Australian and New Zealand Journal of Public Health最新文献

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Type and prevalence of nutrition-related claims on alcoholic ready-to-drink beverages 含酒精即饮饮料的营养相关声明的类型和流行程度。
IF 3.5 3区 医学
Australian and New Zealand Journal of Public Health Pub Date : 2023-12-01 DOI: 10.1016/j.anzjph.2023.100106
Bella Sträuli , Leon Booth , Nadia Laznik , Simone Pettigrew
{"title":"Type and prevalence of nutrition-related claims on alcoholic ready-to-drink beverages","authors":"Bella Sträuli ,&nbsp;Leon Booth ,&nbsp;Nadia Laznik ,&nbsp;Simone Pettigrew","doi":"10.1016/j.anzjph.2023.100106","DOIUrl":"10.1016/j.anzjph.2023.100106","url":null,"abstract":"<div><h3>Objective</h3><p>To examine the extent of nutrition-related claims on ready-to-drink (RTD) alcohol products to provide insights into the types and prevalence of claims across the category.</p></div><div><h3>Methods</h3><p>Product type, alcohol content, and presence/type of nutrition-related claims (n=491) information was collected, March-May 2022. Chi-square analyses with pairwise z-tests were used to identify differences in claim prevalence by product type. Spearman’s correlation was used to assess the relationship between alcohol content and number of claims.</p></div><div><h3>Results</h3><p>Approximately half (52%) of RTDs displayed at least one claim, with the most common claims referring to naturalness (32%), sugar- (31%), and energy-content (32%). Hard seltzers displayed the most claims (96%, M=3.4 claims/product, SD=1.6). There was a moderate negative correlation between alcohol content and number of claims (r =-.43, p&lt;.001).</p></div><div><h3>Conclusion</h3><p>Results show the extensive use of nutrition-related claims on RTDs in Australia, particularly for hard seltzers.</p></div><div><h3>Implications for public health</h3><p>Nutrition-related claims have the potential to mislead consumers about the healthiness of alcohol products and more stringent regulation of nutrition-related claims is needed.</p></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1326020023052834/pdfft?md5=f51e3632ea0a8711aadaf20da1240fc0&pid=1-s2.0-S1326020023052834-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138469808","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}
引用次数: 0
Q fever awareness in Australia: A scoping review Q热意识在澳大利亚:范围审查
IF 3.5 3区 医学
Australian and New Zealand Journal of Public Health Pub Date : 2023-11-27 DOI: 10.1016/j.anzjph.2023.100099
George Hamad , Geetha Ranmuthugala
{"title":"Q fever awareness in Australia: A scoping review","authors":"George Hamad ,&nbsp;Geetha Ranmuthugala","doi":"10.1016/j.anzjph.2023.100099","DOIUrl":"https://doi.org/10.1016/j.anzjph.2023.100099","url":null,"abstract":"<div><h3>Objective</h3><p>To investigate the level of Q fever awareness in Australia.</p></div><div><h3>Methods</h3><p>A scoping review was conducted by searching the electronic databases Medline, PubMed and Web of Science using keywords for Q fever, awareness, knowledge, and Australian locations. The search was initially limited to articles published in the 10 years prior to June 2022 and then extended up to and including August 2023; yielding 387 records.</p></div><div><h3>Results</h3><p>Fifteen articles were assessed as being eligible. These articles reported on surveys and interviews conducted with farmers, veterinary practitioners and nurses, medical practitioners, policy makers, researchers, industry representatives, animal science students, cat breeders, wildlife rehabilitators, and agriculture show attendees. Farmers were the largest group represented. Level of Q fever awareness amongst these communities, including those at high-risk, was generally low. The need for increased awareness was recognised. General practitioner awareness levels were low and recognised to be so by high-risk groups. Awareness of preventive measures including vaccination was greater among those with greater awareness and risk.</p></div><div><h3>Conclusion</h3><p>With the availability of a highly effective vaccine in Austrlia, there is a need to increase Q fever knowledge and awareness among high-risk groups and primary health care practitioners.</p></div><div><h3>Implications for public health</h3><p>Strategies to increase awareness and knowledge of Q fever risks and prevention strategies may assist with reducing Q fever burden in Australia.</p></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1326020023052767/pdfft?md5=55131dc7929978acb39fda556e324d34&pid=1-s2.0-S1326020023052767-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138447925","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}
引用次数: 0
Navigating child product safety: Perspectives from experts on international challenges and priorities in regulation and research 导航儿童产品安全:专家对国际挑战和监管和研究重点的看法。
IF 3.5 3区 医学
Australian and New Zealand Journal of Public Health Pub Date : 2023-11-19 DOI: 10.1016/j.anzjph.2023.100103
Catherine Niven , Kim A. Vuong , Luke Nottage , James E. Harrison , Holger Möller , Jesani Catchpoole , Rebecca Ivers , Kirsten Vallmuur
{"title":"Navigating child product safety: Perspectives from experts on international challenges and priorities in regulation and research","authors":"Catherine Niven ,&nbsp;Kim A. Vuong ,&nbsp;Luke Nottage ,&nbsp;James E. Harrison ,&nbsp;Holger Möller ,&nbsp;Jesani Catchpoole ,&nbsp;Rebecca Ivers ,&nbsp;Kirsten Vallmuur","doi":"10.1016/j.anzjph.2023.100103","DOIUrl":"10.1016/j.anzjph.2023.100103","url":null,"abstract":"<div><h3>Objective</h3><p>To elicit and summarise collective expert opinion on contemporary child product safety risks, challenges and priorities.</p></div><div><h3>Methods</h3><p>An online survey targeted international experts from a cross-section of product safety fields.</p></div><div><h3>Results</h3><p>Fifty-five experts participated, representing 1,137 years of product safety experience, from a broad range of fields including industry risk management, product assessment and testing, policy and regulation, research, paediatric medicine, advocacy and product liability. Participants identified the leading product safety hazards across all age brackets as falls, drowning and chemical hazards, with variance in specific age brackets, particularly the threat to breathing hazards for infants. The leading products of concern to experts were electrical connection/distribution products, primarily button batteries and lithium-ion batteries, infant furnishing products and household furniture. Product safety priorities and challenges were identified under five themes: regulatory, surveillance, industry, consumer and product-specific.</p></div><div><h3>Conclusions</h3><p>The gains in knowledge, insight and understanding from experts on contemporary child product safety risks and issues should inform policy and future research.</p></div><div><h3>Implications for Public Health</h3><p>There are significant consequences of unsafe consumer products on population health, and the results are timely as we face new product safety issues emerging from e-commerce, the digital transition and innovative product technologies.</p></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2023-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1326020023052809/pdfft?md5=593e85d73eb022f3dca10d047829a2a2&pid=1-s2.0-S1326020023052809-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138046100","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}
引用次数: 0
Enhancement of scoping review methodology to reflect Aboriginal and Torres Strait Islander ways of knowing, being and doing 加强范围审查方法,以反映土著和托雷斯海峡岛民的认识、存在和行为方式
IF 3.5 3区 医学
Australian and New Zealand Journal of Public Health Pub Date : 2023-11-15 DOI: 10.1016/j.anzjph.2023.100096
Tina Brodie , Natasha J. Howard , Odette Pearson , Kootsy Canuto , Alex Brown , The Advisory Group
{"title":"Enhancement of scoping review methodology to reflect Aboriginal and Torres Strait Islander ways of knowing, being and doing","authors":"Tina Brodie ,&nbsp;Natasha J. Howard ,&nbsp;Odette Pearson ,&nbsp;Kootsy Canuto ,&nbsp;Alex Brown ,&nbsp;The Advisory Group","doi":"10.1016/j.anzjph.2023.100096","DOIUrl":"https://doi.org/10.1016/j.anzjph.2023.100096","url":null,"abstract":"<div><h3>Objective</h3><p>This paper argues for the enhancement of scoping review methods to incorporate Indigenous ways of knowing, being, and doing for more effective understandings of evidence of importance to Indigenous populations.</p></div><div><h3>Methods</h3><p>Scoping review methodology typically aims to understand existing evidence and support translation of evidence into practice. Levac and colleagues (2010) scoping review methodology stages: 1) Identify the research question; 2) Identify relevant studies; 3) Study selection; 4) Charting the data; 5) Collating, summarising, and reporting results; and 6) Consultation were considered from the perspective of Indigenous knowledges and adapted accordingly.</p></div><div><h3>Results</h3><p>An enhanced method better aligns with Indigenous methodologies which are based on relationality, collaboration, partnership, reciprocity, and benefit. Consultation was redefined in this enhancement as <em>partnership</em> and integrated throughout scoping review stages, which are underpinned by key methodological principles.</p></div><div><h3>Conclusions</h3><p>Enhancement of scoping review stages with Indigenous ways of knowing, being, and doing has the potential to strengthen the utility of scoping review methods to better meet the needs of and ensure relevance for Indigenous populations.</p></div><div><h3>Implications for public health</h3><p>These enhancements can increase the potential for knowledge translation and implementation of culturally relevant evidence-based approaches into practice for Indigenous populations and for other populations who experience health inequities.</p></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1326020023052731/pdfft?md5=6f9af17c9ecd65c2b354309e54c6be5a&pid=1-s2.0-S1326020023052731-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134654928","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}
引用次数: 0
Evaluating the benefit of serology during potential Australian bat lyssavirus and rabies post-exposure prophylaxis 评估血清学在潜在的澳大利亚蝙蝠赖沙病毒和狂犬病暴露后预防期间的益处。
IF 3.5 3区 医学
Australian and New Zealand Journal of Public Health Pub Date : 2023-11-06 DOI: 10.1016/j.anzjph.2023.100091
James Harris, Alexandra Uren, James Smith, Emily Titmus, Megan Young
{"title":"Evaluating the benefit of serology during potential Australian bat lyssavirus and rabies post-exposure prophylaxis","authors":"James Harris,&nbsp;Alexandra Uren,&nbsp;James Smith,&nbsp;Emily Titmus,&nbsp;Megan Young","doi":"10.1016/j.anzjph.2023.100091","DOIUrl":"10.1016/j.anzjph.2023.100091","url":null,"abstract":"<div><p>Post-exposure prophylaxis (PEP) for potential lyssavirus exposures consists of wound management, rabies vaccination and may include rabies immunoglobulin (RIG). Rabies serology is sometimes indicated if there is risk of PEP failure.</p></div><div><h3>Objectives</h3><p>Evaluate the benefit of serology by indication.</p></div><div><h3>Methods</h3><p>Chart review of potential lyssavirus exposures managed at a Public Health Unit (June 2015 – December 2022) where serology was requested was conducted. The proportion of non-therapeutic titres was compared by sex, age, Indigenous status, serology indication, and whether RIG was given.</p></div><div><h3>Results</h3><p>46 notifications with serology were included. Males (5/19) and people over 40 (3/16) were more likely to demonstrate a non-therapeutic response. 2/3 of cases where vaccine doses were not given in the deltoid were non-therapeutic. The rate of non-therapeutic titres was similar for RIG given into the ipsilateral arm (2/11) and given excess RIG for weight (1/4). Although this small sample was inconclusive in isolation, it was also noted that all cases who did not receive RIG had therapeutic serology, whereas 6/35 of those receiving RIG had non-therapeutic serology.</p></div><div><h3>Conclusions</h3><p>This study supports broader literature questioning the utility of systemic RIG administration as likely limited and potentially detrimental considering the increased risk of immune interference.</p></div><div><h3>Implications for public health</h3><p>Highlights a need to review Australian national guidelines to align with World Health Organization advice recommending local RIG administration only.</p></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1326020023052688/pdfft?md5=b82c63f35f552e3a84dbc7fc865ff02b&pid=1-s2.0-S1326020023052688-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71520316","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}
引用次数: 0
Area-level geographic and socioeconomic factors and the local incidence of SARS-CoV-2 infections in Queensland between 2020 and 2022 地区层面的地理和社会经济因素以及2020年至2022年间昆士兰严重急性呼吸系统综合征冠状病毒2型感染的本地发病率。
IF 3.5 3区 医学
Australian and New Zealand Journal of Public Health Pub Date : 2023-10-20 DOI: 10.1016/j.anzjph.2023.100094
Selina Ward, Angela Cadavid Restrepo, Lisa McHugh
{"title":"Area-level geographic and socioeconomic factors and the local incidence of SARS-CoV-2 infections in Queensland between 2020 and 2022","authors":"Selina Ward,&nbsp;Angela Cadavid Restrepo,&nbsp;Lisa McHugh","doi":"10.1016/j.anzjph.2023.100094","DOIUrl":"10.1016/j.anzjph.2023.100094","url":null,"abstract":"<div><h3>Objective</h3><p>Calculate the incidence of SARS-CoV-2 (COVID-19) infection notifications and the influence of area-level geographic and socioeconomic factors in Queensland using real-time data from the COVID-19 Real-time Information System for Preparedness and Epidemic Response (CRISPER) project.</p></div><div><h3>Design and setting</h3><p>Population-level ecological study and spatial mapping of the incidence of COVID-19 infection notifications in Queensland, by postcode, 2020–2022.</p></div><div><h3>Main outcome measures</h3><p>Proportions and distribution of COVID-19 infection notifications by year, age-group, socioeconomic disadvantage, and geospatial mapping. Incidence rate ratios (IRRs) were calculated.</p></div><div><h3>Results</h3><p>Between 28 January 2020 and 30 June 2022, a total of 609,569 cases of COVID-19 associated with a Queensland postcode were recorded. The highest proportion of cases occurred in 2022 (96.5%), and in the 20- to 24-year age category (IRR = 1.787). In non–Major City areas, there was also a higher incidence of COVID-19 cases in lower socioeconomic areas (IRR = 0.84) than in higher socioeconomic areas (IRR = 0.66).</p></div><div><h3>Conclusions</h3><p>Queensland experienced its highest proportion of COVID-19 cases once domestic and international borders opened. However, geographic and socioeconomic factors may have still contributed to a higher incidence of COVID-19 cases across some Queensland areas.</p></div><div><h3>Implications for Public Health</h3><p>Although Australia has moved from the emergency response phase of the COVID-19 pandemic, we need to ensure ongoing prevention strategies target groups and areas that we have identified with the highest incidence.</p></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41189613","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
Transdisciplinary stakeholder understandings of antimicrobial resistance: An integrative approach in Aotearoa New Zealand 跨学科利益相关者对抗菌药物耐药性的理解:新西兰奥特亚的一种综合方法。
IF 3.5 3区 医学
Australian and New Zealand Journal of Public Health Pub Date : 2023-10-16 DOI: 10.1016/j.anzjph.2023.100093
Sarah Mitchell, Alexandra Macmillan, Kate C Morgaine, Patricia Priest
{"title":"Transdisciplinary stakeholder understandings of antimicrobial resistance: An integrative approach in Aotearoa New Zealand","authors":"Sarah Mitchell,&nbsp;Alexandra Macmillan,&nbsp;Kate C Morgaine,&nbsp;Patricia Priest","doi":"10.1016/j.anzjph.2023.100093","DOIUrl":"10.1016/j.anzjph.2023.100093","url":null,"abstract":"<div><h3>Objective</h3><p>Antimicrobial resistance (AMR) is a complex public health issue, with a range of influences across human, animal, and environmental health. Given the complexity of the problem, the diversity of stakeholders, and the failure of current policies to curb AMR worldwide, integrative approaches are needed to identify effective actions. Underpinned by systems thinking and One Health principles, this qualitative study explored how diverse AMR experts in Aotearoa New Zealand perceive the main drivers and effects of AMR.</p></div><div><h3>Methods</h3><p>Semi-structured interviews with clinical, academic, policy, community, and industry representatives were designed to elicit mental models of the causes and outcomes of AMR across dimensions.</p></div><div><h3>Results</h3><p>Thematic analysis revealed contrasting understandings of AMR causes across four domains: food-producing animals (livestock), healthcare, community, and environment. AMR was often framed as a problem of individual behaviour, despite many implicit references to underlying structural economic influences. The politics of collaboration was a further major underlying theme. The interviews highlighted fundamental connections between AMR and other complex issues, including poverty and environmental pollution.</p></div><div><h3>Implications for public health</h3><p>This study brings together the understandings of AMR of transdisciplinary stakeholders, providing some immediate insights for policy makers and setting the foundation for developing a collaborative system model of AMR as a basis for decision-making.</p></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49673797","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
The enduring harm from permanent offshore processing arrangements in the Pacific Islands 太平洋岛屿永久性离岸加工安排的持久危害。
IF 3.5 3区 医学
Australian and New Zealand Journal of Public Health Pub Date : 2023-10-11 DOI: 10.1016/j.anzjph.2023.100095
Kyli Hedrick , Rohan Borschmann
{"title":"The enduring harm from permanent offshore processing arrangements in the Pacific Islands","authors":"Kyli Hedrick ,&nbsp;Rohan Borschmann","doi":"10.1016/j.anzjph.2023.100095","DOIUrl":"10.1016/j.anzjph.2023.100095","url":null,"abstract":"","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2023-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41189614","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
An outbreak of acute rheumatic fever in a remote Aboriginal community 在一个偏远的土著社区爆发的急性风湿热。
IF 3.5 3区 医学
Australian and New Zealand Journal of Public Health Pub Date : 2023-10-01 DOI: 10.1016/j.anzjph.2023.100077
Natasha Egoroff , Hilary Bloomfield , Wanamula Gondarra , Brando Yambalpal , Terrence Guyula , Demi Forward , Gemma Lyons , Emer O’Connor , Lou Sanderson , Michelle Dowden , Desley Williams , Jessica de Dassel , Pasqualina Coffey , Elizabeth Rrapa Dhurrkay , Veronica Gondarra , Deborah C. Holt , Vicki L. Krause , Bart J. Currie , Kalinda Griffiths , Karen Dempsey , Anna Glynn-Robinson
{"title":"An outbreak of acute rheumatic fever in a remote Aboriginal community","authors":"Natasha Egoroff ,&nbsp;Hilary Bloomfield ,&nbsp;Wanamula Gondarra ,&nbsp;Brando Yambalpal ,&nbsp;Terrence Guyula ,&nbsp;Demi Forward ,&nbsp;Gemma Lyons ,&nbsp;Emer O’Connor ,&nbsp;Lou Sanderson ,&nbsp;Michelle Dowden ,&nbsp;Desley Williams ,&nbsp;Jessica de Dassel ,&nbsp;Pasqualina Coffey ,&nbsp;Elizabeth Rrapa Dhurrkay ,&nbsp;Veronica Gondarra ,&nbsp;Deborah C. Holt ,&nbsp;Vicki L. Krause ,&nbsp;Bart J. Currie ,&nbsp;Kalinda Griffiths ,&nbsp;Karen Dempsey ,&nbsp;Anna Glynn-Robinson","doi":"10.1016/j.anzjph.2023.100077","DOIUrl":"10.1016/j.anzjph.2023.100077","url":null,"abstract":"<div><h3>Objectives</h3><p>We describe the public health response to an outbreak of acute rheumatic fever (ARF) in a remote Aboriginal community.</p></div><div><h3>Methods</h3><p>In August 2021, the Northern Territory Rheumatic Heart Disease Control Program identified an outbreak of acute rheumatic fever in a remote Aboriginal community. A public health response was developed using a modified acute poststreptococcal glomerulonephritis protocol and the National Acute Rheumatic Fever Guideline for Public Health Units.</p></div><div><h3>Results</h3><p>12 cases were diagnosed during the outbreak; six-times the average number of cases in the same period in the five years prior (n=1.8). Half (n=6) of the outbreak cases were classified as recurrent episodes with overdue secondary prophylaxis. Contact tracing and screening of 11 households identified 86 close contacts.</p></div><div><h3>Conclusions</h3><p>This outbreak represented an increase in both first episodes and recurrences of acute rheumatic fever and highlights the critical need for strengthened delivery of acute rheumatic fever secondary prophylaxis, and for improvements to the social determinants of health in the region.</p></div><div><h3>Implications for Public Health</h3><p>Outbreaks of acute rheumatic fever are rare despite continuing high rates of acute rheumatic fever experienced by remote Aboriginal communities. Nevertheless, there can be improvements in the current national public health guidance relating to acute rheumatic fever cluster and outbreak management.</p></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10070294","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
Changing conversations about family violence in regional Western Australia: A primary prevention communication case study 西澳大利亚地区关于家庭暴力的对话不断变化:一项初级预防沟通案例研究。
IF 3.5 3区 医学
Australian and New Zealand Journal of Public Health Pub Date : 2023-10-01 DOI: 10.1016/j.anzjph.2023.100089
Helen Fordham , Heath Greville , Monica Moran , Dane Waters , Sandra C. Thompson
{"title":"Changing conversations about family violence in regional Western Australia: A primary prevention communication case study","authors":"Helen Fordham ,&nbsp;Heath Greville ,&nbsp;Monica Moran ,&nbsp;Dane Waters ,&nbsp;Sandra C. Thompson","doi":"10.1016/j.anzjph.2023.100089","DOIUrl":"10.1016/j.anzjph.2023.100089","url":null,"abstract":"<div><h3>Objective</h3><p>To illuminate the enablers and challenges of implementing a communication strategy designed to support Community, Respect, Equality (CRE) and a family and domestic violence (FDV) primary prevention plan in a regional Western Australian town.</p></div><div><h3>Method</h3><p>This research draws on documentation and interviews with members of Leading Lights, an advocacy group arising from a collaboration of local organisations to communicate the goals and priorities of the CRE action plan. Interviews explored how primary prevention messages were promoted to foster supportive community attitudes toward addressing the drivers of FDV.</p></div><div><h3>Results</h3><p>The initiative fostered a learning community that coordinated public messaging about the drivers of FDV for organisations pledged to the CRE values. The diffusion of messaging was affected over time by inconsistent staffing, discontinuities in resourcing and individual organisational commitment, and concerns about gender equality messaging.</p></div><div><h3>Conclusion</h3><p>The communications strategy increased awareness of the drivers of FDV among the members of the Leading Lights. In turn, this group produced media content that made visible each organisation’s commitment to addressing the attitudes and behaviours that enable FDV.</p></div><div><h3>Implications for public health</h3><p>Community collaborations need time, resourcing, and coordination to sustainably prompt changes in social norms that underpin violence.</p></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41105322","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
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