Stephen Harfield , Judith A. Dean , Peter Azzopardi , Gita D. Mishra , James Ward
{"title":"‘Mob want to see mob’: Aboriginal and Torres Strait Islander young peoples’ perspective on accessing primary health care services in urban southeast Queensland","authors":"Stephen Harfield , Judith A. Dean , Peter Azzopardi , Gita D. Mishra , James Ward","doi":"10.1016/j.anzjph.2025.100273","DOIUrl":"10.1016/j.anzjph.2025.100273","url":null,"abstract":"<div><h3>Objective</h3><div>This study examines the enablers and barriers to accessing primary health care services from the perspective of Aboriginal and Torres Strait Islander people aged 15–24 years in urban southeast Queensland.</div></div><div><h3>Methods</h3><div>Thirty-five Aboriginal and Torres Strait Islander people aged 15–24 years were recruited using multiple methods and participated in research yarns and yarning groups. Inductive thematic analysis was used.</div></div><div><h3>Results</h3><div>Enablers and barriers were identified across four strength-based themes that align with three levels of a modified social ecological model; individual: (i) health literacy is important for how young people access, understand and use primary health care services; family and community: (ii) family and friends play a key role in offering support and information related to healthcare, as well as assisting young people to access healthcare services; and systems and organisation: (iii) primary health care services that are accessible, equitable, holistic and culturally safe engage young people and (iv) health care providers can make all the difference in young people’s healthcare experience.</div></div><div><h3>Conclusion</h3><div>Young people’s perspectives on healthcare are distinct and multilayered; however, leveraging these perspectives will help improve both access and utilisation of primary health care for this population.</div></div><div><h3>Implications for Public Health</h3><div>Aboriginal and Torres Strait Islander young people’s perspectives can assist healthcare planning, governance, and clinical care pathways.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 6","pages":"Article 100273"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145342863","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}
Guddu Kaur , Emma Field , Kathryn Glass , Catherine King , Martyn Kirk
{"title":"CDC-Ready? Now is the time to secure Australia’s epidemiology workforce capacity","authors":"Guddu Kaur , Emma Field , Kathryn Glass , Catherine King , Martyn Kirk","doi":"10.1016/j.anzjph.2025.100287","DOIUrl":"10.1016/j.anzjph.2025.100287","url":null,"abstract":"","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 6","pages":"Article 100287"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145501976","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}
{"title":"Mental health in aged care: A dramatic increase in absolute numbers of Australians with a mental health condition accessing home care","authors":"Marissa Dickins, Tanya E. Davison, Karen Smith","doi":"10.1016/j.anzjph.2025.100289","DOIUrl":"10.1016/j.anzjph.2025.100289","url":null,"abstract":"","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 6","pages":"Article 100289"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145501951","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}
Jaithri Ananthapavan , Veronica Le Nevez , Suzanne Robinson , Todd Harper , Vicki Brown
{"title":"Prevention pays: Investing in Australia's health and economic future","authors":"Jaithri Ananthapavan , Veronica Le Nevez , Suzanne Robinson , Todd Harper , Vicki Brown","doi":"10.1016/j.anzjph.2025.100283","DOIUrl":"10.1016/j.anzjph.2025.100283","url":null,"abstract":"","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 6","pages":"Article 100283"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145733174","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}
{"title":"Key recommendations to improve equity and access in colorectal cancer screening for rural and remote communities. A grounded theory study","authors":"Nicole Marinucci , Natasha Koloski , Kate Baker , Naomi Moy , Gerald Holtmann","doi":"10.1016/j.anzjph.2025.100295","DOIUrl":"10.1016/j.anzjph.2025.100295","url":null,"abstract":"<div><h3>Objectives</h3><div>To explore barriers contributing to low participation in bowel cancer screening among rural populations, while investigating community-identified recommendations to improve access.</div></div><div><h3>Methods</h3><div>A grounded theory approach was applied to qualitative, online, semi structured interviews. Empirical data were inductively coded with constant comparison applied across the data corpus to contextualise meaning.</div></div><div><h3>Results</h3><div>31 rural and remote Queenslanders participated. Theory surrounding the phenomena of low participation in bowel cancer screening highlighted broader system-level design-inhibited participation for geographically diverse populations. Pervasive themes prohibiting bowel cancer screening access stemmed from a lack of local healthcare availability across both primary care and endoscopic outpatient services as necessitated for community engagement and participation in bowel cancer screening.</div></div><div><h3>Conclusion</h3><div>This study highlights that access to both immunochemical faecal occult blood test (iFOBT) and follow-up colonoscopy is fraught with barriers preventing equitable access to bowel cancer screening for rural and remote communities. Consumer-driven patient navigation strategies, improved healthcare availability and adjustments to the current program design are required to mitigate program disparities.</div></div><div><h3>Implications for Public Health</h3><div>Elevating the voices of lived-experience experts to influence existing models of delivery has the potential to increase participation in the National Bowel Cancer Screening Program and improve health outcomes for geographically diverse populations.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 6","pages":"Article 100295"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145666885","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}
Syed Afroz Keramat , Khorshed Alam , Rabeya Basri , Aliu Mohammed , Abdul-Aziz Seidu , Bright Opoku Ahinkorah , Abdullah Al Mamun
{"title":"Sleep quality, obesity and the risk of multimorbidity among Australian middle-aged and older adults: Evidence from a national longitudinal household survey","authors":"Syed Afroz Keramat , Khorshed Alam , Rabeya Basri , Aliu Mohammed , Abdul-Aziz Seidu , Bright Opoku Ahinkorah , Abdullah Al Mamun","doi":"10.1016/j.anzjph.2025.100280","DOIUrl":"10.1016/j.anzjph.2025.100280","url":null,"abstract":"<div><h3><strong>Objective</strong></h3><div>We aim to examine whether sleep quality and obesity are important risk factors for multimorbidity among middle-aged and older adults in Australia.</div></div><div><h3><strong>Methods</strong></h3><div>We analysed 22,551 person-year observations from the Household, Income and Labour Dynamics in Australia Survey. We used fixed-effects multinomial logistic regression to explore the relationship between sleep quality and obesity with multimorbidity risk.</div></div><div><h3><strong>Results</strong></h3><div>We found that worsening an individual’s sleep quality from good to poor was linked to a 1.65-fold increase in their risk of multimorbidity (relative risk ratio: 1.65, 95% confidence interval: 1.33–2.04). Transitioning from a healthy weight to obesity was associated with a 2.28 times higher risk of developing multimorbidity (relative risk ratio: 2.28, 95% confidence interval: 1.55–3.37). We also found that transitioning from good sleep and healthy weight to poor sleep and obesity resulted in a 3.82-fold increase in their relative risk of multimorbidity (relative risk ratio: 3.82, 95% confidence interval: 2.35–6.19).</div></div><div><h3><strong>Conclusions</strong></h3><div>The findings highlight the need for public health strategies and health promotion programs to tackle these modifiable risk factors.</div></div><div><h3><strong>Implications for Public Health</strong></h3><div>A key priority should be funding evidence-based implementation research to identify the most effective ways to deliver the proven interventions for sleep health and weight management across diverse Australian communities.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 6","pages":"Article 100280"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145399496","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}
Tim Aung , Geoffrey Eather , Aleksandra Sasha Jaksic
{"title":"Optimising tuberculosis screening in high-risk groups","authors":"Tim Aung , Geoffrey Eather , Aleksandra Sasha Jaksic","doi":"10.1016/j.anzjph.2025.100285","DOIUrl":"10.1016/j.anzjph.2025.100285","url":null,"abstract":"","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 6","pages":"Article 100285"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145465128","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}
Sam McCrabb , Alix Hall , Madeleine Fee , Michael Tong , Adyya Gupta , Brianna Poirier , Jane Hwang , Alexandra P. Metse , Lisa McHugh , Linda Murray , Summer May Finlay , Luke Wolfenden
{"title":"Public health research priorities of ANZJPH: Findings of our priority setting process","authors":"Sam McCrabb , Alix Hall , Madeleine Fee , Michael Tong , Adyya Gupta , Brianna Poirier , Jane Hwang , Alexandra P. Metse , Lisa McHugh , Linda Murray , Summer May Finlay , Luke Wolfenden","doi":"10.1016/j.anzjph.2025.100277","DOIUrl":"10.1016/j.anzjph.2025.100277","url":null,"abstract":"","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 5","pages":"Article 100277"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145091116","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}
Sarah E. Alland , Philip N. Britton , Bruce Thorley , Linda Hobday , Matthew Kelly , Ololade Fasugba , Margaret Wilson , Anne Morris , David N. Durrheim
{"title":"Staying polio free: A capture-recapture analysis of acute flaccid paralysis surveillance in the Australian Capital Territory","authors":"Sarah E. Alland , Philip N. Britton , Bruce Thorley , Linda Hobday , Matthew Kelly , Ololade Fasugba , Margaret Wilson , Anne Morris , David N. Durrheim","doi":"10.1016/j.anzjph.2025.100281","DOIUrl":"10.1016/j.anzjph.2025.100281","url":null,"abstract":"<div><h3>Objective</h3><div>Detections of acute flaccid paralysis in the Australian Capital Territory in the last decade have been lower than the target rate for polio surveillance. The aim of this study was to evaluate the case ascertainment of acute flaccid paralysis surveillance in the Australian Capital Territory to determine if cases have been under-reported.</div></div><div><h3>Methods</h3><div>A two-source capture-recapture analysis was designed to estimate the number of acute flaccid paralysis cases in the Australian Capital Territory population aged under 15 years from 2000 to 2021 using 1) the National Acute Flaccid Paralysis Surveillance Database (the database) and 2) Canberra Hospital inpatient records.</div></div><div><h3>Results</h3><div>The capture-recapture analysis estimated there were 26 acute flaccid paralysis cases in the Australian Capital Territory during this period (95% confidence interval: 8–43), with estimated 27% case ascertainment by the database.</div></div><div><h3>Conclusions</h3><div>Under-reporting of non-polio acute flaccid paralysis in the Australian Capital Territory was identified. Lack of awareness of acute flaccid paralysis surveillance requirements among clinicians and a lack of dedicated surveillance resources may have contributed to under-reporting. Acute flaccid paralysis reporting mechanisms should be reviewed in partnership with local clinicians to ensure that all acute flaccid paralysis cases are detected and investigated for possible poliovirus infection.</div></div><div><h3>Implications for Public Health</h3><div>Acute flaccid paralysis surveillance needs to be homogenously robust so that public health response can be rapidly initiated if polio is reintroduced in Australia.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 5","pages":"Article 100281"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205383","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}
Anna Nicholson , Lucy Doherty , Anna Harrison , Helen Dixon
{"title":"Qualitative findings on consumer awareness of recommendations for effective sunscreen application","authors":"Anna Nicholson , Lucy Doherty , Anna Harrison , Helen Dixon","doi":"10.1016/j.anzjph.2025.100253","DOIUrl":"10.1016/j.anzjph.2025.100253","url":null,"abstract":"<div><h3>Objective</h3><div>To explore consumer understanding of regulated claims and expert recommendations for effective sunscreen application.</div></div><div><h3>Methods</h3><div>We used a Pragmatic Qualitative Research Design to explore sunscreen application practices and test sunscreen information. Five focus groups were conducted with Victorian adult sunscreen users. Subthemes were identified, cross-checked, iteratively refined and semi-quantified, consistent with a Qualitative Content Analysis approach.</div></div><div><h3>Results</h3><div>Most participants were confident they knew how to apply sunscreen effectively; however, their usual reported practices (especially reapplication) rarely met recommended standards. Most participants were not aware of recommendations to ‘reapply sunscreen every 2 hours or more frequently after swimming, sweating and towel drying’ and to use sunscreen ‘when UV levels are 3 and above’. Understanding of labelling claims was poor; many mistakenly believed sunscreens labelled ‘tested 4 hours water resistance’ should be reapplied 4-hourly when swimming. Irrespective of usual behaviours, most preferred sunscreen labels to include standardised front-of-pack information on effective application and water resistance.</div></div><div><h3>Conclusions</h3><div>Changes to labelling regulation are required to address misunderstanding about water resistance and ensure consumers receive clear, accurate and consistent information about effective sunscreen application.</div></div><div><h3>Implications for Public Health</h3><div>Labelling and communications strategies to improve consumer awareness of effective sunscreen application should be further explored.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 5","pages":"Article 100253"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145123870","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}