Social and Behavioral Sciences Commons^™

Pharmaceutical Benefits Scheme Cost Recovery, Glenn P. Salkeld

Faculty of Social Sciences - Papers (Archive)

Since the beginning of 2010 the Australian Government has applied cost recovery to the listing process of the Pharmaceutical Benefits Scheme (PBS). Drug companies seeking to list their drugs on the PBS or vaccines on the National Immunisation Program pay a fee at two key points - upon lodgement of the application and at the pricing stage. The lodgement fee relates to the evaluation work of the Pharmaceutical Benefits Advisory Committee (PBAC) and all of its supporting administrative functions. The pricing fee relates to the pricing work of the Pharmaceutical Benefits Pricing Authority and its supporting functions. Companies that want …

Comparing Two Measures Of Mental Toughness, Lee Crust, Christian F. Swann

Faculty of Social Sciences - Papers (Archive)

This paper tested relations between two measures of mental toughness. A sample of 110 male athletes (M age = 20.81. years, SD = 2.76), derived from University sports teams and local sports clubs, gave informed consent before completing two questionnaires to assess mental toughness. It was hypothesized that scales and subscales from the two different instruments, which purported to measure the same or substantially overlapping scales, would be strongly correlated. Predictions concerning the expected relations were made a priori. Pearson correlations revealed a significant and positive relationship between higher order mental toughness scores (r= .75; p< .001). Correlations between similar mental toughness subscales were found to be positive and significant but somewhat lower than expected (r= .49-62). Results suggest instrument subscales with similar labels are not measuring the same components of mental toughness. 2010 Elsevier Ltd.

It's Not Just Researchers Who Need A New Agenda, Sandra C. Jones

Faculty of Social Sciences - Papers (Archive)

An extensive review of alcohol policy published in the Lancet concluded that: ‘Making alcohol more expensive and less available, and banning alcohol advertising, are highly cost effective strategies to reduce harm’. Unfortunately, calls to ban or restrict alcohol advertising (such as calls to increase price) have been rejected by governments in most countries. Thus, as Meier states, there is a need to provide evidence of the effects of alcohol advertising on young people in order to encourage the government to take action to reduce, or eliminate, the most harmful forms of alcohol promotion (which may, or may not, be ‘advertising’ …

The Appeal To Nature Implicit In Certain Restrictions On Public Funding For Assisted Reproductive Technology, Drew Carter, Annette J. Braunack-Mayer

Faculty of Social Sciences - Papers (Archive)

Certain restrictions on public funding for assisted reproductive technology (ART) are articulated and defended by recourse to a distinction between medical infertility and social infertility. We propose that underlying the prioritization of medical infertility is a vision of medicine whose proper role is to restore but not to improve upon nature. We go on to mark moral responses that speak of investments many continue to make in nature as properly an object of reverence and gratitude and therein (sometimes) a source of moral guidance. We draw on the work of Ludwig Wittgenstein in arguing for the plausibility of an appeal …

When Good Evidence Is Not Enough: The Role Of Context In Bowel Cancer Screening Policy In New Zealand, Kathy Flitcroft, James Gillespie, Stacy Carter, Lyndal Trevena, Glenn P. Salkeld

Faculty of Social Sciences - Papers (Archive)

Bowel cancer is a serious health problem in developed countries. Australia, the United Kingdom (UK) and New Zealand (NZ) reviewed the same randomised controlled trial evidence on the benefits and harms of population-based bowel cancer screening. Yet only NZ, with the highest age standardised rate of bowel cancer mortality, decided against introducing a bowel cancer screening programme. This case study of policy making explores the unique resource, ethical, institutional and political environments in which the evidence was considered. It highlights the centrality of context in assessing the relative worth of evidence in policy making and raises questions about the suitability …

Getting Evidence Into Policy: The Need For Deliberative Strategies?, Kathy Flitcroft, James Gillespie, Glenn P. Salkeld, Stacy Carter, Lyndal Trevena

Faculty of Social Sciences - Papers (Archive)

Getting evidence into policy is notoriously difficult. In this empirical case study we used document analysis and key informant interviews to explore the Australian federal government's policy to implement a national bowel cancer screening programme, and the role of evidence in this policy. Our analysis revealed a range of institutional limitations at three levels of national government: within the health department, between government departments, and across the whole of government. These limitations were amplified by the pressures of the 2004 Australian federal election campaign. Traditional knowledge utilisation approaches, which rely principally on voluntarist strategies and focus on the individual, rather …

Preferences For Ct Colonography And Colonoscopy As Diagnostic Tests For Colorectal Cancer: A Discrete Choice Experiment, Kirsten Howard, Glenn P. Salkeld, Michael P. Pignone, Peter Hewett, Peter Cheung, Julie Olsen, Wayne Clapton, Ian Roberts-Thomson

Faculty of Social Sciences - Papers (Archive)

Objective Computed tomography colonography (CTC) is an alternative diagnostic test to colonoscopy for colorectal cancer and polyps. The aim of this study was to determine test characteristics important to patients and to examine trade-offs in attributes that patients are willing to accept in the context of the diagnosis of colorectal cancer. Methods A discrete choice study was used to assess preferences of patients with clinical indications suspicious of colorectal cancer who experienced both CTC and colonoscopy as part of a diagnostic accuracy study in South Australia. Results were analyzed by using a mixed logit model and presented as odds ratios …

A Comparative Case Study Of Bowel Cancer Screening In The Uk And Australia: Evidence Lost In Translation?, Kathy Flitcroft, D J. St John, Kirsten Howard, Stacy Carter, Michael P. Pignone, Glenn P. Salkeld, Lyndal Trevena

Faculty of Social Sciences - Papers (Archive)

Objectives (i) To document the current state of the English, Scottish, Welsh, Northern Irish and Australian bowel cancer screening programmes, according to seven key characteristics, and (ii) to explore the policy trade-offs resulting from inadequate funding. Setting United Kingdom and Australia. Methods A comparative case study design using document and key informant interview analysis. Data were collated for each national jurisdiction on seven key programme characteristics: screening frequency, population coverage, quality of test, programme model, quality of follow-up, quality of colonoscopy and quality of data collection. A list of optimal features for each of the seven characteristics was compiled, based …

Feasibility And Acceptability Of Sexual Abstinence For Interruption Of Hiv Transmission Among Individuals With Acute Hiv Infection - Formative Data From Chavi 011, Catherine L. Mac Phail, Audrey Pettifor, Amy Corneli

Faculty of Social Sciences - Papers (Archive)

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A Tale Of Two Countries: Rethinking Sexual Risk For Hiv Among Young People In South Africa And The United States, Audrey Pettifor, Brooke Levandowski, Catherine L. Mac Phail, William Miller, Joyce Tabor, Carol Ford, Cheryl Stein, Helen Rees, Myron Cohen

Faculty of Social Sciences - Papers (Archive)

Purpose

To compare the sexual behaviors of young people in South Africa (SA) and the United States (US) with the aim to better understand the potential role of sexual behavior in HIV transmission in these two countries that have strikingly different HIV epidemics.

Methods

Nationally representative, population-based surveys of young people aged 18–24 years from SA (n = 7,548) and the US (n = 13,451) were used for the present study.

Results

The prevalence of HIV was 10.2% in SA and <1% in the US. Young women and men in the US reported an earlier age of first sex than those in SA (mean age of coital debut for women: US [16.5], SA [17.4]; for men: US [16.4], SA [16.7]). The median number of lifetime partners is higher in the US than in SA: women: US (4), SA (2); men: US (4), SA (3). The use of condom at last sex is reported to be lower in the US than in SA: women: US (36.1%), SA (45.4%); men: US (48%), SA (58%). On average, young women in SA report greater age differences with their sex partners than young women in the US.

Conclusion

Young people in the US report riskier sexual behaviors than young people in SA, despite the much higher …

Continued High Risk Sexual Behavior Following Diagnosis With Acute Hiv Infection In South Africa And Malawi: Implications For Prevention, Audrey Pettifor, Catherine L. Mac Phail, Amy Corneli, Jabu Sibeko, Gift Kamanga, Nora Rosenberg, William Miller, Irving Hoffman, Helen Rees, Myron Cohen

Faculty of Social Sciences - Papers (Archive)

Understanding sexual behavior following diagnosis of acute HIV infection (AHI) is key to developing prevention programs targeting individuals diagnosed with AHI. We conducted separate qualitative and quantitative interviews with individuals newly diagnosed (n = 19) with AHI at 1-, 4- and 12-weeks post-diagnosis and one qualitative interview with individuals who had previously been diagnosed with AHI (n = 18) in Lilongwe, Malawi and Johannesburg, South Africa between October 2007 and June 2008. The majority of participants reported engaging in sexual activity following diagnosis with AHI with a significant minority reporting unprotected sex during this time. Most participants perceived to have …

Social Experience Does Not Abolish Cultural Diversity In Eye Movements, David J. Kelly, Rachael Jack, Sebastien R. Miellet, Emanuele De, Kay Foreman, Roberto Caldara

Faculty of Social Sciences - Papers (Archive)

Adults from Eastern (e.g., China) and Western (e.g., USA) cultural groups display pronounced differences in a range of visual processing tasks. For example, the eye movement strategies used for information extraction during a variety of face processing tasks (e.g., identification and facial expressions of emotion categorization) differs across cultural groups. Currently, many of the differences reported in previous studies have asserted that culture itself is responsible for shaping the way we process visual information, yet this has never been directly investigated. In the current study, we assessed the relative contribution of genetic and cultural factors by testing face processing in …

Walking The Walk: A Phenomenological Study Of Long Distance Walking, Lee Crust, Richard J. Keegan, David Piggott, Christian F. Swann

Faculty of Social Sciences - Papers (Archive)

Evidence suggests that regular walking can elicit significant psychological benefits, although little evidence exists concerning long distance walking. The purpose of this study was to provide detailed accounts of the experiences of long distance walkers. Phenomenological interviews were conducted with six long distance walkers. Data were transcribed verbatim before researchers independently analyzed the transcripts. Participants reported a cumulative effect with positive feelings increasing throughout the duration of the walk. Long distance walking elicited positive emotions, reduced the effects of life-stress, and promoted an increased sense of well-being and personal growth. Results are aligned to theories and concepts from positive psychology. …

A Climate Of Ill Health, Noel Castree

Faculty of Social Sciences - Papers (Archive)

Book review of: CHANGING PLANET, CHANGING HEALTH: How the Climate Crisis Threatens Our Health and What We Can Do about It. Paul R. Epstein and Dan Ferber. xii + 355 pp. University of California Press, 2011. $29.95.

Mental Illness In Policy Discourse: Locating The Criminal Justice System, Natalia K. Hanley, Stuart Ross

Faculty of Social Sciences - Papers (Archive)

Abstract presented at the Australian Political Science Association 2011 Conference, 26-28 September 2011, Canberra, Australia

Ethnic Differences In Adolescent Mental Health Trajectories And The Influence Of Racism And Context: The Determinants Of Adolescent Social Well-Being And Health (Dash) Study, Thomas E. Astell-Burt, Maria J. Maynard, Erik Lenguerrand, Seeromanie Harding

Faculty of Social Sciences - Papers (Archive)

Abstract presented at the Society for Longitudinal and Life Course Studies Inaugural Conference, 22-24 September 2010, Cambridge, United Kingdom.

Performing Against The Odds: Developmental Trajectories Of Children In The Eppse 3 To 16 Study: Brief, Iram Siraj-Blatchford, Aziza Mayo, Edward Melhuish, Brenda Taggart, Pam Sammons, Kathy Sylva

Faculty of Social Sciences - Papers (Archive)

The Effective Provision of Pre-School, Primary and Secondary Education (EPPSE 3-16) project is a large scale, longitudinal, mixed-method research study that has followed the progress of 3000+ children since 1997 from the age of 3 to 16 years. The EPPSE project uses a mixed-methods approach to investigate how child, family, pre-school and school characteristics interact and contribute to children's development up to early secondary age.

This research uses case studies to explore why and when certain children 'succeed against the odds' while others fall further behind, and also when and why some 'privileged' children fall behind despite their positive circumstances.

The Alpha Health-Related Physical Fitness Test Battery For Children And Adolescents, Rute Santos, Jorge Mota

Faculty of Social Sciences - Papers (Archive)

In this issue of Nutricion Hospitalaria, Ruiz and colleagues present the new health-related fitness test battery for youth based upon the work developed by the ALPHA (Assessing Levels of Physical Activity) study. The ALPHA was a study funded by the European Union aimed "to provide a set of instruments for assessing levels of physical activity, its underlying factors (e.g. build environment, transport, and workplace), as well as, fitness in a comparable way within the European Union". The work presented in this issue by Ruiz and colleagues relates to the working package 6 of the ALPHA project -Assessing Healthrelated Physical Fitness- …

Evaluation Of Physical Activity Programmes For The Elderly - Exploring The Lessons From Other Sectors And Examining The General Characteristics Of The Programmes, Ana I. Marques, Pedro Soares, Luisa Soares-Miranda, Carla Moreira, Antonio Oliveira-Tavares, Paula Clara-Santos, Susana Vale, Rute Santos, Joana Carvalho

Faculty of Social Sciences - Papers (Archive)

Background

In Portugal, there are several physical activity (PA) programmes for elderly people developed by the local government. The importance of these programmes has been increasing since the evidence has shown that this type of health promotion interventions may reduce the deleterious effects of the ageing process. However, no study has already identified the general characteristics of these programmes nor if they use any scheme to assess the quality of the service provided. A widely-used scheme is the EFQM Excellence Model, which will be in the core of our present work. Thus, the main aims of this preliminary study were …

Assembling Geographical Knowledge Of Changing Worlds, Pauline M. Mcguirk

Faculty of Social Sciences - Papers (Archive)

This piece is sympathetic to the critical questions and epistemological arguments Larner (2011) presents for the current conjuncture of global transformations. I mobilize Larner's arguments for process-oriented assemblage thinking and apply them to the particular conjuncture through which one of these transformations - climate change - is being problematized in the Australian empirical context, and its connection to existing and emergent institutional and political formations and knowledge practices. I also point to emergent process-oriented, situated scholarly accounts of climate change in Australia and their potential to expand the contestable spaces whereby alternative politicizations and alternative political and institutional forms might …

Policy Research As Critical Praxis, Pauline M. Mcguirk

Faculty of Social Sciences - Papers (Archive)

In responding to Woods and Gardner's (2011) article, this piece positions policy research as a potentially rich site for critical praxis. It works through the possibilities around (i) negotiating the politics of policy research; (ii) the iterative and hybrid nature of policy research; and (iii) the internally differentiated nature of states. While remaining clear-eyed around the limits Woods and Gardner point to that shape collaborative work around policy, the article argues that policy research can be a site where the ethical and normative commitments of a critical agenda can be pursued. This requires that we recognise, first, policy research as …

Population Growth And Change: Implications For Australia's Cities And Regions, Pauline M. Mcguirk, Neil Argent

Faculty of Social Sciences - Papers (Archive)

Australia's distinctive pattern of settlement has long presented a suite of social, economic, infrastructural, and environmental challenges for the nation's cities and regions. These challenges will be intensified by the population growth and dynamics anticipated in the 2010 Intergenerational Report. Future growth will inevitably have differential impacts for metropolitan, regional, and rural settlements, and for inland and coastal regions. This paper analyses current trends and likely directions in population change and distribution and the major implications for the nation's metropolitan and non-metropolitan areas. For Australia's cities, core issues include: access to affordable housing, suitable employment, infrastructure, and services; managing growth …

Governing Social Reproduction In Masterplanned Estates: Urban Politics And Everyday Life In Sydney, Pauline M. Mcguirk, Robyn Dowling

Faculty of Social Sciences - Papers (Archive)

Critical urban research arising from the 'new urban politics' rich heritage has conventionally privileged the politics of accumulation and the city's downtown over the politics of social reproduction and everyday, residential spaces. This paper focuses on residential spaces and the politics involved in recasting everyday practices of social reproduction through private neighbourhood governance. Focusing on the masterplanned estates increasingly prevalent across Sydney's residential landscape, it explores the material practices and subjectivities shaped by these estates' contractual governance and the contours and limits to the formation of self-governing middle-class consumer citizens. The paper highlights a granular fabric to urban politics produced …

Sound Diaries: A Method Of Listening To Place, Michelle Duffy, Gordon R. Waitt

Faculty of Social Sciences - Papers (Archive)

This paper develops a methodology for understanding how relations between people and place are co-constituted through music and sounds. Using the case of Four Winds Festival Bermagui, New South Wales, the paper discusses our use of "sound diaries" as a means to better understand the role of sound in participants' understanding of place. Highlighted within our discussion is how our experimental methodology overcomes some of the inherent problems of researching so-called "sound geographies." Sound diaries provide a possible technique to provide partical insights into the embodied knowledge triggered by sounds and music. Woven within these personal interpretations and their attributed …

A Proposed Adaptation Of The European Foundation For Quality Management Excellence Model To Physical Activity Programmes For The Elderly - Development Of A Quality Self-Assessment Tool Using A Modified Delphi Process, Ana I. Marques, Leonel Santos, Pedro Soares, Rute Santos, Antonio Oliveira-Tavares, Jorge Mota, Joana Carvalho

Faculty of Social Sciences - Papers (Archive)

Background There has been a growing concern in designing physical activity (PA) programmes for elderly people, since evidence suggests that such health promotion interventions may reduce the deleterious effects of the ageing process. Complete programme evaluations are a necessary prerequisite to continuous quality improvements. Being able to refine, adapt and create tools that are suited to the realities and contexts of PA programmes for the elderly in order to support its continuous improvement is, therefore, crucial. Thus, the aim of this study was to develop a self-assessment tool for PA programmes for the elderly. Methods A 3-round Delphi process was …

Metabolic Risk Factors, Physical Activity And Physical Fitness In Azorean Adolescents: A Cross-Sectional Study, Carla Moreira, Rute Santos, Jose Cazuza De Farias Junior, Susana Vale, Paula Clara Santos, Luisa Soares-Miranda, Ana I. Marques, Jorge Mota

Faculty of Social Sciences - Papers (Archive)

Background

The prevalence of metabolic syndrome has increased over the last few decades in adolescents and has become an important health challenge worldwide. This study analyzed the relationships between metabolic risk factors (MRF) and physical activity (PA) and physical fitness (PF) in a sample of Azorean adolescents.

Methods

A cross-sectional school-based study was conducted on 417 adolescents (243 girls) aged 15-18 from the Azorean Islands, Portugal. Height, weight, waist circumference, fasting glucose, HDL-cholesterol, triglycerides, and blood pressure were measured. A sum of MRF was computed, and adolescents were classified into three groups: no MRF, one MRF and two or more …

Association Between Physical Activity And Motor Skills And Coordination In Portuguese Children, Luis Lopes, Vitor Pires Lopes, Rute Santos, Beatriz Pereira

Faculty of Social Sciences - Papers (Archive)

Nowadays, there is growing evidence in literature that Health benefits from regular physical activity (PA). The variance in PA among children is caused by a number of factors including their motor abilities and coordination. The aim of the study was to analyse the relation between usual PA and gross motor abilities and motor coordination in children aged 6 to 7 years. The sample comprised 21 children, aged in average 6,38±0,50 years. Physical activity was accessed by accelerometry, gross motor abilities by using the Test of Gross Motor Development (TGMD-2) and motor coordination by using the Körperkoordination Test für Kinder (KTK). …

Seasonal Differences In Physical Activity And Sedentary Patterns: The Relevance Of The Pa Context, Pedro Silva, Rute Santos, Gregory Welk, Jorge Mota

Faculty of Social Sciences - Papers (Archive)

The aim of this pilot study was to characterize seasonal variationin the moderate to vigorous physical activity (MVPA) and sedentarybehavior of Portuguese school youth, and understand theinfluence of activity choices and settings. The participants inthis study were 24 students, aged 10-13 years. Accelerometersmeasured daily PA over 7 consecutive days, in different seasonsMay - June and January - February. In summer, boys accumulatedmore minutes in MVPA (928 minutes/week) than girls(793 minutes/week). In winter the pattern was reversed withgirls accumulating more activity than boys (736 minutes/weekvs. 598 minutes/week). The repeated measures ANOVA revealedsignificant effects for season (F = 5.98, p = 0.023) …

Ability Of Different Measures Of Adiposity To Identify High Metabolic Risk In Adolescents, Carla Moreira, Rute Santos, Susana Vale, Paula Clara Santos, Sandra Abreu, Ana I. Marques, Luisa Soares-Miranda, Jorge Mota

Faculty of Social Sciences - Papers (Archive)

Introduction. This study aimed to evaluate the screening performance of different measures of adiposity: body mass index (BMI), waist circumference (WC), and waist-to-height ratio (WHtR) for high metabolic risk in a sample of adolescents. Methods. A cross-sectional school-based study was conducted on 517 adolescents aged 15-18, from the Azorean Islands, Portugal. We measured fasting glucose, insulin, total cholesterol (TC), HDL-cholesterol, triglycerides, and systolic blood pressure. HOMA and TC/HDL-C ratio were calculated. For each of these variables, a Z-score was computed by age and sex. A metabolic risk score (MRS) was constructed by summing the Z-scores of all individual risk factors. …

Evaluation Of Physical Activity Programmes For Elderly People - A Descriptive Study Using The Efqm' Criteria, Ana I. Marques, Maria J. Rosa, Pedro Soares, Rute Santos, Jorge Mota, Joana Carvalho

Faculty of Social Sciences - Papers (Archive)

Background: In the past years, there has been a growing concern in designing physical activity (PA) programmes for elderly people, because evidence suggests that such health promotion interventions may reduce the deleterious effects of the ageing process. Quality is an important issue when designing a PA programme for older people. Some studies support the Excellence Model of the European Foundation for Quality Management (EFQM) as an operational framework for evaluating the quality of an organization. Within this context, the aim of this study was to characterize the quality management models of the PA programmes developed by Portuguese Local Administration to …