{"title":"“There’s many a slip between cup and lip” …. As there is between package and sale","authors":"Claire Wilkinson","doi":"10.1016/j.anzjph.2025.100230","DOIUrl":"10.1016/j.anzjph.2025.100230","url":null,"abstract":"","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 2","pages":"Article 100230"},"PeriodicalIF":2.6,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143642854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jacqueline A. Richmond , Christine Roder , Chris Hair , Amanda J. Wade , Jack Wallace
{"title":"One size does not fit all: healthcare worker perspectives on hepatitis B models of care in a low-prevalence region in Australia","authors":"Jacqueline A. Richmond , Christine Roder , Chris Hair , Amanda J. Wade , Jack Wallace","doi":"10.1016/j.anzjph.2025.100229","DOIUrl":"10.1016/j.anzjph.2025.100229","url":null,"abstract":"<div><h3>Objective</h3><div>Australia is not on track to achieve national hepatitis B elimination care targets. Many low hepatitis B prevalence Australian regions have disproportionately lower care uptake rates than higher-prevalence regions. This study aimed to determine enablers to providing care in a low hepatitis B prevalence region of Australia.</div></div><div><h3>Methods</h3><div>Semi-structured interviews were conducted with healthcare workers in the Barwon South West region of Victoria, Australia, to identify their perspectives on hepatitis B care and service delivery.</div></div><div><h3>Results</h3><div>Between August and November 2023, 20 participants were interviewed including nine general practitioners, four nurses, three specialists, three interpreters, and one refugee worker. Hepatitis B was understood as a rare, complex condition. The increasing pressure on general practitioners to manage specialist health conditions affected their willingness to manage hepatitis B. Enablers included specialist nurses providing case management and developing systematic links between specialist clinic staff and general practitioners. A localised community of practice would build general practitioner confidence.</div></div><div><h3>Conclusions</h3><div>Low-prevalence regions have unique hepatitis B care challenges. Disease prevalence needs to be considered when implementing decentralised models of care, with infrequent exposure challenging general practitioner confidence and skill maintenance.</div></div><div><h3>Implications for Public Health</h3><div>The model for community-based hepatitis B care should be guided by prevalence and regional population characteristics and supported by enabling infrastructure.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 2","pages":"Article 100229"},"PeriodicalIF":2.6,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143609319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maria Gabriela Uribe Guajardo , Corey Moore , Vicki Giannopoulos , Hueiming Liu , Amber Tickle , Pejman Adily , Ferdinand C. Mukumbang , Emma Quinn , Michelle Cunich , Ilan Katz , Andrew Page , Susan Wolfenden , James Gillespie , Paul Haber , Andrew Wilson , Leena Gupta , John Eastwood , Carmen Huckel Schneider
{"title":"The impact of contextual socioeconomic and demographic characteristics of residents on COVID-19 outcomes during public health restrictions in Sydney, Australia","authors":"Maria Gabriela Uribe Guajardo , Corey Moore , Vicki Giannopoulos , Hueiming Liu , Amber Tickle , Pejman Adily , Ferdinand C. Mukumbang , Emma Quinn , Michelle Cunich , Ilan Katz , Andrew Page , Susan Wolfenden , James Gillespie , Paul Haber , Andrew Wilson , Leena Gupta , John Eastwood , Carmen Huckel Schneider","doi":"10.1016/j.anzjph.2025.100228","DOIUrl":"10.1016/j.anzjph.2025.100228","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the impact of contextual socioeconomic and demographic characteristics of residents on COVID-19 outcomes during public health measures.</div></div><div><h3>Methods</h3><div>Aggregated data from the NSW Notifiable Conditions Information Management System linked to Australian Census data, by periods of strict and relaxed measures, were used.</div></div><div><h3>Results</h3><div>During strict measures, residents of areas of lower socioeconomic status (SES) had a higher risk of infection, with the lowest areas having greater risk compared with the highest areas ((hazard ratio (HR)) 7.15, 95% confidence interval (CI) 6.24-8.19). The risk of infection was lower for those aged 40 and over and was higher for males (HR 1.34, 95% CI 1.27-1.40); those in living in areas with larger household sizes (HR 1.56, 95% CI 36-1.78); and individuals in areas with a large proportion of residents born in South Asia (HR 1.18; 95% CI 1.07-1.29), South East Asia (HR 1.20, 95% CI 1.07-1.36) and the Middle East and North Africa (HR 1.67, 95% CI 1.47-1.90). During relaxed restrictions, the impact of variables attenuated but remained significant.</div></div><div><h3>Conclusions</h3><div>Minorities, those residing in lower SES areas and those living in larger households had worse COVID-19 outcomes during strict public health measures.</div></div><div><h3>Implications for Public Health</h3><div>Decision-makers should tailor services to avoid inequities.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 2","pages":"Article 100228"},"PeriodicalIF":2.6,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143549503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alexandra C. Manson , Rebecca K. Golley , Dimity C. Dutch , Brittany J. Johnson
{"title":"“Not just students in need”: Findings from a nominal group technique study of what parents want in an Australian school-provided meal system","authors":"Alexandra C. Manson , Rebecca K. Golley , Dimity C. Dutch , Brittany J. Johnson","doi":"10.1016/j.anzjph.2025.100221","DOIUrl":"10.1016/j.anzjph.2025.100221","url":null,"abstract":"<div><h3>Objective</h3><div>Interest in national adoption of school-provided meals is growing across Australia; however, parent perspectives are not well understood. This study aimed to understand the most important features of a potential school-provided meal system to parents of primary school children in Australia.</div></div><div><h3>Methods</h3><div>Virtual Nominal Group Technique workshops with Australian caregivers of primary school-aged children were held to identify, discuss and prioritise features. Discussions were noted and collated collaboratively with participants, with quotes collected. Top voted features were scored using relative importance.</div></div><div><h3>Results</h3><div>Five workshops with 25 total participants identified 28 diverse features, with interest in a comprehensive, well-designed system. Priority features were nutrition (importance score 0.46), cost (0.42), stigma considerations (0.32), catering to dietary requirements (0.29) and sustainability and waste (0.25).</div></div><div><h3>Conclusions</h3><div>Findings demonstrated the diverse considerations for a parent-accepted school-provided meal. Prioritised features align with initiatives internationally and locally, indicating feasible strategies to inform an acceptable Australian school food transformation.</div></div><div><h3>Implications for public health</h3><div>Provision of universally available, accessible and nutritious meals aligns with parent values and creates opportunity for public health impact. Findings can be used to inform the design of school food programs, supported by implementation strategies used internationally and locally, conducive to optimum child and parent health outcomes.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 2","pages":"Article 100221"},"PeriodicalIF":2.6,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143478769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Fruit, vegetables and discretionary food intake in Australian adults: Past trends and predicted progress towards population preventive health targets for 2030.","authors":"Matthew Ryan, Danielle L Baird, Gilly A Hendrie","doi":"10.1016/j.anzjph.2025.100223","DOIUrl":"https://doi.org/10.1016/j.anzjph.2025.100223","url":null,"abstract":"<p><strong>Objective: </strong>In Australia, 'improving access to and the consumption of a healthy diet' is a focus in the National Preventive Health Strategy. The objective of this paper is to describe the past trends and future projections of population intakes against the Strategy's targets of increasing fruit consumption to 2 servings per day; increasing vegetables to 5 servings; and reducing discretionary foods to <20% of total energy by 2030.</p><p><strong>Methods: </strong>Self-reported intake data were available from an online survey of 275,170 Australian adults collected between 2015 and 2023. Dietary intake was modelled for sex and four age groups and forecasted towards 2030 using gamma-generalised linear models.</p><p><strong>Results: </strong>By 2030, fruit intake is predicted to decrease by 9.7%, discretionary food intake predicted to increase by 18.3%, and vegetable intake predicted to remain stable (but well short of national targets). Differences by sex and age group included an increase in fruit predicted for 18-30 year-olds, and a decrease in vegetables for females but an increase for males.</p><p><strong>Conclusions: </strong>Without significant intervention, it will be difficult to meet Australia's preventive health dietary targets.</p><p><strong>Implications for public health: </strong>Continuous monitoring will be important to inform targeted interventions to improve diet quality and health outcomes.</p>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":" ","pages":"100223"},"PeriodicalIF":2.6,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143613363","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}
Heilok Cheng, James John, Jane Scott, Elizabeth Denney-Wilson, Loc Do, Sameer Bhole, Louise Baur, Amit Arora
{"title":"Bottle feeding to sleep beyond 12 months is associated with higher risk of tooth decay and overweight in Australian children: Findings from the Healthy Smiles Healthy Kids cohort study.","authors":"Heilok Cheng, James John, Jane Scott, Elizabeth Denney-Wilson, Loc Do, Sameer Bhole, Louise Baur, Amit Arora","doi":"10.1016/j.anzjph.2025.100224","DOIUrl":"https://doi.org/10.1016/j.anzjph.2025.100224","url":null,"abstract":"<p><strong>Objective: </strong>Bottle feeding to sleep may increase early childhood caries (ECC) and overweight risk through sugar exposure and overfeeding. This study examined the association between feeding to sleep at 24 and 36 months on both ECC and overweight at 3-4 years.</p><p><strong>Methods: </strong>Participants were children in the Healthy Smiles Healthy Kids longitudinal birth cohort. Exposure was bottle feeding to sleep at 24 and 36 months. Outcomes were ECC (prevalence; number of caries-affected tooth surfaces, dmfs) and overweight at 3-4 years.</p><p><strong>Results: </strong>718 and 729 children had dental examinations and anthropometric measurements, respectively. 30.3% and 21.7% of children were bottle-fed to sleep at 24 and 36 months, respectively. Feeding to sleep at 24 months was associated with higher odds of overweight (OR 1.90, 95%CI 1.06-3.38) and moderately associated with higher caries (dmfs 1.48, 95%CI 1.00-2.20). Feeding to sleep at 36 months was associated with higher caries (dmfs 1.88, 95%CI 1.22-2.91).</p><p><strong>Conclusions: </strong>Feeding to sleep was associated with higher odds of overweight and higher numbers of caries-affected tooth surfaces. Communicating appropriate sleep, settling and bottle cessation methods throughout early childhood may prevent ECC and overweight.</p><p><strong>Implications for public health: </strong>Early interventions addressing bottle feeding could reduce the dual burden of ECC and obesity.</p>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":" ","pages":"100224"},"PeriodicalIF":2.6,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143662212","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}
Edwina Mead , Chen-Chun Shu , Pooria Sarrami , Rona Macniven , Amy E. Peden
{"title":"Public holidays, school holidays, and long weekends: Effects on drowning rates in New South Wales","authors":"Edwina Mead , Chen-Chun Shu , Pooria Sarrami , Rona Macniven , Amy E. Peden","doi":"10.1016/j.anzjph.2024.100212","DOIUrl":"10.1016/j.anzjph.2024.100212","url":null,"abstract":"<div><h3>Objective</h3><div>To quantify drowning rates and fatal to non-fatal drowning ratios on public holidays, school holidays, weekdays and long weekends in New South Wales from January 2010 to June 2022.</div></div><div><h3>Methods</h3><div>Using a linked administrative dataset comprising ambulance (paper-based and electronic records), emergency department presentations and death registry, rates of drowning and ratios of fatal to non-fatal drowning were calculated.</div></div><div><h3>Results</h3><div>Across 4,161 total drowning incidents, public holidays (14.21 incidents/100,000 person-years) and weekends (6.77 incidents/100,000 person-years) had higher population-normalised incident rates than regular weekdays (3.18 incidents/100,000 person-years). School holidays (8.58 incidents/100,000 person-years) recorded higher rates than non-school holiday days (3.46 incidents/100,000 person-years). New Year’s Day and Australia Day accounted for 4.7% of all incidents (n=197 incidents). Drowning during school holidays was higher than non-school holiday days across all seasons, aside from winter school holidays.</div></div><div><h3>Conclusions</h3><div>Drowning risk is higher on days typically associated with greater leisure time. This study adds to the growing literature identifying temporal variation in drowning risk and is the first to use linked data.</div></div><div><h3>Implications for Public Health</h3><div>Those tasked with supervising aquatic locations and the provision of water safety messaging should consider the targeted strategies for holidays and weekends such as extended patrols and media-based risk communication.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 1","pages":"Article 100212"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143036313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Geoffrey K.P. Spurling , Deborah A. Askew , Noel E. Hayman , Philip J. Schluter
{"title":"Protective factors for psychological wellbeing: A cross-sectional study of young people attending an urban Aboriginal and Torres Strait Islander primary healthcare service","authors":"Geoffrey K.P. Spurling , Deborah A. Askew , Noel E. Hayman , Philip J. Schluter","doi":"10.1016/j.anzjph.2024.100218","DOIUrl":"10.1016/j.anzjph.2024.100218","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to measure associations between protective factors associated with positive psychological outcomes for Aboriginal and Torres Strait Islander youth living in an urban area.</div></div><div><h3>Methods</h3><div>Our primary outcome was the absence of psychological distress, reflecting a positive-outcome approach to analyse health assessment data, using modified Poisson regression, from a cohort of Aboriginal and Torres Strait Islander youth aged 15 to 24 years attending an urban Aboriginal and Torres Strait Islander health service (2016–2021).</div></div><div><h3>Results</h3><div>Health assessments from 710 participants were analysed, with 72.1% of young people found to not be experiencing depression. Exercise, sport, and absences of marijuana use, smoking cigarettes, difficulty getting a job, homelessness, trouble with the police and experience of violence were associated with an absence of depression.</div></div><div><h3>Conclusions</h3><div>Most young people were not experiencing depression. A positive-outcome approach provided evidence to support avenues to success which need to be developed with Aboriginal and Torres Strait Islander communities.</div></div><div><h3>Implications for public health</h3><div>Policy makers, clinicians and health services need to resource and maximise opportunities to access safe accommodation, participate in employment, exercise and play sport and to avoid marijuana, cigarettes, violence and trouble with the police.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 1","pages":"Article 100218"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143063473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Robin Warren , Louise Young , Karen Carlisle , Ian Heslop , Beverley Glass
{"title":"Identifying public health competencies for Australian pharmacists: A modified Delphi study","authors":"Robin Warren , Louise Young , Karen Carlisle , Ian Heslop , Beverley Glass","doi":"10.1016/j.anzjph.2024.100210","DOIUrl":"10.1016/j.anzjph.2024.100210","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to define a set of competencies for public health-related services and activities for pharmacists in Australia.</div></div><div><h3>Methods</h3><div>A modified Delphi technique of two rounds was used to gain consensus by public health and pharmacy professionals on a set of public health competency statements for Australian pharmacists.</div></div><div><h3>Results</h3><div>Delphi panellists agreed on the inclusion of 27 competency statements organised into three domains of health promotion and illness prevention, health protection and population health quality improvement. Competency statements concerning evaluation of services and reflective practice were revised to achieve agreement in the second Delphi round. Examples of practice were included to illustrate application of the competency to practice.</div></div><div><h3>Conclusions</h3><div>A set of competencies outlining requirements for pharmacists to bring a public health perspective to practice will assist engagement of the pharmacy profession with public health.</div></div><div><h3>Implications for Public Health</h3><div>As key providers of public health initiatives, it is important for health professionals, including pharmacists, to engage with public health. Identifying competencies required to deliver effective public health will raise awareness of the contribution of pharmacists to public health and inform their education and professional development.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 1","pages":"Article 100210"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Simone Pettigrew , Asad Yusoff , Bella Sträuli , Leon Booth , Paula O’Brien , Jacquie Bowden , Aimee Brownbill , Julia Stafford , Michelle I Jongenelis , Tazman Davies , Tanya Chikritzhs , Tim Stockwell , Fraser Taylor , Alexandra Jones
{"title":"The prevalence of mandated and voluntary health information on alcohol products in Australia","authors":"Simone Pettigrew , Asad Yusoff , Bella Sträuli , Leon Booth , Paula O’Brien , Jacquie Bowden , Aimee Brownbill , Julia Stafford , Michelle I Jongenelis , Tazman Davies , Tanya Chikritzhs , Tim Stockwell , Fraser Taylor , Alexandra Jones","doi":"10.1016/j.anzjph.2024.100215","DOIUrl":"10.1016/j.anzjph.2024.100215","url":null,"abstract":"<div><h3>Objective</h3><div>Regulations to restrict alcohol promotion and requirements for mandatory display of information about health risks associated with alcohol use have been minimal and hard-won in Australia. This study (i) outlines an approach to monitoring alcohol industry use of health messages on alcohol products and (ii) reports prevalence and nature of government-mandated health-related information and voluntary health messages on alcohol products.</div></div><div><h3>Methods</h3><div>Images of 5,923 alcohol products sold in four large alcohol stores in Sydney were captured. Data were collected in-store and via web-scraping. Label content was extracted from the images.</div></div><div><h3>Results</h3><div>There was high compliance (97%-99%) with government-mandated requirements other than the pregnancy warning label (63%). Presence of voluntary health-related messages was common (65%), but typically present in the form of DrinkWise (an industry-led social aspects/public relations organisation) statements that are unlikely to be effective.</div></div><div><h3>Conclusions</h3><div>This study provides a unique and systematic approach to examining alcohol industry compliance with government-mandated on-product information requirements and voluntary inclusion of other health-related messages.</div></div><div><h3>Implications for Public Health</h3><div>The results demonstrate the need for ongoing monitoring to enforce alcohol industry compliance with Australia’s existing and future labelling regulations and to assess the industry’s voluntary use of other forms of health messaging.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 1","pages":"Article 100215"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143254470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}