study examined the utility of values-focused staff intervention as a specific, reproducible method of autonomy support. Methods Mental health workers (n = 146) were assigned via cluster ...


Targeting Population Nutrition Through Municipal Health And Food Policy: Implications Of New York City's Experiences In Regulatory Obesity Prevention, Jana Sisnowski, Jackie M. Street, Annette J. Braunack-Mayer Jan 2016

Targeting Population Nutrition Through Municipal Health And Food Policy: Implications Of New York City's Experiences In Regulatory Obesity Prevention, Jana Sisnowski, Jackie M. Street, Annette J. Braunack-Mayer

Faculty of Social Sciences - Papers

Obesity remains a major public health challenge across OECD countries and policy-makers globally require successful policy precedents. This paper analyzes New York City’s innovative experiences in regulatory approaches to nutrition. We combined a systematic documentary review and key informant interviews (n = 9) with individuals directly involved in nutrition policy development and decision-making. Thematic analysis was guided by Kingdon’s three-streams-model and the International Obesity Task Force’s evidence-based decision-making framework. Our findings indicate that decisive mayoral leadership spearheaded initial agenda-change and built executive capacity to support evidence-driven policy. Policy-makers in the executive branch recognized the dearth of evidence for ...


Respiratory Protection - Are Our Standards Protecting Worker Health Or Providing A False Sense Of Security?, Kerrie Burton, Jane L. Whitelaw, Alison L. Jones, Brian Davies Jan 2016

Respiratory Protection - Are Our Standards Protecting Worker Health Or Providing A False Sense Of Security?, Kerrie Burton, Jane L. Whitelaw, Alison L. Jones, Brian Davies

Faculty of Social Sciences - Papers

To determine whether currently utilised respirator filters effectively filter out Diesel Particulate Matter and provide worker protection; by testing respirator filters used in mining workplaces against DPM, and by measuring the sizes of particles that are penetrating the filters to determine whether that poses an additional health risk for workers.


Geographic Variation In Health Service Use And Perceived Access Barriers For Australian Adults With Chronic Non-Cancer Pain Receiving Opioid Therapy, Amy Peacock, Suzanne Nielsen, Raimondo Bruno, Gabrielle Campbell, Briony K. Larance, Louisa Degenhardt Jan 2016

Geographic Variation In Health Service Use And Perceived Access Barriers For Australian Adults With Chronic Non-Cancer Pain Receiving Opioid Therapy, Amy Peacock, Suzanne Nielsen, Raimondo Bruno, Gabrielle Campbell, Briony K. Larance, Louisa Degenhardt

Faculty of Social Sciences - Papers

Objective. Rates of chronic non-cancer pain are increasing worldwide, with concerns regarding poorer access to specialist treatment services in remote areas. The current study comprised the first in-depth examination of use and barriers to access of health services in Australia according to remoteness. Methods. A cohort of Australian adults prescribed pharmaceutical opioids for chronic non-cancer pain (n = 1,235) were interviewed between August 2012 and April 2014, and grouped into 'major city' (49%), 'inner regional' (37%), and 'outer regional/remote' (14%) according to the Australian Standard Geographical Classification based on postcode. Multinomial logistic regression analyses were conducted to determine geographical ...


Moving Beyond Body Image: A Socio-Critical Approach To Teaching About Health And Body Size, Jan Wright, Deana Leahy Jan 2016

Moving Beyond Body Image: A Socio-Critical Approach To Teaching About Health And Body Size, Jan Wright, Deana Leahy

Faculty of Social Sciences - Papers

Concerns about young people's (read, young women's) body dissatisfaction in schools have resulted in the introduction of programs promoting positive body Image in an effort to reduce eating disorders. These programs, informed by psychological or socio-psychological notions of the relations between self and bodies, seem to have considerable credibility in schools and in the academic Iiterature because of their authoritative underpinnings. In this chapter, we want to examine the ways in which such programs engage with discourses around bodies, fat, and size. For example, do they challenge discourses of weight-based oppression, create safe spaces for learning about weight ...


Are Respiratory Protection Standards Protecting Worker Health Against Ultrafine Diesel Particulate Matter Emissions? An Australian Perspective, Kerrie Burton, Jane L. Whitelaw, Alison L. Jones, Brian Davies Jan 2016

Are Respiratory Protection Standards Protecting Worker Health Against Ultrafine Diesel Particulate Matter Emissions? An Australian Perspective, Kerrie Burton, Jane L. Whitelaw, Alison L. Jones, Brian Davies

Faculty of Social Sciences - Papers

Poster presentation made at the 20th ETH-Conference on Combustion Generated Nanoparticles, 13-16 June 2016, Zurich, Switzerland.

Aim: Ultrafine diesel engine emissions are known to cause adverse health impacts including lung cancer, cardiovascular and irritant effects (World Health Organisation 2012). Respiratory protective devices are commonly used to mitigate worker exposure to many hazardous contaminants, especially in heavy industry such as mining and refining. Current standards to evaluate penetration through respirator filter media may not consider ultrafine particles due to the diameter of the challenge aerosol and the detection limit of the instrument (Eninger et al. 2008). Nor do they test penetration ...


A School-Based Intervention Incorporating Smartphone Technology To Improve Health-Related Fitness Among Adolescents: Rationale And Study Protocol For The Neat And Atlas 2.0 Cluster Randomised Controlled Trial And Dissemination Study, David R. Lubans, Jordan J. Smith, Louisa Peralta, Ronald Plotnikoff, Anthony D. Okely, Jo Salmon, Narelle Eather, Deborah Dewar, Sarah G. Kennedy, Chris Lonsdale, Toni A. Hilland, Paul Estabrooks, Tara Finn, Emma Pollock, Philip J. Morgan Jan 2016

A School-Based Intervention Incorporating Smartphone Technology To Improve Health-Related Fitness Among Adolescents: Rationale And Study Protocol For The Neat And Atlas 2.0 Cluster Randomised Controlled Trial And Dissemination Study, David R. Lubans, Jordan J. Smith, Louisa Peralta, Ronald Plotnikoff, Anthony D. Okely, Jo Salmon, Narelle Eather, Deborah Dewar, Sarah G. Kennedy, Chris Lonsdale, Toni A. Hilland, Paul Estabrooks, Tara Finn, Emma Pollock, Philip J. Morgan

Faculty of Social Sciences - Papers

Introduction Physical inactivity has been described as a global pandemic. Interventions aimed at developing skills in lifelong physical activities may provide the foundation for an active lifestyle into adulthood. In general, school-based physical activity interventions targeting adolescents have produced modest results and few have been designed to be 'scaled-up' and disseminated. This study aims to: (1) assess the effectiveness of two physical activity promotion programmes (ie, NEAT and ATLAS) that have been modified for scalability; and (2) evaluate the dissemination of these programmes throughout government funded secondary schools. Methods and analysis The study will be conducted in two phases. In ...


Adesão Ao Tratamento Nas Perturbações Psiquiátricas: O Impacto Das Atitudes E Das Crenças Em Profissionais De Serviços De Psiquiatria E Saúde Mental Em Portugal. Parte I: Aspetos Conceptuais E Metodológicos, Ana Cardoso, Mitchell K. Byrne, Miguel Xavier Jan 2016

Adesão Ao Tratamento Nas Perturbações Psiquiátricas: O Impacto Das Atitudes E Das Crenças Em Profissionais De Serviços De Psiquiatria E Saúde Mental Em Portugal. Parte I: Aspetos Conceptuais E Metodológicos, Ana Cardoso, Mitchell K. Byrne, Miguel Xavier

Faculty of Social Sciences - Papers

Introduction Among the chronic health diseases are psychiatric disorders and it is well established that within this population there is a particularly high prevalence of non‐adherence to treatment. Methods Narrative review, of relevant literature. Results The majority of the research has focused primarily on the factors related to the patient that interfere with treatment adherence. However, there are studies that seem to indicate that the responsibility for increasing adherence is more related with the health professional than the patient. Conclusions Through the identification of factors associated with clinicians, we enable the development strategies to increase skills in mental health ...


The Integrated Mental Health Atlas Of Western Sydney, Luis Salvador-Carulla, Ana Fernandez, Cailin Mass, Jennifer Smith-Merry, James Gillespie, Thomas E. Astell-Burt, Xiaoqi Feng Jan 2016

The Integrated Mental Health Atlas Of Western Sydney, Luis Salvador-Carulla, Ana Fernandez, Cailin Mass, Jennifer Smith-Merry, James Gillespie, Thomas E. Astell-Burt, Xiaoqi Feng

Faculty of Social Sciences - Papers

Australians living with serious and continuing ill-health face bewilderingly complex health and social care systems. Even experienced health professionals have trouble navigating this health care maze. The mental health service system poses some of the greatest navigation challenges. The recovery of individuals living with mental health issues, requires a smooth link between acute and domiciliary health care, housing and other social care agencies. The need for simple rules of navigation is strong, but fragmentation and gaps in services remain great, confounding attempts to understand and organise appropriate care and support. The need for deeper knowledge about the mental health system ...