Australian and New Zealand Journal of Public Health最新文献

Emergency department mental health presentations in bushfire-, flood-, storm-, drought-, and COVID-19-affected areas: Analysis of growth models between 2017 and 2021 急诊部门在森林火灾、洪水、风暴、干旱和covid -19影响地区的心理健康报告：2017年至2021年增长模型分析

IF 2.6 3区医学

Australian and New Zealand Journal of Public Health Pub Date : 2025-06-01 DOI: 10.1016/j.anzjph.2025.100251

Samineh Sanatkar , Samuel B. Harvey , Andrew Mackinnon , Richard Bryant , Grant Sara

{"title":"Emergency department mental health presentations in bushfire-, flood-, storm-, drought-, and COVID-19-affected areas: Analysis of growth models between 2017 and 2021","authors":"Samineh Sanatkar , Samuel B. Harvey , Andrew Mackinnon , Richard Bryant , Grant Sara","doi":"10.1016/j.anzjph.2025.100251","DOIUrl":"10.1016/j.anzjph.2025.100251","url":null,"abstract":"<div><h3>Objective</h3><div>Repeated exposure to adverse events increases the possibility of negative emotional consequences and the development of post-traumatic stress disorders. Communities who have faced several extreme weather events and pandemic-related disruptions may require emergency care for mental health-related reasons to a greater extent than less affected regions.</div></div><div><h3>Methods</h3><div>This study investigated linear time trends of mental health-related emergency department presentations of adults residing in regions with high, medium, and lesser exposure to fires, floods, storms, droughts, COVID-19 infections and pandemic-related layoffs. Emergency department data were captured from 2017 to 2021.</div></div><div><h3>Results</h3><div>Disaster-affected communities presented to emergency departments at a higher rate well before ‘the Black Summer bushfires’, possibly due to fewer alternatives to hospital care in regional areas. Exposure to multiple disasters was associated with reduced emergency department presentations for mental health reasons. No increase in presentations was noted during the observation period.</div></div><div><h3>Conclusions</h3><div>Possible reasons for this pattern relate to community characteristics, including resilience, reappraisal of symptom severity, and a possible service gap for those with less acute mental health problems.</div></div><div><h3>Implications for public health</h3><div>Mental health service usage needs to be observed across multiple service areas and on an ongoing basis with the clear intention to explain how disasters shape support needs.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 3","pages":"Article 100251"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144240024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Examining the impact of decriminalisation on sex workers in Victoria, Australia: Results from an online survey 在澳大利亚的维多利亚州，检查非犯罪化对性工作者的影响：一项在线调查的结果

IF 2.6 3区医学

Australian and New Zealand Journal of Public Health Pub Date : 2025-06-01 DOI: 10.1016/j.anzjph.2025.100250

Tiffany R. Phillips , Christopher K. Fairley , Mish Pony , Dylan O’Hara , Kate Maddaford , Finn Mercury , Ranjit Samra , Basil Donovan , Eric P.F. Chow

{"title":"Examining the impact of decriminalisation on sex workers in Victoria, Australia: Results from an online survey","authors":"Tiffany R. Phillips , Christopher K. Fairley , Mish Pony , Dylan O’Hara , Kate Maddaford , Finn Mercury , Ranjit Samra , Basil Donovan , Eric P.F. Chow","doi":"10.1016/j.anzjph.2025.100250","DOIUrl":"10.1016/j.anzjph.2025.100250","url":null,"abstract":"<div><h3><strong>Objective</strong></h3><div>This survey aimed to examine the impact of decriminalisation on rates of sex worker’s condom use with clients, and sexually transmissible infection/blood-borne virus (STI/BBV) testing.</div></div><div><h3><strong>Methods</strong></h3><div>An anonymous, mixed-methods, online survey among sex workers in Victoria, Australia (December 2022-April 2023). This survey asked about changes in condom use and STI/BBV testing following decriminalisation.</div></div><div><h3><strong>Results</strong></h3><div>101 participants were included in the study. Median age of participants was 29 years (IQR: 25-33), the majority of participants spoke English (97; 96.0%) and had worked in sex work for at least a year (87; 87.0%). Following decriminalisation, the majority of participants reported no change to condom use for giving oral sex (81/92; 88.0%), receiving oral sex (79/87; 90.8%), receptive vaginal sex (73/80; 91.3%), insertive vaginal sex (37/41; 90.2%), receptive anal sex (45/50; 90.0%) or insertive anal sex (37/42; 88.1%). Most participants did not change their testing frequency for STI/BBV (60/99; 60.6%). Free text responses included positive, neutral and fearful aspects of decriminalisation.</div></div><div><h3><strong>Conclusion</strong></h3><div>The majority of sex workers maintained high rates of condom use and regular sexual health testing following the decriminalisation of sex work in Victoria.</div></div><div><h3><strong>Implications for Public Health</strong></h3><div>These findings suggest that decriminalisation may not negatively affect sex practices or STI testing, supporting policy changes to reduce stigma and enhance health access for sex workers.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 3","pages":"Article 100250"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144212081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Improving access to ivermectin for Aboriginal and Torres Strait Islander people in Australia: Big gains from a small change 改善澳大利亚土著和托雷斯海峡岛民获得伊维菌素的机会：小变化大收获

IF 2.6 3区医学

Australian and New Zealand Journal of Public Health Pub Date : 2025-06-01 DOI: 10.1016/j.anzjph.2025.100237

Victoria R.V. Cox , Mike Stephens , Gurmeet R. Singh , Bart J. Currie

引用次数: 0

Australian Primary Health Care guidelines for childhood growth, health, and development in the early years: A scoping review 澳大利亚儿童生长、健康和早期发育初级卫生保健指南：范围审查

IF 2.6 3区医学

Australian and New Zealand Journal of Public Health Pub Date : 2025-06-01 DOI: 10.1016/j.anzjph.2025.100248

Dimity Dutch , Lucinda Bell , Sarah C. Hunter , Brittany J. Johnson , Elizabeth Denney-Wilson , Rebecca K. Golley

{"title":"Australian Primary Health Care guidelines for childhood growth, health, and development in the early years: A scoping review","authors":"Dimity Dutch , Lucinda Bell , Sarah C. Hunter , Brittany J. Johnson , Elizabeth Denney-Wilson , Rebecca K. Golley","doi":"10.1016/j.anzjph.2025.100248","DOIUrl":"10.1016/j.anzjph.2025.100248","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study was to identify and synthesise recommendations for growth monitoring, health behaviour screening, and health promotion advice within current Australian documents that guide Primary Health Care practitioners to support childhood growth, health, and development in the early years.</div></div><div><h3>Methods</h3><div>Documents were identified using Google Advanced Search and targeted website searching. An iterative inductive and deductive content analysis was conducted and contextualised using the <em>5W (who, what, when, where</em><em>,</em> <em>why) + 1H (how) framework</em>.</div></div><div><h3>Results</h3><div>All included documents (n = 18) recommended growth monitoring. Recommendations to screen and promote child health behaviours (diet, physical activity, sedentary behaviour, or sleep) were fragmented and provided limited guidance on <em>how</em> to screen and promote child health behaviours in practice.</div></div><div><h3>Conclusions</h3><div>Documents recognised the importance of screening and promoting child health behaviours in Primary Health Care; however, comprehensive recommendations were limited. Practical tools and resources are needed to enable Primary Health Care practitioners to conduct effective and appropriate screening and health promotion and across all four health behaviour domains.</div></div><div><h3>Implications for Public Health</h3><div>There is opportunity for guidelines to recommend and integrate health behaviour screening tools into routine PHC practice to better support children’s growth, health, and development in the early years.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 3","pages":"Article 100248"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144240025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Breaking bones and the rules: An audit of paediatric e-scooter trauma in a regional Queensland hospital 骨折和规则：对昆士兰州一家地区医院儿科电动滑板车创伤的审计。

IF 2.6 3区医学

Australian and New Zealand Journal of Public Health Pub Date : 2025-06-01 DOI: 10.1016/j.anzjph.2025.100245

Matthew Clanfield , Isabelle Sharman

{"title":"Breaking bones and the rules: An audit of paediatric e-scooter trauma in a regional Queensland hospital","authors":"Matthew Clanfield , Isabelle Sharman","doi":"10.1016/j.anzjph.2025.100245","DOIUrl":"10.1016/j.anzjph.2025.100245","url":null,"abstract":"<div><h3>Objective</h3><div>To retrospectively analyse paediatric electronic scooter (e-scooter) injuries presenting to the Sunshine Coast University Hospital by evaluating trauma severity and compliance with safety regulations to help inform policy discussions.</div></div><div><h3>Methods</h3><div>A retrospective review of paediatric e-scooter trauma presentations between January 1, 2023, and December 31, 2024, was conducted using emergency department records. Data collected included demographics, incident mechanisms, helmet use, two persons riding one e-scooter “doubling”, speed, imaging requirements and paediatric trauma scores.</div></div><div><h3>Results</h3><div>A total of 176 cases were identified, with a median age of 14 years and 71% were male. Falls accounted for 78% of crashes, while 13% involved motor vehicles. Helmet non-compliance was documented in 42% of the presentations, 12% involved doubling, and 36% exceeded the 25 km/hr speed limit. Fractures occurred in 37% of cases, 18% required computerised tomography scans and 11% sustained life-threatening or potentially life-threatening injuries.</div></div><div><h3>Conclusions</h3><div>E-scooters pose a significant safety risk to paediatric users and this study highlights gaps in safety compliance.</div></div><div><h3>Implications for Public Health</h3><div>This study highlights the high risk e-scooters pose to Queenland’s youth. It is our belief that minimum age limit for e-scooters should be raised to 16 years old until improved safety measures prove effective. Dr Clanfield is currently engaging with the Queensland Government to advocate for policy review. This report’s data helps to inform other doctors and policymakers about the dangers of e-scooter use in young people.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 3","pages":"Article 100245"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Small-area geographical variation in the prevalence of diabetes amongst Australian youth aged <20 years in 2021 2021年澳大利亚20岁以下青年糖尿病患病率的小区域地理差异

IF 2.6 3区医学

Australian and New Zealand Journal of Public Health Pub Date : 2025-06-01 DOI: 10.1016/j.anzjph.2025.100234

Ewan Cameron , Song Zhang , Aveni Haynes , Peter W. Gething

{"title":"Small-area geographical variation in the prevalence of diabetes amongst Australian youth aged <20 years in 2021","authors":"Ewan Cameron , Song Zhang , Aveni Haynes , Peter W. Gething","doi":"10.1016/j.anzjph.2025.100234","DOIUrl":"10.1016/j.anzjph.2025.100234","url":null,"abstract":"<div><h3>Objectives</h3><div>To characterise small-area geographical variation in the prevalence of diabetes in Australian youth.</div></div><div><h3>Methods</h3><div>A combined statistical reconstruction and small-area estimation algorithm was applied to privacy-modulated data from the 2021 Australian Census. The census instrument and reconstruction accuracy was examined by comparisons against a hospital-based register and community register. Diabetes prevalence maps were created from the small-area estimates.</div></div><div><h3>Results</h3><div>The median and interquartile range of estimated diabetes prevalence by small-area unit under our geospatial smoothing model were 1.76 [1.49–1.97] cases per 1000 population for those aged 0–14 years and 5.2 [4.4–5.9] cases per 1000 population for those aged 15–19 years old. Concentrations of elevated prevalence were identified in the vicinities of regional towns across South-East Queensland, regional New South Wales and regional Victoria. Across each of Australia’s five largest cities a gradient of decreasing youth diabetes prevalence from the outer suburbs to the urban centre was identified.</div></div><div><h3>Conclusion</h3><div>Diabetes burden is systematically higher among rural and peri-urban resident youth in Australia compared with their urban counterparts.</div></div><div><h3>Implications for Public Health</h3><div>Hotspots of prevalence in regional areas deserve attention from public health authorities.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 3","pages":"Article 100234"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143968450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

What about 100% juice and non-sugar sweeteners? A national study of support for taxes, labelling and marketing bans applied to sugary drinks, non-sugar sweetened beverages and 100% juice in Australia 100%果汁和无糖甜味剂怎么样？一项全国性的研究支持对含糖饮料、无糖饮料和100%果汁实施税收、标签和营销禁令。

IF 2.6 3区医学

Australian and New Zealand Journal of Public Health Pub Date : 2025-06-01 DOI: 10.1016/j.anzjph.2025.100238

Caroline Miller , Kerry Ettridge , Enola Kay , Joanne Dono

{"title":"What about 100% juice and non-sugar sweeteners? A national study of support for taxes, labelling and marketing bans applied to sugary drinks, non-sugar sweetened beverages and 100% juice in Australia","authors":"Caroline Miller , Kerry Ettridge , Enola Kay , Joanne Dono","doi":"10.1016/j.anzjph.2025.100238","DOIUrl":"10.1016/j.anzjph.2025.100238","url":null,"abstract":"<div><h3>Objective</h3><div>To assess levels of support for potential policy interventions (labelling, banning marketing to children, taxes) to reduce sugar-sweetened beverage consumption; and to assess levels of support when these policies were extended to non-sugar sweetened beverages and 100% fruit juice.</div></div><div><h3>Methods</h3><div>Data, collected via a nationally representative online survey of Australian adults (<em>N</em>=2,876), measured support (5-point Likert scales; strongly/somewhat in favour/against, or neutral) for front-of-pack warning labels, banning marketing to children, and taxes, applied to the three beverages. Chi-square (unadjusted) and logistic regressions (adjusted) assessed support.</div></div><div><h3>Results</h3><div>Support was highest for sugar-sweetened beverage policies, followed by non-sugar-sweetened beverages, and lowest for juice. Across all beverages, support was highest for labelling (83%, 82%, 71%, respectively), followed by marketing bans (73%, 60%, 25%), and taxes (56%, 39%, 14%). Support was typically lower among younger, less educated, most socioeconomically disadvantaged and regular consumers.</div></div><div><h3>Conclusions</h3><div>Results indicate high receptiveness among the Australian community for beverage policies, especially warning labels, with lower receptiveness towards some policies targeting juice.</div></div><div><h3>Implications for Public Health</h3><div>These findings can inform the development of effective public health strategies for encouraging healthier beverage consumption, and point to prioritising front-of-pack warning labels, given the consistently high support for this policy.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 3","pages":"Article 100238"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143966460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Vape shops on the way to school: Geographical analysis of the proximity of specialist vape retailers to New Zealand schools 学校路上的电子烟商店：新西兰学校附近专业电子烟零售商的地理分析。

IF 2.6 3区医学

Australian and New Zealand Journal of Public Health Pub Date : 2025-06-01 DOI: 10.1016/j.anzjph.2025.100235

Ronan Payinda, Eun Soo Chung, Jessie Colbert, Daniel Exeter, Chris Bullen

{"title":"Vape shops on the way to school: Geographical analysis of the proximity of specialist vape retailers to New Zealand schools","authors":"Ronan Payinda, Eun Soo Chung, Jessie Colbert, Daniel Exeter, Chris Bullen","doi":"10.1016/j.anzjph.2025.100235","DOIUrl":"10.1016/j.anzjph.2025.100235","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to investigate the proximity of existing specialist vape retailers to schools in New Zealand.</div></div><div><h3>Methods</h3><div>Specialist vape retailers were mapped, and accessibility to them from schools was calculated across New Zealand.</div></div><div><h3>Results</h3><div>Thirteen percent of New Zealand’s schools have at least one specialist vape retailer within 300 m. Forty-four percent of New Zealand’s schools have at least one specialist vape retailer within 1 km. This means that almost half of schools had a specialist vape retailer within a 10-minute walking distance.</div></div><div><h3>Conclusions</h3><div>There is a high density of specialist vape retailers around New Zealand schools, where children are likely to see the stores and window displays on their journey to and from school.</div></div><div><h3>Implications for Public Health</h3><div>Vaping products have a wide accessibility to many school students in New Zealand. The high exposure to specialist vape retailers on the way to and from school needs to be regulated to minimise youth uptake of vaping.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 3","pages":"Article 100235"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143972859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Potentially preventable hospitalisations for Aboriginal children with experience of out-of-home care: a data linkage study 具有家庭外护理经验的土著儿童可能可预防的住院：一项数据联系研究

IF 2.6 3区医学

Australian and New Zealand Journal of Public Health Pub Date : 2025-05-30 DOI: 10.1016/j.anzjph.2025.100249

Benjamin Harrap , Alison Gibberd , Melissa O’Donnell , Koen Simons , Sandra Eades

{"title":"Potentially preventable hospitalisations for Aboriginal children with experience of out-of-home care: a data linkage study","authors":"Benjamin Harrap , Alison Gibberd , Melissa O’Donnell , Koen Simons , Sandra Eades","doi":"10.1016/j.anzjph.2025.100249","DOIUrl":"10.1016/j.anzjph.2025.100249","url":null,"abstract":"<div><h3>Objective</h3><div>To compare potentially preventable hospitalisation (PPH) rates and types of conditions for Aboriginal children by exposure to out-of-home care (OOHC) and estimate the effect of first OOHC placement on PPH rates.</div></div><div><h3>Methods</h3><div>A retrospective longitudinal study of linked hospitalisation and child protection data for a matched cohort of Aboriginal children born in Western Australia between 2000 and 2013 using observed and predicted rates.</div></div><div><h3>Results</h3><div>Incidence rate of PPH bed days was 2.3 times higher for children ever-placed in OOHC than never-placed children. Diagnosed conditions showed no difference between ever and never-placed children across all ages. On average, PPH bed days reduced by 11% (95% confidence interval: 3% to 18%) following the first OOHC placement but never reached parity with never-placed children. For dental and otitis media-related PPHs, rates increased following first placement.</div></div><div><h3>Conclusions</h3><div>Children with experience of OOHC had greater rates of PPH bed days which persisted despite reductions following first OOHC placement.</div></div><div><h3>Implications for Public Health</h3><div>Healthcare system capacity, cultural safety, and access, as well as the material conditions of families at risk of CPS intervention, all need to be improved if rates of PPHs are to be reduced.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 3","pages":"Article 100249"},"PeriodicalIF":2.6,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

All things being equal? Longitudinal patterns of mental disorder symptoms and associations with key social determinants in a large cohort of Australian adolescents. 一切都是平等的？精神障碍症状的纵向模式及其与澳大利亚青少年主要社会决定因素的关联

IF 2.6 3区医学

Australian and New Zealand Journal of Public Health Pub Date : 2025-05-12 DOI: 10.1016/j.anzjph.2025.100243

Scarlett Smout, Nicola C Newton, Siobhan O'Dean, Katrina E Champion, Lauren A Gardner

{"title":"All things being equal? Longitudinal patterns of mental disorder symptoms and associations with key social determinants in a large cohort of Australian adolescents.","authors":"Scarlett Smout, Nicola C Newton, Siobhan O'Dean, Katrina E Champion, Lauren A Gardner","doi":"10.1016/j.anzjph.2025.100243","DOIUrl":"https://doi.org/10.1016/j.anzjph.2025.100243","url":null,"abstract":"<p><strong>Objective: </strong>Using longitudinal data from a large cohort of Australian adolescents, this study examines the following: 1) changes in depression, psychological distress and anxiety symptoms, 2) associations between symptoms and social determinants (gender, cultural/linguistic diversity, family affluence, school socio-educational advantage, and geographic remoteness), and 3) interactions between social determinants and effects on symptoms.</p><p><strong>Methods: </strong>Students from 71 Australian schools completed annual surveys from Year 7 (2019, n=6,639, M<sub>age</sub>:12.7) to 10. Generalised linear mixed effects regression analyses examined associations between social determinants and mental disorder symptoms.</p><p><strong>Results: </strong>Mean mental disorder symptom scores increased over time, with cisgender females and gender diverse participants experiencing heightened baseline symptoms and an increased growth in symptoms compared with cisgender males. Interaction effects suggest that females in the lowest affluence group experienced compounded adversity, with heightened anxiety and depressive symptoms over-and-above the effects of affluence or gender alone.</p><p><strong>Conclusions: </strong>Among this large cohort of Australian adolescents, elevated mental disorder symptoms were common and were associated with key social determinants.</p><p><strong>Implications for public health: </strong>This study highlights the need to address adolescent mental health in public health policy, research, and practice. Responses should proportionately target groups experiencing disproportionate burdens, including female and gender diverse adolescents; particularly those experiencing low affluence.</p>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":" ","pages":"100243"},"PeriodicalIF":2.6,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144324392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0