{"title":"Investigating participation in the Australian National Bowel Cancer Screening Program through general practice: a survey on practices, challenges and digital opportunities.","authors":"Nicole Marinucci, Natasha Koloski, Amanda Whaley, Rachael Bagnall, Ayesha Shah, Belinda Goodwin, Gerald Holtmann","doi":"10.1071/PU24017","DOIUrl":"10.1071/PU24017","url":null,"abstract":"<p><p>Objectives Promoting the Australian National Bowel Cancer Screening Program in general practice has been identified as an effective strategy to increase participation rates. Despite the positive influence general practitioners (GPs) have on patient decision-making, program endorsement is not routinely included within the national program's policy and practice. The aim of this study was to gain a comprehensive understanding of knowledge, health promotion strategies and the challenges/opportunities for general practice staff to support patient participation and navigation through the National Bowel Cancer Screening Program pathways. Study type A 52-item online cross-sectional survey. Methods A total of 320 general practice clinics in the Metro South Hospital and Health Service, Queensland, Australia received a direct invitation via email to participate. The survey contained items on knowledge, health promotion strategies and challenges/opportunities to endorse participation in the National Bowel Cancer Screening Program, including enquiry about the utilisation of electronic medical records. Results Eighty-eight individuals participated, including GPs, practice managers and practice nurses. Of GPs, 96.2% indicated they were likely to promote the National Bowel Cancer Screening Program to patients. Few participants used systems to identify/notify patients due for screening, and over half indicated that Medicare reimbursements (56.8%) and electronic systems for identifying eligible or overdue patients (53.4%) would support their ability to promote the National Bowel Cancer Screening Program in routine practice. Conclusion Early detection and treatment of bowel cancer is a public health priority in Australia and internationally. Findings highlight the willingness of staff to promote participation; however, the need for incentivisation and streamlined software integration to identify and prompt eligible patients to screen through the National Bowel Cancer Screening Program remains. These findings contribute new evidence regarding the resources, preferences and system-level requirements needed to support routine GP endorsement of the National Bowel Cancer Screening Program.</p>","PeriodicalId":45898,"journal":{"name":"Public Health Research & Practice","volume":"35 ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nicola Carter, Catherine King, Lucy Deng, Nicholas Wood, Helen Quinn
{"title":"<i>Corrigendum to</i>: Australian healthcare providers' awareness of and practices related to vaccine safety surveillance.","authors":"Nicola Carter, Catherine King, Lucy Deng, Nicholas Wood, Helen Quinn","doi":"10.1071/PU24016_CO","DOIUrl":"https://doi.org/10.1071/PU24016_CO","url":null,"abstract":"","PeriodicalId":45898,"journal":{"name":"Public Health Research & Practice","volume":"35 ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nicola Carter, Catherine King, Lucy Deng, Nicholas Wood, Helen Quinn
{"title":"Australian healthcare providers' awareness of and practices related to vaccine safety surveillance.","authors":"Nicola Carter, Catherine King, Lucy Deng, Nicholas Wood, Helen Quinn","doi":"10.1071/PU24016","DOIUrl":"10.1071/PU24016","url":null,"abstract":"<p><p>Objectives Healthcare providers play a critical role in increasing vaccine coverage and public confidence in the safety of vaccines. The SARS-CoV-2 pandemic and COVID-19 vaccine responses have posed unique challenges to vaccine safety surveillance and community confidence in immunisation. The need to maintain confidence for high vaccine uptake, reinforces the need for a holistic, robust approach to post-licensure vaccine safety surveillance. This study aimed to examine healthcare providers' perceptions of vaccine safety surveillance. Methods A cross-sectional study with Australian healthcare providers was conducted between November and December 2021. General practitioners, nurses, and pharmacists in current or previous roles administering vaccines were invited to participate in an online survey that assessed their awareness of, and practices related to, vaccine safety surveillance systems. The survey was disseminated via healthcare provider professional networks. Results Of the 562 completed surveys, 552 were included in the analysis. The majority of the healthcare providers (96%) reported being aware that Australia has mechanisms in place to monitor the safety of vaccines after they are approved for use. However, almost a third of participants were not aware of the AusVaxSafety active vaccine safety surveillance system. Among healthcare providers, nurses were more aware of surveillance systems and reported the highest utilisation of vaccine safety surveillance data in their clinical practice. Participants reported confidence in the safety of vaccines as a result of the existence of vaccine safety surveillance systems. Conclusions Healthcare providers in this study showed confidence in the safety of vaccines. However, our findings indicate that despite providers demonstrating increased confidence as a result of the existence of vaccine safety surveillance systems, further efforts should be made to increase immunisation providers' awareness of the systems, particularly in regards to the accessibility and utility of AusVaxSafety vaccine safety data.</p>","PeriodicalId":45898,"journal":{"name":"Public Health Research & Practice","volume":"35 ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Health and social impacts of exposure to mould-affected housing in Australia: a qualitative study.","authors":"Maria Rosa Gatto, Ang Li, Rebecca Bentley","doi":"10.1071/PU24024","DOIUrl":"https://doi.org/10.1071/PU24024","url":null,"abstract":"<p><p>Objective The objective of this study was to examine the experiences of Australian residents living in mould-affected homes; the perceived physical and mental health effects of indoor mould exposure; and personal, social, and institutional barriers to remediation of homes affected by mould. Methods Using a multi-method approach, this study combined analyses of data from semi-structured, in-depth interviews conducted in Melbourne (n =11) with open-ended responses to a large national household survey on mould exposure in Australia (N =598) to explore people's direct experiences of living in mould-affected housing. Findings are presented as a narrative description. Results Participants reported mould exposure to be associated with poor physical health, including respiratory and allergic symptoms and exacerbation of chronic illness. Participants also reported detrimental effects on their mental wellbeing, reporting anxiety, stress, decreased self-esteem, and decreased feelings of safety. Numerous barriers to remediation were identified, including a lack of knowledge of appropriate actions, costs, and time needed to arrange and/or conduct remediation works. Residents of the rental sector faced additional challenges, including dependence on the quality of landlord-tenant relations and lack of effective policy enforcement. Conclusions These findings support a policy focus on initiatives to assist rental tenants who have mould in their homes and to provide more information to homeowners on strategies for mould removal. The study underscores the need for better regulatory mechanisms to enforce minimum standards for buildings and for health assessments and treatments to consider indoor mould exposure.</p>","PeriodicalId":45898,"journal":{"name":"Public Health Research & Practice","volume":"35 ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fiona Mitchell, Rachel Laws, Penelope Love, Jennifer Browne, Vincent L Versace
{"title":"Mapping Aboriginal and Torres Strait Islander maternal and infant health programs and services in Victoria, Australia.","authors":"Fiona Mitchell, Rachel Laws, Penelope Love, Jennifer Browne, Vincent L Versace","doi":"10.1071/PU24025","DOIUrl":"10.1071/PU24025","url":null,"abstract":"<p><p>Background In Victoria, Aboriginal maternal and infant health services are funded by the Victorian Government with coordination led by the Victorian Aboriginal Community Controlled Health Organisation (VACCHO). This research aims to compare the distribution of these services with the Aboriginal infant population across all local government areas (LGAs) of Victoria and identify gaps in service availability. Method Statewide mapping of Aboriginal maternal and infant health services in Victoria was undertaken in 2023, and Aboriginal and Torres Strait Islander population data for each LGA in Victoria were sourced from the 2021 Australian Bureau of Statistics Census. Data relating to the geographical location of Aboriginal-specific maternal and infant health services were collected from the websites of VACCHO and the Victorian Department of Health. These data were geocoded and overlaid onto LGAs using a geographical mapping software program. Data were analysed via SPSS, a statistical analysis program. Results There was considerable variation in the availability of Aboriginal-specific maternal and infant health services across both metropolitan and regional areas of Victoria. Only 21 of 79 (27%) Victorian LGAs offered Aboriginal-specific services in either pregnancy or early childhood, and 12 (15%) offered continuity of care throughout pregnancy and early childhood specifically for Aboriginal families. Twenty-seven out of 79 (34%) LGAs offered no specific Aboriginal maternal and infant services. However, the median population of Aboriginal infants in LGAs with some services was significantly higher than in LGAs offering no services (81.0 vs 19.5, P 100 Aboriginal infants had no specific Aboriginal maternal and infant health service. Conclusion Aboriginal-specific maternal and infant health services have been addressing the healthcare needs of Aboriginal families across Victoria since their inception. There does, however, need to be further targeted investment in Aboriginal Community Controlled Health Organisations so that developing communities within Victoria can access continuity of maternal and infant healthcare across the perinatal periods to improve the overall health of future generations of Aboriginal children and families.</p>","PeriodicalId":45898,"journal":{"name":"Public Health Research & Practice","volume":"35 ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144337145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Advancing evidence to enable optimal communicable disease control.","authors":"Catherine M Bennett, Meru Sheel","doi":"10.1071/PU25005","DOIUrl":"https://doi.org/10.1071/PU25005","url":null,"abstract":"<p><p>The COVID-19 pandemic brought epidemiology into public focus globally. Understanding patterns and determinants of disease spread was central to risk assessment and the modelling of drivers of transmission to forecast outcomes under different intervention scenarios. Epidemiological analytics, including the reproduction number, were being discussed by the media and the public in ways epidemiologists and biostatisticians could not have foreseen. Yet the statistics being reported were largely confined to two ends of the evidence spectrum - at one end, raw case counts, hospitalisations and deaths, and at the other, sophisticated statistical modelling based on disease dynamics averaged at the whole-of-population level. Other core epidemiological analytic methods that add a more nuanced understanding of variation in disease transmission within and across populations, and risk of infection, were underrepresented. In Australia, for example, the purposeful collection of data to estimate subpopulation-specific case rates, generate relative risks across subpopulations and allow meaningful interpretation within and across populations was limited. This also hampered the real-world evaluation of specific health interventions, including vaccination, and the generation of updated population-specific estimates for statistical model parameters. This was a global phenomenon, though some countries did better than others. What was fundamentally missing was a clear investment in, and coordinated approach to, the quality of surveillance data needed for (a) tracking disease transmission and the degree of control achieved, both of which changed over time, and (b) public communication. The independent inquiry into the Australian Government's COVID-19 Response had evidence generation as a central theme, and investment in evidence synthesis capability and data sharing as clear recommendations for the way forward. The importance of evidence was also raised in discussions informing the draft global Pandemic Agreement. This remains a worrying gap in pandemic readiness, including in well-resourced countries such as Australia where the nuance in public health policy was constrained by the reliance on basic descriptive epidemiology, urban-focused population-level modelling and data insights imported from other countries.</p>","PeriodicalId":45898,"journal":{"name":"Public Health Research & Practice","volume":"35 ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Children arriving hungry in the first year of school: population trends in Australia from 2009 to 2021.","authors":"Adam Gavin, Mary Brushe, Alanna Sincovich","doi":"10.1071/PU24022","DOIUrl":"https://doi.org/10.1071/PU24022","url":null,"abstract":"","PeriodicalId":45898,"journal":{"name":"Public Health Research & Practice","volume":"35 ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"'What about vaping?' Exploring the facilitators and barriers experienced by health professionals in offering vaping cessation support - a scoping review.","authors":"Lincan Caroline Tan, Larisa Ariadne Justine Barnes, Jo Longman, Megan Passey","doi":"10.1071/PU24013","DOIUrl":"10.1071/PU24013","url":null,"abstract":"<p><p>Objectives and importance of study To summarise current evidence on the facilitators and barriers to offering vaping cessation support from the perspective of health professionals (HPs) with client-facing roles. Study type A scoping review following the Joanna Briggs Institute methodology. Methods Six databases were searched for relevant peer-reviewed articles published in English between 2003 and 2024. All articles were screened by two reviewers independently, based on pre-specified eligibility criteria. Data extraction and analyses were informed by the Theoretical Domains Framework (TDF). Results A total of 10,992 articles were screened; 21 publications met the inclusion criteria. Data extracted were mapped to the TDF (12 of the 14 domains were used). Barriers were more commonly reported than facilitators and included lack of knowledge, lack of training and competing priorities; the most commonly reported facilitators were HPs' sense of responsibility and willingness to provide e-cigarette cessation support. Most of the studies included were from the US and employed quantitative surveys. Most of the studies screened focused on the utility of e-cigarettes as cessation aids for combustible tobacco smoking, highlighting a gap in the interventional evidence on e-cigarette cessation. Conclusions More primary qualitative studies, including in Australia, are needed to understand the complexities of offering vaping cessation support. Although a range of HPs were represented in the review, further studies could analyse allied HPs' views separately from medical professionals' views.</p>","PeriodicalId":45898,"journal":{"name":"Public Health Research & Practice","volume":"35 ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"10 years of preventive health in Australia. Part 3 - engaging primary health care.","authors":"Mark F Harris","doi":"10.1071/PU24018","DOIUrl":"https://doi.org/10.1071/PU24018","url":null,"abstract":"<p><p>Primary health care provides a comprehensive range of preventive care for the Australian population. Prevention is now a core activity of general practice, and engagement of a range of non-medical providers and digital tools has enhanced its capacity. There are promising strategies to further engage primary health care from both the government and the profession. However, funding, workload and systemic barriers have frustrated adoption and implementation over the past decade. These need to be addressed for further progress to be achieved.</p>","PeriodicalId":45898,"journal":{"name":"Public Health Research & Practice","volume":"35 ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}