Australian and New Zealand Journal of Public Health最新文献

英文中文

Provider perspectives on heart healthcare inequities among Māori and Pacific Peoples in Aotearoa New Zealand: A qualitative study 提供者观点对心脏保健不平等Māori和太平洋人民在新西兰奥特罗阿：一项定性研究

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

Australian and New Zealand Journal of Public Health

Pub Date : 2025-12-19 DOI: 10.1016/j.anzjph.2025.100303

Tua Taueetia-Su’a , Karen Marie Brewer , Shanthi Ameratunga , Sandra Hanchard , Vanessa Selak , Bridget Dicker , Jamie-Lee Rahiri , Corina Grey , Matire Harwood

Objective

We explored service providers’ views on evidence–practice gaps and inequities in heart health care for Māori and Pacific peoples, alongside solutions to address these issues.

Methods

Employing Kaupapa Māori and Pacific research methodologies, we recruited Māori, Pacific, and non-Māori/Pacific providers, purposively sampled from a range of disciplines. Semi-structured interviews were conducted individually and in focus groups. Differences in perspectives offered by Māori and Pacific providers are compared to those of non-Māori/Pacific providers.

Results

Twenty-three providers, identifying as Māori (6), Pacific (5), or non-Māori/Pacific (12), shared their views of the healthcare system, experiences of providing care, and observations of Māori and Pacific patient and whānau experiences. Results were grouped into three themes: Tikanga Māori and Fa’a Pasifika versus non-Māori/Pacific ways; gaps in the health system for Māori and Pacific patients; and solutions. Māori and Pacific providers emphasised structural determinants, systemic failures and workforce inadequacies underlying inequities.

Conclusions

There is a critical need for equity-focused, holistic and relational models of heart health care that are co-designed with Māori and Pacific patients and whānau, and delivered by a culturally safe workforce.

Implications for Public Health

Adequately resourced services, designed by and for Māori and Pacific peoples, have the potential to achieve equitable heart health care outcomes.

目的：我们探讨了服务提供者对Māori和太平洋人民心脏卫生保健的证据实践差距和不公平的看法，以及解决这些问题的解决方案。方法采用Kaupapa Māori和Pacific的研究方法，我们招募了Māori、Pacific和non-Māori/Pacific的供应商，有目的地从一系列学科中取样。半结构化访谈是单独和焦点小组进行的。将Māori和Pacific供应商提供的观点与non-Māori/Pacific供应商提供的观点进行比较。结果：Māori(6)、Pacific(5)、non-Māori/Pacific（12）等23家提供者分享了他们对医疗保健系统的看法、提供护理的经验、对Māori和Pacific患者的观察以及whānau的经验。结果分为三个主题：Tikanga Māori和Fa 'a Pasifika与non-Māori/Pacific方式；卫生系统中Māori和太平洋病人的差距；和解决方案。Māori和太平洋供应商强调了不平等背后的结构性决定因素、系统性失灵和劳动力不足。迫切需要与Māori、太平洋患者和whānau共同设计以公平为中心的、整体的和相关的心脏保健模式，并由文化上安全的工作人员提供。对公共卫生的影响由Māori和太平洋人民设计并为其服务的资源充足的服务有可能实现公平的心脏保健结果。

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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 : 2025-12-18 DOI: 10.1016/j.anzjph.2025.100300

Melissa Stoneham , Christina Pollard , Matthew Lester , Scott MacKenzie

引用次数: 0

When key performance indicators miss the mark: Evaluating performance monitoring changes and obesity care in children 当关键绩效指标不达标时：评估绩效监测变化和儿童肥胖护理

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

Australian and New Zealand Journal of Public Health

Pub Date : 2025-12-18 DOI: 10.1016/j.anzjph.2025.100304

Emma Schwartzkoff , Kerith Duncanson , Andrew Bailey , Georgina Williams , Tracy Burrows

引用次数: 0

Is it a lack of an immunisation workforce or not using the workforce to its potential? 是缺乏免疫接种队伍，还是没有充分发挥队伍的潜力？

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

Australian and New Zealand Journal of Public Health

Pub Date : 2025-12-17 DOI: 10.1016/j.anzjph.2025.100302

Thomas Aaron Ricks

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 : 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 : 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

Industrially produced trans fats in Australian supermarkets in 2023 2023年澳大利亚超市工业生产的反式脂肪。

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

Australian and New Zealand Journal of Public Health

Pub Date : 2025-12-01 DOI: 10.1016/j.anzjph.2025.100284

D. Maganja , M. Marklund , J.H.Y. Wu

引用次数: 0

Understanding the reach of an evidence-based public health intervention to optimise nutrition and movement behaviour at scale: The INFANT Program 了解以证据为基础的公共卫生干预的范围，以大规模优化营养和运动行为：婴儿计划。

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

Australian and New Zealand Journal of Public Health

Pub Date : 2025-12-01 DOI: 10.1016/j.anzjph.2025.100288

R. Laws , P. Love , P. Mehdipour , L. Orellana , K. Campbell , M. Adam , E. Denney-Wilson , H. Cheng , R. Gelman , S. Marshall , H. Koorts , E. Ganakas , V. Brown , J. McWhinnie , V. Graham , F. Mitchell , J. Browne , K.D. Hesketh

Objective

To describe the equitable reach of INFANT, an evidence-based early life nutrition and movement behaviour program when scaled up.

Methods

INFANT, comprising a free app and practitioner-led groups, was offered across Victoria, Australia, from 2021. Practitioner training was tracked via records, and caregiver participation measured through an app survey. Program reach was estimated per 1000 births in each local government area (LGA). Logistic regression models identified factors associated with group enrolment/attendance.

Results

By November 2024, INFANT groups were offered in 48 (61%) Victorian LGAs and the app was used in 78 (99%) reaching 11,358 caregivers. LGAs with higher rates of practitioners trained achieved better program reach. Compared to Victorian women of reproductive age, a higher proportion of INFANT participants were university educated, English speaking, from advantaged communities and outside major cities. In LGAs offering both program components, group enrolment/attendance was higher among first-time parents, those practicing mixed feeding, living in disadvantaged communities and outside major cities.

Conclusions

INFANT achieved high reach, with group sessions reaching more disadvantaged parents. Efforts continue to expand reach for priority groups.

Implications for Public Health

This is the first study to assess the equitable reach of an early life health promotion program at scale.

目的：描述婴儿，一个以证据为基础的早期生命营养和运动行为项目的公平覆盖范围。方法：从2021年开始，在澳大利亚维多利亚州提供由免费应用程序和医生领导的小组组成的INFANT。通过记录跟踪从业者培训，通过应用程序调查衡量护理人员的参与情况。在每个地方政府辖区，每1000名新生儿中估计方案覆盖率。逻辑回归模型确定了与小组入学/出勤率相关的因素。结果：到2024年11月，维多利亚州48个（61%）lga提供了婴儿组，78个（99%）使用了该应用程序，覆盖了11,358名护理人员。从业人员培训率较高的地方政府机构实现了更好的项目覆盖。与维多利亚时期的育龄妇女相比，接受过大学教育、会说英语、来自优越社区和大城市以外地区的婴儿参与者比例更高。在提供这两个项目组成部分的地方政府机构中，首次父母、实行混合喂养、生活在弱势社区和大城市以外地区的人的团体入学率/出勤率更高。结论：婴儿获得了较高的可及性，小组会议接触到更多的弱势父母。继续努力扩大优先群体的覆盖面。对公众健康的影响：这是第一项大规模评估早期生活健康促进计划的公平范围的研究。

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引用次数: 0

Road transport injury in Aboriginal and Torres Strait Islander people in New South Wales, Australia 澳大利亚新南威尔士州原住民和托雷斯海峡岛民的道路交通伤害。

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

Australian and New Zealand Journal of Public Health

Pub Date : 2025-12-01 DOI: 10.1016/j.anzjph.2025.100270

Holger Möller , Rebecca Q. Ivers , Brett Shannon , Jodi Gray , Hossein Haji Ali Afzali , Sadia Hossain , Marnie Campbell , Rebecca Kimlin , Bobby Porykali , Patrick Sharpe , Courtney Ryder

Objective

To examine the burden of serious road transport injuries and fatalities among Aboriginal and Torres Strait Islander people in New South Wales (NSW) and identify protective factors to inform targeted road safety initiatives.

Methods

This study utilised the NSW Centre for Road Safety linked crash-and-health data from 2005-2023 including police-reported crash, hospital, emergency department, and mortality data. Statistical analysis focused on the burden of serious injury and factors protective of serious injury.

Results

Between 2005 and 2023, 7,587 Aboriginal and Torres Strait Islander people aged 17 or older were seriously injured, and 320 were killed in a road transport crash in NSW. Car occupants (53%) and young adults aged 17-29 (48%) were most affected. Fractures (41%) and head injuries (19%) were the most common injuries. Pedestrians experienced the highest proportion of maximum severity injuries (15%). Protective factors for serious injury included wearing seatbelts, holding a standard licence, and crashing in urban areas.

Conclusions

The study highlights the significant burden of road transport injuries on communities and identifies key protective factors.

Implications for Public Health

Findings emphasise the need for culturally appropriate, community-led road safety initiatives to reduce transport injuries and deaths in Aboriginal and Torres Strait Islander people.

目的：研究新南威尔士州（NSW）原住民和托雷斯海峡岛民的严重道路交通伤害和死亡负担，并确定保护因素，为有针对性的道路安全举措提供信息。方法：本研究利用新南威尔士州道路安全中心2005-2023年的碰撞与健康数据，包括警方报告的碰撞、医院、急诊科和死亡率数据。统计分析侧重于严重伤害负担和严重伤害保护因素。结果：2005年至2023年期间，新南威尔士州有7587名17岁或以上的土著和托雷斯海峡岛民在道路交通事故中严重受伤，320人死亡。汽车乘员（53%）和17-29岁的年轻人（48%）受影响最大。骨折（41%）和头部损伤（19%）是最常见的损伤。行人遭受最严重伤害的比例最高（15%）。严重伤害的保护因素包括系安全带，持有标准驾照，以及在城市地区撞车。结论：该研究强调了道路交通伤害对社区的重大负担，并确定了关键的保护因素。对公共卫生的影响：调查结果强调需要采取文化上适当的、由社区主导的道路安全举措，以减少土著和托雷斯海峡岛民的交通伤害和死亡。

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引用次数: 0

‘Mob want to see mob’: Aboriginal and Torres Strait Islander young peoples’ perspective on accessing primary health care services in urban southeast Queensland “暴民希望看到暴民”：昆士兰东南部城市土著和托雷斯海峡岛民年轻人对获得初级卫生保健服务的看法。

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

Australian and New Zealand Journal of Public Health

Pub Date : 2025-12-01 DOI: 10.1016/j.anzjph.2025.100273

Stephen Harfield , Judith A. Dean , Peter Azzopardi , Gita D. Mishra , James Ward

Objective

This study examines the enablers and barriers to accessing primary health care services from the perspective of Aboriginal and Torres Strait Islander people aged 15–24 years in urban southeast Queensland.

Methods

Thirty-five Aboriginal and Torres Strait Islander people aged 15–24 years were recruited using multiple methods and participated in research yarns and yarning groups. Inductive thematic analysis was used.

Results

Enablers and barriers were identified across four strength-based themes that align with three levels of a modified social ecological model; individual: (i) health literacy is important for how young people access, understand and use primary health care services; family and community: (ii) family and friends play a key role in offering support and information related to healthcare, as well as assisting young people to access healthcare services; and systems and organisation: (iii) primary health care services that are accessible, equitable, holistic and culturally safe engage young people and (iv) health care providers can make all the difference in young people’s healthcare experience.

Conclusion

Young people’s perspectives on healthcare are distinct and multilayered; however, leveraging these perspectives will help improve both access and utilisation of primary health care for this population.

Implications for Public Health

Aboriginal and Torres Strait Islander young people’s perspectives can assist healthcare planning, governance, and clinical care pathways.

目的：本研究从昆士兰东南部城市15-24岁土著居民和托雷斯海峡岛民的角度探讨了获得初级卫生保健服务的促进因素和障碍。方法：采用多种方法招募35名15 ~ 24岁的原住民和托雷斯海峡岛民，分别参加研究纱线和纱线组。采用归纳主题分析法。结果：在四个基于力量的主题中确定了促进因素和障碍，这些主题与修改后的社会生态模型的三个层次相一致；个人：㈠卫生知识普及对于青年人如何获得、理解和使用初级卫生保健服务至关重要；家庭和社区：（二）家庭和朋友在提供与保健有关的支持和信息以及协助年轻人获得保健服务方面发挥关键作用；系统和组织：（iii）可获得、公平、全面和文化上安全的初级卫生保健服务吸引年轻人参与；（iv）卫生保健提供者可以对年轻人的卫生保健体验产生重大影响。结论：青少年对医疗保健的看法是不同的、多层次的；然而，利用这些观点将有助于改善这一人群获得和利用初级卫生保健的机会。对公共卫生的影响：土著和托雷斯海峡岛民年轻人的观点可以帮助医疗保健计划、治理和临床护理途径。

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