Public Health Research & Practice最新文献

The term 'culturally and linguistically diverse' (CALD) is used in Australia to describe some groups of migrants. Implicitly, the term defines 'others' who are 'different' to the dominant normative Australian. The use of the term as standard language in health literature and public discourse has increased dramatically over the past decade. Australians who are labelled as CALD have argued that the term affects their sense of belonging to the Australian community. As public health researchers and practitioners, we must minimise potential risks of harm, maximise health benefits and ensure the rigour of our data collection, analysis and reporting methods. We argue that we must refrain from continuing to use this concept and that there is no need for a new label to categorise some members of our diverse Australian population as 'others'.

Objectives Promoting the Australian National Bowel Cancer Screening Program in general practice has been identified as an effective strategy to increase participation rates. Despite the positive influence general practitioners (GPs) have on patient decision-making, program endorsement is not routinely included within the national program's policy and practice. The aim of this study was to gain a comprehensive understanding of knowledge, health promotion strategies and the challenges/opportunities for general practice staff to support patient participation and navigation through the National Bowel Cancer Screening Program pathways. Study type A 52-item online cross-sectional survey. Methods A total of 320 general practice clinics in the Metro South Hospital and Health Service, Queensland, Australia received a direct invitation via email to participate. The survey contained items on knowledge, health promotion strategies and challenges/opportunities to endorse participation in the National Bowel Cancer Screening Program, including enquiry about the utilisation of electronic medical records. Results Eighty-eight individuals participated, including GPs, practice managers and practice nurses. Of GPs, 96.2% indicated they were likely to promote the National Bowel Cancer Screening Program to patients. Few participants used systems to identify/notify patients due for screening, and over half indicated that Medicare reimbursements (56.8%) and electronic systems for identifying eligible or overdue patients (53.4%) would support their ability to promote the National Bowel Cancer Screening Program in routine practice. Conclusion Early detection and treatment of bowel cancer is a public health priority in Australia and internationally. Findings highlight the willingness of staff to promote participation; however, the need for incentivisation and streamlined software integration to identify and prompt eligible patients to screen through the National Bowel Cancer Screening Program remains. These findings contribute new evidence regarding the resources, preferences and system-level requirements needed to support routine GP endorsement of the National Bowel Cancer Screening Program.

Objectives Adaptation planning is needed at all levels of government to limit the adverse impacts of climate change on public health. This study aims to examine adaptation planning with a health focus at the local government level in Australia. Methods All 541 Australian local governments were contacted by email, and their websites were searched to determine which had a climate change adaptation plan. These plans were analysed for their health-word content. Results Almost one-quarter (23%, 124/541) of Australian local governments had a climate change adaptation plan. A larger proportion of urban local governments had plans when compared with rural local governments (41% vs 8%, P P P Conclusions Australia's local governments differ in adaptation planning for health and climate change, with just under a quarter having produced a plan, and the extent and nature of health content are highly variable.

sion="1.0" encoding="UTF-8"?> PU Public Health Research and Practice Public Health Res Pract 2204-2091 CSIRO Publishing 36 Gardiner Road Clayton 3168 Victoria Australia PU25066 10.1071/PU25066 Editorial Ten years of Public Health Research & Practice D. Nutbeam Nutbeam Don A * School of Public Health, University of Sydney , Camperdown , NSW , Australia . * Correspondence to: Don Nutbeam School of Public Health, University of Sydney , Camperdown , NSW , Australia Email: don.nutbeam@sydney.edu.au 2 July 2025 35 3 Collection: A Decade of Insight: 10th Anniversary Collection of Public Health Research & Practice . PU25066 10 June 2025 Received 10 June 2025 18 June 2025 Accepted 18 June 2025 2 July 2025 Published 2 July 2025 © 2025 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of the Sax Institute. This is an open access article distributed under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (CC BY-NC-SA ) 2025 CC BY-NC-SA This Editorial highlights recent publications included in the 10th anniversary collection of Public Health Research & Practice . The collection offers reflections from our Editorial Board members and other invited experts on several critical public health issues from the past 10 years, while also looking to future opportunities and challenges. This article belongs to the collection: A Decade of Insight: 10th Anniversary Collection of Public Health Research & Practice .

Objectives and importance of study Adequate funding for comprehensive strategies is crucial to eliminating violence against women. This study examined funding committed during a major policy initiative aimed at reducing violence against women in Australia between 2010 and 2023. Study type A retrospective review of federal, state and territory government budget documents to estimate funding levels and examine the distribution of resources across types of strategies aimed at addressing violence against women in Australia. Methods Review and data extraction of budget estimates and activity descriptions addressing violence against women and gender inequality during the time of Australia's National Plan to Reduce Violence Against Women and their Children . Mixed-method analysis explored trends in funding over time by jurisdiction and strategy type and identified priority actions. Results Of the 508 papers screened, 201 documented relevant information with over 900 extractions for activities addressing violence against women (n =797) and gender inequality (n =110), totalling an estimated A$12.1billion. Rather than a steady investment, funding fluctuated, and jurisdictional differences occurred. Supporting people impacted by violence, raising workforce capacity and developing systems to strengthen the response were supported. Primary prevention, incorporating awareness-raising and promoting gender equality, received fewer resources overall, with funding directed towards education, workplace and sports settings. Conclusions During a critical time of action to reduce violence against women, increased government funding occurred, supporting diverse strategies. However, a lack of clarity and consistency in budget reporting contributed to uncertainty in total funding committed over this timeline. Having a fiscal strategy over the entire action plan will embed long-term funding and improve future planning and monitoring.

Objectives and importance of study Public health aims to improve health at scale through a variety of preventive, protective and response measures. As a deep and broad profession, public health necessitates a wide variety of roles, specialisations and career pathways. This breadth can lead to many public health students experiencing career uncertainty, particularly related to awareness of career options. Ensuring public health education prepares students for the workplace is essential to meet workforce needs. Understanding where graduates work, what they do and what skills they possess can inform career decisions of students and curriculum design to address industry requirements. This study aims to describe and discuss the employment outcomes of Australasian public health alumni using LinkedIn data. Study type Descriptive, observational study, using secondary data. Methods Data on 14,424 alumni, who graduated between 2011 and 2020, were collected from the alumni section of 36 Australasian university LinkedIn pages. Data on geographic location ('where they live'), employment ('where they work' and 'what they do') and self-reported skills ('what they are skilled at') were recorded and analysed. Results Nearly all (95%) of the alumni had lived in an Australian location. Alumni most frequently worked in health care, community and social services, research, or education roles. Major employers included universities (43%), government (27%) and healthcare organisations (22%). Microsoft Office, public health, research skills, leadership, public speaking and project management were the most frequently reported skills, accounting for 51% of entries. Conclusions Tracking alumni via networking sites can provide institutions with valuable information on the skill sets required for employment within the sector and on the nature and scope of employment opportunities for graduates. This information can be used to develop and renew curricula of public health training programs to meet industry requirements. It also offers an opportunity to identify emerging trends, augmenting the requirement for a current training/workplace nexus.

Objectives Healthcare providers play a critical role in increasing vaccine coverage and public confidence in the safety of vaccines. The SARS-CoV-2 pandemic and COVID-19 vaccine responses have posed unique challenges to vaccine safety surveillance and community confidence in immunisation. The need to maintain confidence for high vaccine uptake, reinforces the need for a holistic, robust approach to post-licensure vaccine safety surveillance. This study aimed to examine healthcare providers' perceptions of vaccine safety surveillance. Methods A cross-sectional study with Australian healthcare providers was conducted between November and December 2021. General practitioners, nurses, and pharmacists in current or previous roles administering vaccines were invited to participate in an online survey that assessed their awareness of, and practices related to, vaccine safety surveillance systems. The survey was disseminated via healthcare provider professional networks. Results Of the 562 completed surveys, 552 were included in the analysis. The majority of the healthcare providers (96%) reported being aware that Australia has mechanisms in place to monitor the safety of vaccines after they are approved for use. However, almost a third of participants were not aware of the AusVaxSafety active vaccine safety surveillance system. Among healthcare providers, nurses were more aware of surveillance systems and reported the highest utilisation of vaccine safety surveillance data in their clinical practice. Participants reported confidence in the safety of vaccines as a result of the existence of vaccine safety surveillance systems. Conclusions Healthcare providers in this study showed confidence in the safety of vaccines. However, our findings indicate that despite providers demonstrating increased confidence as a result of the existence of vaccine safety surveillance systems, further efforts should be made to increase immunisation providers' awareness of the systems, particularly in regards to the accessibility and utility of AusVaxSafety vaccine safety data.

Objective The objective of this study was to examine the experiences of Australian residents living in mould-affected homes; the perceived physical and mental health effects of indoor mould exposure; and personal, social, and institutional barriers to remediation of homes affected by mould. Methods Using a multi-method approach, this study combined analyses of data from semi-structured, in-depth interviews conducted in Melbourne (n =11) with open-ended responses to a large national household survey on mould exposure in Australia (N =598) to explore people's direct experiences of living in mould-affected housing. Findings are presented as a narrative description. Results Participants reported mould exposure to be associated with poor physical health, including respiratory and allergic symptoms and exacerbation of chronic illness. Participants also reported detrimental effects on their mental wellbeing, reporting anxiety, stress, decreased self-esteem, and decreased feelings of safety. Numerous barriers to remediation were identified, including a lack of knowledge of appropriate actions, costs, and time needed to arrange and/or conduct remediation works. Residents of the rental sector faced additional challenges, including dependence on the quality of landlord-tenant relations and lack of effective policy enforcement. Conclusions These findings support a policy focus on initiatives to assist rental tenants who have mould in their homes and to provide more information to homeowners on strategies for mould removal. The study underscores the need for better regulatory mechanisms to enforce minimum standards for buildings and for health assessments and treatments to consider indoor mould exposure.

Background In Victoria, Aboriginal maternal and infant health services are funded by the Victorian Government with coordination led by the Victorian Aboriginal Community Controlled Health Organisation (VACCHO). This research aims to compare the distribution of these services with the Aboriginal infant population across all local government areas (LGAs) of Victoria and identify gaps in service availability. Method Statewide mapping of Aboriginal maternal and infant health services in Victoria was undertaken in 2023, and Aboriginal and Torres Strait Islander population data for each LGA in Victoria were sourced from the 2021 Australian Bureau of Statistics Census. Data relating to the geographical location of Aboriginal-specific maternal and infant health services were collected from the websites of VACCHO and the Victorian Department of Health. These data were geocoded and overlaid onto LGAs using a geographical mapping software program. Data were analysed via SPSS, a statistical analysis program. Results There was considerable variation in the availability of Aboriginal-specific maternal and infant health services across both metropolitan and regional areas of Victoria. Only 21 of 79 (27%) Victorian LGAs offered Aboriginal-specific services in either pregnancy or early childhood, and 12 (15%) offered continuity of care throughout pregnancy and early childhood specifically for Aboriginal families. Twenty-seven out of 79 (34%) LGAs offered no specific Aboriginal maternal and infant services. However, the median population of Aboriginal infants in LGAs with some services was significantly higher than in LGAs offering no services (81.0 vs 19.5, P 100 Aboriginal infants had no specific Aboriginal maternal and infant health service. Conclusion Aboriginal-specific maternal and infant health services have been addressing the healthcare needs of Aboriginal families across Victoria since their inception. There does, however, need to be further targeted investment in Aboriginal Community Controlled Health Organisations so that developing communities within Victoria can access continuity of maternal and infant healthcare across the perinatal periods to improve the overall health of future generations of Aboriginal children and families.