Australian and New Zealand Journal of Public Health最新文献_第3页

Mate ni kawa—our parents will have it, so will we! Reframing diabetes self-management for Pasifika Women in Australia: cultural realities, systemic gaps, and public health imperatives 亲爱的，我们的父母会拥有它，我们也会！重塑澳大利亚帕西菲卡妇女的糖尿病自我管理：文化现实、系统差距和公共卫生要求。

IF 2.4 3区医学

Australian and New Zealand Journal of Public Health Pub Date : 2026-02-01 Epub Date: 2026-02-04 DOI: 10.1016/j.anzjph.2026.100312

Camille Patton , Victor M. Gallegos-Rejas , Heena Akbar

引用次数: 0

Is it a lack of an immunisation workforce or not using the workforce to its potential? 是缺乏免疫接种队伍，还是没有充分发挥队伍的潜力？

IF 2.4 3区医学

Australian and New Zealand Journal of Public Health Pub Date : 2026-02-01 Epub Date: 2025-12-17 DOI: 10.1016/j.anzjph.2025.100302

Thomas Aaron Ricks

引用次数: 0

Resurgence of rheumatic fever among Pacific peoples in Aotearoa New Zealand: A 2010–2023 analysis of hospitalisation data with implications for equity policy 新西兰奥特罗阿太平洋地区人群风湿热死灰复燃：2010-2023年住院数据分析及其对公平政策的影响

IF 2.4 3区医学

Australian and New Zealand Journal of Public Health Pub Date : 2026-02-01 Epub Date: 2025-12-24 DOI: 10.1016/j.anzjph.2025.100301

Gerard JB. Sonder , Megan Pledger , Philip C. Hill , Debbie Ryan

{"title":"Resurgence of rheumatic fever among Pacific peoples in Aotearoa New Zealand: A 2010–2023 analysis of hospitalisation data with implications for equity policy","authors":"Gerard JB. Sonder , Megan Pledger , Philip C. Hill , Debbie Ryan","doi":"10.1016/j.anzjph.2025.100301","DOIUrl":"10.1016/j.anzjph.2025.100301","url":null,"abstract":"<div><h3>Objective</h3><div>The objective of this study was to assess ethnic, geographic and socioeconomic patterns in acute rheumatic fever and rheumatic heart disease hospitalisations in New Zealand (2010–2023), evaluate the impact of public health interventions and identify gaps in national surveillance.</div></div><div><h3>Methods</h3><div>National hospitalisation and mortality data were analysed by ethnicity, socioeconomic deprivation and geography, including Counties Manukau and the Ōtara-Papatoetoe Locality. Negative binomial models estimated adjusted risk differences across three time periods.</div></div><div><h3>Results</h3><div>Acute rheumatic fever was disproportionately concentrated among Māori and Pacific peoples in the most socioeconomically deprived areas, with Pacific populations—particularly in Counties Manukau—experiencing the highest burden. Acute rheumatic fever declined among Māori during the Rheumatic Fever Prevention Programme but not among Pacific peoples. A sharp, temporary decline in acute rheumatic fever and rheumatic heart disease hospitalisations occurred among Pacific populations during the COVID-19 pandemic, followed by resurgence by 2023.</div></div><div><h3>Conclusions</h3><div>Persistent ethnic and geographic inequities in acute rheumatic fever and rheumatic heart disease reflect ongoing surveillance gaps, inconsistent notification practices and uneven implementation of interventions. National targets remain unmet, and inequities are widening for some groups.</div></div><div><h3>Implications for Public Health</h3><div>Robust, standardised surveillance systems and equity-focused interventions—particularly for Pacific communities in Counties Manukau—are essential to reducing the preventable burden of acute rheumatic fever and rheumatic heart disease in Aotearoa New Zealand.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"50 1","pages":"Article 100301"},"PeriodicalIF":2.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145833063","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

Two decades of climate change and its impact on emergency department presentations in the Australian Capital Territory: Past trend and future projection 气候变化二十年及其对澳大利亚首都地区急诊科报告的影响：过去趋势和未来预测。

IF 2.4 3区医学

Australian and New Zealand Journal of Public Health Pub Date : 2026-02-01 Epub Date: 2026-01-07 DOI: 10.1016/j.anzjph.2025.100296

Michael Tong , Nicole Vargas , Nikhil Jha , Mehdi Neshat , Peng Bi , Hilary Bambrick

{"title":"Two decades of climate change and its impact on emergency department presentations in the Australian Capital Territory: Past trend and future projection","authors":"Michael Tong , Nicole Vargas , Nikhil Jha , Mehdi Neshat , Peng Bi , Hilary Bambrick","doi":"10.1016/j.anzjph.2025.100296","DOIUrl":"10.1016/j.anzjph.2025.100296","url":null,"abstract":"<div><h3>Objective</h3><div>The objectives of this study were to explore health impact of climate change over the last two decades in the Australian Capital Territory and to project future changes under climate change.</div></div><div><h3>Methods</h3><div>A time series design was used to assess temperature increases due to climate change and emergency department presentations.</div></div><div><h3>Results</h3><div>A total of 1,442,354 emergency department presentations occurred, with 2.49% of emergency department presentations attributed to heat and 4.00% attributed to cold. Future projections indicated heat-attributable fraction will increase to 2.72% and cold-attributable fraction will decline to 3.21% by the middle of this century. The younger age group exhibited highest relative risks from both heat and cold, the middle age group was particularly sensitive to heat, while older adults were most vulnerable to cold.</div></div><div><h3>Conclusions</h3><div>Heat and cold contribute to increased emergency department presentations, with distinct age-specific vulnerabilities to temperature extremes. Projections indicate rising health burden associated with non-optimal temperatures, primarily driven by increasing heat-attributable fraction and concurrent decline in the cold-attributable fraction.</div></div><div><h3>Implications for public health</h3><div>These findings highlight the urgent need for region-specific climate change adaptation strategies to mitigate the growing health impacts of temperature extremes, protect vulnerable populations and prepare healthcare systems for projected changes of emergency department presentations in the Australian Capital Territory under future climate conditions.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"50 1","pages":"Article 100296"},"PeriodicalIF":2.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145931903","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

Provider perspectives on heart healthcare inequities among Māori and Pacific Peoples in Aotearoa New Zealand: A qualitative study 提供者观点对心脏保健不平等Māori和太平洋人民在新西兰奥特罗阿：一项定性研究

IF 2.4 3区医学

Australian and New Zealand Journal of Public Health Pub Date : 2026-02-01 Epub Date: 2025-12-19 DOI: 10.1016/j.anzjph.2025.100303

Tua Taueetia-Su’a , Karen Marie Brewer , Shanthi Ameratunga , Sandra Hanchard , Vanessa Selak , Bridget Dicker , Jamie-Lee Rahiri , Corina Grey , Matire Harwood

{"title":"Provider perspectives on heart healthcare inequities among Māori and Pacific Peoples in Aotearoa New Zealand: A qualitative study","authors":"Tua Taueetia-Su’a , Karen Marie Brewer , Shanthi Ameratunga , Sandra Hanchard , Vanessa Selak , Bridget Dicker , Jamie-Lee Rahiri , Corina Grey , Matire Harwood","doi":"10.1016/j.anzjph.2025.100303","DOIUrl":"10.1016/j.anzjph.2025.100303","url":null,"abstract":"<div><h3>Objective</h3><div>We explored service providers’ views on evidence–practice gaps and inequities in heart health care for Māori and Pacific peoples, alongside solutions to address these issues.</div></div><div><h3>Methods</h3><div>Employing Kaupapa Māori and Pacific research methodologies, we recruited Māori, Pacific, and non-Māori/Pacific providers, purposively sampled from a range of disciplines. Semi-structured interviews were conducted individually and in focus groups. Differences in perspectives offered by Māori and Pacific providers are compared to those of non-Māori/Pacific providers.</div></div><div><h3>Results</h3><div>Twenty-three providers, identifying as Māori (6), Pacific (5), or non-Māori/Pacific (12), shared their views of the healthcare system, experiences of providing care, and observations of Māori and Pacific patient and whānau experiences. Results were grouped into three themes: Tikanga Māori and Fa’a Pasifika versus non-Māori/Pacific ways; gaps in the health system for Māori and Pacific patients; and solutions. Māori and Pacific providers emphasised structural determinants, systemic failures and workforce inadequacies underlying inequities.</div></div><div><h3>Conclusions</h3><div>There is a critical need for equity-focused, holistic and relational models of heart health care that are co-designed with Māori and Pacific patients and whānau, and delivered by a culturally safe workforce.</div></div><div><h3>Implications for Public Health</h3><div>Adequately resourced services, designed by and for Māori and Pacific peoples, have the potential to achieve equitable heart health care outcomes.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"50 1","pages":"Article 100303"},"PeriodicalIF":2.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145788883","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

Industrially produced trans fats in Australian supermarkets in 2023 2023年澳大利亚超市工业生产的反式脂肪。

IF 2.4 3区医学

Australian and New Zealand Journal of Public Health Pub Date : 2025-12-01 Epub Date: 2025-11-11 DOI: 10.1016/j.anzjph.2025.100284

D. Maganja , M. Marklund , J.H.Y. Wu

引用次数: 0

Feasibility and potential efficacy of Movement-Active-Physical-Play (M.A.P.P) physical activity program in New Zealand’s early childhood education centres: A pilot cluster-randomised controlled trial 运动-活跃-身体-游戏（M.A.P.P）体育活动项目在新西兰幼儿教育中心的可行性和潜在效果：一项试点集群随机对照试验

IF 2.4 3区医学

Australian and New Zealand Journal of Public Health Pub Date : 2025-12-01 Epub Date: 2025-11-14 DOI: 10.1016/j.anzjph.2025.100286

Wendy Pirie , Scott Duncan , Andrew Gibbons , Rachel Jones , Tom Stewart , Nigel Harris

{"title":"Feasibility and potential efficacy of Movement-Active-Physical-Play (M.A.P.P) physical activity program in New Zealand’s early childhood education centres: A pilot cluster-randomised controlled trial","authors":"Wendy Pirie , Scott Duncan , Andrew Gibbons , Rachel Jones , Tom Stewart , Nigel Harris","doi":"10.1016/j.anzjph.2025.100286","DOIUrl":"10.1016/j.anzjph.2025.100286","url":null,"abstract":"<div><h3>Objective</h3><div>To determine feasibility and potential efficacy of the M.A.P.P physical activity program in early childhood education (ECE) centres.</div></div><div><h3>Method</h3><div>Four ECE centres were randomised to intervention (n=2) or control (n=2). Participants included 46 children (3.9 ± 0.5 years, M = 22, F = 24), 8 female leaders, and 20 female teachers. The 10-week online M.A.P.P. intervention aimed to improve physical activity (PA) levels and the quality of movement environments. Potential efficacy was assessed using accelerometry; feasibility was explored via observations and interviews.</div></div><div><h3>Results</h3><div>Programme adherence was high (80%). Teachers, leaders and children reported M.A.P.P as enjoyable. No significant intervention effects were found for sedentary behaviour (β = 1.14, 95% confidence interval (CI): [-7.00, 9.27], <em>p</em>=0.244), light PA (β = 11.5, 95% CI: [-0.97, 23.9], <em>p</em>=0.367), moderate PA (β = -10.8, 95% CI: [-22.1, 0.49], <em>p</em>=0.685), vigorous PA (β = -1.98, 95% CI: [-6.48, 2.51], <em>p</em>=0.458), moderate-to-vigorous intensity PA (β = -13.5, 95% CI: [-27.1, 0.125], <em>p</em>=0.849).</div></div><div><h3>Conclusions</h3><div>M.A.P.P. is feasible in ECE centres but its effects on PA require further investigation.</div></div><div><h3>Implications for public health</h3><div>Supporting ECE teachers to promote PA may provide public health benefits in early childhood.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 6","pages":"Article 100286"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145527338","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

Understanding the reach of an evidence-based public health intervention to optimise nutrition and movement behaviour at scale: The INFANT Program 了解以证据为基础的公共卫生干预的范围，以大规模优化营养和运动行为：婴儿计划。

IF 2.4 3区医学

Australian and New Zealand Journal of Public Health Pub Date : 2025-12-01 Epub Date: 2025-11-25 DOI: 10.1016/j.anzjph.2025.100288

R. Laws , P. Love , P. Mehdipour , L. Orellana , K. Campbell , M. Adam , E. Denney-Wilson , H. Cheng , R. Gelman , S. Marshall , H. Koorts , E. Ganakas , V. Brown , J. McWhinnie , V. Graham , F. Mitchell , J. Browne , K.D. Hesketh

{"title":"Understanding the reach of an evidence-based public health intervention to optimise nutrition and movement behaviour at scale: The INFANT Program","authors":"R. Laws , P. Love , P. Mehdipour , L. Orellana , K. Campbell , M. Adam , E. Denney-Wilson , H. Cheng , R. Gelman , S. Marshall , H. Koorts , E. Ganakas , V. Brown , J. McWhinnie , V. Graham , F. Mitchell , J. Browne , K.D. Hesketh","doi":"10.1016/j.anzjph.2025.100288","DOIUrl":"10.1016/j.anzjph.2025.100288","url":null,"abstract":"<div><h3>Objective</h3><div>To describe the equitable reach of INFANT, an evidence-based early life nutrition and movement behaviour program when scaled up.</div></div><div><h3>Methods</h3><div>INFANT, comprising a free app and practitioner-led groups, was offered across Victoria, Australia, from 2021. Practitioner training was tracked via records, and caregiver participation measured through an app survey. Program reach was estimated per 1000 births in each local government area (LGA). Logistic regression models identified factors associated with group enrolment/attendance.</div></div><div><h3>Results</h3><div>By November 2024, INFANT groups were offered in 48 (61%) Victorian LGAs and the app was used in 78 (99%) reaching 11,358 caregivers. LGAs with higher rates of practitioners trained achieved better program reach. Compared to Victorian women of reproductive age, a higher proportion of INFANT participants were university educated, English speaking, from advantaged communities and outside major cities. In LGAs offering both program components, group enrolment/attendance was higher among first-time parents, those practicing mixed feeding, living in disadvantaged communities and outside major cities.</div></div><div><h3>Conclusions</h3><div>INFANT achieved high reach, with group sessions reaching more disadvantaged parents. Efforts continue to expand reach for priority groups.</div></div><div><h3>Implications for Public Health</h3><div>This is the first study to assess the equitable reach of an early life health promotion program at scale.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 6","pages":"Article 100288"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145601722","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

Landscape analysis of prominent investors in the Australian food industry 澳大利亚食品行业著名投资者的景观分析。

IF 2.4 3区医学

Australian and New Zealand Journal of Public Health Pub Date : 2025-12-01 Epub Date: 2025-11-12 DOI: 10.1016/j.anzjph.2025.100290

Karen Hock , Benjamin Wood , Gary Sacks

{"title":"Landscape analysis of prominent investors in the Australian food industry","authors":"Karen Hock , Benjamin Wood , Gary Sacks","doi":"10.1016/j.anzjph.2025.100290","DOIUrl":"10.1016/j.anzjph.2025.100290","url":null,"abstract":"<div><h3>Objective</h3><div>Large investors have the potential to help address unhealthy diets by influencing food company nutrition practices. This study aimed to identify prominent investors in Australia’s food industry and examine how they consider nutrition as part of investment decisions.</div></div><div><h3>Methods</h3><div>Leading companies and their shareholders in food manufacturing, grocery retail, and fast-food sectors were identified using the Passport and Orbis databases. A desktop review of policies and voting decisions for the top 10 investors per sector was conducted from May-August 2024.</div></div><div><h3>Results</h3><div>A small number of investors hold substantial shares in Australia’s food industry. United States-based investors (e.g., BlackRock and Vanguard) were prominent shareholders across all sectors, with HSBC Bank holding substantial ownership in grocery retailers. Most investors did not disclose investment-related nutrition policies, and typically voted <em>against</em> shareholder proposals related to nutrition and health issues.</div></div><div><h3>Conclusions</h3><div>Prominent investors have the potential to shape Australia’s food environment, but they do not currently prioritize nutrition as part of investment decisions. Increased disclosure of investor policies, proxy voting records, and investor engagements with companies may provide opportunities to improve public health.</div></div><div><h3>Implications for Public Health</h3><div>Targeting large investors and the regulatory environments under which they operate may contribute to efforts to improve population diets.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 6","pages":"Article 100290"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145511502","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

Road transport injury in Aboriginal and Torres Strait Islander people in New South Wales, Australia 澳大利亚新南威尔士州原住民和托雷斯海峡岛民的道路交通伤害。

IF 2.4 3区医学

Australian and New Zealand Journal of Public Health Pub Date : 2025-12-01 Epub Date: 2025-10-14 DOI: 10.1016/j.anzjph.2025.100270

Holger Möller , Rebecca Q. Ivers , Brett Shannon , Jodi Gray , Hossein Haji Ali Afzali , Sadia Hossain , Marnie Campbell , Rebecca Kimlin , Bobby Porykali , Patrick Sharpe , Courtney Ryder

{"title":"Road transport injury in Aboriginal and Torres Strait Islander people in New South Wales, Australia","authors":"Holger Möller , Rebecca Q. Ivers , Brett Shannon , Jodi Gray , Hossein Haji Ali Afzali , Sadia Hossain , Marnie Campbell , Rebecca Kimlin , Bobby Porykali , Patrick Sharpe , Courtney Ryder","doi":"10.1016/j.anzjph.2025.100270","DOIUrl":"10.1016/j.anzjph.2025.100270","url":null,"abstract":"<div><h3>Objective</h3><div>To examine the burden of serious road transport injuries and fatalities among Aboriginal and Torres Strait Islander people in New South Wales (NSW) and identify protective factors to inform targeted road safety initiatives.</div></div><div><h3>Methods</h3><div>This study utilised the NSW Centre for Road Safety linked crash-and-health data from 2005-2023 including police-reported crash, hospital, emergency department, and mortality data. Statistical analysis focused on the burden of serious injury and factors protective of serious injury.</div></div><div><h3>Results</h3><div>Between 2005 and 2023, 7,587 Aboriginal and Torres Strait Islander people aged 17 or older were seriously injured, and 320 were killed in a road transport crash in NSW. Car occupants (53%) and young adults aged 17-29 (48%) were most affected. Fractures (41%) and head injuries (19%) were the most common injuries. Pedestrians experienced the highest proportion of maximum severity injuries (15%). Protective factors for serious injury included wearing seatbelts, holding a standard licence, and crashing in urban areas.</div></div><div><h3>Conclusions</h3><div>The study highlights the significant burden of road transport injuries on communities and identifies key protective factors.</div></div><div><h3>Implications for Public Health</h3><div>Findings emphasise the need for culturally appropriate, community-led road safety initiatives to reduce transport injuries and deaths in Aboriginal and Torres Strait Islander people.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 6","pages":"Article 100270"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145298559","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