Australian and New Zealand Journal of Public Health最新文献

{"title":"Increasing awareness of sexually transmitted infections (STI) testing and addressing stigma may improve STI testing in Aboriginal and Torres Strait Islander youth: Evidence from the Next Generation Youth Wellbeing Study","authors":"Tabassum Rahman ,&nbsp;Fabian Yuh Shiong Kong ,&nbsp;Robyn Williams ,&nbsp;Katiska Davis ,&nbsp;Justine Whitby ,&nbsp;Francine Eades ,&nbsp;Simon Graham ,&nbsp;Grace Joshy ,&nbsp;Sandra Eades","doi":"10.1016/j.anzjph.2024.100203","DOIUrl":"10.1016/j.anzjph.2024.100203","url":null,"abstract":"<div><h3>Objective</h3><div>To quantify the prevalence of sexually transmitted infections (STI) testing in relation to sociodemographic, behavioural, and health related factors, and patterns in sexual health service (SHS) use and non-use among Aboriginal and Torres Strait Islander (hereafter Aboriginal) youth.</div></div><div><h3>Methods</h3><div>The analyses included N=198 sexually active 16-24-year-olds from Central Australia, Western Australia, and New South Wales participating in the Next Generation Youth Wellbeing Study. Modified Poisson regression estimated age-sex-adjusted prevalence ratios (PRs) for ever testing for STIs.</div></div><div><h3>Results</h3><div>Approximately 55% of the participants ever tested for STIs. Over 44% of the participants ever accessed SHS; perceived irrelevance (50%) and embarrassment (15%) were the main reasons for not accessing SHS. STI testing was higher among: 21–24-year-olds (68.75% vs 37.04% among 16–17-year-olds, PR: 1.82; confidence interval 1.23–2.67); those with high/very-high psychological distress (63.39% vs 44.55% among low/moderate group, 1.50;1.16–1.94); and those who lived in ≥3 houses in the past five years (65.43% vs 48.11% among those who lived in 1–2 houses, 1.33;1.04–1.70).</div></div><div><h3>Conclusions</h3><div>STI testing should be offered to sexually active Aboriginal youth at every opportunity.</div></div><div><h3>Implications for public health</h3><div>Sexual health messages should further promote the benefit of regular STI testing and where to access free SHS among Aboriginal youth.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"48 6","pages":"Article 100203"},"PeriodicalIF":2.6,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142646509","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":"A cross-sectional study of the experiences of distressed callers when accessing financial assistance from a telephone-based cancer information and support service","authors":"Elizabeth A. Fradgley ,&nbsp;Paula Bridge ,&nbsp;Katherine Lane ,&nbsp;Danielle Spence ,&nbsp;Della Yates ,&nbsp;Melissa A. Carlson ,&nbsp;Jo Taylor ,&nbsp;Christine L. Paul","doi":"10.1016/j.anzjph.2024.100199","DOIUrl":"10.1016/j.anzjph.2024.100199","url":null,"abstract":"<div><h3>Objective</h3><div>The objective of this study was to explore the experiences of distressed people calling helplines regarding offer and uptake of financial services after cancer diagnosis.</div></div><div><h3>Methods</h3><div>Cancer patients and caregivers reported whether they had discussed then used financial services and perceptions surrounding service uptake. Associations between being offered services and demographic, clinical and financial characteristics were explored.</div></div><div><h3>Results</h3><div>Of the 508 patients and caregivers in this sample, 107 (21%) people who recalled discussing financial support used the service. Of those, 34 (32%) participants actioned a financial support referral, of which 32 (94%) reported that the support was helpful. Of the 401 (79%) who did not recall discussing financial support, 26 (6%) would have liked to do so. The following characteristics were significantly associated with a greater likelihood of discussing financial support: younger age, being married, metastatic disease, higher out-of-pocket costs, not having private health insurance, being on leave and being absent for more days from work.</div></div><div><h3>Conclusions</h3><div>Although users of financial supports find them helpful, there is need for more structured approaches to referral to achieve equitable access.</div></div><div><h3>Implications for public health</h3><div>A pro-active, structured approach to assessing financial toxicity and offering support is warranted in community-based organisations that offer cancer information and support.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"48 6","pages":"Article 100199"},"PeriodicalIF":2.6,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142646331","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":"Psychedelic medicine and cultural responsiveness: A call for Aboriginal and Torres Strait Islander engagement in Australian clinical trials and practice","authors":"Bianca Sebben ,&nbsp;Jem Stone ,&nbsp;Jerome Sarris ,&nbsp;Daniel Perkins ,&nbsp;Kirt Mallie ,&nbsp;Scarlet Barnett ,&nbsp;Simon G.D. Ruffell ,&nbsp;Vanessa L. Beesley","doi":"10.1016/j.anzjph.2024.100200","DOIUrl":"10.1016/j.anzjph.2024.100200","url":null,"abstract":"","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"48 6","pages":"Article 100200"},"PeriodicalIF":2.6,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142602906","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":"An evaluation of the population uptake and contact tracer utilisation of the Covid-19 Bluetooth Exposure Notification Framework in New Zealand","authors":"Tim Chambers ,&nbsp;Andrew Anglemyer ,&nbsp;Andrew Chen ,&nbsp;June Atkinson ,&nbsp;Phoebe Elers ,&nbsp;Michael G. Baker","doi":"10.1016/j.anzjph.2024.100197","DOIUrl":"10.1016/j.anzjph.2024.100197","url":null,"abstract":"<div><h3>Objective</h3><div>Our primary research objective was to assess the population uptake and contact tracer utilisation of the Bluetooth function of the New Zealand Covid Tracer App (NZCTA) throughout the pandemic.</div></div><div><h3>Methods</h3><div>We adopted a retrospective cohort study design using all diagnosed COVID-19 community cases from December 12, 2020 to February 16, 2022.</div></div><div><h3>Results</h3><div>At its height, more than 60 % of the eligible population had the Bluetooth function of NZCTA activated. However, only an estimated 2.2 % of the population was able to fully participate. Cases managed by the national case investigation service were 17 times (aRR 17.54, 95%CI: 13.02-23.90) and 9 times (aRR 9.27, 95%CI: 6.91, 12.76) more likely to generate a Bluetooth token than cases managed by local public health units during the Delta and Omicron periods, respectively.</div></div><div><h3>Conclusions</h3><div>The Bluetooth functionality of the NZCTA likely had a low impact on the pandemic response in NZ despite its exceptionally high levels of public uptake. The primary reason for the lack of impact was the low utilisation by contact tracers.</div></div><div><h3>Implications for public health</h3><div>The results highlight the need for greater consultation and collaboration with the public health sector during the development and implementation of digital contact tracing tools.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"48 6","pages":"Article 100197"},"PeriodicalIF":2.6,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142581927","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":"Infection, ageing and patient rights: Time for single-occupancy hospital rooms","authors":"Cindy Towns ,&nbsp;Matthew Kelly ,&nbsp;Angela Ballantyne","doi":"10.1016/j.anzjph.2024.100198","DOIUrl":"10.1016/j.anzjph.2024.100198","url":null,"abstract":"","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"48 6","pages":"Article 100198"},"PeriodicalIF":2.6,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142543379","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":"How should we fund integrated primary care for children in Australia? A resource allocation study","authors":"Cate Bailey ,&nbsp;Suzy Honisett ,&nbsp;Jacinta Dermentzis ,&nbsp;Janelle Devereux ,&nbsp;Jo-Anne Manski-Nankervis ,&nbsp;Kim Dalziel ,&nbsp;Harriet Hiscock","doi":"10.1016/j.anzjph.2024.100196","DOIUrl":"10.1016/j.anzjph.2024.100196","url":null,"abstract":"<div><h3>Objectives</h3><div>Integrated primary care provides health and social care services to intervene early and support children and families. Funding of integrated care is a barrier to care provision, but evidence is limited for which funding models are most appropriate. Our study aimed to provide expert judgement on what funding model, or mix of models, are most likely effective for integrating primary care for families with children aged 0-12 years in Australia.</div></div><div><h3>Methods</h3><div>We conducted a resource allocation survey to value funding models for integrated care. Participants were purposively sampled experts in primary health, social care and mental health care. Six funding types were included in the study. Outcome measures included ranking of funding model preferences and qualitative analysis from open-ended questions.</div></div><div><h3>Results</h3><div>Block-funding, alternative-payment-methods and incentive-payments were preferred models for integrated care individually and within a blended model. Fee-for-service, capitation and pay-for-performance were the least preferred models. There was agreement Fee-for-service may hinder integrating care.</div></div><div><h3>Conclusions</h3><div>A blended model, including alternative-payment-methods, incentive-payments and block-funding, were preferred models to best integrate care for child outcomes.</div></div><div><h3>Implications for Public Health</h3><div>Determining how best to fund integrated primary care for children is a priority for decision-making in Australia, as fee-for-service is no longer considered appropriate.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"48 6","pages":"Article 100196"},"PeriodicalIF":2.6,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142493737","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":"The association between vaping and subsequent initiation of cigarette smoking in young Australians from age 12 to 17 years: a retrospective cohort analysis using cross-sectional recall data from 5114 adolescents","authors":"Sam Egger ,&nbsp;Michael David ,&nbsp;Christina Watts ,&nbsp;Anita Dessaix ,&nbsp;Alecia Brooks ,&nbsp;Emily Jenkinson ,&nbsp;Paul Grogan ,&nbsp;Marianne Weber ,&nbsp;Qingwei Luo ,&nbsp;Becky Freeman","doi":"10.1016/j.anzjph.2024.100173","DOIUrl":"10.1016/j.anzjph.2024.100173","url":null,"abstract":"<div><h3>Objective</h3><div>The objective of this study was to estimate the association between vaping and subsequent initiation of smoking among Australian adolescents and explore the impact of design and analytical methods in previous studies.</div></div><div><h3>Methods</h3><div>We conducted a retrospective cohort analysis of cross-sectional data from 5114 Australian adolescents aged 14–17 recalling information on smoking and vaping initiation from age 12 to 17. The outcome was smoking initiation, analysed with negative-binomial regression to estimate incidence rate ratios (IRRs) for vape status (ever-vaped vs never-vaped) as a time-varying exposure. We also re-analysed using the methods of previous studies not accounting for the time-varying nature of e-cigarette exposure.</div></div><div><h3>Results</h3><div>Participants (n=5114) were retrospectively followed for 20478 person-years. After adjusting for socio-demographic variables and proxy measures of common liabilities for vaping and smoking, the rate of smoking initiation for those who ever-vaped was nearly 5 times that of those who never-vaped (IRR=4.9; 95% confidence interval: [3.9, 6.0], <em>p</em>&lt;0.001), with IRRs considerably higher at younger ages. Not accounting for the time-varying nature of e-cigarette exposure in re-analysis attenuated the estimated IRR by 44%.</div></div><div><h3>Conclusions</h3><div>Controlled analyses indicate that vaping markedly increases the risk of subsequent smoking initiation among Australian adolescents from age 12 to 17, with those aged 12, 13, and 14 bearing an alarmingly disproportionate burden of the elevated risk. Additionally, the relative risk of future smoking due to vaping may have been underestimated in other studies due to methodological differences.</div></div><div><h3>Implications for public health</h3><div>Our findings highlight the need for public health interventions and strict e-cigarette access laws.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"48 5","pages":"Article 100173"},"PeriodicalIF":2.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142215324","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":"Affirming schools, population-level data, and holistic public health are key to addressing mental ill-health and substance use disparities among gender and sexuality diverse young people in Australia and Aotearoa New Zealand","authors":"Sasha Bailey ,&nbsp;Yael Perry ,&nbsp;Kyle Tan ,&nbsp;Jack Byrne ,&nbsp;Taine H. Polkinghorne ,&nbsp;Nicola C. Newton ,&nbsp;Jaimie Veale ,&nbsp;John Fenaughty ,&nbsp;The Matilda Centre Gender and Sexuality Diverse Youth Advisory Committee ,&nbsp;Raaya Tiko ,&nbsp;Maree Teesson ,&nbsp;Emma L. Barrett","doi":"10.1016/j.anzjph.2024.100183","DOIUrl":"10.1016/j.anzjph.2024.100183","url":null,"abstract":"","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"48 5","pages":"Article 100183"},"PeriodicalIF":2.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142387540","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":"Mental and neurodevelopmental health needs of Aboriginal children with experience of out-of-home care: a Western Australian data-linkage study","authors":"Benjamin Harrap ,&nbsp;Alison Gibberd ,&nbsp;Melissa O’Donnell ,&nbsp;Jocelyn Jones ,&nbsp;Richard Chenhall ,&nbsp;Bridgette McNamara ,&nbsp;Koen Simons ,&nbsp;Sandra Eades","doi":"10.1016/j.anzjph.2024.100181","DOIUrl":"10.1016/j.anzjph.2024.100181","url":null,"abstract":"<div><h3>Objective</h3><div>To identify additional mental and neurodevelopmental health needs of Aboriginal children born in Western Australia, who are placed in out-of-home care (OOHC), relative to Aboriginal children born in Western Australia who were not placed.</div></div><div><h3>Methods</h3><div>Data-linkage of hospitalisations, health registries and child protective services data for all Aboriginal children born in WA between 2000 and 2013 was used. Children placed in out-of-home care between 2000 and 2019 were matched to children never placed and prevalence and cumulative incidence estimates of mental and neurodevelopmental health conditions were compared.</div></div><div><h3>Results</h3><div>Children placed in out-of-home care had a three times greater prevalence of mental and neurodevelopmental health conditions generally. The prevalence of foetal alcohol spectrum disorder was ten times higher, and post-traumatic stress disorder was seven times higher for those placed in out-of-home care. Cumulative incidence plots highlighted for different conditions the ages at which the rate of diagnosis diverges between the two groups.</div></div><div><h3>Conclusions</h3><div>Children placed in out-of-home care had greater mental and neurodevelopmental health needs generally when compared to children never placed in out-of-home care .</div></div><div><h3>Implications for Public Health</h3><div>Child protective services must ensure culturally safe, comprehensive, wrap-around services for Aboriginal children and their families are provided. Approaches should build on the strength of children, families and culture and avoid stigmatising children and their parents.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"48 5","pages":"Article 100181"},"PeriodicalIF":2.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142340188","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":"How do we fund Public Health in Australia? How should we?","authors":"Alan Shiell ,&nbsp;Kate Garvey ,&nbsp;Shane Kavanagh ,&nbsp;Victoria Loblay ,&nbsp;Penelope Hawe","doi":"10.1016/j.anzjph.2024.100187","DOIUrl":"10.1016/j.anzjph.2024.100187","url":null,"abstract":"<div><h3>Objective</h3><div>To map how public health is funded in Australia. To assess whether changes to funding methods might improve system performance.</div></div><div><h3>Methods</h3><div>Review of publicly accessible documents and discussions with public health key informants.</div></div><div><h3>Results</h3><div>Australia spent $140 per person on public health in 2019-20, (1.8% of total health spending). But there is considerable state and territory variation. This money flows through multiple channels and payment mechanisms. Responsibility for what is funded is largely delegated to authorities close to the problems. This makes it easier to choose the best mechanism for funding an activity. Much information is hidden from view, however. This makes it impossible to assess whether the potential for population benefit is fully realised.</div></div><div><h3>Conclusions</h3><div>Australia avoids some of the difficulties experienced elsewhere because funding is largely devolved to states in block grants; they shape their own investments. The US, by contrast, prefers categorical funds for specific purposes. Three suggestions for making the funding system here more visible, useful and accountable are canvassed, including ‘satellite accounts’.</div></div><div><h3>Implications for Public Health</h3><div>Funding needs to be more transparent before it is possible to assess whether public health system performance could be improved through changes to the way public health is funded.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"48 5","pages":"Article 100187"},"PeriodicalIF":2.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142279898","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}