Australian and New Zealand Journal of Public Health最新文献

英文中文

Leveraging Indigenous Peoples' foods and botanicals to improve health, social wellbeing, cultural identity and economic self-determination. 利用土著人民的食物和植物来改善健康、社会福利、文化认同和经济自决。

IF 2.4 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health

Pub Date : 2026-03-17 DOI: 10.1016/j.anzjph.2025.100311

Luke B Williams, Jacob Birch, Caroline Deen, Hamish MacDonald, Veronica Matthews, Brett Rowling, Alana Gall

引用次数: 0

New data showing dementia is Australia's leading cause of death means we need to make brain health a national priority. 新数据显示，痴呆症是澳大利亚的主要死因，这意味着我们需要把大脑健康作为国家的优先事项。

IF 2.4 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health

Pub Date : 2026-03-10 DOI: 10.1016/j.anzjph.2026.100318

Emilie Awbery, Tanya Buchanan

引用次数: 0

Early childhood weight status among Aboriginal and Torres Strait Islander and non-Aboriginal children in Victoria, Australia: A repeated cross-sectional analysis 澳洲维多利亚州原住民、托雷斯海峡岛民与非原住民儿童的早期体重状况：重复横断面分析

IF 2.4 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health

Pub Date : 2026-02-01 Epub Date: 2025-12-19 DOI: 10.1016/j.anzjph.2025.100299

Simone Sherriff (Wotjobaluk) , Jennifer Browne , Denise Becker , Nichole Lister (Wonnarua) , Fiona Mitchell (Mununjali) , Abe Ropitini (Ngāti Kahungunu, Ngāti Maniapoto, Trawlwoolway) , Liliana Orellana , Melanie Nichols

Objective

To assess early childhood weight status among Aboriginal and Torres Strait Islander and non-Aboriginal children in Victoria, focussing on age and geographic differences.

Methods

We analysed deidentified Maternal and Child Health records (2010-2015) across 68 Victorian Local Government Areas, comparing differences in Body Mass Index z-score (zBMI) and prevalence of healthy weight (1<zBMI ≤ 1) at 8 weeks, 4 months, 8 months, 1 year and 2 years. Disparities were examined by geographic remoteness and area-level socioeconomic position using linear mixed models.

Results

At 8 weeks, 70.5% of Aboriginal and Torres Strait Islander and 70.7% of non-Aboriginal children had a healthy weight. Differences in zBMI at 8 weeks were only present among children in the least advantaged areas and major cities. Disparities in healthy zBMI appeared at 4 months and persisted through 2 years. From 4 months, zBMI was significantly higher among Aboriginal and Torres Strait Islander children (p<0.0001), including within socioeconomic and remoteness subgroups, except at age 2 in rural areas (p=0.34).

Conclusions

Disparities in weight status emerge from 4 months with place-based differences at 8 weeks.

Implications for public health

Findings underscore the importance of accessible, culturally safe maternal and infant health care and action on socioeconomic inequity.

目的评估维多利亚州原住民、托雷斯海峡岛民和非原住民儿童的早期体重状况，重点关注年龄和地理差异。方法：我们分析了维州68个地方政府辖区2010-2015年的孕产妇和儿童健康记录，比较了8周、4个月、8个月、1年和2年的体重指数z-score （zBMI）和健康体重（1<zBMI≤1）患病率的差异。利用线性混合模型考察了地理偏远程度和地区社会经济地位的差异。结果8周时，70.5%的土著和托雷斯海峡岛民儿童及70.7%的非土著儿童体重正常。8周时的zBMI差异仅存在于最贫困地区和主要城市的儿童中。健康zBMI的差异在4个月时出现，并持续了2年。从4个月开始，土著人和托雷斯海峡岛民儿童的zBMI显著较高（p= 0.0001），包括社会经济和偏远地区的亚组，但农村地区2岁时除外（p=0.34）。结论体重状况的差异从4个月开始出现，而基于地点的差异出现在8周。对公共卫生的影响调查结果强调了可获得的、文化上安全的孕产妇和婴儿保健以及对社会经济不平等采取行动的重要性。

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引用次数: 0

Can trachoma be eliminated using SAFE or should the model be reversed to EFAS? 沙眼可以用SAFE消除吗？还是应该改用EFAS？

IF 2.4 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health

Pub Date : 2026-02-01 Epub Date: 2025-12-18 DOI: 10.1016/j.anzjph.2025.100300

Melissa Stoneham , Christina Pollard , Matthew Lester , Scott MacKenzie

引用次数: 0

Prevalence and protective factors for walu-win ngawaal (healthy weight) status in Aboriginal children living in urban and regional Australia 生活在澳大利亚城市和地区的土著儿童walu-win ngawaal（健康体重）状况的患病率和保护因素

IF 2.4 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health

Pub Date : 2026-02-01 Epub Date: 2025-12-27 DOI: 10.1016/j.anzjph.2025.100293

Simone Sherriff , Leonie Burgess , Michelle Dickson , Emily Banks , Sandra Eades , Natalie Smith , Lachlan Wright , Jonathan C. Craig , Louise A. Baur , Sumithra Muthayya

Objective

To identify factors protective of healthy weight for Aboriginal children living in urban and regional Australia.

Methods

Data were collected from 1139 Aboriginal children aged 2–19 years from the Study of Environment on Aboriginal Resilience and Child Health (SEARCH). BMI z-scores were calculated using WHO age and sex specific cut-offs. Poisson regression models were used to examine the association between BMI z-scores and child- and family-level socio-demographic, lifestyle, and environmental factors.

Results

A majority of children had a healthy weight (67 %); 17 % had overweight and 16 % had obesity, with similar percentages for females and males in all three categories. Children were more likely to have a healthy weight if they were younger, had a lower waist-to-height (WHtR) ratio, a caregiver with a healthy weight and had housing affordability problems. For every extra hour of physical activity undertaken per day children were 7 % more likely to have a healthy weight.

Conclusions

Healthy weight prevalence decreased with increasing age and decreasing physical activity levels in Aboriginal children and was strongly linked to caregiver BMI.

Implications for public health

Implementing effective, community-led, culturally sensitive programs that support increased physical activity and promote healthy weight in childhood should be a public health priority.

目的探讨生活在澳大利亚城市和地区的土著儿童健康体重的保护因素。方法对1139名2-19岁的原住民儿童进行数据收集，数据来源于“环境对原住民弹性和儿童健康的影响”研究。BMI z分数是使用WHO年龄和性别特定截断值计算的。使用泊松回归模型来检验BMI z分数与儿童和家庭层面的社会人口统计学、生活方式和环境因素之间的关系。结果大多数儿童体重正常（67%）；17%的人超重，16%的人肥胖，在这三种情况下，女性和男性的比例相似。如果孩子年龄较小，腰高比较低，照顾者体重健康，并且有住房负担能力问题，那么他们更有可能拥有健康的体重。每天多锻炼一小时，孩子保持健康体重的可能性就会提高7%。结论土著儿童健康体重患病率随着年龄的增长和体力活动水平的降低而下降，并与照顾者的体重指数密切相关。实施有效的、社区主导的、对文化敏感的项目，支持儿童增加身体活动和促进健康体重，应该是公共卫生的优先事项。

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引用次数: 0

A One Health approach to leptospirosis: Current serosurveillance practices and climate change leave Australia at increasing risk 对钩端螺旋体病采取“同一个健康”方针：目前的服务监测做法和气候变化使澳大利亚面临越来越大的风险。

IF 2.4 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health

Pub Date : 2026-02-01 Epub Date: 2026-02-08 DOI: 10.1016/j.anzjph.2025.100297

Jacqueline Epps , Peter D. Massey , Geetha Ranmuthugala , Alison Colvin , Kim Usher , Clare Heal , Leanne Hall , Michelle Guppy

引用次数: 0

Trends in the incidence of aged care program utilisation by older Aboriginal and Torres Strait Islander people, 2010–2019 2010-2019年老年原住民和托雷斯海峡岛民老年护理方案使用率趋势

IF 2.4 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health

Pub Date : 2026-02-01 Epub Date: 2025-12-11 DOI: 10.1016/j.anzjph.2025.100294

Greer Humphrey , Gillian E. Caughey , Tracy Air , Clare Bradley , Noeleen Tunny , Alex Brown , Steve Wesselingh , Maria C. Inacio , Odette Pearson , the ROSA Aboriginal and Torres Strait Islander Steering Committee

Objective

To study the trends in incident aged care service use among Aboriginal and Torres Strait Islander Australians.

Methods

Annual incidence of aged care use among Aboriginal and Torres Strait Islander people (2010–2019) were evaluated using the Registry of Senior Australians Historical Cohort and Australian Bureau of Statistics population estimates. Trends were examined by incident rate ratios (IRRs) using Poisson or negative binomial regression adjusted for age, sex and remoteness.

Results

Among 15,106 individuals, incident aged care assessments increased from 10.6/1000 [95% confidence interval [CI]: 9.7–11.1) in 2010 to 14.6/1000 (95%CI: 14.0–15.2) in 2019 (IRR=1.04/year, 95%CI: 1.03–1.05). Incident aged care service use increased from 7.4/1000 (95%CI: 6.8–8.0) to 9.7/1000 (95%CI: 9.2–10.2; IRR=1.02/year, 95%CI: 1.01–1.03). Increases occurred in metropolitan and regional areas, with the greatest increase observed for home care packages (≥8% annually). In remote areas, the use of home care packages decreased by ≥5% annually.

Conclusions

Increased use of aged care programs is encouraging. However, declining use in remote areas highlight the need for improved access to aged care.

Implications for Public Health

Equitable access and use of aged care services will require the reforms underway to incorporate Aboriginal and Torres Strait Islander preferences for aged care.

目的研究澳洲原住民和托雷斯海峡岛民的意外老年护理服务使用趋势。方法采用澳大利亚老年人历史队列登记和澳大利亚统计局人口估计，评估2010-2019年土著和托雷斯海峡岛民老年人护理使用的年发生率。采用泊松回归或负二项回归对年龄、性别和偏远地区进行校正，通过事故率比（IRRs）检查趋势。结果在15,106名个体中，事件老年护理评估从2010年的10.6/1000（95%可信区间[CI]: 9.7-11.1）增加到2019年的14.6/1000 (95%CI: 14.0-15.2) （IRR=1.04/年，95%CI: 1.03-1.05）。意外老年护理服务使用率从7.4/1000 （95%CI: 6.8-8.0）增加到9.7/1000 （95%CI: 9.2-10.2； IRR=1.02/年，95%CI: 1.01-1.03）。增加发生在大都市和地区，家庭护理包的增幅最大（每年≥8%）。在偏远地区，家庭护理包的使用率每年下降≥5%。结论老年护理项目使用的增加是令人鼓舞的。然而，偏远地区的使用率下降凸显了改善老年人护理服务的必要性。对公共卫生的影响老年护理服务的公平获取和使用将需要正在进行的改革，以纳入土著和托雷斯海峡岛民对老年护理的偏好。

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引用次数: 0

Sexual violence and unwanted sexual experiences among adolescents: Prevalence, trends and disparities among a representative cross-sectional study of high school students in Aotearoa New Zealand 青少年中的性暴力和不受欢迎的性经历：新西兰奥特罗阿高中生代表性横断面研究中的患病率、趋势和差异。

IF 2.4 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health

Pub Date : 2026-02-01 Epub Date: 2025-12-10 DOI: 10.1016/j.anzjph.2025.100292

Rachel Roskvist , Lovely Dizon , Bradley Drayton , Jade Le Grice , Analosa Veukiso-Ulugia , John Fenaughty , Bridget Farrant , Rona Carroll , Terryann Clark

Objective

Sexual violence is a persistent public health problem, particularly for adolescents. Identifying those most at risk enables the development of appropriate strategies to respond to sexual violence for these groups.

Methods

Using data from the Youth2000 series, a comprehensive, representative, cross-sectional youth health and wellbeing survey conducted in 2001, 2007, 2012 and 2019, the prevalence of unwanted sexual experiences in New Zealand adolescents are reported by demographic groups alongside trends over time.

Results

Sexual violence is widespread (12.4%) among adolescents, with girls (19%), Māori (15.3%), transgender (31.9%), sexual minorities (22.1%), those with long-term conditions (23.4%), those living in socio-economically deprived neighbourhoods (13.4%) and schools (15.3%), and those involved with statutory child protection (26.7%) experiencing higher prevalence. After an initial decline between 2001 and 2007, sexual violence increased from 2012 to 2019 (9.5% to 12.4%).

Conclusions

Some adolescent population groups experience a greater burden of sexual violence.

Implications for public health

A one-size-fits-all approach to prevention and service delivery is inappropriate in Aotearoa. Prevention strategies and services must support an intersectional approach recognising that inclusive, culturally and developmentally appropriate strategies are necessary to address inequity.

目标：性暴力是一个长期存在的公共卫生问题，特别是对青少年而言。确定风险最大的群体有助于制定适当的战略，以应对这些群体的性暴力。方法：使用Youth2000系列（2001年、2007年、2012年和2019年进行的一项全面、代表性、横断面青年健康和福祉调查）的数据，按人口群体报告了新西兰青少年中不受欢迎的性经历的流行程度以及随时间的趋势。结果：性暴力在青少年中普遍存在（12.4%），其中女孩（19%）、Māori（15.3%）、变性人（31.9%）、性少数群体（22.1%）、有长期疾病的人（23.4%）、生活在社会经济贫困社区的人（13.4%）和学校（15.3%）以及涉及法定儿童保护的人（26.7%）的发生率更高。在2001年至2007年的最初下降之后，性暴力从2012年到2019年有所上升（9.5%至12.4%）。结论：一些青少年群体承受着更大的性暴力负担。对公共卫生的影响：在奥特罗阿采取一刀切的预防和提供服务方法是不合适的。预防战略和服务必须支持一种交叉方法，认识到包容性、适合文化和发展的战略是解决不平等问题所必需的。

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引用次数: 0

A qualitative study of genomics in cancer control for Aboriginal and Torres Strait Islander Australians 澳洲原住民和托雷斯海峡岛民癌症控制的基因组学定性研究

IF 2.4 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health

Pub Date : 2026-02-01 Epub Date: 2026-01-09 DOI: 10.1016/j.anzjph.2025.100310

Justine Clark , Jacinta Elston , Kelly Trudgen , Lucy Coulter , Carolyn Der Vartanian , Ashleigh R. Sharman , Claire Howlett , Vivienne Milch , Dorothy Keefe , Alex Brown

Objective

To describe the perspectives of Aboriginal and Torres Strait Islander peoples and health care workers on genomics in cancer care to inform the National Framework for Genomics in Cancer Control (the Framework).

Methods

A total of 37 Aboriginal and Torres Strait Islander community members, health care workers, researchers, and Aboriginal community-controlled health sector representatives participated in five in-person workshops around Australia. Data were audio recorded, transcribed and analysed using reflexive thematic analysis.

Results

Discussions of genomics in cancer control yielded six themes. Culture describes the cultural considerations for genomics. Self-determination describes the need for informed decision making in genomic healthcare and research. Capacity building identifies areas for improving education and awareness. Workforce identifies specific roles needed to support Aboriginal access to genomics. Access describes the barriers and enablers for genomics in cancer control. Suggested actions for integrating genomics into cancer care outlines participants' call to action.

Conclusions

Equitable access to precision medicine for cancer control will be strengthened by co-design with and for Aboriginal and Torres Strait Islander peoples.

Implications for public health

The findings from this study informed the development of the Framework, which will guide Australia’s cancer control sector in the use of genomics.

目的介绍土著人和托雷斯海峡岛民以及卫生保健工作者对基因组学在癌症治疗中的观点，为国家基因组学癌症控制框架（框架）提供信息。方法共有37名土著和托雷斯海峡岛民社区成员、卫生保健工作者、研究人员和土著社区控制的卫生部门代表参加了澳大利亚各地的五次面对面讲习班。对数据进行录音、转录并使用反身性主题分析进行分析。结果基因组学在癌症控制中的讨论产生了六个主题。文化描述了基因组学的文化考虑。自决描述了在基因组保健和研究中需要知情的决策。能力建设确定了需要改进教育和意识的领域。Workforce确定了支持原住民获得基因组学所需的特定角色。Access描述了基因组学在癌症控制中的障碍和推动因素。将基因组学整合到癌症治疗中的建议行动概述了参与者的行动呼吁。结论通过与原住民和托雷斯海峡岛民共同设计，可加强精准医疗的可及性。这项研究的结果为框架的制定提供了信息，该框架将指导澳大利亚的癌症控制部门使用基因组学。

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引用次数: 0

Broadening the Goods and Services Tax to healthy foods could exacerbate chronic disease in Australia 将商品和服务税扩大到健康食品可能会加剧澳大利亚的慢性疾病

IF 2.4 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health

Pub Date : 2026-02-01 Epub Date: 2026-01-02 DOI: 10.1016/j.anzjph.2025.100306

Tazman Davies , Lennert Veerman , Matti Marklund , Jason H.Y. Wu

引用次数: 0

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