Medicine and Health Sciences Commons^™

The Perceived Influence Of Grandparents’ Beliefs And Attitudes On Parents’ Breastfeeding Behaviour And Paediatric Vaccination Decisions, Shantha Premila Karthigesu

Theses: Doctorates and Masters

Human infants are highly dependent on their parents for a prolonged period of time. The resources required to raise a child cannot be provided by biological parents alone and requires the assistance of others, usually relatives. Grandparents among them, have played the most significant role. With increased life expectancy in Western, educated, industrialised, rich and democratic (WEIRD) societies, grandparents have come to the forefront as informal childcare providers. Although the influence of a child’s social environment on health has been well-studied, the influence of grandparents, specifically in regard to breastfeeding remains inconclusive, while grandparental influence on paediatric vaccinations has not …

Heat Exposure And Adaptation Strategies Of Outdoor Informal Sector Workers In Urban Bulawayo - Zimbabwe, Bigboy Ngwenya

Theses: Doctorates and Masters

Ambient temperatures have risen over the past few decades and are expected to increase even further due to climate change impacts. Extreme temperatures, accompanied by high humidity levels, will exacerbate occupational heat stress, heat related illnesses and mortality amongst vulnerable groups, particularly among outdoor workers in developing countries in the tropics. In Bulawayo, Zimbabwe, a large portion of the population work outdoors in the informal sector as street vendors (hawkers) due to a lack of employment opportunities. These hawkers spend long hours in the sun or under makeshift sheds with poorly developed adaptation strategies, and no access to cooling systems …

An Exploration Of The Critical Success Factors Associated With Implementing A Public Health Plan In Local Governments Within Western Australia, Anne Polley

Theses: Doctorates and Masters

Public Health planning in local governments in Western Australia (WA) is a relatively new approach to addressing local health needs. The Western Australian Public Health Act came into effect in 2016. The Public Health Act 2016 encompasses a range of legislative requirements, some of which include the development of Local Public Health Plans. A range of roles within the local government workforce therefore are likely to require support to plan and implement Public Health Plans, which in the past have not directly been a component of their role. There is limited understanding and evidence of the barriers and enablers that …

Social Impacts Of Climate Change And Occupational Heat Stress And Adaptation Strategies Of Mining Workers In Ghana, Victor Fannam Nunfam

Theses: Doctorates and Masters

Excessive heat exposure due to rising temperatures associated with climate change adversely affects workers’ health, safety, productivity, and psychosocial well-being in occupational settings. In the hot and tropical regions of developing countries, long hours of physically demanding work, coupled with inadequate adaptation policies to climate change, increases the occurrence of heat-related illnesses and injuries, and contributes to the loss of productive capacity, poor decision making, and other negative effects on the social well-being of workers.

Based on the theories of social impact assessment, risk assessment, adaptation and resilience planning, this study assesses the social impacts of climate change and occupational …

Snac_Oshc: Exploring A Multifaceted Approach To Develop Outside Of School Hours Care As A Health Promoting Setting, Karen Forde

Theses : Honours

Background: Outside of school hours care (OSHC) services are underutilised as health promoting settings, yet are well positioned to influence health behaviours. OSHC Professionals are ideally placed to become positive influencers in this setting, although may require training to confidently perform this role.

Aim: This research trialed a multifaceted intervention strategy to increase OSHC Professional’s confidence and competencies, to support a health promoting OSHC environment with a nutrition and PA activity focus.

Design and Methods: This exploratory study adopted a mixed methods approach. The three-pronged, multifaceted intervention included: a workshop, a closed Facebook group, and a website. 19 OSHC Professionals, …

Public Health Implications Of Metal Ash Concentrations From Prescribed Burns: A Study Of Open Jarrah Forests, John Edwards

Theses: Doctorates and Masters

Ash is not a homogenous product. It is the solid residue of combustion and contains a complex mixture of chemical products. The fire that produces ash is non-discriminatory in that it will burn anything that is combustible. The ash residue resulting from fires varies and is dependent on its source, and burn characteristics such as the temperature of the fire. Ash comprises particles of carbon, soot and trace elements. Ash presents public health risk to people and communities, through direct and indirect ingestion, inhalation and absorption. The health effects of ash exposure are not limited to symptoms affecting the eyes, …

Holistic Health: Shaping Women’S Experiences Of Positive Body Image, Helen Elizabeth Monks

Theses: Doctorates and Masters

This PhD thesis seeks to contribute to a nuanced understanding of positive body image and how it is expressed among a group of women participating in holistic health culture in a modern Western society. Qualitative data were collected from in-depth ethnographic interviews with 25 women in Perth, Western Australia, to illuminate an understanding of their holistic health beliefs and practices, perceptions of appearance and health ideals, as well as their understandings of positive body image. Thematic analysis of the data through Nvivo revealed several overarching themes, demonstrating how certain aspects of holistic health culture may encourage or dissuade the development …

Does Facial Physiognomy In The Context Of Anoccupational Safety And Health Message Predict Outcomes?, Ian Parker

Theses: Doctorates and Masters

Physiognomy, the practice of looking to another person’s outward facial appearance to unmask the inner character of that person, has had a diverse historical impact within art, medicine, theology, anthropology, law, criminology, political history, psychology, psychiatry, and popular culture, since it was conceptualised in Greece during the 5th and 4th centuries B.C (Physiognomy, 1999-2009, 2009a). Aristotle, the prominent Greek philosopher, penned many chapters on physiognomic properties and touched upon strength/weakness, genius/stupidity, and other trait characteristics and their opposites in so far as such characteristics were associated with facial form (Physiognomy, 2006, 2009b).

In more modern times, facial recognition and evaluation …

Mindfulness At Work: Assessing The Impact Of Practising Mindfulness In The Workplace On Engagement, Wellbeing, Happiness And Positivity, Fiona Peters

Theses: Doctorates and Masters

Aim: The purpose of this study carried out in Perth, Western Australia was to examine the effect of mindfulness training on workers in a university setting, by assessing the impact of mindfulness training on their sense of wellbeing, happiness, positivity and level of engagement in their jobs.

Method: Participants (n = 54) were recruited through the Edith Cowan University staff Health and Wellness Program, Live Life Longer and randomly allocated into two groups of 27. Both groups were invited to take part in 6 weeks of mindfulness training with staggered starts, group 2 began once group 1 had completed the …

Antibiotic Resistance In Gram Negative Bacteria Isolated From Fish Sold In Western Australia, Hannah Kathleen Robinson

Theses: Doctorates and Masters

Background Information The global misuse and overuse of antibiotics in human medicine and the animal production industry is contributing to the development of antibiotic resistance in bacteria. This is a serious threat to modern medicine and public health. Antibiotic resistant organisms can cause severe infections in humans which are difficult to treat, and in some cases impossible to resolve which can lead to premature death. Several studies have been conducted across the globe to assess the use of antibiotics in the seafood industry and the associated health risks, however, limited studies have recently explored this risk in an Australian setting. …

The Delivery Of Primary Health Care In Remote Australian Communities: A Grounded Theory Study Of The Perspective Of Nurses, Kylie Mccullough

Theses: Doctorates and Masters

Around 85% of Australia’s landmass is remote and sparsely populated. Across these vast areas of desert, wilderness and tropical islands, nurses provide the majority of health care services. The residents of Australia’s remote communities have poorer health status than their metropolitan counterparts. The proportion of Indigenous people is high and health and social disadvantage is widespread. The characteristics of each remote community are unique and often reflect challenges associated with distance to tertiary health services and limited health resources. As a result, nursing practice within this context is very different to other nursing contexts. Despite recognition of Primary Health Care …

Investigating The Practice And Capacity Of Paediatric Occupational Therapists To Promote The Physical Activity Levels Of Children In Western Australia, Sally Coombs

Theses: Doctorates and Masters

Reorientation of the Australian health care system to meet the increasing burden of disease requires health workers to develop a focus on disease prevention and health promotion. In Western Australia (WA) a priority area for the promotion of health involves increasing the physical activity levels (PAL) of children in accordance with Australia’s Physical Activity and Sedentary Behaviour Guidelines. There is substantial support in the literature for paediatric occupational therapists, who assist children to participate in a range of meaningful occupations, to incorporate the promotion of children’s PAL into their service. However, there is a dearth of research world-wide regarding occupational …

Development Of The Meal Framework: A Multiliteracies Approach To Engaging Adolescents In Nutrition Education, Samantha Lee Baker

Theses: Doctorates and Masters

Establishing and maintaining a healthy diet is integral in promoting optimal health, growth and development. Moreover, the food choices we make and dietary behaviours we adopt are a reflection of the multiple personal, interpersonal and environmental factors to which we are exposed. Consequently, changing food habits and dietary behaviour is complex and requires the implementation of multifaceted public health strategies. Comprehensive nutrition education provided to adolescents during their school years is one such approach.

Adolescence is a period of rapid psychological and physiological changes. At a socioemotional level, there is a decreased level of dependence on parents and a greater …

Food Insecurity And Fruit And Vegetable Consumption Among Regional And Remote Western Australian Children: Determinants, Prevalence And Predictors, Stephanie Louise Godrich

Theses: Doctorates and Masters

Living in a community with adequate availability of nutritious food, and the capacity to access and utilise it, are key food security determinants (FSD). However, inequities relating to these determinants exist between regional and remote Western Australian (WA) communities, particularly regarding fruit and vegetables (F&V). This negatively impacts vulnerable populations, especially children. In order to understand determinants, prevalence and predictors of F&V and food security (FS), three concepts were explored in this PhD; (1) F&V consumption among regional and remote WA children (including determinants of F&V consumption, quantities, types, varieties of F&V consumed); (2) FS among regional and remote WA …

Evaluation Of Acceptance And Efficiency Of Exercise For Indigenous Australians To Benefit Physiological, Anthropometric And Metabolic Syndrome Outcomes, Tuguy Esgin

Theses: Doctorates and Masters

The proposed study will provide an increased understanding in a much-understudied area of how the Australian Indigenous community perceives physical activity and the beneficial effects for improving health outcomes.

The PhD will be made up of three studies:

1) To design an exercise prescription that is culturally appropriate and specifically addresses the major Indigenous health issues around metabolic syndrome.

The first will be a cross sectional study that surveys the motivators and barriers to physical activity within the Perth Noongar community. The results of this study will be used to enhance the intervention section of the PhD. It will provide …

The Human Factors Associated With Responding To Emergency Vehicles, Pauline Grant

Theses: Doctorates and Masters

Emergency vehicles undertake emergency driving, using lights and sirens, to move rapidly through traffic in response to situations where life and property are at risk. For the emergency driving to be effective, other motorists need to drive in a manner that facilitates their passage. Despite laws to support this, problematic encounters can result in emergency vehicles being unable to get through. The current research expanded on earlier exploratory research into motorists’ encounters with emergency vehicles (Grant, 2010) to examine psychological factors involved with motorists’ responses to emergency vehicles. A construct validity approach was used to develop a scale …

A Nested Environmental Approach To Typhoid Epidemiology In Central Division, Fiji, Aaron Jenkins

Theses: Doctorates and Masters

Many current disease threats involve interactions within and between nested subsystems of biological organisation. Typhoid fever is a serious disease threat in the South Pacific region, with Fiji reporting the highest annual number of cases, yet risk factors in this setting have been poorly studied. While localised behaviours have dominated perspectives on typhoid transmission, interactions between distal ecological conditions, conditions of the residential environment and localised behaviour deserve greater attention for their potential to influence transmission. This thesis demonstrates a nested approach to typhoid epidemiology using a fivefold methodology to explore how regional, river basin, residential, socio-cultural and behavioural subsystems …

An Evaluation Of Exposures To Respirable Particulates, Environmental Pm2.5, Pahs And Metal Compounds In Western Australia, Desmond D. Menon

Theses: Doctorates and Masters

It has been well established that air pollution is associated with health impacts. This study investigated the relationship between exposure to air pollutants and potential biomarkers of health effects. The research project was conducted in 2 separate study locations and cohorts.

Study 1: An Evaluation of Children’s Exposures to Respirable Particulates, Environmental PM2.5, PAHs and Metal Compounds in The South West of Western Australia. A cross sectional study to evaluate the exposures of children (n=18), and controls (n=15) to respirable particulates PAHs and metal compounds in the South West of Australia during 2011. Ambient particulate matter (PM2.5) samples were found …

Supporting Nutrition For Australian Childcare (Snac): The Development, Implementation And Evaluation Of An Online Nutrition Education Intervention, Ruth Wallace

Theses: Doctorates and Masters

The provision of a nutritious diet in a child’s early years can have an immense effect on their future health and wellbeing. Due to the increasing number of children attending child care, this setting is strategically placed for teaching children important food literacy skills and establishing positive eating habits, which remain through to adulthood. However, food served in child care facilities is often not of the best nutritional quality (Zuercher, Grace, & Kranz, 2011) and there is lack of positive role modelling among staff. Both of these factors pose obstacles to a health-promoting environment for the children who attend.

The …

Evaluation Of A Mosquito Control Intervention And Recommendations For Development Of Best Practice Protocols By The Shire Of Kalamunda, Kerry Staples

Theses: Doctorates and Masters

Abstract

The mosquito control program implemented by the Shire of Kalamunda Environmental Health Service has been assessed. Mosquito species and abundance has been evaluated along with an assessment on the current level of pesticide resistance and downstream S‐methoprene levels post‐treatment. The rate of Ross River virus transmission within the Shire has also been considered, along with the relationship between local species and virus transmission.

Methodology

Floating Emergence Traps were used in 15 storm‐water gullies to determine the effectiveness of S‐methoprene briquets in prevention of adult mosquito emergence over 124 days. Samples were taken monthly from October 2014 to March 2015. …

Investigating The Value Of Workplace-Endorsed Social Media For Improving Deskbound Employee Physical Activity Program Engagement And Reducing Sedentary Behaviour Health Risks, Darren Leigh Webb

Theses: Doctorates and Masters

Sedentary (prolonged sitting) behaviour is now recognised as an independent health risk factor contributing to a number of preventable lifestyle related diseases (Katzmarzyk, Church, Craig, & Bouchard, 2009). The widespread integration of computers into the office environment has seen an increase in employee work time participating in technology facilitated desk-based tasks requiring them to remain physically inactive (Philipson & Posner, 2003). According to recent research, workplace sedentary behavioural practices have objectively been measured as accounting for 81.8% of employee time, with a further 15.3% categorised as light activity within office based populations (Parry & Straker, 2013). With a recorded national …

What We Know, What We Do And What We Could Do: Creating An Understanding Of The Delivery Of Health Education In Lower Secondary Government Schools In Western Australia, Donna Michelle Barwood

Theses: Doctorates and Masters

Australian health data indicates that childhood is a significant time for young Australians to develop health and well-being issues. Concurrently, health advocates herald in-school delivery of skills-based participatory health education as making significant contributions to developing behaviour change and supporting health enhancing dispositions in children and young people. In Western Australia (WA), skillsbased participatory health education is characterised by linking knowledge and understandings of what it means to be safer, healthier and more physically active to skills that action these states. Skills-based is a preferred approach to teaching and learning in the Health and Physical Education Learning Area (HPE LA), …

What Significance Does Physical Activity And Sedentary Behaviour Have For Members Of Online Health Promoting Communities? Learning From Austraiia’S Heartnet Community, Gloria Askander

Theses: Doctorates and Masters

My study used the HeartNET (HN) community to investigate the significance of physical activity and sedentary behaviour for members of online health-promoting communities by using online surveys and netnography. It found concerns about heart health and general health can be both a barrier and an enabler to increasing physical activity or reducing sedentary behaviour.

Gentle efforts to address sedentary behaviour could build confidence to increase physical activity. By offering role models and encouraging friendly rivalry, peer support via an online community (or other type of social networking sites) can increase physical activity and reduce sedentary behaviour. Fun, laughter and peer …

Investigation Of Interferences And Development Of Pre-Treatment Methods For Arsenic Analysis By Anodic Stripping Voltammetry, Paul Lewtas

Theses: Doctorates and Masters

Contamination of drinking water is a serious health issue in many developing countries and there is a recognised need for low cost portable systems that are capable of analysing drinking water down to low ppb levels. Anodic Stripping Voltammetry (ASV) instruments meet these requirements but suffer interferences from other species which may also be present in the sample, particularly organics, other metals and sulfides. The last of these has received surprisingly little attention in the literature, despite being a proven interferent.

This study investigates the impact of each of these interference types, as well as a number of traditional and …

An Investigation Into Dust, Gases And Vapours Expulsed During The Oxidation Of Pyritic Black Shale, And Their Potential For Impacting On Employee Health, Tristan Lynn

Theses: Doctorates and Masters

Pyritic black shale (PBS) is occasionally extracted as a waste product of iron ore mining in the Pilbara region of Western Australia. Mineralogical studies such as Brocks, Summons, Buick, and Logan (2003) of the PBS located at Mount Tom Price Operations have established that PBS can contain elevated concentrations of pyrite, carbon, bitumens, polyaromatic hydrocarbons and volatile organic compounds (VOCs). The natural oxidative weathering of PBS can cause exothermic reactions leading to the shale reaching temperatures that cause the expulsion of toxic gases such as hydrogen sulphide, sulphur dioxide, methane and carbon monoxide.

Current management of the potential hazards of …

The Identity Of The Heart Patient In The Context Of The Gift Economy: Heartnet And Media Framing, Lynsey Uridge

Theses: Doctorates and Masters

This health communication research examines the identity levels of the heart patient on a therapeutic website HeartNET through an empirical investigation of site interactions as manifestations of a gift economy. The thesis also explores the media’s representation of heart health in both television and print.

This research utilised a longitudinal qualitative ethnographic and netnographic approach involving twenty-six participants who completed two in-depth interviews. The first one-on-one interview occurred during the early stages of the participants’ heart journey, explored their heart story and use of interactive technology for heart health support. The second interview occurred six to twelve months later, and …

The Impact Of Implementing A Sudden Infant Death Syndrome Education Package In Jordan, Shereen Hamadneh

Theses: Doctorates and Masters

Background: Sudden Infant Death Syndrome (SIDS) is a problem worldwide. In North Jordan, SIDS rate was high as 1.32 per 1,000 live births and contributed 6% to the infant mortality rate (Bataineh, Shawagfeh, & Twalbeh, 2008). However, SIDS risk factors are preventable and can be reduced by improving knowledge and changing relevant behaviours of parents and healthcare providers (American Academy of Pediatrics, 2013; American SIDS Institute, 2011; Bataineh, Hussein Shawagfeh, & Twalbeh, 2008; Bredemeyer, 2004; Grazel, Phalen, & Polomano, 2010b; Moon, Oden, & Grady, 2004; NICHD, 2010). Still educating Jordanians about SIDS has not been a national health policy priority. …

Acute Physiological Effects And Perceived Enjoyment Of A Single Bout Of Aerobic Interval And Continuous Moderate-Intensity Cycling In Overweight And Obese Individuals, Fujie Koh

Theses: Doctorates and Masters

Aerobic interval training, a form of high intensity interval training, is commonly prescribed to both the general and clinical populations. However, the acute physiological effects from a single bout of aerobic interval session are not fully understood. In training studies, these acute physiological effects may confound actual training adaptations when they occur following the final training session [1]. Furthermore, while recreationally active men perceived aerobic interval training to be more enjoyable than continuous moderate-intensity exercise [2], the preference of overweight and obese individuals has not been extensively researched. Since overweight and obese individuals tend to have lower exercise tolerance, it …

Searching For Health Information On The Internet : The Experiences Of Western Australian Adolescents, Lee-Anne Martins

Theses : Honours

Adolescents readily engage in online entertainment pursuits, however, it is their online social activities and health information searches that encourage psychosocial development and influence identity formation and autonomy. Considerable research has been completed on various aspects of adolescents’ encounters with online health information (for example, see Percheski & Hargittai, 2011), yet minimal research has been conducted using Australian adolescents. This study extends existing research utilising Western Australian adolescents who have used the Internet to obtain health information. The areas explored include how Western Australian adolescents search for online health information, by means of which devices, and their experiences of using …

Self-Efficacy And Nutrition Knowledge Of Parents In Western Australia, Karen Lombardi

Theses : Honours

Background: Poor dietary choices and increasingly sedentary lifestyles mean childhood obesity is an increasing problem. Parents have the capacity to significantly affect the food choice of children; therefore by improving their self-efficacy, their nutrition knowledge, attitudes and behaviour, and by providing access to sound nutritional information, the health of children may be improved.

Purpose: This research sought to gather preliminary information required to inform the development of nutrition education materials for parents, which will parallel those currently under development for teaching children in schools as part of the Australian curriculum. Research has demonstrated that while educating children about healthy eating …