Australian and New Zealand Journal of Public Health最新文献_第6页

E-cigarette use in adolescents: prevention and cessation strategies from an Australian community of practice 青少年使用电子烟：来自澳大利亚实践社区的预防和戒烟策略

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

Australian and New Zealand Journal of Public Health

Pub Date : 2025-08-01 Epub Date: 2025-08-06 DOI: 10.1016/j.anzjph.2025.100264

Catriona Lockett , Andrew Thorpe , Emily Stockings , Michelle Jongenelis , Moya Vandeleur , Smita Shah

引用次数: 0

Analysis of unintentional fatal drowning in Australia 2002-2022: Progress, challenges and data to inform prevention 2002-2022年澳大利亚意外致命溺水分析：进展、挑战和数据，为预防提供信息。

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

Australian and New Zealand Journal of Public Health

Pub Date : 2025-08-01 Epub Date: 2025-07-21 DOI: 10.1016/j.anzjph.2025.100258

Lauren Miller , Stacey Willcox-Pidgeon , Justin-Paul Scarr , William Koon

Objectives

The purpose of this study was to analyse 20 years of drowning data in Australia, using the Royal Life Saving – Australia National Fatal Drowning Database (NFDD).

Methods

This study is a retrospective, total population epidemiological analysis of unintentional fatal drowning in Australia between 1 July 2002 and 30 June 2022. Data were extracted from the NFDD, which was collected over the years using coroner’s findings, toxicology reports, autopsy reports and police reports from the National Coronial Information System (NCIS), in conjunction with media reports.

Results

There were 5,692 unintentional drowning deaths during the study period. Overall, drowning trends were found to decrease at a statistically significant rate of 2.60% annually over the 20-year period. The average annual age-standardised mortality rate was 1.22 per 100,000. Rivers/creeks were the leading location for drowning, accounting for 26.3% of cases. Trend analysis identified a significant decrease in the drowning rate among children aged 0-4-years, with an annual decrease of 5.41%, while there was no statistically significant change in older adults (+65 years), who had an annual decrease of 0.59%.

Conclusion

There was no evidence of statistical change in drowning rates at beaches or among people aged 65 years and over, indicating that this demographic and location remain priorities for drowning prevention campaigns.

Implications for Public Health

There is an opportunity to enhance existing strategies and develop new and innovative strategies focusing on key populations, activities and risk factors. In addition, this study highlights the need to broaden our focus beyond just specific age groups and locations and to improve the availability of exposure data.

目的：本研究的目的是分析澳大利亚20年来的溺水数据，使用皇家救生-澳大利亚国家致命溺水数据库（NFDD）。方法：本研究对2002年7月1日至2022年6月30日期间澳大利亚意外致死性溺水的总人口进行回顾性流行病学分析。数据来自NFDD，这些数据是多年来根据验尸官的发现、毒理学报告、尸检报告和国家验尸信息系统（NCIS）的警察报告以及媒体报道收集的。结果：研究期间共发生5692例意外溺水死亡。总体而言，溺水趋势在20年期间以每年2.60%的统计显著率下降。年平均年龄标准化死亡率为每10万人1.22人。河流/小溪是溺水的主要地点，占26.3%。趋势分析发现，0-4岁儿童的溺水率显著下降，年下降5.41%，而老年人（65岁以上）的溺水率无统计学意义变化，年下降0.59%。结论：没有证据表明海滩或65岁及以上人群的溺水率有统计学变化，这表明这一人口和地点仍然是预防溺水运动的重点。对公共卫生的影响：有机会加强现有战略，并制定新的创新战略，重点关注关键人群、活动和风险因素。此外，这项研究强调需要扩大我们的关注范围，而不仅仅是特定的年龄组和地点，并改善暴露数据的可用性。

{"title":"Analysis of unintentional fatal drowning in Australia 2002-2022: Progress, challenges and data to inform prevention","authors":"Lauren Miller , Stacey Willcox-Pidgeon , Justin-Paul Scarr , William Koon","doi":"10.1016/j.anzjph.2025.100258","DOIUrl":"10.1016/j.anzjph.2025.100258","url":null,"abstract":"<div><h3>Objectives</h3><div>The purpose of this study was to analyse 20 years of drowning data in Australia, using the Royal Life Saving – Australia National Fatal Drowning Database (NFDD).</div></div><div><h3>Methods</h3><div>This study is a retrospective, total population epidemiological analysis of unintentional fatal drowning in Australia between 1 July 2002 and 30 June 2022. Data were extracted from the NFDD, which was collected over the years using coroner’s findings, toxicology reports, autopsy reports and police reports from the National Coronial Information System (NCIS), in conjunction with media reports.</div></div><div><h3>Results</h3><div>There were 5,692 unintentional drowning deaths during the study period. Overall, drowning trends were found to decrease at a statistically significant rate of 2.60% annually over the 20-year period. The average annual age-standardised mortality rate was 1.22 per 100,000. Rivers/creeks were the leading location for drowning, accounting for 26.3% of cases. Trend analysis identified a significant decrease in the drowning rate among children aged 0-4-years, with an annual decrease of 5.41%, while there was no statistically significant change in older adults (+65 years), who had an annual decrease of 0.59%.</div></div><div><h3>Conclusion</h3><div>There was no evidence of statistical change in drowning rates at beaches or among people aged 65 years and over, indicating that this demographic and location remain priorities for drowning prevention campaigns.</div></div><div><h3>Implications for Public Health</h3><div>There is an opportunity to enhance existing strategies and develop new and innovative strategies focusing on key populations, activities and risk factors. In addition, this study highlights the need to broaden our focus beyond just specific age groups and locations and to improve the availability of exposure data.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 4","pages":"Article 100258"},"PeriodicalIF":2.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144688819","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

Co-design of school-based strategies and supports for Aboriginal and Torres Strait Islander youth living with type 2 diabetes: A qualitative study 原住民与托雷斯海峡岛民青少年2型糖尿病的校本策略与支持：一项质性研究

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

Australian and New Zealand Journal of Public Health

Pub Date : 2025-08-01 Epub Date: 2025-08-05 DOI: 10.1016/j.anzjph.2025.100265

Stefanie Puszka , Angela Titmuss , Emma Weaver , Natasha Freeman , Marylin Carino , Jade Morris , Peggy Tom , Shiree Mack , Sumaria Corpus , Deanne Minniecon , Peter Azzopardi , James Dowler , Louise Maple-Brown , Renae Kirkham

Objective

Youth-onset type 2 diabetes is an emerging condition impacting Indigenous populations worldwide. Schools have an important role in supporting students to manage their health.

Methods

We undertook a qualitative study to (i) explore the lived experience of type 2 diabetes, diabetes management and support in school environments and (ii) co-design recommendations for age-appropriate, culturally safe school-based strategies and supports. Interviews and focus groups were undertaken with Aboriginal and Torres Strait Islander youth, caregivers, health professionals and school-based staff. Aboriginal and Torres Strait Islander youth were involved in determining the research topic.

Results

We found a need for school-based measures to address diabetes stigma, medication management, privacy and confidentiality, healthy eating and social and emotional wellbeing and identified further needs for staff training.

Conclusions

In many cases, schools are providing extensive support to students, but without adequate resources, supportive systems and policies or staff training, current approaches are insufficient.

Implications for public health

Recommendations include whole-of-school responses to address diabetes stigma and to generate sensitive approaches to nutrition, school-based management plans for students with T2D and adoption of Aboriginal and Torres Strait Islander-driven approaches.

目的：青年发病的2型糖尿病是一种影响全球土著人口的新兴疾病。学校在支持学生管理自己的健康方面发挥着重要作用。方法：我们进行了一项定性研究，以(i)探索2型糖尿病的生活经历、学校环境中的糖尿病管理和支持；（ii）共同设计适合年龄、文化安全的学校策略和支持建议。对土著和托雷斯海峡岛民青年、照料者、保健专业人员和校本工作人员进行了访谈和焦点小组讨论。原住民和托雷斯海峡岛民青年参与了研究课题的确定。结果：我们发现需要以学校为基础的措施来解决糖尿病耻辱感、药物管理、隐私和保密、健康饮食以及社会和情感健康问题，并确定了对员工培训的进一步需求。结论在许多情况下，学校正在为学生提供广泛的支持，但由于缺乏足够的资源、支持系统和政策或人员培训，目前的方法是不够的。对公共卫生的影响。建议包括全校采取行动解决糖尿病污名问题，制定敏感的营养方法，为患有糖尿病的学生制定校本管理计划，以及采用土著居民和托雷斯海峡岛民主导的方法。

{"title":"Co-design of school-based strategies and supports for Aboriginal and Torres Strait Islander youth living with type 2 diabetes: A qualitative study","authors":"Stefanie Puszka , Angela Titmuss , Emma Weaver , Natasha Freeman , Marylin Carino , Jade Morris , Peggy Tom , Shiree Mack , Sumaria Corpus , Deanne Minniecon , Peter Azzopardi , James Dowler , Louise Maple-Brown , Renae Kirkham","doi":"10.1016/j.anzjph.2025.100265","DOIUrl":"10.1016/j.anzjph.2025.100265","url":null,"abstract":"<div><h3>Objective</h3><div>Youth-onset type 2 diabetes is an emerging condition impacting Indigenous populations worldwide. Schools have an important role in supporting students to manage their health.</div></div><div><h3>Methods</h3><div>We undertook a qualitative study to (i) explore the lived experience of type 2 diabetes, diabetes management and support in school environments and (ii) co-design recommendations for age-appropriate, culturally safe school-based strategies and supports. Interviews and focus groups were undertaken with Aboriginal and Torres Strait Islander youth, caregivers, health professionals and school-based staff. Aboriginal and Torres Strait Islander youth were involved in determining the research topic.</div></div><div><h3>Results</h3><div>We found a need for school-based measures to address diabetes stigma, medication management, privacy and confidentiality, healthy eating and social and emotional wellbeing and identified further needs for staff training.</div></div><div><h3>Conclusions</h3><div>In many cases, schools are providing extensive support to students, but without adequate resources, supportive systems and policies or staff training, current approaches are insufficient.</div></div><div><h3>Implications for public health</h3><div>Recommendations include whole-of-school responses to address diabetes stigma and to generate sensitive approaches to nutrition, school-based management plans for students with T2D and adoption of Aboriginal and Torres Strait Islander-driven approaches.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 4","pages":"Article 100265"},"PeriodicalIF":2.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144781468","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

Ways of working in Aboriginal and Torres Strait Islander Community Controlled Health Organisations: describing a conceptual model of comprehensive primary healthcare characteristics 土著人和托雷斯海峡岛民社区控制的卫生组织的工作方式：描述综合初级卫生保健特征的概念模型

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

Australian and New Zealand Journal of Public Health

Pub Date : 2025-08-01 Epub Date: 2025-08-11 DOI: 10.1016/j.anzjph.2025.100267

Anna Dawson , Louise Lyons (Jaadwa) , Kim Morey (Anmatyerre/Eastern Arrernte) , Odette Pearson (Kuku Yalanji/Torres Strait Islander) , Stephen Harfield (Narungga/Ngarrindjeri) , Tracey Brand (Eastern Arrente) , Karrina DeMasi (Barkindji) , Eddie Mulholland (Torres Strait Islands – ERUB) , Edoardo Aromataris , Annette Braunack-Mayer , Alex Brown (Yuin)

Objective

This research sought to describe a conceptual model of Aboriginal and Torres Strait Islander Community Controlled Health Organisation (ATSICCHO) primary health care, and the fundamental role ATSICCHOs exercise in addressing critical service gaps needed to achieve equitable outcomes for Aboriginal and Torres Strait Islander peoples.

Methods

ATSICCHO representatives governed the research process. A sequential mixed-method approach for articulating the ATSICCHO model drew upon scoping review evidence, case study evidence, and expert consultations.

Results

Culture is central to ATSICCHO service delivery and entwined within nine discrete characteristics: self-determination and empowerment, community control and community participation, culturally appropriate and skilled workforce, holistic health care, accessible health services, flexible and responsive approach to care, relationship building and advocacy, comprehensive health promotion and continuous quality improvement. Aboriginal and Torres Strait Islander governance, leadership and workforce are common enablers, and challenges often relate to funding, workforce recruitment and building relationships with multiple partners.

Conclusion

ATSICCHOs exemplify culturally-centred, comprehensive and accessible primary health care and empower Aboriginal and Torres Strait Islander people.

Implications for Public Health

This model can guide the expansion of the ATSICCHO sector and offer comprehensive primary health care insights to the broader Australian health system.

目的：本研究旨在描述土著和托雷斯海峡岛民社区控制卫生组织（ATSICCHO）初级卫生保健的概念模型，以及ATSICCHO在解决土著和托雷斯海峡岛民实现公平结果所需的关键服务差距方面发挥的基本作用。方法satsiccho代表主导研究过程。一个顺序的混合方法来阐明ATSICCHO模型借鉴了范围审查证据，案例研究证据和专家咨询。结果文化是ATSICCHO服务提供的核心，并与九个独立的特征相关联：自决和赋权、社区控制和社区参与、文化上适当和熟练的劳动力、整体卫生保健、可获得的卫生服务、灵活和响应的护理方法、关系建立和宣传、全面的健康促进和持续的质量改进。原住民和托雷斯海峡岛民的治理、领导和劳动力是共同的推动因素，而挑战往往与资金、劳动力招聘和与多个合作伙伴建立关系有关。结论sicchos是以文化为中心、全面和可获得的初级保健的典范，并赋予土著和托雷斯海峡岛民权力。该模型可以指导ATSICCHO部门的扩展，并为更广泛的澳大利亚卫生系统提供全面的初级卫生保健见解。

{"title":"Ways of working in Aboriginal and Torres Strait Islander Community Controlled Health Organisations: describing a conceptual model of comprehensive primary healthcare characteristics","authors":"Anna Dawson , Louise Lyons (Jaadwa) , Kim Morey (Anmatyerre/Eastern Arrernte) , Odette Pearson (Kuku Yalanji/Torres Strait Islander) , Stephen Harfield (Narungga/Ngarrindjeri) , Tracey Brand (Eastern Arrente) , Karrina DeMasi (Barkindji) , Eddie Mulholland (Torres Strait Islands – ERUB) , Edoardo Aromataris , Annette Braunack-Mayer , Alex Brown (Yuin)","doi":"10.1016/j.anzjph.2025.100267","DOIUrl":"10.1016/j.anzjph.2025.100267","url":null,"abstract":"<div><h3>Objective</h3><div>This research sought to describe a conceptual model of Aboriginal and Torres Strait Islander Community Controlled Health Organisation (ATSICCHO) primary health care, and the fundamental role ATSICCHOs exercise in addressing critical service gaps needed to achieve equitable outcomes for Aboriginal and Torres Strait Islander peoples.</div></div><div><h3>Methods</h3><div>ATSICCHO representatives governed the research process. A sequential mixed-method approach for articulating the ATSICCHO model drew upon scoping review evidence, case study evidence, and expert consultations.</div></div><div><h3>Results</h3><div>Culture is central to ATSICCHO service delivery and entwined within nine discrete characteristics: self-determination and empowerment, community control and community participation, culturally appropriate and skilled workforce, holistic health care, accessible health services, flexible and responsive approach to care, relationship building and advocacy, comprehensive health promotion and continuous quality improvement. Aboriginal and Torres Strait Islander governance, leadership and workforce are common enablers, and challenges often relate to funding, workforce recruitment and building relationships with multiple partners.</div></div><div><h3>Conclusion</h3><div>ATSICCHOs exemplify culturally-centred, comprehensive and accessible primary health care and empower Aboriginal and Torres Strait Islander people.</div></div><div><h3>Implications for Public Health</h3><div>This model can guide the expansion of the ATSICCHO sector and offer comprehensive primary health care insights to the broader Australian health system.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 4","pages":"Article 100267"},"PeriodicalIF":2.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144813944","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

Cancer control measures have prevented 230,000 deaths in Australia since the mid-1980s 自20世纪80年代中期以来，癌症控制措施使澳大利亚避免了23万人死亡。

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

Australian and New Zealand Journal of Public Health

Pub Date : 2025-08-01 Epub Date: 2025-07-08 DOI: 10.1016/j.anzjph.2025.100252

Brigid M. Lynch , Matthew T. Warkentin , Melissa M. Moore , Todd Harper , Craig Sinclair , Sue Evans , Graham G. Giles , Darren R. Brenner , Roger L. Milne

Objective

To estimate the lives saved because of cancer control measures implemented in Australia, since age-standardised mortality rates (ASMRs) have been available.

Methods

Secondary data analysis using publicly available data. We estimated ASMRs using the (unadjusted) age-specific rates and the corresponding population counts. We also estimated the expected number of cancer deaths, the number of avoided cancer deaths and standardised mortality ratios (SMR).

Results

The overall ASMR for females peaked in 1985 at 116.50 per 100,000 (95% CI: 114.40, 118.60) and declined to 81.36 (95% CI: 80.24, 82.48) in 2018. For males, the overall ASMR peaked at 188.27 per 100,000 in 1987 (95% CI: 185.38, 191.16), declining to 116.08 per 100,000 (95% CI: 114.67, 117.48) in 2018. We estimated that 66,733 and 164,358 cancer deaths have been avoided for females and males, respectively. This corresponds to an 11% (SMR = 0.89, 95% CI: 0.89, 0.89) and 20% (SMR = 0.80, 95% CI: 0.80, 0.80) reduction in overall cancer mortality.

Conclusions

When considering overall cancer rates, over 230,000 cancer-related deaths have been avoided in Australia since 1950.

Implications for Public Health

These estimates demonstrate the value of sustained cancer control investment, particularly in primary and secondary prevention.

目的：估计由于澳大利亚实施的癌症控制措施挽救的生命，因为年龄标准化死亡率（ASMRs）已经可用。方法：利用公开资料进行二次资料分析。我们使用（未经调整的）年龄特异性比率和相应的人口计数来估计asmr。我们还估计了预期癌症死亡人数、避免癌症死亡人数和标准化死亡率（SMR）。结果：女性总体ASMR在1985年达到峰值，为116.50 / 10万（95% CI: 114.40, 118.60）， 2018年下降至81.36 （95% CI: 80.24, 82.48）。对于男性，总体ASMR在1987年达到188.27 / 10万的峰值（95% CI: 185.38, 191.16）， 2018年下降到116.08 / 10万（95% CI: 114.67, 117.48）。我们估计，女性和男性分别避免了66,733例和164,358例癌症死亡。这相当于总体癌症死亡率降低11% （SMR = 0.89, 95% CI: 0.89, 0.89）和20% （SMR = 0.80, 95% CI: 0.80, 0.80）。结论：考虑到总体癌症发病率，自1950年以来，澳大利亚避免了超过23万例癌症相关死亡。对公共卫生的影响：这些估计表明持续的癌症控制投资的价值，特别是在一级和二级预防方面。

{"title":"Cancer control measures have prevented 230,000 deaths in Australia since the mid-1980s","authors":"Brigid M. Lynch , Matthew T. Warkentin , Melissa M. Moore , Todd Harper , Craig Sinclair , Sue Evans , Graham G. Giles , Darren R. Brenner , Roger L. Milne","doi":"10.1016/j.anzjph.2025.100252","DOIUrl":"10.1016/j.anzjph.2025.100252","url":null,"abstract":"<div><h3>Objective</h3><div>To estimate the lives saved because of cancer control measures implemented in Australia, since age-standardised mortality rates (ASMRs) have been available.</div></div><div><h3>Methods</h3><div>Secondary data analysis using publicly available data. We estimated ASMRs using the (unadjusted) age-specific rates and the corresponding population counts. We also estimated the expected number of cancer deaths, the number of avoided cancer deaths and standardised mortality ratios (SMR).</div></div><div><h3>Results</h3><div>The overall ASMR for females peaked in 1985 at 116.50 per 100,000 (95% CI: 114.40, 118.60) and declined to 81.36 (95% CI: 80.24, 82.48) in 2018. For males, the overall ASMR peaked at 188.27 per 100,000 in 1987 (95% CI: 185.38, 191.16), declining to 116.08 per 100,000 (95% CI: 114.67, 117.48) in 2018. We estimated that 66,733 and 164,358 cancer deaths have been avoided for females and males, respectively. This corresponds to an 11% (SMR = 0.89, 95% CI: 0.89, 0.89) and 20% (SMR = 0.80, 95% CI: 0.80, 0.80) reduction in overall cancer mortality.</div></div><div><h3>Conclusions</h3><div>When considering overall cancer rates, over 230,000 cancer-related deaths have been avoided in Australia since 1950.</div></div><div><h3>Implications for Public Health</h3><div>These estimates demonstrate the value of sustained cancer control investment, particularly in primary and secondary prevention.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 4","pages":"Article 100252"},"PeriodicalIF":2.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144599230","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

Celebrating Aboriginal and Torres Strait Islander Research that promotes the health and wellbeing of the next generation: NAIDOC 2025 庆祝促进下一代健康和福祉的土著和托雷斯海峡岛民研究：NAIDOC 2025

IF 2.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health

Pub Date : 2025-08-01 Epub Date: 2025-07-07 DOI: 10.1016/j.anzjph.2025.100261

Summer May Finlay

引用次数: 0

Unhealthy and inequitable: Online canteen sales do not reflect policy guidance in Victorian primary schools 不健康和不公平：网上食堂销售没有反映维多利亚州小学的政策指导。

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

Australian and New Zealand Journal of Public Health

Pub Date : 2025-08-01 Epub Date: 2025-07-25 DOI: 10.1016/j.anzjph.2025.100255

Anna Nicholson , Claire Hardi , Rachael Jinnette , Maree Scully , Helen Dixon

Objective

The objective of this study was to assess whether top-selling online (e-canteen) sales from Victorian Primary schools reflect canteen policy guidance and describe predictors of sales and cost.

Methods

This cross-sectional study used e-canteen sales data from 29 Victorian primary schools. We categorised 425,332 items, assigned a nutritional rating (“Everyday”, “Select carefully”, “Occasionally” and “Never”) to the top 10 items sold and used multivariable regression analyses to explore predictors of sales and cost.

Results

Among top-selling items (comprising 95% of sales), 8% were rated “Everyday”, 54% “Select carefully”, 19% “Occasionally”, 7% “Never” and 12% “Unknown”. Healthy (Everyday) sales were higher among schools with less than daily canteen availability, larger size, lower socio-educational position and higher area-level socio-economic position. Unhealthy (Occasionally–Never) sales were higher for special events, regional areas and areas of lower socio-economic position. The average meal price decreased with nutritional rating.

Conclusion

There is low policy adherence, with similar sales of foods and drinks categorised as main choices (8%) vs. limited/prohibited (7%). Partial canteen policy implementation is resulting in inequitable nutrition and price outcomes across schools.

Implications for Public Health

The current Victorian policy must be strengthened, fully implemented and centrally monitored to support all canteens to contribute to a healthy and equitable school food environment.

目的：本研究的目的是评估维多利亚州小学最畅销的网上（电子食堂）销售是否反映了食堂政策指导，并描述了销售和成本的预测因素。方法：横断面研究使用维多利亚29所小学的电子食堂销售数据。我们对425,332种商品进行了分类，对10种最畅销的商品进行了营养评级（“每天”、“仔细选择”、“偶尔”和“从不”），并使用多变量回归分析来探索销售和成本的预测因素。结果：在最畅销的商品（占销售额的95%）中，8%被评为“日常”，54%被评为“谨慎选择”，19%被评为“偶尔”，7%被评为“从不”，12%被评为“未知”。健康（日常）销售额在食堂不足、规模较大、社会教育地位较低和地区社会经济地位较高的学校中较高。在特殊活动、区域和社会经济地位较低的地区，不健康（偶尔-从不）的销售额较高。平均膳食价格随营养等级而下降。结论：政策依从性较低，类似的食品和饮料销售被归类为主要选择（8%），而限制/禁止（7%）。部分食堂政策的实施导致各学校的营养和价格结果不公平。对公共卫生的影响：必须加强、充分实施和集中监测维多利亚州现行政策，以支持所有食堂为健康和公平的学校食品环境作出贡献。

{"title":"Unhealthy and inequitable: Online canteen sales do not reflect policy guidance in Victorian primary schools","authors":"Anna Nicholson , Claire Hardi , Rachael Jinnette , Maree Scully , Helen Dixon","doi":"10.1016/j.anzjph.2025.100255","DOIUrl":"10.1016/j.anzjph.2025.100255","url":null,"abstract":"<div><h3>Objective</h3><div>The objective of this study was to assess whether top-selling online (e-canteen) sales from Victorian Primary schools reflect canteen policy guidance and describe predictors of sales and cost.</div></div><div><h3>Methods</h3><div>This cross-sectional study used e-canteen sales data from 29 Victorian primary schools. We categorised 425,332 items, assigned a nutritional rating (“Everyday”, “Select carefully”, “Occasionally” and “Never”) to the top 10 items sold and used multivariable regression analyses to explore predictors of sales and cost.</div></div><div><h3>Results</h3><div>Among top-selling items (comprising 95% of sales), 8% were rated “Everyday”, 54% “Select carefully”, 19% “Occasionally”, 7% “Never” and 12% “Unknown”. <strong>Healthy</strong> (Everyday) sales were higher among schools with less than daily canteen availability, larger size, lower socio-educational position and higher area-level socio-economic position. <strong>Unhealthy</strong> (Occasionally–Never) sales were higher for special events, regional areas and areas of lower socio-economic position. The average meal price decreased with nutritional rating.</div></div><div><h3>Conclusion</h3><div>There is low policy adherence, with similar sales of foods and drinks categorised as main choices (8%) <em>vs.</em> limited/prohibited (7%). Partial canteen policy implementation is resulting in inequitable nutrition and price outcomes across schools.</div></div><div><h3>Implications for Public Health</h3><div>The current Victorian policy must be strengthened, fully implemented and centrally monitored to support all canteens to contribute to a healthy and equitable school food environment.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 4","pages":"Article 100255"},"PeriodicalIF":2.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144717282","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

Emergency department mental health presentations in bushfire-, flood-, storm-, drought-, and COVID-19-affected areas: Analysis of growth models between 2017 and 2021 急诊部门在森林火灾、洪水、风暴、干旱和covid -19影响地区的心理健康报告：2017年至2021年增长模型分析

IF 2.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health

Pub Date : 2025-06-01 Epub Date: 2025-06-10 DOI: 10.1016/j.anzjph.2025.100251

Samineh Sanatkar , Samuel B. Harvey , Andrew Mackinnon , Richard Bryant , Grant Sara

Objective

Repeated exposure to adverse events increases the possibility of negative emotional consequences and the development of post-traumatic stress disorders. Communities who have faced several extreme weather events and pandemic-related disruptions may require emergency care for mental health-related reasons to a greater extent than less affected regions.

Methods

This study investigated linear time trends of mental health-related emergency department presentations of adults residing in regions with high, medium, and lesser exposure to fires, floods, storms, droughts, COVID-19 infections and pandemic-related layoffs. Emergency department data were captured from 2017 to 2021.

Results

Disaster-affected communities presented to emergency departments at a higher rate well before ‘the Black Summer bushfires’, possibly due to fewer alternatives to hospital care in regional areas. Exposure to multiple disasters was associated with reduced emergency department presentations for mental health reasons. No increase in presentations was noted during the observation period.

Conclusions

Possible reasons for this pattern relate to community characteristics, including resilience, reappraisal of symptom severity, and a possible service gap for those with less acute mental health problems.

Implications for public health

Mental health service usage needs to be observed across multiple service areas and on an ongoing basis with the clear intention to explain how disasters shape support needs.

目的反复暴露于不良事件会增加不良情绪后果的可能性和创伤后应激障碍的发展。与受影响较轻的地区相比，遭受多次极端天气事件和与大流行有关的中断的社区可能更需要因精神健康原因提供紧急护理。方法本研究调查了居住在火灾、洪水、风暴、干旱、COVID-19感染和与大流行相关的裁员风险高、中、低地区的成年人的精神健康相关急诊科表现的线性时间趋势。急诊科的数据是从2017年到2021年收集的。结果在“黑夏山火”之前，受灾社区的急诊率较高，这可能是由于区域地区的医院护理选择较少。暴露于多重灾害与因心理健康原因减少急诊就诊有关。在观察期间，没有注意到提交报告的人数增加。结论这种模式的可能原因与社区特征有关，包括恢复力、症状严重程度的重新评估，以及对那些非急性心理健康问题的人可能存在的服务差距。对公共健康的影响心理健康服务的使用情况需要在多个服务领域持续观察，目的是明确解释灾害如何影响支助需求。

{"title":"Emergency department mental health presentations in bushfire-, flood-, storm-, drought-, and COVID-19-affected areas: Analysis of growth models between 2017 and 2021","authors":"Samineh Sanatkar , Samuel B. Harvey , Andrew Mackinnon , Richard Bryant , Grant Sara","doi":"10.1016/j.anzjph.2025.100251","DOIUrl":"10.1016/j.anzjph.2025.100251","url":null,"abstract":"<div><h3>Objective</h3><div>Repeated exposure to adverse events increases the possibility of negative emotional consequences and the development of post-traumatic stress disorders. Communities who have faced several extreme weather events and pandemic-related disruptions may require emergency care for mental health-related reasons to a greater extent than less affected regions.</div></div><div><h3>Methods</h3><div>This study investigated linear time trends of mental health-related emergency department presentations of adults residing in regions with high, medium, and lesser exposure to fires, floods, storms, droughts, COVID-19 infections and pandemic-related layoffs. Emergency department data were captured from 2017 to 2021.</div></div><div><h3>Results</h3><div>Disaster-affected communities presented to emergency departments at a higher rate well before ‘the Black Summer bushfires’, possibly due to fewer alternatives to hospital care in regional areas. Exposure to multiple disasters was associated with reduced emergency department presentations for mental health reasons. No increase in presentations was noted during the observation period.</div></div><div><h3>Conclusions</h3><div>Possible reasons for this pattern relate to community characteristics, including resilience, reappraisal of symptom severity, and a possible service gap for those with less acute mental health problems.</div></div><div><h3>Implications for public health</h3><div>Mental health service usage needs to be observed across multiple service areas and on an ongoing basis with the clear intention to explain how disasters shape support needs.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 3","pages":"Article 100251"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144240024","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

Improving access to ivermectin for Aboriginal and Torres Strait Islander people in Australia: Big gains from a small change 改善澳大利亚土著和托雷斯海峡岛民获得伊维菌素的机会：小变化大收获

IF 2.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health

Pub Date : 2025-06-01 Epub Date: 2025-06-11 DOI: 10.1016/j.anzjph.2025.100237

Victoria R.V. Cox , Mike Stephens , Gurmeet R. Singh , Bart J. Currie

引用次数: 0

Examining the impact of decriminalisation on sex workers in Victoria, Australia: Results from an online survey 在澳大利亚的维多利亚州，检查非犯罪化对性工作者的影响：一项在线调查的结果

IF 2.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health

Pub Date : 2025-06-01 Epub Date: 2025-06-04 DOI: 10.1016/j.anzjph.2025.100250

Tiffany R. Phillips , Christopher K. Fairley , Mish Pony , Dylan O’Hara , Kate Maddaford , Finn Mercury , Ranjit Samra , Basil Donovan , Eric P.F. Chow

Objective

This survey aimed to examine the impact of decriminalisation on rates of sex worker’s condom use with clients, and sexually transmissible infection/blood-borne virus (STI/BBV) testing.

Methods

An anonymous, mixed-methods, online survey among sex workers in Victoria, Australia (December 2022-April 2023). This survey asked about changes in condom use and STI/BBV testing following decriminalisation.

Results

101 participants were included in the study. Median age of participants was 29 years (IQR: 25-33), the majority of participants spoke English (97; 96.0%) and had worked in sex work for at least a year (87; 87.0%). Following decriminalisation, the majority of participants reported no change to condom use for giving oral sex (81/92; 88.0%), receiving oral sex (79/87; 90.8%), receptive vaginal sex (73/80; 91.3%), insertive vaginal sex (37/41; 90.2%), receptive anal sex (45/50; 90.0%) or insertive anal sex (37/42; 88.1%). Most participants did not change their testing frequency for STI/BBV (60/99; 60.6%). Free text responses included positive, neutral and fearful aspects of decriminalisation.

Conclusion

The majority of sex workers maintained high rates of condom use and regular sexual health testing following the decriminalisation of sex work in Victoria.

Implications for Public Health

These findings suggest that decriminalisation may not negatively affect sex practices or STI testing, supporting policy changes to reduce stigma and enhance health access for sex workers.

目的本调查旨在探讨性工作者使用安全套率和性传播/血源性病毒（STI/BBV）检测的非刑事化对性工作者安全套使用率的影响。方法对澳大利亚维多利亚州性工作者进行匿名、混合方法在线调查（2022年12月- 2023年4月）。这项调查询问了除罪化后避孕套使用和性病/BBV检测的变化。结果101名受试者纳入研究。参与者的中位年龄为29岁（IQR: 25-33），大多数参与者说英语(97；96.0%)，并曾从事性工作至少一年(87；87.0%)。在非刑事化之后，大多数参与者报告在口交时使用避孕套的情况没有变化(81/92；88.0%)，接受口交(79/87；90.8%)，接受性阴道性交(73/80；91.3%)，插入性阴道性交(37/41；90.2%)，接受性肛交(45/50；90.0%)或插入性肛交(37/42；88.1%)。大多数参与者没有改变STI/BBV的检测频率(60/99；60.6%)。自由文本的回应包括非犯罪化的积极、中立和可怕的方面。结论在维多利亚州性工作合法化之后，大多数性工作者保持了较高的安全套使用率和定期的性健康检测。这些研究结果表明，将性行为除罪化可能不会对性行为或性传播感染检测产生负面影响，从而支持改变政策以减少耻辱感并增强性工作者获得医疗服务的机会。

{"title":"Examining the impact of decriminalisation on sex workers in Victoria, Australia: Results from an online survey","authors":"Tiffany R. Phillips , Christopher K. Fairley , Mish Pony , Dylan O’Hara , Kate Maddaford , Finn Mercury , Ranjit Samra , Basil Donovan , Eric P.F. Chow","doi":"10.1016/j.anzjph.2025.100250","DOIUrl":"10.1016/j.anzjph.2025.100250","url":null,"abstract":"<div><h3><strong>Objective</strong></h3><div>This survey aimed to examine the impact of decriminalisation on rates of sex worker’s condom use with clients, and sexually transmissible infection/blood-borne virus (STI/BBV) testing.</div></div><div><h3><strong>Methods</strong></h3><div>An anonymous, mixed-methods, online survey among sex workers in Victoria, Australia (December 2022-April 2023). This survey asked about changes in condom use and STI/BBV testing following decriminalisation.</div></div><div><h3><strong>Results</strong></h3><div>101 participants were included in the study. Median age of participants was 29 years (IQR: 25-33), the majority of participants spoke English (97; 96.0%) and had worked in sex work for at least a year (87; 87.0%). Following decriminalisation, the majority of participants reported no change to condom use for giving oral sex (81/92; 88.0%), receiving oral sex (79/87; 90.8%), receptive vaginal sex (73/80; 91.3%), insertive vaginal sex (37/41; 90.2%), receptive anal sex (45/50; 90.0%) or insertive anal sex (37/42; 88.1%). Most participants did not change their testing frequency for STI/BBV (60/99; 60.6%). Free text responses included positive, neutral and fearful aspects of decriminalisation.</div></div><div><h3><strong>Conclusion</strong></h3><div>The majority of sex workers maintained high rates of condom use and regular sexual health testing following the decriminalisation of sex work in Victoria.</div></div><div><h3><strong>Implications for Public Health</strong></h3><div>These findings suggest that decriminalisation may not negatively affect sex practices or STI testing, supporting policy changes to reduce stigma and enhance health access for sex workers.</div></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"49 3","pages":"Article 100250"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144212081","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