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The impact of contextual socioeconomic and demographic characteristics of residents on COVID-19 outcomes during public health restrictions in Sydney, Australia
IF 2.6 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-03-06 DOI: 10.1016/j.anzjph.2025.100228
Maria Gabriela Uribe Guajardo , Corey Moore , Vicki Giannopoulos , Hueiming Liu , Amber Tickle , Pejman Adily , Ferdinand C. Mukumbang , Emma Quinn , Michelle Cunich , Ilan Katz , Andrew Page , Susan Wolfenden , James Gillespie , Paul Haber , Andrew Wilson , Leena Gupta , John Eastwood , Carmen Huckel Schneider

Objective

To investigate the impact of contextual socioeconomic and demographic characteristics of residents on COVID-19 outcomes during public health measures.

Methods

Aggregated data from the NSW Notifiable Conditions Information Management System linked to Australian Census data, by periods of strict and relaxed measures, were used.

Results

During strict measures, residents of areas of lower socioeconomic status (SES) had a higher risk of infection, with the lowest areas having greater risk compared with the highest areas ((hazard ratio (HR)) 7.15, 95% confidence interval (CI) 6.24-8.19). The risk of infection was lower for those aged 40 and over and was higher for males (HR 1.34, 95% CI 1.27-1.40); those in living in areas with larger household sizes (HR 1.56, 95% CI 36-1.78); and individuals in areas with a large proportion of residents born in South Asia (HR 1.18; 95% CI 1.07-1.29), South East Asia (HR 1.20, 95% CI 1.07-1.36) and the Middle East and North Africa (HR 1.67, 95% CI 1.47-1.90). During relaxed restrictions, the impact of variables attenuated but remained significant.

Conclusions

Minorities, those residing in lower SES areas and those living in larger households had worse COVID-19 outcomes during strict public health measures.

Implications for Public Health

Decision-makers should tailor services to avoid inequities.
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引用次数: 0
“Not just students in need”: Findings from a nominal group technique study of what parents want in an Australian school-provided meal system
IF 2.6 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-02-25 DOI: 10.1016/j.anzjph.2025.100221
Alexandra C. Manson , Rebecca K. Golley , Dimity C. Dutch , Brittany J. Johnson

Objective

Interest in national adoption of school-provided meals is growing across Australia; however, parent perspectives are not well understood. This study aimed to understand the most important features of a potential school-provided meal system to parents of primary school children in Australia.

Methods

Virtual Nominal Group Technique workshops with Australian caregivers of primary school-aged children were held to identify, discuss and prioritise features. Discussions were noted and collated collaboratively with participants, with quotes collected. Top voted features were scored using relative importance.

Results

Five workshops with 25 total participants identified 28 diverse features, with interest in a comprehensive, well-designed system. Priority features were nutrition (importance score 0.46), cost (0.42), stigma considerations (0.32), catering to dietary requirements (0.29) and sustainability and waste (0.25).

Conclusions

Findings demonstrated the diverse considerations for a parent-accepted school-provided meal. Prioritised features align with initiatives internationally and locally, indicating feasible strategies to inform an acceptable Australian school food transformation.

Implications for public health

Provision of universally available, accessible and nutritious meals aligns with parent values and creates opportunity for public health impact. Findings can be used to inform the design of school food programs, supported by implementation strategies used internationally and locally, conducive to optimum child and parent health outcomes.
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引用次数: 0
Public holidays, school holidays, and long weekends: Effects on drowning rates in New South Wales
IF 2.6 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-02-01 DOI: 10.1016/j.anzjph.2024.100212
Edwina Mead , Chen-Chun Shu , Pooria Sarrami , Rona Macniven , Amy E. Peden

Objective

To quantify drowning rates and fatal to non-fatal drowning ratios on public holidays, school holidays, weekdays and long weekends in New South Wales from January 2010 to June 2022.

Methods

Using a linked administrative dataset comprising ambulance (paper-based and electronic records), emergency department presentations and death registry, rates of drowning and ratios of fatal to non-fatal drowning were calculated.

Results

Across 4,161 total drowning incidents, public holidays (14.21 incidents/100,000 person-years) and weekends (6.77 incidents/100,000 person-years) had higher population-normalised incident rates than regular weekdays (3.18 incidents/100,000 person-years). School holidays (8.58 incidents/100,000 person-years) recorded higher rates than non-school holiday days (3.46 incidents/100,000 person-years). New Year’s Day and Australia Day accounted for 4.7% of all incidents (n=197 incidents). Drowning during school holidays was higher than non-school holiday days across all seasons, aside from winter school holidays.

Conclusions

Drowning risk is higher on days typically associated with greater leisure time. This study adds to the growing literature identifying temporal variation in drowning risk and is the first to use linked data.

Implications for Public Health

Those tasked with supervising aquatic locations and the provision of water safety messaging should consider the targeted strategies for holidays and weekends such as extended patrols and media-based risk communication.
目标:量化 2010 年 1 月至 2022 年 6 月期间新南威尔士州公共节假日、学校节假日、工作日和长周末的溺水率以及致命与非致命溺水比率:量化 2010 年 1 月至 2022 年 6 月期间新南威尔士州公共假期、学校假期、工作日和长周末的溺水率以及致命与非致命溺水比率:使用由救护车(纸质和电子记录)、急诊科就诊和死亡登记组成的关联行政数据集,计算溺水率和致命与非致命溺水比率:在总共 4,161 起溺水事件中,公共节假日(14.21 起/100,000 人-年)和周末(6.77 起/100,000 人-年)的溺水事件发生率高于平日(3.18 起/100,000 人-年)。学校假期(8.58 起/100,000 人-年)的事故率高于非学校假期(3.46 起/100,000 人-年)。元旦和澳大利亚国庆日发生的事故占所有事故的 4.7%(n=197 起)。除冬季学校假期外,所有季节的学校假期溺水事故都高于非学校假期:溺水风险在休闲时间较多的日子里较高。这项研究为越来越多的确定溺水风险时间变化的文献增添了新的内容,也是第一项使用关联数据的研究:对公共卫生的启示:负责水上活动场所监管和提供水上安全信息的人员应考虑在节假日和周末采取有针对性的策略,如延长巡逻时间和进行基于媒体的风险宣传。
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引用次数: 0
Protective factors for psychological wellbeing: A cross-sectional study of young people attending an urban Aboriginal and Torres Strait Islander primary healthcare service
IF 2.6 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-02-01 DOI: 10.1016/j.anzjph.2024.100218
Geoffrey K.P. Spurling , Deborah A. Askew , Noel E. Hayman , Philip J. Schluter

Objective

This study aimed to measure associations between protective factors associated with positive psychological outcomes for Aboriginal and Torres Strait Islander youth living in an urban area.

Methods

Our primary outcome was the absence of psychological distress, reflecting a positive-outcome approach to analyse health assessment data, using modified Poisson regression, from a cohort of Aboriginal and Torres Strait Islander youth aged 15 to 24 years attending an urban Aboriginal and Torres Strait Islander health service (2016–2021).

Results

Health assessments from 710 participants were analysed, with 72.1% of young people found to not be experiencing depression. Exercise, sport, and absences of marijuana use, smoking cigarettes, difficulty getting a job, homelessness, trouble with the police and experience of violence were associated with an absence of depression.

Conclusions

Most young people were not experiencing depression. A positive-outcome approach provided evidence to support avenues to success which need to be developed with Aboriginal and Torres Strait Islander communities.

Implications for public health

Policy makers, clinicians and health services need to resource and maximise opportunities to access safe accommodation, participate in employment, exercise and play sport and to avoid marijuana, cigarettes, violence and trouble with the police.
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引用次数: 0
Identifying public health competencies for Australian pharmacists: A modified Delphi study 确定澳大利亚药剂师的公共卫生能力:一项改进的德尔菲研究。
IF 2.6 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-02-01 DOI: 10.1016/j.anzjph.2024.100210
Robin Warren , Louise Young , Karen Carlisle , Ian Heslop , Beverley Glass

Objective

This study aimed to define a set of competencies for public health-related services and activities for pharmacists in Australia.

Methods

A modified Delphi technique of two rounds was used to gain consensus by public health and pharmacy professionals on a set of public health competency statements for Australian pharmacists.

Results

Delphi panellists agreed on the inclusion of 27 competency statements organised into three domains of health promotion and illness prevention, health protection and population health quality improvement. Competency statements concerning evaluation of services and reflective practice were revised to achieve agreement in the second Delphi round. Examples of practice were included to illustrate application of the competency to practice.

Conclusions

A set of competencies outlining requirements for pharmacists to bring a public health perspective to practice will assist engagement of the pharmacy profession with public health.

Implications for Public Health

As key providers of public health initiatives, it is important for health professionals, including pharmacists, to engage with public health. Identifying competencies required to deliver effective public health will raise awareness of the contribution of pharmacists to public health and inform their education and professional development.
目的:本研究旨在为澳大利亚的药剂师定义一套公共卫生相关服务和活动的能力。方法:采用改进的两轮德尔菲技术,对澳大利亚药剂师的一套公共卫生能力陈述进行了公共卫生和药学专业人员的共识。结果:德尔菲小组成员同意将27个能力陈述纳入健康促进和疾病预防、健康保护和人口健康质量提高三个领域。关于服务评估和反思实践的能力陈述进行了修订,以在第二轮德尔菲中达成一致。包括实践的例子,以说明应用能力的实践。结论:一套概述了药剂师将公共卫生观点带入实践的要求的能力将有助于药学专业与公共卫生的接触。对公共卫生的影响:作为公共卫生举措的主要提供者,包括药剂师在内的卫生专业人员必须参与公共卫生工作。确定提供有效公共卫生所需的能力将提高对药剂师对公共卫生的贡献的认识,并为他们的教育和专业发展提供信息。
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引用次数: 0
The prevalence of mandated and voluntary health information on alcohol products in Australia
IF 2.6 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-02-01 DOI: 10.1016/j.anzjph.2024.100215
Simone Pettigrew , Asad Yusoff , Bella Sträuli , Leon Booth , Paula O’Brien , Jacquie Bowden , Aimee Brownbill , Julia Stafford , Michelle I Jongenelis , Tazman Davies , Tanya Chikritzhs , Tim Stockwell , Fraser Taylor , Alexandra Jones

Objective

Regulations to restrict alcohol promotion and requirements for mandatory display of information about health risks associated with alcohol use have been minimal and hard-won in Australia. This study (i) outlines an approach to monitoring alcohol industry use of health messages on alcohol products and (ii) reports prevalence and nature of government-mandated health-related information and voluntary health messages on alcohol products.

Methods

Images of 5,923 alcohol products sold in four large alcohol stores in Sydney were captured. Data were collected in-store and via web-scraping. Label content was extracted from the images.

Results

There was high compliance (97%-99%) with government-mandated requirements other than the pregnancy warning label (63%). Presence of voluntary health-related messages was common (65%), but typically present in the form of DrinkWise (an industry-led social aspects/public relations organisation) statements that are unlikely to be effective.

Conclusions

This study provides a unique and systematic approach to examining alcohol industry compliance with government-mandated on-product information requirements and voluntary inclusion of other health-related messages.

Implications for Public Health

The results demonstrate the need for ongoing monitoring to enforce alcohol industry compliance with Australia’s existing and future labelling regulations and to assess the industry’s voluntary use of other forms of health messaging.
{"title":"The prevalence of mandated and voluntary health information on alcohol products in Australia","authors":"Simone Pettigrew ,&nbsp;Asad Yusoff ,&nbsp;Bella Sträuli ,&nbsp;Leon Booth ,&nbsp;Paula O’Brien ,&nbsp;Jacquie Bowden ,&nbsp;Aimee Brownbill ,&nbsp;Julia Stafford ,&nbsp;Michelle I Jongenelis ,&nbsp;Tazman Davies ,&nbsp;Tanya Chikritzhs ,&nbsp;Tim Stockwell ,&nbsp;Fraser Taylor ,&nbsp;Alexandra Jones","doi":"10.1016/j.anzjph.2024.100215","DOIUrl":"10.1016/j.anzjph.2024.100215","url":null,"abstract":"<div><h3>Objective</h3><div>Regulations to restrict alcohol promotion and requirements for mandatory display of information about health risks associated with alcohol use have been minimal and hard-won in Australia. This study (i) outlines an approach to monitoring alcohol industry use of health messages on alcohol products and (ii) reports prevalence and nature of government-mandated health-related information and voluntary health messages on alcohol products.</div></div><div><h3>Methods</h3><div>Images of 5,923 alcohol products sold in four large alcohol stores in Sydney were captured. Data were collected in-store and via web-scraping. Label content was extracted from the images.</div></div><div><h3>Results</h3><div>There was high compliance (97%-99%) with government-mandated requirements other than the pregnancy warning label (63%). Presence of voluntary health-related messages was common (65%), but typically present in the form of DrinkWise (an industry-led social aspects/public relations organisation) statements that are unlikely to be effective.</div></div><div><h3>Conclusions</h3><div>This study provides a unique and systematic approach to examining alcohol industry compliance with government-mandated on-product information requirements and voluntary inclusion of other health-related messages.</div></div><div><h3>Implications for Public Health</h3><div>The results demonstrate the need for ongoing monitoring to enforce alcohol industry compliance with Australia’s existing and future labelling regulations and to assess the industry’s voluntary use of other forms of health messaging.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 1","pages":"Article 100215"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143254470","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
Welcoming the new ANZJPH editor-in-chief 欢迎新上任的澳新公共卫生研究所总编辑及其加强公共卫生研究的战略发展计划。
IF 2.6 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-02-01 DOI: 10.1016/j.anzjph.2024.100217
Alix Hall , Sam McCrabb , Michael Tong , Adyya Gupta , Brianna Poirier , Lisa McHugh , Ye In (Jane) Hwang , Alex P. Metse , Linda Murray , Lisa Gaye Smithers , Summer May Finlay , Luke Wolfenden
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引用次数: 0
Community cleaner air spaces during landscape fire events: What do we know?
IF 2.6 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-02-01 DOI: 10.1016/j.anzjph.2025.100222
Sharon L. Campbell , Janice Wormworth , Donna Green , Nigel Goodman , Sotiris Vardoulakis , Fay H. Johnston , Amanda J. Wheeler
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引用次数: 0
“Basically, my answer is, there needs to be options!” Recommendations for the delivery of free menstrual products to the public: A qualitative exploration among marginalised groups in Victoria, Australia
IF 2.6 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-02-01 DOI: 10.1016/j.anzjph.2024.100219
Alexandra Head , Megan S.C. Lim , Ana Orozco , Laura Dunstan , Amy Kirwan , Julie Hennegan

Objective

Governments have announced free menstrual product provision policies. Our research aimed to inform these initiatives by understanding menstrual product insecurity amongst marginalised groups and their recommendations for product provision.

Methods

We undertook in-depth interviews with participants experiencing menstrual product insecurity, who identified as belonging to one or more marginalised groups, alongside key informants working for organisations serving these populations. Groups included those on low income, people experiencing housing insecurity, people living with disabilities, multicultural groups, gender-diverse people, and young people. Qualitative content analysis was undertaken using a framework approach.

Results

Thirty participants and five key informants participated. Participant recommendations for service delivery emphasised convenience, product choice and prioritisation of those with the greatest need whilst preventing misuse. Participants also considered the balance between the privacy and visibility of delivery mechanisms and the opportunity to address other menstrual needs including education and stigma through product provision policies.

Conclusions

No single delivery approach best suits the needs of all people. Delivery mechanisms must consider how to provide participants’ recommended features.

Implications for Public Health

To best reduce menstrual product insecurity, governments should consider delivering products through multiple mechanisms. Co-development of policy implementation methods with intended beneficiaries, and thorough evaluation, will support uptake.
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引用次数: 0
Yarning about vaccinations: Empowering individuals to have supportive conversations with Aboriginal peoples about vaccinations, using a community-engaged approach 关于接种疫苗的讨论:利用社区参与的方法,授权个人与土著人民就接种疫苗进行支持性对话。
IF 2.6 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-02-01 DOI: 10.1016/j.anzjph.2024.100206
E. Harwood , K. Taylor , K. Clark , P. Murray , J. Stephenson , K. Bolsewicz , J. Leask , K. Crooks

Objective

This study assessed the effectiveness of Aboriginal-led vaccine workshops to enhance knowledge, confidence and supportive conversations regarding scheduled and recommended vaccinations for Aboriginal and Torres Strait Islander people in Hunter New England, New South Wales, Australia.

Methods

We adapted and indigenised an existing vaccine conversation program. Aboriginal and Torres Strait Islander and non-Indigenous people were recruited to workshops delivered either online or face to face.

Results

Seventy participants attended the workshops. Most reported high satisfaction with the workshop content and format, and most reported increased confidence in having vaccine conversations. Post-workshop yarns highlighted the positive impact on community knowledge and collaboration.

Conclusions

Aboriginal-informed and -led education enables and empowers service providers and community members to engage in supportive vaccine conversations with Aboriginal and Torres Strait Islander people.

Implications for Public Health

These findings highlight the need for localised strategies to enhance vaccine understanding with Aboriginal and Torres Strait Islander communities, as well as offering valuable insights to tailor immunisation programs and rollouts of future vaccines.
目的:本研究评估了澳大利亚新南威尔士州亨特新英格兰地区土著居民和托雷斯海峡岛民开展的以土著居民为主导的疫苗讲习班的有效性,以提高他们对计划接种和推荐接种疫苗的知识、信心和支持性对话。方法:我们对现有的疫苗对话程序进行了改编和本土化。土著居民和托雷斯海峡岛民以及非土著居民被招募参加在线或面对面授课的讲习班。结果:70名参与者参加了研讨会。大多数报告对讲习班的内容和形式表示高度满意,大多数报告对开展疫苗对话的信心增加。工作坊后的故事强调了对社区知识和合作的积极影响。结论:土著居民知情和主导的教育使服务提供者和社区成员能够与土著和托雷斯海峡岛民进行支持性疫苗对话。对公共卫生的影响:这些发现强调需要制定本地化策略,以加强土著和托雷斯海峡岛民社区对疫苗的了解,并为定制免疫规划和未来疫苗的推广提供有价值的见解。
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引用次数: 0
期刊
Australian and New Zealand Journal of Public Health
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