Social and Behavioral Sciences Commons^™

A Crisis Of Underinsurance Threatens To Scar Rural Australia Permanently, Chloe Lucas, Christine Eriksen, David M. J. S Bowman

Faculty of Social Sciences - Papers (Archive)

Australia is in the midst of a bushfire crisis that will affect local communities for years, if not permanently, due to a national crisis of underinsurance. Already more than 1,500 homes have been destroyed - with months still to go in the bushfire season. Compare this to 2009, when Victoria's "Black Saturday" fires claimed more than 2,000 homes in February, or 1983, when the "Ash Wednesday" fires destroyed about 2,400 homes in Victoria and South Australia, also in February. The 2020 fire season could end up surpassing these tragedies, despite the lessons learned and improvements in preparedness. One lesson not …

Evidence For Sample Selection Effect And Hawthorne Effect In Behavioural Hiv Prevention Trial Among Young Women In A Rural South African Community, Molly Rosenberg, Audrey Pettifor, Rhian Twine, James Hughes, F Gomez-Olive, Ryan Wagner, Afolabi Sulaimon, Stephen Tollman, Amanda Selin, Catherine L. Mac Phail, Kathleen Kahn

Faculty of Social Sciences - Papers (Archive)

Objectives We examined the potential influence of both sample selection effects and Hawthorne effects in the behavioural HIV Prevention Trial Network 068 study, designed to examine whether cash transfers conditional on school attendance reduce HIV acquisition in young South African women. We explored whether school enrolment among study participants differed from the underlying population, and whether differences existed at baseline (sample selection effect) or arose during study participation (Hawthorne effect). Methods We constructed a cohort of 3889 young women aged 11-20 years using data from the Agincourt Health and socio-Demographic Surveillance System. We compared school enrolment in 2011 (trial start) …

‘It’S Because I Like Things… It’S A Status And He Buys Me Airtime’: Exploring The Role Of Transactional Sex In Young Women’S Consumption Patterns In Rural South Africa (Secondary Findings From Hptn 068), Meghna Ranganathan, Lori Heise, Catherine L. Mac Phail, Heidi Stockl, Richard J. Silverwood, Kathleen Kahn, Amanda Selin, F Gomez-Olive, Charlotte Watts, Audrey Pettifor

Faculty of Social Sciences - Papers (Archive)

Background ‘Transactional sex’, defined as a non-marital, non-commercial sexual relationship in which money or material goods are exchanged for sex, is associated with young women’s increased vulnerability to HIV infection. Existing research illustrates that the motivations for transactional sex are complex. The fulfilment of psycho-social needs such as the need to belong to a peer group are important factors underlying young women’s desires to obtain certain consumption items and thus engage in transactional sex. Methods We use a mixed-methods approach to explore the relationship between transactional sex and consumption patterns among young women in rural Mpumalanga province, South Africa. In …

Conceptual Model Of Diabetes Self-Management For Middle-Aged Population Of Rural Area Of Pakistan, Rashid M. Ansari, Hassan Hosseinzadeh, Mark Fort Harris, Nicholas Arnold Zwar

Faculty of Social Sciences - Papers (Archive)

Background: The high prevalence of type 2 diabetes in Pakistan has been attributed to high-risk factors such as lack of physical activity, unhealthy food and eating habits among the Pakistani population. Aims: The main aim of this study is to explore the factors that may influence diabetes self-management in the middle-aged population of rural area of Pakistan and to present the potential outcomes. Materials and Methods: The study was guided by the results of systematic reviews of self-management of type 2 diabetes and highlighted five factors which are most important to influence the diabetes self-management. Of particular mention are the …

Effect Of Schooling On Age-Disparate Relationships And Number Of Sexual Partners Among Young Women In Rural South Africa Enrolled In Hptn 068, Marie Stoner, Jessie Edwards, William Miller, Allison Aiello, Carolyn Halpern, Aimee Julien, Amanda Selin, James Hughes, Jing Wang, F Gomez-Olive, Ryan Wagner, Catherine L. Mac Phail, Kathleen Kahn, Audrey Pettifor

Faculty of Social Sciences - Papers (Archive)

Background:

Attending school may have a strong preventative association with sexually transmitted infections among young women, but the mechanism for this relationship is unknown. One hypothesis is that students who attend school practice safer sex with fewer partners, establishing safer sexual networks that make them less exposed to infection.

Setting:

We used longitudinal data from a randomized controlled trial of young women aged 13–20 years in the Bushbuckridge district, South Africa, to determine whether the percentage of school days attended, school dropout, and grade repetition are associated with having a partner 5 or more years older (age–disparate) and with the …

The Migration Of Horticultural Knowledge: Pacific Island Seasonal Workers In Rural Australia-A Missed Opportunity?, Olivia V. Dun, Natascha Klocker

Faculty of Social Sciences - Papers (Archive)

In 2012, Graeme Hugo wrote the article 'Migration and Development in Low-income Countries: A Role for Destination Country Policy?' for the inaugural issue of the journal Migration and Development. That article, which continues to be the journal's most viewed work,1 used the case of Asian and Pacific migration to Australia to question 'whether policies and practices by destination governments relating to international migration and settlement can play a role in facilitating positive developmental impacts in origin communities' (Hugo 2012, 25). The importance of such structural support for development has been underscored, in relation to seasonal worker programs, by growing evidence …

Wheat, Sheep Or Elvis Presley? Rural Australia Has Had To Change Its Tune, John Connell, Christopher R. Gibson

Faculty of Social Sciences - Papers (Archive)

Rural and regional Australia have had a hard time of late. The economies of Sydney and Melbourne are growing, but much of the rest of their states are not. The population of regional areas is stagnating and agriculture is struggling. Perhaps worst of all there is a feeling that no-one in Canberra or in the booming coastal periphery cares about this. The people of Orange have apparently spoken. Outside Sydney, behind what seems like an impervious sandstone curtain, not all is well. Even the largest towns in regional New South Wales are struggling to retain their populations and have faced …

Community Mobilization For Hiv Testing Uptake: Results From A Community Randomized Trial Of A Theory-Based Intervention In Rural South Africa, Sheri Lippman, Torsten Neilands, Catherine L. Mac Phail, Dean Peacock, Suzanne Maman, Dumisani Rebombo, Rhian Twine, Amanda Selin, Hannah Leslie, Kathleen Kahn, Audrey Pettifor

Faculty of Social Sciences - Papers (Archive)

Background: HIV testing uptake in South Africa is below optimal levels. Community mobilization (CM) may increase and sustain demand for HIV testing, however, little rigorous evidence exists regarding the effect of CM interventions on HIV testing and the mechanisms of action.

Methods: We implemented a theory-driven CM intervention in 11 of 22 randomly-selected villages in rural Mpumalanga Province. Cross-sectional surveys including a community mobilization measure were conducted before (n = 1181) and after (n = 1175) a 2-year intervention (2012–2014). We assessed community-level intervention effects on reported HIV testing using multilevel logistic models. We used structural equation models to explore …

Exploring The Qualitative Research On Diabetes Self-Management In Middle-Aged Population Of Rural Area Of Pakistan, Rashid M. Ansari, Hassan Hosseinzadeh, Nicholas Arnold Zwar

Faculty of Social Sciences - Papers (Archive)

This review article aimed at exploring the qualitative health research in self-management of type 2 diabetes and patient's perceptions and experiences of undertaking physical activity and eating behaviour as part of their diabetes self-management. In addition, the study analyzed how the health issue related to diabetes is viewed and addressed in the community of Pakistan and used the concepts of socio-ecological approach to self-management of type 2 diabetes and explored the factors affecting the self-management practices in that country. The other objective of this review was to examine the role of physical inactivity and obesity in the development of type …

Evaluating Women's Knowledge Of The Combined Oral Contraceptive Pill In An Australian Rural General Practice Setting, Sharna Kulhavy, Teresa M. Treweek

Faculty of Science, Medicine and Health - Papers: part A

Background: In addition to the contraceptive action of the combined oral contraceptive pill (COCP), there are a number of other benefits to its use such as menstrual cycle regulation. However, COCP use is also associated with a higher risk of thromboembolism. Despite the prevalence of COCP use, studies have indicated that overall women have poor knowledge of the COCP.

Aim: To evaluate women's knowledge of the COCP in a rural general practice setting. The extent of knowledge was assessed in several domains including: COCP use and effectiveness, mechanism of action, and the risks and benefits of COCP use. …

A Quantitative Research On Self-Management Of Type 2 Diabetes In Middle-Aged Population Of Rural Area Of Pakistan, Rashid M. Ansari, Hassan Hosseinzadeh, Nicholas Arnold Zwar

Faculty of Social Sciences - Papers (Archive)

Background: In Pakistan, the prevalence of Type 2 diabetes is high ranging from 7.6 % (5.2 million populations) to 11 % as compared to the prevalence rate of 8.3% in the world. The high prevalence of type 2 diabetes in the country has been attributed to high-risk factors such as lack of physical activity, unhealthy food and eating habits among the Pakistani population. Aims: The main aim of this study is to use the quantitative method to explore the association between illness and cultural beliefs, family and healthcare provider support and self-management behaviours of patients of type 2 diabetes in …

Transactional Sex Among Young Women In Rural South Africa: Prevalence, Mediators And Association With Hiv Infection, Meghna Ranganathan, Lori Heise, Audrey Pettifor, Richard J. Silverwood, Amanda Selin, Catherine L. Mac Phail, Sinead Delany-Moretlwe, Kathleen Kahn, F Gomez-Olive, James Hughes, Estelle Piwowar-Manning, Oliver Laeyendecker, Charlotte Watts

Faculty of Social Sciences - Papers (Archive)

INTRODUCTION: Young adolescent women in sub-Saharan Africa are three to four times more likely to be HIV-positive than boys or men. One of the relationship dynamics that is likely to be associated with young women's increased vulnerability to HIV is transactional sex. There are a range of HIV-related risk behaviours that may drive this vulnerability. However, to date, limited epidemiological data exist on the role of transactional sex in increasing HIV acquisition, especially among young women in sub-Saharan Africa. Our paper presents data on the prevalence of self-reported engagement in transactional sex and explores whether transactional sex is associated with …

Same But Different: Sources Of Natural Resource Management Advice For Lifestyle Oriented Rural Landholders, Victoria Ikutegbe, Nicholas J. Gill, Peter Klepeis

Faculty of Social Sciences - Papers (Archive)

Amenity migration to attractive and accessible non-metropolitan areas changes social and environmental relations with consequences for natural resource management and landscape composition and trajectories. Lifestyler oriented rural landholders are often cast as a problem for land management and extension. Managers and some researchers see them as a cause of landscape and social fragmentation and report difficulties in engaging such landowners on natural resource management issues and responsibilities. In contrast, limited existing research indicates that lifestylers do join and form networks of personal and other contacts for advice and support in land management. We contribute to this research with a survey …

Popular Culture: A Support Or A Disruption To Talent Development In The Lives Of Rural Adolescent Gifted Girls?, Denise Wood, Wilma Vialle

Faculty of Social Sciences - Papers (Archive)

Gifted adolescent rural girls live in a world where popular culture is a key source of information about their present and future lives. This study asked whether, as a key influence, popular culture supported or disrupted the talent development process of gifted adolescent girls in rural settings. Through an embedded case study approach this research study explored the responses of two groups of gifted adolescent girls to the messages presented to them in popular culture about talent development and giftedness. Data were generated predominantly through a series of focus groups and interviews. A narrative recount emerged after analysis of the …

'Not Just Drought.' Drought, Rural Change And More: Perspectives From Rural Farming Communities, Louise E. Askew, Meg Sherval, Pauline M. Mcguirk

Faculty of Social Sciences - Papers (Archive)

The 'Big Dry', a prolonged dry period in Australia from 1997 to 2009, seared much of the Murray-Darling Basin region and resulted in large agricultural losses, degraded river systems and increased uncertainty in rural communities although climate change in the form of drought is not new to rural Australia (Wei et al . 2012). For many years, generations of Australian farmers and farming communities have battled such climatic extremes. However, the most recent drought event competed with a myriad of changes to their lives and as such, the façade of stoicism has slowly begun to crack. This chapter examines the …

A Proposed Method To Determine Fumonisin Exposure From Maize Consumption In A Rural South African Population Using A Culturally Appropriate Ffq, Martani Lombard, Nelia Steyn, H Burger, Karen Charlton, Wentzel Gelderblom

Faculty of Social Sciences - Papers (Archive)

To develop an FFQ for estimating culture-specific maize intake that can distinguish between home-grown and commercial maize. Home-grown maize is more likely to be contaminated with fumonisins, mycotoxins that are associated with increased risk of oesophageal cancer. An existing FFQ developed for use in urban Xhosa populations was used as the initial framework for the maize-specific FFQ (M-FFQ). The existing questionnaire contained 126 food items divided into ten food groups (bread, cereals, vegetables, fruit, meat, dairy, snacks, condiments, beverages and fat). The M-FFQ was developed based on additional data obtained from a literature search, 24 h recalls (n 159), in-depth …

Outback Elvis: Musical Creativity In Rural Australia, John Connell, Christopher Gibson

Faculty of Social Sciences - Papers (Archive)

However cartographies of music are constructed, they invariably suggest some authentic relationship between particular sites of vernacular musical creativity and a social and economic context that has contributed to a certain distinctiveness. Thus, the literature is replete with accounts of supposedly distinctive Mersey and Otago sounds, New Orleans jazz or Nashville country, and the 'mutually generative relations of music and space' (Leyshon et al., 1995, p. 424). In the conventional narrative, styles are generally deemed to have originated from particular individual and collective scenes associated with key musicians and bands, and talked up as a means of promoting these styles …

Active Commuting Amongst School Children And Adolescents In A Rural Area Of South Africa, Eva M. Craig

Faculty of Social Sciences - Papers (Archive)

Abstract of a presentation at the Be Active 2014 Conference, 15-18 Oct, Canberra, Australia.

Bushfires: Rural Residents Are The Solution, Not The Problem, Nicholas Gill

Faculty of Social Sciences - Papers (Archive)

The return of heatwaves and bushfires to the news pages has brought fresh warnings that Australians who live in fire-prone zones still don’t fully understand the risk they are running. Deadly fires in Victoria’s Grampians and the Perth Hills, and the many other emergencies across other states, have once again brought the dangers into stark relief. Yet we have found evidence that people living near bushland are more aware of the risks and remedies than they are given credit for.

The Influence Of Longitudinal Integrated Clerkships On Clinical Scholarship In Regional And Rural Communities Of Practice, Kathryn M. Weston, Judith Nicky Hudson

Faculty of Science, Medicine and Health - Papers: part A

All senior medical students at the University of Wollongong undertake a longitudinal integrated community-based cle rkship, supervised by experienced generalist practitioners (GPs) in a regional or ru ral community. Prior to the first clerkship, GP preceptors predicted outcomes from their relationship with the long-term students, including a more scholarly approach to clinical pract ice. This prompted exploration of preceptor post·clerkship perceptions In the light of Grigsby and Tl10rndykes (2011) recent working definition of dlnical scholarship in academic medicine.

A Food Photograph Series For Identifying Portion Sizes Of Culturally Specific Dishes In Rural Areas With High Incidence Of Oesophageal Cancer, Martani Lombard, Nelia Steyn, Hester-Mari Burger, Karen Charlton, Marjanne Senekal

Faculty of Science, Medicine and Health - Papers: part A

Rural areas of the Eastern Cape (EC) Province, South Africa have a high incidence of squamous cell oesophageal cancer (OC) and exposure to mycotoxin fumonisin has been associated with increased OC risk. However, to assess exposure to fumonisin in Xhosas—having maize as a staple food—it is necessary to determine the amount of maize consumed per day. A maize-specific food frequency questionnaire (M-FFQ) has recently been developed. This study developed a food photograph (FP) series to improve portion size estimation of maize dishes. Two sets of photographs were developed to be used alongside the validated M-FFQ. The photographs were designed to …

Comparison Of Assessment Performance Of Rural And Regional Students In A Unique Australian Graduate-Entry Medical Program, David L. Garne, J Bushnell, A Lethbridge, J Douglas

Faculty of Science, Medicine and Health - Papers: part A

The Graduate School of Medicine at the University of Wollongong is one of Australia's newest medical schools, with a regional/rural focus and a distributed campus, and students are all expected to spend a significant proportion of their training in a rural setting. Due to the diverse learning environments that students are exposed to, we sought to determine by phase if there was any difference in examination results between groups who were located in rural settings and those in regional settings.

Climate Change And Rural Child Health: Results And New Directions From An International Collaboration, Bastian Seidel

Faculty of Science, Medicine and Health - Papers: part A

No abstract provided.

Re-Creating The Rural, Reconstructing Nature: An International Literature Review Of The Environmental Implications Of Amenity Migration, Jesse B. Abrams, Hannah Gosnell, Nicholas J. Gill, Peter J. Klepeis

Faculty of Science, Medicine and Health - Papers: part A

The term 'amenity migration' describes a broad diversity of patterns of human movement to rural places in search of particular lifestyle attributes. This review of international literature, drawn from the authors' own prior research and searches on relevant databases, synthesises findings on the implications of amenity migration for the creation and distribution of environmental harms and benefits. Further, we critique common framings of amenity migration-related environmental transformations and offer suggestions for future research. Analysis is positioned within a review of five common themes reflected in the cases we consider: land subdivision and residential development; changes in private land use; cross-boundary …

Rural Placements Are Effective For Teaching Medicine In Australia: Evaluation Of A Cohort Of Students Studying In Rural Placements, H H. Birden, I Wilson

Faculty of Science, Medicine and Health - Papers: part A

Introduction: Medical education in Australia is increasingly delivered through longitudinal placements in general practice and other community settings. Early meaningful exposure to patients has been shown to improve the transition from medical student to junior doctor. This study examines the experience of the first year cohort of the University of Western Sydney (UWS) Medical School long-term rural placement students. Results have been placed in the context of other published results for rural training schemes, comparing and contrasting the present results to those of others. Methods: Students undertaking a rural placement in their final year of the UWS medical program (n=21) …

Poor Food And Nutrient Intake Among Indigenous And Non-Indigenous Rural Australian Children, Josephine D. Gwynn, Victoria M. Flood, Catherine A. D'Este, John R. Attia, Nicole Turner, Janine Cochrane, Jimmy Chun Yu Louie, John H. Wiggers

Faculty of Health and Behavioural Sciences - Papers (Archive)

BACKGROUND: The purpose of this study was to describe the food and nutrient intake of a population of rural Australian children particularly Indigenous children. Participants were aged 10 to 12 years, and living in areas of relative socio-economic disadvantage on the north coast of New South Wales. METHODS: In this descriptive cross-sectional study 215 children with a mean age of 11.30 (SD 0.04) years (including 82 Indigenous children and 93 boys) completed three 24-hour food recalls (including 1 weekend day), over an average of two weeks in the Australian summer of late 2005. RESULTS: A high proportion of children consumed …

The Reliability And Validity Of A Short Ffq Among Australian Aboriginal And Torres Strait Islander And Non-Indigenous Rural Children, J Gwynn, Victoria M. Flood, Catherine A. D'Este, John R. Attia, Nicole Turner, Janine Cochrane, John Wiggers

Faculty of Health and Behavioural Sciences - Papers (Archive)

Objective: To determine the reproducibility and validity of a short FFQ (SFFQ) for Australian rural children aged 10 to 12 years, particularly Aboriginal and Torres Strait Islander children. Design: In this cross-sectional study participants completed the SFFQ on two occasions and three 24 h recalls. Concurrent validity was established by comparing results of the first SFFQ against food recalls; reproducibility was established by comparing the two SFFQ. Setting: The north coast of New South Wales in the Australian summer of late 2005. Subjects: Two hundred and forty-one children (ninety-two Aboriginal and Torres Strait Islander children and 100 boys) completed two …

Greening Rural Festivals: Ecology, Sustainability And Human-Nature Relations, Christopher R. Gibson, C Wong

Faculty of Science - Papers (Archive)

No abstract provided.

Elvis In The Country: Transforming Place In Rural Australia, Christopher R. Gibson, John Connell

Faculty of Science - Papers (Archive)

No abstract provided.

The Effect Of Point Of Sale Promotions On The Alcohol Purchasing Behaviour Of Young People In Metropolitan, Regional And Rural Australia, Sandra C. Jones, Kylie M. Smith

Faculty of Arts - Papers (Archive)

This study, part of larger project examining marketing and alcohol, looked specifically at the effect of point of sale (POS) promotions on young people, with a view to providing evidence which could be used to inform policy and regulation in this area. A series of focus groups were conducted in three different locations with young people aged 16-25 years, separated by age and gender, with a total of 85 participants. Participants were asked questions about their recollection of various POS promotions and alcohol purchasing and consumption behaviour. A majority of participants demonstrated a strong recall of previous promotions and almost …