Australian and New Zealand Journal of Public Health最新文献

{"title":"Physical activity interventions among youth living in rural and remote areas: A systematic review","authors":"John Dennehy ,&nbsp;Melainie Cameron ,&nbsp;Tania Phillips ,&nbsp;Tracy Kolbe-Alexander","doi":"10.1016/j.anzjph.2024.100137","DOIUrl":"https://doi.org/10.1016/j.anzjph.2024.100137","url":null,"abstract":"<div><h3>Objectives</h3><p>Physical activity (PA) interventions have potential to improve health and social outcomes among youth. The aim of this study was to collate the evidence on the effectiveness of PA and sports-based interventions among youth living in rural and remote areas.</p></div><div><h3>Methods</h3><p>We searched five databases and grey literature (HealthInfoNet). Search terms included <em>PA, rural status, adolescents</em>, and <em>outcome measures</em>. Studies were included if published in English, recruited 10- to 18-year olds, and were based in rural or remote communities (Modified Monash Model [MMM] area classification range of MMM 3–7). Quasi-experimental and pre-experimental and post-experimental PA interventions were included. Two authors evaluated the articles independently following the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines, and relevant data were extracted. <em>International Prospective Register of Systematic Reviews (PROSPERO)</em> (CRD42020199001).</p></div><div><h3>Results</h3><p>Of the 11802 studies identified, 6 were included in the review. Most studies were excluded for not meeting MMM 3–7 criteria. Four of the included studies had sports-related interventions, and 2 had walking-based interventions. Outcomes included self-efficacy, mental health, and academic performance. One study reported a positive effect of PA on self-efficacy (β = 0.26, <em>p</em>=0.018, odds ratio = 1.43 [95% confidence interval: 1.07–1.92]).</p></div><div><h3>Conclusion</h3><p>Few community-based PA interventions have been evaluated in rural areas. There is a need for future evaluations in rural areas and include PA as an outcome measure.</p></div><div><h3>Implications for Public Health</h3><p>The findings highlight the need for measurement of PA outcomes in PA interventions in rural and remote areas. The findings also highlight the need for research to utilise a standardised measure of rurality.</p></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"48 2","pages":"Article 100137"},"PeriodicalIF":3.5,"publicationDate":"2024-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1326020024000128/pdfft?md5=bf7b3e16d198b6103e87404af99594d4&pid=1-s2.0-S1326020024000128-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140122723","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":"Cardiometabolic health markers among Aboriginal adolescents from the Next Generation Youth Wellbeing Cohort Study","authors":"Christopher D. McKay ,&nbsp;Lina Gubhaju ,&nbsp;Alison J. Gibberd ,&nbsp;Bridgette J. McNamara ,&nbsp;Emily Banks ,&nbsp;Peter Azzopardi ,&nbsp;Robyn Williams ,&nbsp;Sandra Eades","doi":"10.1016/j.anzjph.2024.100139","DOIUrl":"https://doi.org/10.1016/j.anzjph.2024.100139","url":null,"abstract":"<div><h3>Objective</h3><p>The objective of this study was to investigate cardiometabolic health markers among Aboriginal adolescents aged 10–24 years and relationships with age, gender, and body composition.</p></div><div><h3>Methods</h3><p>Baseline data (2018–2020) from the Next Generation Youth Wellbeing Cohort Study (Western Australia, New South Wales, and Central Australia) on clinically assessed body mass index, waist/height ratio, blood pressure, glycated haemoglobin (HbA1c), total and high-density lipoprotein cholesterol, total/high-density lipoprotein cholesterol ratio, and triglycerides were analysed.</p></div><div><h3>Results</h3><p>Among 1100 participants, the proportion with individual health markers within the ideal range ranged from 59% for total cholesterol to 91% for HbA1c. Four percent had high blood pressure, which was more common with increasing age and among males; 1% had HbA1c indicative of diabetes. Healthier body composition (body mass index and waist/height ratio) was associated with having individual health markers in the ideal range and with an ideal cardiometabolic profile.</p></div><div><h3>Conclusions</h3><p>Most Aboriginal adolescents in this study had cardiometabolic markers within the ideal range, though markers of high risk were present from early adolescence. Ideal health markers were more prevalent among those with healthy body composition.</p></div><div><h3>Implications for public health</h3><p>Specific screening and management guidelines for Aboriginal adolescents and population health initiatives that support maintenance of healthy body composition could help improve cardiometabolic health in this population.</p></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"48 2","pages":"Article 100139"},"PeriodicalIF":3.5,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1326020024000141/pdfft?md5=569e8e0624381d335a023d0d4955a349&pid=1-s2.0-S1326020024000141-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140042392","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 analysis of the features of successful written submissions to government inquiries","authors":"Adam Delaine ,&nbsp;Megan Ferguson ,&nbsp;Rachel Bacon ,&nbsp;Katherine Cullerton","doi":"10.1016/j.anzjph.2024.100133","DOIUrl":"https://doi.org/10.1016/j.anzjph.2024.100133","url":null,"abstract":"<div><h3>Objective</h3><p>Government inquiries present a policy window for advocates to influence policy. Evidence on how to write influential submissions, however, is sparse. We aimed to identify features of successful written submissions to the Parliament of Australia’s Inquiry into Food Pricing and Food Security in Remote Indigenous Communities (Inquiry).</p></div><div><h3>Method</h3><p>A scoping review was conducted to identify influential features of written submissions to government inquiries. A content analysis of a sub-sample of government Inquiry submissions and their recommendations was then coded for influential features. The frequency of submission recommendations incorporated into the final Inquiry report was recorded, as was their link to influential features.</p></div><div><h3>Results</h3><p>Thirty features were identified. Results from 21 submissions indicate that when writing a submission to a government inquiry, advocates should: (1) ensure their submission is clear and concise; (2) convey the authority of both the writer and supporting evidence; and (3) where possible, align submission recommendations with the government agenda.</p></div><div><h3>Conclusions</h3><p>We encourage future research to test the framework of influential features on other inquiry topics and in other countries to increase the reliability of results.</p></div><div><h3>Implications for Public Health</h3><p>This study consolidates and presents a list of features that advocates can consider incorporating when writing a submission to a government inquiry.</p></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"48 2","pages":"Article 100133"},"PeriodicalIF":3.5,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1326020024000086/pdfft?md5=5e354c068ea1b14dd24204563784a9c7&pid=1-s2.0-S1326020024000086-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140024472","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":"Opportunities for the management of metabolic dysfunction-associated fatty liver disease within Aboriginal and Torres Strait Islander peoples","authors":"Sarah Dick,&nbsp;Kai Wheeler,&nbsp;Shelley E. Keating","doi":"10.1016/j.anzjph.2024.100138","DOIUrl":"https://doi.org/10.1016/j.anzjph.2024.100138","url":null,"abstract":"","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"48 2","pages":"Article 100138"},"PeriodicalIF":3.5,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S132602002400013X/pdfft?md5=bd944ee04a8a1f64b714441fa14ded5a&pid=1-s2.0-S132602002400013X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140030816","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":"Peer Health Navigators to improve equity and access to health care in Australia: Can we build on successes from the COVID-19 pandemic?","authors":"Rebecca L. Jessup ,&nbsp;Sian Slade ,&nbsp;Veronique Roussy ,&nbsp;Susan Whicker ,&nbsp;Janet Pelly ,&nbsp;Vinita Rane ,&nbsp;Virginia Lewis ,&nbsp;Lucio Naccarella ,&nbsp;Max Lee ,&nbsp;Donald Campbell ,&nbsp;Keith Stockman ,&nbsp;Peter Brooks","doi":"10.1016/j.anzjph.2024.100128","DOIUrl":"https://doi.org/10.1016/j.anzjph.2024.100128","url":null,"abstract":"","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"48 2","pages":"Article 100128"},"PeriodicalIF":3.5,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1326020024000037/pdfft?md5=e02fec9c7ad6a087873b2a6afce78d29&pid=1-s2.0-S1326020024000037-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140024321","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 investigation of the factors associated with awareness of PEP and PrEP among Queensland university students","authors":"Sarah Warzywoda ,&nbsp;Amalie Dyda ,&nbsp;Lisa Fitzgerald ,&nbsp;Amy Mullens ,&nbsp;Joseph Debattista ,&nbsp;Jo Durham ,&nbsp;Zhihong Gu ,&nbsp;Kathryn Wenham ,&nbsp;Armin Ariana ,&nbsp;Charles F. Gilks ,&nbsp;Sara F.E. Bell ,&nbsp;Judith A. Dean","doi":"10.1016/j.anzjph.2024.100136","DOIUrl":"https://doi.org/10.1016/j.anzjph.2024.100136","url":null,"abstract":"<div><h3>Objective</h3><p>University creates unique social environments for many young people that can result in behaviour changes that can impact sexual health-related risks and facilitate transmission of HIV. Little is known about HIV knowledge, risk, and awareness of pre-exposure prophylaxis/post-exposure prophylaxis (PrEP/PEP) among Australian university students.</p></div><div><h3>Methods</h3><p>A 2019 online survey distributed through Queensland universities, using active recruitment/snowball sampling. Descriptive and logistical regression analysis investigated HIV knowledge/risk and PrEP/PEP awareness.</p></div><div><h3>Results</h3><p>Of the 4,291 responses, 60.4% were 20–29 years old, 57.0% identified as heterosexual, and 31.8% were born-overseas. Mean HIV knowledge score was 9.8/12. HIV risk scores were higher among men-who-have-sex-with-men (MSM) (mean=5.2/40) compared to all other sexual behaviours (mean=3.1/40). Logistic regression indicated PrEP and PEP awareness was associated with older age (<em>p</em>&lt;0.05), being non-binary/gender-diverse (<em>p</em>&lt;0.05), and MSM (<em>p</em>&lt;0.05). Lower odds of PrEP awareness were associated with international student status (<em>p</em>&lt;0.05).</p></div><div><h3>Conclusion</h3><p>This study highlights the need for future health promotion targeting younger Australians at risk of HIV to increase uptake of PrEP/PEP, particularly among overseas-born young people and those ineligible for appropriate health care in Australia.</p></div><div><h3>Implications for public health</h3><p>Addressing these gaps will improve sexual health outcomes for young Australians at risk of HIV and work towards virtual elimination of HIV transmission in Australia.</p></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"48 2","pages":"Article 100136"},"PeriodicalIF":3.5,"publicationDate":"2024-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1326020024000116/pdfft?md5=e4f287c75396fd72a4a1b093a0ab968a&pid=1-s2.0-S1326020024000116-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140014294","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":"It matters who you are and where you live: Commonwealth, state and territory policies for access to care for Australians with chronic kidney disease and their caregivers","authors":"Javier Recabarren ,&nbsp;Amanda Dominello ,&nbsp;Nicole Scholes-Robertson ,&nbsp;Allison Jaure ,&nbsp;Germaine Wong ,&nbsp;Jonathan C. Craig ,&nbsp;Martin Howell","doi":"10.1016/j.anzjph.2024.100131","DOIUrl":"https://doi.org/10.1016/j.anzjph.2024.100131","url":null,"abstract":"<div><h3>Objective</h3><p>To describe how Commonwealth, state and territory policies address access to care for Australians living with chronic kidney disease (CKD) with an emphasis on Aboriginal and Torres Strait Islanders and people residing in rural and remote areas.</p></div><div><h3>Methods</h3><p>We searched government health department websites for current policies up to March 2022 that addressed access to care for people with CKD.</p></div><div><h3>Results</h3><p>We included 98 policies: 28 were Commonwealth, and 70 were state or territory-based. There was wide variation in the policies for people with CKD in number and type across the jurisdictions. Of CKD specific policies, only three policies were specific for people living with CKD in rural and remote areas and no policies were specific for Aboriginal and Torres Strait Islander people.</p></div><div><h3>Conclusion</h3><p>There is a lack of CKD-specific policies addressing access to care for Aboriginal and Torres Strait Islander people and people living in rural and remote communities.</p></div><div><h3>Implications for public health</h3><p>Despite the known disparities in the burden of CKD there are few policies addressing CKD disparities for Aboriginal and Torres Strait Islander people and Australians living in rural and remote areas. Policies that specifically address the barriers to accessing care are required to reduce inequities.</p></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"48 2","pages":"Article 100131"},"PeriodicalIF":3.5,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1326020024000062/pdfft?md5=0f3030ab488a50ca6fd639624edf9735&pid=1-s2.0-S1326020024000062-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139993188","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":"What we do matters: Supporting anti-racism and decolonisation of public health teaching and practice through the development of Māori public health competencies","authors":"Nina Veenstra ,&nbsp;Fran Kewene ,&nbsp;Kate Morgaine ,&nbsp;Sue Crengle","doi":"10.1016/j.anzjph.2024.100132","DOIUrl":"https://doi.org/10.1016/j.anzjph.2024.100132","url":null,"abstract":"<div><h3>Objective</h3><p>This research sought to expand on a set of core Māori hauora ā-iwi/public health competencies initially designed for teaching and to enable their use in workplaces.</p></div><div><h3>Methods</h3><p>The research used a kaupapa Māori methodology in four stages including the development of draft levels of competence for all core competencies, consultation hui (meetings), analysis of feedback and redrafting, and respondent validation.</p></div><div><h3>Results</h3><p>Key themes elicited in relation to the content of the competencies included increasing language expectations, the importance of strength-based approaches and self-determination, and the need for individual responsibility to address structural racism. Reflective practice was identified as a fundamental cross-cutting competency. Participants suggested planetary health and political ideologies be included as additional socio-political determinants of health with equity impacts. Key concerns related to the application of the competency document included the need for cultural safety and ensuring that all public health practitioners are ‘seen’.</p></div><div><h3>Conclusions</h3><p>The Māori hauora ā-iwi/public health competencies have been published under a Creative Commons licence.</p></div><div><h3>Implications for public health</h3><p>The process of drafting a set of Māori public health competencies elicited key themes potentially relevant for public health practice in other countries and resulted in a competency document for use by universities and workplaces.</p></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"48 2","pages":"Article 100132"},"PeriodicalIF":3.5,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1326020024000074/pdfft?md5=753c44a43aa345bf34ef55a0575b045e&pid=1-s2.0-S1326020024000074-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139986846","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":"Balancing the risks and benefits of sun exposure: A revised position statement for Australian adults","authors":"Rachel E. Neale ,&nbsp;Victoria Beedle ,&nbsp;Peter R. Ebeling ,&nbsp;Thomas Elliott ,&nbsp;David Francis ,&nbsp;Christian M. Girgis ,&nbsp;Louisa Gordon ,&nbsp;Monika Janda ,&nbsp;Graeme Jones ,&nbsp;Robyn M. Lucas ,&nbsp;Rebecca S. Mason ,&nbsp;Philip Keith Monnington ,&nbsp;Julia Morahan ,&nbsp;Georgia Paxton ,&nbsp;Craig Sinclair ,&nbsp;Stephen Shumack ,&nbsp;Jane Smith ,&nbsp;Ann R. Webb ,&nbsp;David C. Whiteman","doi":"10.1016/j.anzjph.2023.100117","DOIUrl":"10.1016/j.anzjph.2023.100117","url":null,"abstract":"<div><h3>Objective</h3><p>To describe the development of a new position statement regarding balancing the risks and benefits of sun exposure for Australian adults.</p></div><div><h3>Methods</h3><p>We conducted a Sun Exposure Summit in March 2021, with presentations from invited experts and a workshop including representation from academic, clinical, policy, and patient stakeholder organisations. The group considered advice about balancing the risks and benefits of sun exposure for Australian adults and developed a revised consensus position statement.</p></div><div><h3>Results</h3><p>The balance of risks and benefits of sun exposure is not the same for everybody. For people at very high risk of skin cancer, the risks of exposure likely outweigh the benefits; sun protection is essential. Conversely, people with deeply pigmented skin are at low risk of skin cancer but at high risk of vitamin D deficiency; routine sun protection is not recommended. For those at intermediate risk of skin cancer, sun protection remains a priority, but individuals may obtain sufficient sun exposure to maintain adequate vitamin D status.</p></div><div><h3>Conclusions</h3><p>The new position statement provides sun exposure advice that explicitly recognises the differing needs of Australia’s diverse population.</p></div><div><h3>Implications for public health</h3><p>Mass communication campaigns should retain the focus on skin cancer prevention. The new position statement will support the delivery of personalised advice.</p></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"48 1","pages":"Article 100117"},"PeriodicalIF":3.5,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1326020023052949/pdfft?md5=663e98c561462321a8d5a72eeb3279b8&pid=1-s2.0-S1326020023052949-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139728868","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":"Closing loopholes in Australian vaping laws: Why Australia’s proposed vaping reforms are sound public health policy","authors":"Becky Freeman ,&nbsp;Anita Dessaix ,&nbsp;Tanya Buchanan","doi":"10.1016/j.anzjph.2023.100114","DOIUrl":"10.1016/j.anzjph.2023.100114","url":null,"abstract":"","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"48 1","pages":"Article 100114"},"PeriodicalIF":3.5,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1326020023052913/pdfft?md5=de170f6ec271c8f18618f2f294194db7&pid=1-s2.0-S1326020023052913-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139544570","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}