Medicine and Health Sciences Commons^™

Online Healthy Lifestyle Support In The Perinatal Period: What Do Women Want And Do They Use It?, Lydia A. Hearn, Margaret R. Miller, Anna Fletcher

Research outputs 2013

Unhealthy weight gain and retention during pregnancy and postpartum is detrimental to mother and child. Although various barriers limit the capacity for perinatal health care providers (PHCPs) to offer healthy lifestyle counselling, they could guide women to appropriate online resources. This paper presents a project designed to provide online information to promote healthy lifestyles in the perinatal period. Focus groups or interviews were held with 116 perinatal women and 76 PHCPs to determine what online information perinatal women and PHCPs want, in what form, and how best it should be presented. The results indicated that women wanted smartphone applications (apps) …

Promoting Abstinence From Alcohol During Pregnancy: Implications From Formative Research, Kathryn France, Robert Donovan, Nadine Henley, Carol Bower, Elizabeth Elliott, Janet Payne, Heather D'Antoine, Anne Bartu

Research outputs 2013

This research developed messages to promote abstinence from alcohol during pregnancy and identified elements that enhance message persuasiveness. An exploratory phase was conducted in 2009 that comprised four focus groups with 23 women inWestern Australia and elicited beliefs and attitudes on alcohol use during pregnancy and motivations for behavior change. Four television concepts were subsequently developed and appraised in five focus groups with 31 participants using standard advertising pretesting questions. The implications for campaigns addressing prenatal alcohol exposure and further research are noted and limitations discussed. Funding was received from Healthway and the National Health and Medical Research Council.

Neonatal Outcomes After Preterm Birth By Mothers' Health Insurance Status At Birth: A Retrospective Cohort Study, Kristjana Einarsdóttir, Fatima A. Haggar, Amanda T. Langridge, Anthony S. Gunnell, Helen Leonard, Fiona J. Stanley

Research outputs 2013

Background: Publicly insured women usually have a different demographic background to privately insured women, which is related to poor neonatal outcomes after birth. Given the difference in nature and risk of preterm versus term births, it would be important to compare adverse neonatal outcomes after preterm birth between these groups of women after eliminating the demographic differences between the groups. Methods: The study population included 3085 publicly insured and 3380 privately insured, singleton, preterm deliveries (32–36 weeks gestation) from Western Australia during 1998–2008. From the study population, 1016 publicly insured women were matched with 1016 privately insured women according to …

Review Of Kidney Disease Among Indigenous People, Sasha A. Stumpers, Neil J. Thomson

Research outputs 2013

Kidney disease is a significant health problem for all Australians, but severe kidney disease is more common among Indigenous people than among non- Indigenous people. In particular, the prevalence of chronic kidney disease (CKD) and the overall levels of end-stage kidney disease (ESKD) among Aboriginal and Torres Strait Islander peoples are consistently reported as significantly higher than among other Australians. Information on CKD among Indigenous Australians is available from self-reported survey data, as well as from community-based studies and screening programs [10-20] but the main focus in the literature has been on ESKD. The incidence of ESKD is especially high …

Review Of Physical Activity Among Indigenous People, Caitlin A. Gray, Rona Macniven, Neil J. Thomson

Research outputs 2013

Physical activity is important for all Australians, particularly in the prevention, management and treatment of chronic conditions, and for social and emotional wellbeing. Chronic health conditions, including cardiovascular conditions, endocrine conditions (such as diabetes), and certain cancers, account for 70% of the observed difference in the burden of disease between the Indigenous and non-Indigenous populations. Modifiable risk factors, particularly behavioural determinants such as physical activity, can help to reduce the extent and impact of these conditions, and assist in the prevention, management and treatment of disease. The levels and impacts of physical inactivity are greater for Indigenous people than they …

The Unmet Promise Of Occupational Health And Safety Harmonisation: Continued Complexity For Small, Multi-Jurisdictional Firms, Susanne T. Bahn, Susan Mayson, Rowena Barrett, Llandis G. Barratt-Pugh

Research outputs 2013

Harmonisation of state-based occupational health and safety (OHS) regimes is a Council of Australian Governments (COAG) initiative designed to ‘cut red tape’ for Australian firms. However Western Australia’s, South Australia’s and Victoria’s lack of harmonisation makes it problematic for firms that conduct business in multiple jurisdictions. In this paper we investigate what impacts harmonisation has on firms generally and specifically smaller, multi-jurisdictional firms. First, we look at the requirements of the model WHS Act and what it said about managerial responsibilities for OHS. We focus on the due diligence clause which places personal liability on company directors or persons conducting …

Harmonisation Of Construction Health And Safety Laws In Australia, Manikam Pillay

Research outputs 2013

For over four decades all states and territories in Australia have maintained their own and separate set of laws for the management of health and safety risks in construction. This resulted in at least ten different sets of health and safety legislation. Responding to calls for national uniformity, a harmonised set of laws wer issued in 2011 by the Federal Government, in the form of Model Work Health and safety Act and Regulations. These, together with industry-specific codes of practice, are expected to provide construction organisations their first ever common set of standards and benchmarks across the states and territories …

Rationale, Design And Methods For A Community-Based Study Of Clustering And Cumulative Effects Of Chronic Disease Processes And Their Effects On Ageing: The Busselton Healthy Ageing Study, A James, M Hunter, L Straker, J Beilby, R Bucks, T Davis, R H. Eikelboom, D Hillman, J Hui, J Hung, M Knuiman, D A. Mackey, Robert U. Newton, L J. Palmer, A W. Musk, Investigator Group Busselton Healthy Ageing Study

Research outputs 2013

Background: The global trend of increased life expectancy and increased prevalence of chronic and degenerative diseases will impact on health systems. To identify effective intervention and prevention strategies, greater understanding of the risk factors for and cumulative effects of chronic disease processes and their effects on function and quality of life is needed.The Busselton Healthy Ageing Study aims to enhance understanding of ageing by relating the clustering and interactions of common chronic conditions in adults to function. Longitudinal (3-5 yearly) follow-up is planned. Methods/design. Phase I (recruitment) is a cross-sectional community-based prospective cohort study involving up to 4,000 'Baby Boomers' …

Thermal Stress In North Western Australian Iron Ore Mining Staff, Jermiah John Peiffer, Chris Abbiss

Research outputs 2013

Introduction:Demand for Australian mined iron ore has increased employment within this sector, thus exposing increased numbers of workers to the harsh Australian climate. This study examined the influence of hot (>30°C wet bulb globe temperature) environmental temperatures, consistent with working in North Western Australia, on iron ore mining staff.Methods:Core temperature, hydration status, perceived exertion, mood, and fatigue state were measured in 77 participants at three time points (pre-, mid-, and post-shift) during a normal 12-h shift at an open-cut iron ore mining/processing site (n = 31; Site1) and an iron ore processing/shipping site (n = 46; Site 2).Results:A significant …

Review Of Ear Health And Hearing Among Indigenous Australians, Jane F. Burns, Neil J. Thomson

Research outputs 2013

Indigenous Australians experience some of the highest levels of ear disease and hearing loss in the world, with rates up to ten times more than those for non-Indigenous Australians [4]. Children and adolescents are particularly vulnerable to ear infections. The most common ear disease among Indigenous children is otitis media (OM), which is inflammation/infection of the middle ear typically caused by bacterial and viral pathogens. Indigenous children living in urban, rural and, particularly, remote areas, are more likely than their non-Indigenous counterparts to have OM at younger ages, more often, at a greater level of severity, and with more likelihood …

Plain Language Review Of Cardiovascular Health Among Indigenous Australians, Caitlin Gray

Research outputs 2013

This document summarises, in plain language, information about the cardiovascular health status of Aboriginal and Torres Strait Islander peoples. It provides information about :

• the various cardiovascular diseases and their risk factors
• the extent of cardiovascular disease (CVD) among Aboriginal and Torres Strait Islander people, including prevalence, hospitalisation and death rates
• types and levels of care for Aboriginal and Torres Strait Islander CVD patients
• strategies and programs that aim to improve the cardiovascular health status of Aboriginal and Torres Strait Islander people.

The publication is a plain language summary of the Review of cardiovascular health among Indigenous Australians (2013) by …

Ngala Healthy You, Healthy Baby: A Personalized Online Program To Support Healthy Weight In Pregnancy And Early Life, Margaret R. Miller, Lydia A. Hearn, Anna Fletcher, Lelia R. Green

Research outputs 2013

Perinatal maternal obesity is common and has significant child and maternal health consequences. Online resources have the potential to engage young mothers to adopt healthier lifestyles during pregnancy and postpartum. Intercept interviews with 53 pregnant women at antenatal clinics and focus groups with 67 new mothers at mothers’ groups and playgroups were conducted to determine preferred types and formats of online information and support. The expressed needs of women were matched to behaviour change theory to guide development of the Healthy You Healthy Baby website and Smartphone application. A mix of factual and practical online information, self-assessment, goal-setting and feedback …

The Ecology Of Medical Care In Beijing, Shuang Shao, Feifei Zhao, Jing Wang, Lei Feng, Xiaoqin Lu, Juan Du, Yuxiang Yan, Chao Wang, Yinghong Fu, Jingjing Wu, Xinwei Yu, Kaykeng Khoo, Youxin Wang, Wei Wang

Research outputs 2013

Background: We presented the pattern of health care consumption, and the utilization of available resources by describing the ecology of medical care in Beijing on a monthly basis and by describing the socio-demographic characteristics associated with receipt care in different settings. Methods: A cohort of 6,592 adults, 15 years of age and older were sampled to estimate the number of urbanresident adults per 1,000 who visited a medical facility at least once in a month, by the method of three-stage stratified and cluster random sampling. Separate logistic regression analyses assessed the association between those receiving care in different types of …

Regulating Small Firm Safety Via The Supply Chain: Implications Of The Australian Work Health And Safety Act, Susanne Bahn, John Kitching

Research outputs 2013

The impact of the Work Health and Safety Act (WHS Act) highlights subcontractor working practices. By motivating contractors to influence subcontractor working practices, regulation influences the latter’s health and safety performance. Indirect routes of regulatory influence, working via supply chains, might prove to be a more effective means of improving small firm health and safety than placing obligations upon subcontractors directly, and limit contractor exposure to their new liability for subcontractor breach.

Systematic Review Of Research Into The Psychological Aspects Of Prostate Cancer In Asia: What Do We Know?, Suzanne Kathleen Chambers, Melissa Karen Hyde, David Fu-Keung Ip, Jeffrey Charles Dunn, Robert Alexander Gardiner

Research outputs 2013

Background: To review the peer reviewed literature on the psychological aspects of the prostate cancer experience of men in Asia. Materials and Methods: Medline and PsycINFO, CINAHL, ProQuest, and Web of Science (1999 – November Week 4, 2012) were searched. Inclusion criteria were: included men with prostate cancer and/or their partners or caregivers who identify as Asian recruited in an Asian country; and assessed health-related quality of life, psychological and social adjustment relating to prostate cancer and published in English after 1st January 1999 and prior to 30th November, 2012. Study aims; design; quality; level of evidence, and key results …

Patterns Of Physical And Psychological Development In Future Teenage Mothers, Daniel Nettle, Thomas E. Dickins, David A. Coall, Paul De Monrnay Davis

Research outputs 2013

Background and objectives: Teenage childbearing may have childhood origins and can be viewed as the outcome of a coherent reproductive strategy associated with early environmental conditions. Life-history theory would predict that where futures are uncertain fitness can be maximized through diverting effort from somatic development into reproduction. Even before the childbearing years, future teenage mothers differ from their peers both physically and psychologically, indicating early calibration to key ecological factors. Cohort data have not been deliberately collected to test life-history hypotheses within Western populations. Nonetheless, existing data sets can be used to pursue relevant patterns using socioeconomic variables as indices …

Occupational Respiratory Health Surveillance At Minara Resources, Murrin Murrin Mine Site [Journal Article], Martyn Cross, Jacques Oosthuizen

Research outputs 2013

A respiratory health study of fly-in-fly-out workers potentially exposed to airborne contaminants, and a control group, was conducted at the Murrin Murrin mine site in Western Australia. Lung function was measured in terms of validated protocols (American Thoracic Society, 1995; Miller et al, 2005). The effect of length of service, as well as work area/department on lung function was established. Repeat lung function tests were conducted after approximately two years, in order to measure decrements over time. Furthermore, testing was conducted on a cohort of refinery workers prior to commencement and upon completion of their work period on-site (swing), in …

Improving Safety Culture: The Impact Of The Construction Induction Training On The Construction Industry In Western Australia, Susanne T. Bahn, Llandis G. Barratt-Pugh

Research outputs 2013

Australia strives to be a world leader in safety practice however improving safety cultures to reduce work-related injuries in the hazardous environment of the construction industry is a continual challenge. It is particularly difficult in Western Australia (WA) where the industry is engaging with the second development boom this century, often in isolated locations, and simultaneously adapting to the national harmonisation of OHS regulations. In 2006, Worksafe WA introduced mandatory certification in safety awareness training for all employees, before they could begin work on a construction site. This paper reviews the impact of this training on the construction industry, presenting …

Overview Of The Health Of Indigenous People In Western Australia 2013, Neil Thomson, Andrea Macrae, Anomie, Jane Burns, Belinda D'Costa, Caitlin Gray, Joanne Hoareau, Leah Levitan, Miranda Poynton, Kathy Ride, Avinna Trzesinski

Research outputs 2013

This Overview has been prepared by the Australian Indigenous HealthInfoNet as a part of our contributions to ‘closing the gap’ in health between Indigenous people and other Australians by making relevant, high quality knowledge and information easily accessible to policy makers, health service providers, program managers, clinicians, researchers, students and the general community.

The main purpose of the Overview is to provide a comprehensive summary of the most recent indicators of the health of Indigenous people.

Research for this Overview involved the collection, collation, and analysis of a wide range of relevant information, including both published and unpublished material. Sources …

Mining Workers Ability To Identify Hazards Using A Picture Survey, Susanne T. Bahn

Research outputs 2013

This paper presents the first phase on a study investigating the skills of workers in the resource sector at their safety induction to identify workplace hazards. This study questioned the ability of managers and employees to identify workplace hazards correctly (phase 1) and to determine the processes that can be used to increase hazard identification skills (phase 2). Fifty-four completed surveys that contained 6 pictures displaying complex and hazardous work environments in an underground mine in WA are analysed. The analysis sought to determine the average number of hazards that each participant could identify out of a possible 10 in …

Tackling Overweight And Obesity: Does The Public Health Message Match The Science?, Katherine Hafekost, David Lawrence, Francis Mitrou, Therese O'Sullivan, Stephen Zubrick

Research outputs 2013

Background: Despite the increasing understanding of the mechanisms relating to weight loss and maintenance, there are currently no validated public health interventions that are able to achieve sustained long-term weight loss or to stem the increasing prevalence of obesity in the population. We aimed to examine the models of energy balance underpinning current research about weight-loss intervention from the field of public health, and to determine whether they are consistent with the model provided by basic science. EMBASE was searched for papers published in 2011 on weight-loss interventions. We extracted details of the population, nature of the intervention, and key …

The Expected Number Of Background Disease Events During Mass Immunization In China, Youxin Wang, Lijuan Wu, Xinwei Yu, Feifei Zhao, Alyce Russell, Manshu Song, Wei Wang

Research outputs 2013

It is critical to distinguish events that are temporarily associated with, but not caused by, vaccination from those caused by vaccination during mass immunization. We performed a literature search in China National Knowledge Infrastructure and Pubmed databases. The number of coincident events was calculated based on its incidence rate and periods after receipt of a dose of hypothesized vaccine. We included background incidences of Guillain-Barre´ syndrome, anaphylaxis, seizure, sudden adult death syndrome, sudden cardiac death, spontaneous abortion, and preterm labour or delivery. In a cohort of 10 million individuals, 7.71 cases of Guillain-Barre´ syndrome would be expected to occur within …

Plain Packaging For Cigarettes Improves Retail Transaction Times, Owen B. Carter, Matthew Welch, Brennen W. Mills, Tina Phan, Paul Chang

Research outputs 2013

No abstract provided.