Australian and New Zealand Journal of Public Health最新文献

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Are alcohol restrictions bad for tourism? An exploratory study of tourism trends in Western Australia. 酒精限制对旅游业有害吗?西澳大利亚旅游趋势的探索性研究。
IF 2.4 3区 医学
Australian and New Zealand Journal of Public Health Pub Date : 2025-08-05 DOI: 10.1016/j.anzjph.2025.100256
Martyn Symons, William Gilmore, Naomi Henrickson, Tanya Chikritzhs
{"title":"Are alcohol restrictions bad for tourism? An exploratory study of tourism trends in Western Australia.","authors":"Martyn Symons, William Gilmore, Naomi Henrickson, Tanya Chikritzhs","doi":"10.1016/j.anzjph.2025.100256","DOIUrl":"https://doi.org/10.1016/j.anzjph.2025.100256","url":null,"abstract":"<p><strong>Objective: </strong>Potential negative impacts of alcohol policy on tourism are a controversial issue, particularly for regional Australia. We aimed to understand tourism activity in the context of Section 64 area-wide alcohol restrictions implemented in Western Australia.</p><p><strong>Methods: </strong>Restrictions information allowing placement of conditions on liquor licences limiting alcohol sales in specified communities was collated (e.g. off-premises trading hours). Time-trends in visitor trips across tourism regions with/without restrictions were examined for changes. For domestic trips, regional trend-fitting and time-series cross-correlations were conducted for restricted versus non-restricted non-metropolitan regions.</p><p><strong>Results: </strong>Subsequent to restrictions in North-West and Golden Outback regions, areas affected by restrictions increased over time. International trips contributed < 20 % of total trips. All domestic series were either stable or in decline up to 2009/10, and thereafter all experienced growth. Combined trip numbers for restricted versus non-restricted non-metropolitan regions were significantly cross-correlated (0.48, p=0.03).</p><p><strong>Conclusions: </strong>Restrictions aimed at reducing alcohol-related harms in regional WA do not appear to have negatively affected tourism.</p><p><strong>Implications for public health: </strong>Evidence-informed policies that reduce community-wide alcohol availability are critical to addressing risks to public health and safety. Objection to restrictions on the basis of negative tourism effects may be misguided and counter-productive to sustainable tourism growth.</p>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":" ","pages":"100256"},"PeriodicalIF":2.4,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145079560","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
A preliminary review of the impact of the Australian Consumer Goods (Quad Bikes) Safety Standard 2019 on fatal work-related incidents 对2019年澳大利亚消费品(四轮摩托车)安全标准对致命工伤事故影响的初步审查。
IF 2.4 3区 医学
Australian and New Zealand Journal of Public Health Pub Date : 2025-08-01 DOI: 10.1016/j.anzjph.2025.100254
Tony Lower , Kerri-Lynn Peachey , Rajneesh Kaur
{"title":"A preliminary review of the impact of the Australian Consumer Goods (Quad Bikes) Safety Standard 2019 on fatal work-related incidents","authors":"Tony Lower ,&nbsp;Kerri-Lynn Peachey ,&nbsp;Rajneesh Kaur","doi":"10.1016/j.anzjph.2025.100254","DOIUrl":"10.1016/j.anzjph.2025.100254","url":null,"abstract":"<div><h3>Objective</h3><div>This descriptive study assesses all work-related quad deaths in Australia for the 2001–2024 period. Preliminary findings and potential implications are discussed in relation to the introduction of the Consumer Goods (Quad Bikes) Safety Standard 2019.</div></div><div><h3>Methods</h3><div>Data were retrieved through the National Coronial Information System. Descriptive analysis was followed by a one-sample Wilcoxon test assessing rolling four-year totals, both nationally and by jurisdiction, for all work cases and rollover events.</div></div><div><h3>Results</h3><div>Of the 334 fatal cases in this period, there were 161 work-related cases (49%). Over 95% of work cases occurred on a farm, with 77% (n=120) over 50 years of age. Rollovers were responsible for 65% of all work cases (n=105). Nationally, there has been a nonsignificant reduction in all work cases (<em>p</em>=0.47) and work-related rollovers (<em>p</em>=0.63). No jurisdictions had significant changes in total work-related cases, while Victoria had a significant reduction in rollover events (<em>p</em>=0.045).</div></div><div><h3>Conclusion</h3><div>There was a small reduction nationally, with variability by jurisdiction. Significant reductions in Victoria (rollovers), may be suggestive of the impact of increased regulatory and enforcement approaches, made in conjunction with the Standards introduction and warrant further investigation.</div></div><div><h3>Implications for Public Health</h3><div>These early data require further verification to assess the full impact of the Standard but point to a small reduction overall and the importance of enforcement approaches in the intervention mix.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 4","pages":"Article 100254"},"PeriodicalIF":2.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144764397","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
Qualitative exploration of an Aboriginal and Torres Strait Islander adolescent community-controlled social and emotional wellbeing program. 原住民和托雷斯海峡岛民青少年社区控制的社会和情感健康计划的定性探索。
IF 2.4 3区 医学
Australian and New Zealand Journal of Public Health Pub Date : 2025-08-01 Epub Date: 2025-08-09 DOI: 10.1016/j.anzjph.2025.100266
Renae Earle, Floyd Leedie, Robyn Littlewood, Simone Nalatu, Jacqueline Walker
{"title":"Qualitative exploration of an Aboriginal and Torres Strait Islander adolescent community-controlled social and emotional wellbeing program.","authors":"Renae Earle, Floyd Leedie, Robyn Littlewood, Simone Nalatu, Jacqueline Walker","doi":"10.1016/j.anzjph.2025.100266","DOIUrl":"10.1016/j.anzjph.2025.100266","url":null,"abstract":"<p><strong>Objective: </strong>Wellbeing in adolescence is an important opportunity to shape healthy futures. However, psychosocial distress is high amongst adolescents, and rural Aboriginal and Torres Strait Islander adolescents are at an increased risk. Situated within a rural Queensland community-controlled health service, this research explored community perceptions of an adolescent social and emotional wellbeing program.</p><p><strong>Methods: </strong>Through yarning circles, adolescents, parents/guardians, community leaders, Elders and health service staff shared their perceptions of the program. Participants were purposively sampled through their existing community-controlled engagement forums. Data were audio-recorded, transcribed, and thematically analysed using NVivo 11.</p><p><strong>Results: </strong>Thirty people (n=30) participated in the research, of whom, 83% identified as Aboriginal. Four themes suggest the program is highly valued. Participants perceived the program as improving adolescent confidence and empowerment, preparing adolescents for adulthood and providing positive role models. Participants felt the program should be upscaled and sustained.</p><p><strong>Conclusions: </strong>The program was perceived as achieving its target outcomes, and several success factors were identified that are consistent with the literature.</p><p><strong>Implications for public health: </strong>The program is an example of how adolescent social and emotional wellbeing can be done well in the community-controlled setting. Exploring program expansion and further evaluation is encouraged.</p>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 4","pages":"100266"},"PeriodicalIF":2.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144815671","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 2.4 3区 医学
Australian and New Zealand Journal of Public Health Pub Date : 2025-08-01 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,&nbsp;Nicola C. Newton,&nbsp;Siobhan O’Dean,&nbsp;Katrina E. Champion ,&nbsp;Lauren A. Gardner","doi":"10.1016/j.anzjph.2025.100243","DOIUrl":"10.1016/j.anzjph.2025.100243","url":null,"abstract":"<div><h3>Objective</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>Among this large cohort of Australian adolescents, elevated mental disorder symptoms were common and were associated with key social determinants.</div></div><div><h3>Implications for public health</h3><div>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.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 4","pages":"Article 100243"},"PeriodicalIF":2.4,"publicationDate":"2025-08-01","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
E-cigarette use in adolescents: prevention and cessation strategies from an Australian community of practice 青少年使用电子烟:来自澳大利亚实践社区的预防和戒烟策略
IF 2.4 3区 医学
Australian and New Zealand Journal of Public Health Pub Date : 2025-08-01 DOI: 10.1016/j.anzjph.2025.100264
Catriona Lockett , Andrew Thorpe , Emily Stockings , Michelle Jongenelis , Moya Vandeleur , Smita Shah
{"title":"E-cigarette use in adolescents: prevention and cessation strategies from an Australian community of practice","authors":"Catriona Lockett ,&nbsp;Andrew Thorpe ,&nbsp;Emily Stockings ,&nbsp;Michelle Jongenelis ,&nbsp;Moya Vandeleur ,&nbsp;Smita Shah","doi":"10.1016/j.anzjph.2025.100264","DOIUrl":"10.1016/j.anzjph.2025.100264","url":null,"abstract":"","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 4","pages":"Article 100264"},"PeriodicalIF":2.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144781469","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
Analysis of unintentional fatal drowning in Australia 2002-2022: Progress, challenges and data to inform prevention 2002-2022年澳大利亚意外致命溺水分析:进展、挑战和数据,为预防提供信息。
IF 2.4 3区 医学
Australian and New Zealand Journal of Public Health Pub Date : 2025-08-01 DOI: 10.1016/j.anzjph.2025.100258
Lauren Miller , Stacey Willcox-Pidgeon , Justin-Paul Scarr , William Koon
{"title":"Analysis of unintentional fatal drowning in Australia 2002-2022: Progress, challenges and data to inform prevention","authors":"Lauren Miller ,&nbsp;Stacey Willcox-Pidgeon ,&nbsp;Justin-Paul Scarr ,&nbsp;William Koon","doi":"10.1016/j.anzjph.2025.100258","DOIUrl":"10.1016/j.anzjph.2025.100258","url":null,"abstract":"<div><h3>Objectives</h3><div>The purpose of this study was to analyse 20 years of drowning data in Australia, using the Royal Life Saving – Australia National Fatal Drowning Database (NFDD).</div></div><div><h3>Methods</h3><div>This study is a retrospective, total population epidemiological analysis of unintentional fatal drowning in Australia between 1 July 2002 and 30 June 2022. Data were extracted from the NFDD, which was collected over the years using coroner’s findings, toxicology reports, autopsy reports and police reports from the National Coronial Information System (NCIS), in conjunction with media reports.</div></div><div><h3>Results</h3><div>There were 5,692 unintentional drowning deaths during the study period. Overall, drowning trends were found to decrease at a statistically significant rate of 2.60% annually over the 20-year period. The average annual age-standardised mortality rate was 1.22 per 100,000. Rivers/creeks were the leading location for drowning, accounting for 26.3% of cases. Trend analysis identified a significant decrease in the drowning rate among children aged 0-4-years, with an annual decrease of 5.41%, while there was no statistically significant change in older adults (+65 years), who had an annual decrease of 0.59%.</div></div><div><h3>Conclusion</h3><div>There was no evidence of statistical change in drowning rates at beaches or among people aged 65 years and over, indicating that this demographic and location remain priorities for drowning prevention campaigns.</div></div><div><h3>Implications for Public Health</h3><div>There is an opportunity to enhance existing strategies and develop new and innovative strategies focusing on key populations, activities and risk factors. In addition, this study highlights the need to broaden our focus beyond just specific age groups and locations and to improve the availability of exposure data.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 4","pages":"Article 100258"},"PeriodicalIF":2.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144688819","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
Co-design of school-based strategies and supports for Aboriginal and Torres Strait Islander youth living with type 2 diabetes: A qualitative study 原住民与托雷斯海峡岛民青少年2型糖尿病的校本策略与支持:一项质性研究
IF 2.4 3区 医学
Australian and New Zealand Journal of Public Health Pub Date : 2025-08-01 DOI: 10.1016/j.anzjph.2025.100265
Stefanie Puszka , Angela Titmuss , Emma Weaver , Natasha Freeman , Marylin Carino , Jade Morris , Peggy Tom , Shiree Mack , Sumaria Corpus , Deanne Minniecon , Peter Azzopardi , James Dowler , Louise Maple-Brown , Renae Kirkham
{"title":"Co-design of school-based strategies and supports for Aboriginal and Torres Strait Islander youth living with type 2 diabetes: A qualitative study","authors":"Stefanie Puszka ,&nbsp;Angela Titmuss ,&nbsp;Emma Weaver ,&nbsp;Natasha Freeman ,&nbsp;Marylin Carino ,&nbsp;Jade Morris ,&nbsp;Peggy Tom ,&nbsp;Shiree Mack ,&nbsp;Sumaria Corpus ,&nbsp;Deanne Minniecon ,&nbsp;Peter Azzopardi ,&nbsp;James Dowler ,&nbsp;Louise Maple-Brown ,&nbsp;Renae Kirkham","doi":"10.1016/j.anzjph.2025.100265","DOIUrl":"10.1016/j.anzjph.2025.100265","url":null,"abstract":"<div><h3>Objective</h3><div>Youth-onset type 2 diabetes is an emerging condition impacting Indigenous populations worldwide. Schools have an important role in supporting students to manage their health.</div></div><div><h3>Methods</h3><div>We undertook a qualitative study to (i) explore the lived experience of type 2 diabetes, diabetes management and support in school environments and (ii) co-design recommendations for age-appropriate, culturally safe school-based strategies and supports. Interviews and focus groups were undertaken with Aboriginal and Torres Strait Islander youth, caregivers, health professionals and school-based staff. Aboriginal and Torres Strait Islander youth were involved in determining the research topic.</div></div><div><h3>Results</h3><div>We found a need for school-based measures to address diabetes stigma, medication management, privacy and confidentiality, healthy eating and social and emotional wellbeing and identified further needs for staff training.</div></div><div><h3>Conclusions</h3><div>In many cases, schools are providing extensive support to students, but without adequate resources, supportive systems and policies or staff training, current approaches are insufficient.</div></div><div><h3>Implications for public health</h3><div>Recommendations include whole-of-school responses to address diabetes stigma and to generate sensitive approaches to nutrition, school-based management plans for students with T2D and adoption of Aboriginal and Torres Strait Islander-driven approaches.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 4","pages":"Article 100265"},"PeriodicalIF":2.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144781468","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
Ways of working in Aboriginal and Torres Strait Islander Community Controlled Health Organisations: describing a conceptual model of comprehensive primary healthcare characteristics 土著人和托雷斯海峡岛民社区控制的卫生组织的工作方式:描述综合初级卫生保健特征的概念模型
IF 2.4 3区 医学
Australian and New Zealand Journal of Public Health Pub Date : 2025-08-01 DOI: 10.1016/j.anzjph.2025.100267
Anna Dawson , Louise Lyons (Jaadwa) , Kim Morey (Anmatyerre/Eastern Arrernte) , Odette Pearson (Kuku Yalanji/Torres Strait Islander) , Stephen Harfield (Narungga/Ngarrindjeri) , Tracey Brand (Eastern Arrente) , Karrina DeMasi (Barkindji) , Eddie Mulholland (Torres Strait Islands – ERUB) , Edoardo Aromataris , Annette Braunack-Mayer , Alex Brown (Yuin)
{"title":"Ways of working in Aboriginal and Torres Strait Islander Community Controlled Health Organisations: describing a conceptual model of comprehensive primary healthcare characteristics","authors":"Anna Dawson ,&nbsp;Louise Lyons (Jaadwa) ,&nbsp;Kim Morey (Anmatyerre/Eastern Arrernte) ,&nbsp;Odette Pearson (Kuku Yalanji/Torres Strait Islander) ,&nbsp;Stephen Harfield (Narungga/Ngarrindjeri) ,&nbsp;Tracey Brand (Eastern Arrente) ,&nbsp;Karrina DeMasi (Barkindji) ,&nbsp;Eddie Mulholland (Torres Strait Islands – ERUB) ,&nbsp;Edoardo Aromataris ,&nbsp;Annette Braunack-Mayer ,&nbsp;Alex Brown (Yuin)","doi":"10.1016/j.anzjph.2025.100267","DOIUrl":"10.1016/j.anzjph.2025.100267","url":null,"abstract":"<div><h3>Objective</h3><div>This research sought to describe a conceptual model of Aboriginal and Torres Strait Islander Community Controlled Health Organisation (ATSICCHO) primary health care, and the fundamental role ATSICCHOs exercise in addressing critical service gaps needed to achieve equitable outcomes for Aboriginal and Torres Strait Islander peoples.</div></div><div><h3>Methods</h3><div>ATSICCHO representatives governed the research process. A sequential mixed-method approach for articulating the ATSICCHO model drew upon scoping review evidence, case study evidence, and expert consultations.</div></div><div><h3>Results</h3><div>Culture is central to ATSICCHO service delivery and entwined within nine discrete characteristics: self-determination and empowerment, community control and community participation, culturally appropriate and skilled workforce, holistic health care, accessible health services, flexible and responsive approach to care, relationship building and advocacy, comprehensive health promotion and continuous quality improvement. Aboriginal and Torres Strait Islander governance, leadership and workforce are common enablers, and challenges often relate to funding, workforce recruitment and building relationships with multiple partners.</div></div><div><h3>Conclusion</h3><div>ATSICCHOs exemplify culturally-centred, comprehensive and accessible primary health care and empower Aboriginal and Torres Strait Islander people.</div></div><div><h3>Implications for Public Health</h3><div>This model can guide the expansion of the ATSICCHO sector and offer comprehensive primary health care insights to the broader Australian health system.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 4","pages":"Article 100267"},"PeriodicalIF":2.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144813944","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
Cancer control measures have prevented 230,000 deaths in Australia since the mid-1980s 自20世纪80年代中期以来,癌症控制措施使澳大利亚避免了23万人死亡。
IF 2.4 3区 医学
Australian and New Zealand Journal of Public Health Pub Date : 2025-08-01 DOI: 10.1016/j.anzjph.2025.100252
Brigid M. Lynch , Matthew T. Warkentin , Melissa M. Moore , Todd Harper , Craig Sinclair , Sue Evans , Graham G. Giles , Darren R. Brenner , Roger L. Milne
{"title":"Cancer control measures have prevented 230,000 deaths in Australia since the mid-1980s","authors":"Brigid M. Lynch ,&nbsp;Matthew T. Warkentin ,&nbsp;Melissa M. Moore ,&nbsp;Todd Harper ,&nbsp;Craig Sinclair ,&nbsp;Sue Evans ,&nbsp;Graham G. Giles ,&nbsp;Darren R. Brenner ,&nbsp;Roger L. Milne","doi":"10.1016/j.anzjph.2025.100252","DOIUrl":"10.1016/j.anzjph.2025.100252","url":null,"abstract":"<div><h3>Objective</h3><div>To estimate the lives saved because of cancer control measures implemented in Australia, since age-standardised mortality rates (ASMRs) have been available.</div></div><div><h3>Methods</h3><div>Secondary data analysis using publicly available data. We estimated ASMRs using the (unadjusted) age-specific rates and the corresponding population counts. We also estimated the expected number of cancer deaths, the number of avoided cancer deaths and standardised mortality ratios (SMR).</div></div><div><h3>Results</h3><div>The overall ASMR for females peaked in 1985 at 116.50 per 100,000 (95% CI: 114.40, 118.60) and declined to 81.36 (95% CI: 80.24, 82.48) in 2018. For males, the overall ASMR peaked at 188.27 per 100,000 in 1987 (95% CI: 185.38, 191.16), declining to 116.08 per 100,000 (95% CI: 114.67, 117.48) in 2018. We estimated that 66,733 and 164,358 cancer deaths have been avoided for females and males, respectively. This corresponds to an 11% (SMR = 0.89, 95% CI: 0.89, 0.89) and 20% (SMR = 0.80, 95% CI: 0.80, 0.80) reduction in overall cancer mortality.</div></div><div><h3>Conclusions</h3><div>When considering overall cancer rates, over 230,000 cancer-related deaths have been avoided in Australia since 1950.</div></div><div><h3>Implications for Public Health</h3><div>These estimates demonstrate the value of sustained cancer control investment, particularly in primary and secondary prevention.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 4","pages":"Article 100252"},"PeriodicalIF":2.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144599230","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
Unhealthy and inequitable: Online canteen sales do not reflect policy guidance in Victorian primary schools 不健康和不公平:网上食堂销售没有反映维多利亚州小学的政策指导。
IF 2.4 3区 医学
Australian and New Zealand Journal of Public Health Pub Date : 2025-08-01 DOI: 10.1016/j.anzjph.2025.100255
Anna Nicholson , Claire Hardi , Rachael Jinnette , Maree Scully , Helen Dixon
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