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Keratinocyte carcinomas, area-level socioeconomic status and geographic remoteness in Tasmania: cross-sectional associations and temporal trends 塔斯马尼亚的角质细胞癌、地区社会经济地位和地理偏远程度:横截面关联和时间趋势
IF 3.5 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-04-01 DOI: 10.1016/j.anzjph.2024.100145
Bruna S. Ragaini , Leigh Blizzard , Peter Baade , Alison Venn

Objective

This article aims to examine cross-sectional associations and assess temporal trends in keratinocyte carcinoma (KC) incidence by area-level socioeconomic status (SES) and geographic remoteness in Tasmania, Australia.

Methods

KCs – basal cell carcinoma (BCC) and cutaneous squamous cell carcinoma (SCC) – registered by the Tasmanian Cancer Registry were assigned to area-level SES and remoteness area. Incidence rate ratios (2014–2018) were estimated using Poisson regression. Average annual percentage changes (2001–2018) were estimated using the Joinpoint Regression Program.

Results

BCC incidence increased with increasing area-level advantage (p-value for trend <0.001), but no trend was found for SCC. SCC incidence was higher in rural than urban areas (p-value <0.001), and BCC incidence was slightly higher in rural than urban areas for females (p-value = 0.009), but not for males (p-value = 0.373). BCC and SCC incidence increased between 2001 and the mid-2010s, when it peaked across most areas.

Conclusions

Associations were found between BCC and higher area-level SES, and between SCC and geographic remoteness. The findings suggest differences in sun exposure behaviours, skin cancer awareness and access to services, or ascertainment bias.

Implications for public health

Efforts to control and deliver KC services in Tasmania should consider targeting populations with specific area-level characteristics.

方法将塔斯马尼亚癌症登记处登记的角质细胞癌(KC)--基底细胞癌(BCC)和皮肤鳞状细胞癌(SCC)--分配到地区级社会经济地位(SES)和偏远地区。使用泊松回归法估算了发病率比率(2014-2018 年)。结果BCC发病率随着地区优势的增加而增加(趋势的P值为0.001),但SCC没有发现趋势。农村地区的 SCC 发病率高于城市地区(p 值为 0.001),农村地区女性 BCC 发病率略高于城市地区(p 值为 0.009),但男性 BCC 发病率不高于城市地区(p 值为 0.373)。2001年至2010年代中期,BCC和SCC发病率有所上升,大多数地区的发病率在这一时期达到高峰。这些研究结果表明,在日晒行为、皮肤癌意识和获得服务的机会方面存在差异,或者存在确定偏差。对公共卫生的启示在塔斯马尼亚控制和提供 KC 服务的工作应考虑针对具有特定地区特征的人群。
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引用次数: 0
Utilising the CREATE quality appraisal tool to analyse Aboriginal and Torres Strait Islander peoples’ involvement and reporting of cancer research in Australia 利用 CREATE 质量评估工具分析澳大利亚土著居民和托雷斯海峡岛民参与和报告癌症研究的情况
IF 3.5 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-04-01 DOI: 10.1016/j.anzjph.2024.100142
Mandy Henningham , John Gilroy , Joanna McGlone , Drew Meehan , Farhana Nila , Amanda McAtamney , Tanya Buchanan

Objective

We aimed to evaluate Aboriginal and Torres Strait Islander involvement in research focusing on cancer experiences using an Aboriginal and Torres Strait Islander quality appraisal tool (the QAT).

Methods

We conducted a systematic review of the peer-reviewed literature on Aboriginal and Torres Strait Islander peoples’ experiences associated with cancer, recently published elsewhere. We then appraised articles for the inclusion of Aboriginal and Torres Strait Islander-led research, community consultation, and involvement.

Results

91 articles were appraised. A lack of Aboriginal and Torres Strait Islander-led research and consultation was reported in the majority of articles, only 10 (11%) demonstrated success across seven (50%) or more questions of the QAT.

Conclusions

This review underscores the need for anti-racist research and publication practices that actively engage Aboriginal and Torres Strait Islander peoples and researchers. This approach is vital to enhance cancer outcomes within these communities.

Implications for public health

To advance and prioritise appropriate involvement of Aboriginal and Torres Strait Islander peoples in cancer research, the onus must be on ‘systems owners,’ including academic journals and institutions, to require and report genuine engagement as standard practice. Researchers will produce higher-calibre research with a strengths-based focus, advancing the cause of equitable research.

目标我们旨在使用土著居民和托雷斯海峡岛民质量评估工具(QAT)评估土著居民和托雷斯海峡岛民参与癌症相关经验研究的情况。方法我们对最近在其他地方发表的有关土著居民和托雷斯海峡岛民癌症相关经验的同行评审文献进行了系统性回顾。然后,我们对文章中是否包含土著居民和托雷斯海峡岛民主导的研究、社区咨询和参与进行了评估。大多数文章都缺乏土著居民和托雷斯海峡岛民主导的研究和咨询,只有 10 篇文章(11%)在 QAT 的七个(50%)或更多问题上取得了成功。为推动并优先考虑土著居民和托雷斯海峡岛民适当参与癌症研究,包括学术期刊和机构在内的 "系统所有者 "必须承担责任,要求并报告真正的参与,并将其作为标准做法。研究人员将以优势为重点,开展更高质量的研究,推动公平研究事业的发展。
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引用次数: 0
A mixed-methods evaluation: COVID Care in the Home, a public health response to the first omicron wave across the Torres and Cape region, Queensland 混合方法评估:COVID 家庭护理,昆士兰州托雷斯和开普地区针对第一波奥米克浪潮的公共卫生对策
IF 3.5 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-04-01 DOI: 10.1016/j.anzjph.2024.100147
Leanne Hawthorn , Rittia Matysek , Johanna Neville , Ivana Gibson , Caroline Taunton , Rae Thomas , Sarah Galloway , Alexandra Hodal , Allison Hempenstall

Objective

The purpose of this article is to evaluate the COVID-19 Care in the Home (CCITH) program during the first COVID-19 omicron wave across Torres Strait and Cape York region of Far North Queensland in 2022.

Methods

A mixed-method study: An online survey and semi-structured interviews of CCITH internal and external stakeholders and participants was utilised to develop a greater understanding of perspectives of the program.

Results

Survey participants n=140. Most survey respondents did not attend hospital, emergency, or primary healthcare centre during isolation for medical assistance (82%, 115/140) and most strongly agreed/agreed (87%, 122/140) that the CCITH program cared for their health needs. Interview participants n=14. Thematic analysis of interviews verified survey responses and identified successes of this program including improved community relationships and primary healthcare centres and community members felt supported. Limitations included rapid changes to policies and roles and limited food availability during isolation.

Conclusions

The CCITH program highlights the resilience and self-determination of First Nations communities and primary health staff across the Torres Strait and Cape York throughout the first COVID-19 outbreak in the region.

Implications for Public Health

This virtual model of care could be employed in similar settings to improve service provision in both primary and public health to increase community safety and achieve good health outcomes.

本文旨在评估 2022 年托雷斯海峡和昆士兰远北约克角地区第一次 COVID-19 omicron 浪潮期间的 COVID-19 居家护理(CCITH)项目:采用在线调查和半结构式访谈的方式,对CCITH内部和外部利益相关者及参与者进行调查,以进一步了解他们对该计划的看法。大多数调查对象在隔离期间没有去医院、急诊室或初级医疗中心寻求医疗援助(82%,115/140),大多数调查对象非常同意/同意(87%,122/140)CCITH项目能满足他们的健康需求。访谈参与者 n=14。对访谈进行的专题分析验证了调查反馈,并确定了该项目取得的成功,包括改善了社区与初级医疗保健中心的关系,社区成员感受到了支持。结论在托雷斯海峡和约克角地区首次爆发 COVID-19 疫情期间,CCITH 项目凸显了原住民社区和初级卫生保健人员的复原力和自决能力。
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引用次数: 0
Zero-alcohol beverages and brand extensions: A vehicle for promoting parent alcohol brands? 零酒精饮料和品牌延伸:推广母酒品牌的工具?
IF 3.5 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-03-18 DOI: 10.1016/j.anzjph.2024.100141
Ashlea Bartram, Nathan J. Harrison, Christina A. Norris, Joanne Christopher, Jacqueline A. Bowden
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引用次数: 0
Physical activity interventions among youth living in rural and remote areas: A systematic review 对生活在农村和偏远地区的青少年进行体育锻炼干预:系统回顾
IF 3.5 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-03-14 DOI: 10.1016/j.anzjph.2024.100137
John Dennehy , Melainie Cameron , Tania Phillips , Tracy Kolbe-Alexander

Objectives

Physical activity (PA) interventions have potential to improve health and social outcomes among youth. The aim of this study was to collate the evidence on the effectiveness of PA and sports-based interventions among youth living in rural and remote areas.

Methods

We searched five databases and grey literature (HealthInfoNet). Search terms included PA, rural status, adolescents, and outcome measures. Studies were included if published in English, recruited 10- to 18-year olds, and were based in rural or remote communities (Modified Monash Model [MMM] area classification range of MMM 3–7). Quasi-experimental and pre-experimental and post-experimental PA interventions were included. Two authors evaluated the articles independently following the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines, and relevant data were extracted. International Prospective Register of Systematic Reviews (PROSPERO) (CRD42020199001).

Results

Of the 11802 studies identified, 6 were included in the review. Most studies were excluded for not meeting MMM 3–7 criteria. Four of the included studies had sports-related interventions, and 2 had walking-based interventions. Outcomes included self-efficacy, mental health, and academic performance. One study reported a positive effect of PA on self-efficacy (β = 0.26, p=0.018, odds ratio = 1.43 [95% confidence interval: 1.07–1.92]).

Conclusion

Few community-based PA interventions have been evaluated in rural areas. There is a need for future evaluations in rural areas and include PA as an outcome measure.

Implications for Public Health

The findings highlight the need for measurement of PA outcomes in PA interventions in rural and remote areas. The findings also highlight the need for research to utilise a standardised measure of rurality.

目标体力活动(PA)干预措施具有改善青少年健康和社会成果的潜力。本研究旨在整理有关生活在农村和偏远地区的青少年体育锻炼和基于体育的干预措施有效性的证据。方法我们检索了五个数据库和灰色文献(HealthInfoNet)。搜索关键词包括体育锻炼、农村状况、青少年和结果测量。如果研究是用英语发表的,招募了 10 至 18 岁的青少年,并且是在农村或偏远社区(修正莫纳什模型[MMM]地区分类范围为 MMM 3-7),则会被纳入。准实验、实验前和实验后的 PA 干预措施也包括在内。两位作者按照系统综述和元分析首选报告项目(PRISMA)指南对文章进行了独立评估,并提取了相关数据。结果在确定的 11802 项研究中,有 6 项被纳入综述。大多数研究因不符合 MMM 3-7 标准而被排除。所纳入的研究中有 4 项与体育相关,2 项以步行为基础。研究结果包括自我效能感、心理健康和学习成绩。一项研究报告了体育锻炼对自我效能的积极影响(β = 0.26,p=0.018,几率比 = 1.43 [95% 置信区间:1.07-1.92])。对公共卫生的意义研究结果突出表明,有必要对农村和偏远地区的 PA 干预措施的 PA 结果进行测量。研究结果还强调,研究需要使用标准化的农村地区衡量标准。
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引用次数: 0
Cardiometabolic health markers among Aboriginal adolescents from the Next Generation Youth Wellbeing Cohort Study 下一代青年福祉队列研究》中原住民青少年的心脏代谢健康指标
IF 3.5 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-03-05 DOI: 10.1016/j.anzjph.2024.100139
Christopher D. McKay , Lina Gubhaju , Alison J. Gibberd , Bridgette J. McNamara , Emily Banks , Peter Azzopardi , Robyn Williams , Sandra Eades

Objective

The objective of this study was to investigate cardiometabolic health markers among Aboriginal adolescents aged 10–24 years and relationships with age, gender, and body composition.

Methods

Baseline data (2018–2020) from the Next Generation Youth Wellbeing Cohort Study (Western Australia, New South Wales, and Central Australia) on clinically assessed body mass index, waist/height ratio, blood pressure, glycated haemoglobin (HbA1c), total and high-density lipoprotein cholesterol, total/high-density lipoprotein cholesterol ratio, and triglycerides were analysed.

Results

Among 1100 participants, the proportion with individual health markers within the ideal range ranged from 59% for total cholesterol to 91% for HbA1c. Four percent had high blood pressure, which was more common with increasing age and among males; 1% had HbA1c indicative of diabetes. Healthier body composition (body mass index and waist/height ratio) was associated with having individual health markers in the ideal range and with an ideal cardiometabolic profile.

Conclusions

Most Aboriginal adolescents in this study had cardiometabolic markers within the ideal range, though markers of high risk were present from early adolescence. Ideal health markers were more prevalent among those with healthy body composition.

Implications for public health

Specific screening and management guidelines for Aboriginal adolescents and population health initiatives that support maintenance of healthy body composition could help improve cardiometabolic health in this population.

目标本研究旨在调查 10-24 岁原住民青少年的心脏代谢健康指标以及与年龄、性别和身体成分的关系。方法分析 "下一代青少年福祉队列研究"(西澳大利亚州、新南威尔士州和澳大利亚中部)的基线数据(2018-2020 年),包括临床评估的体重指数、腰围/身高比、血压、糖化血红蛋白(HbA1c)、总胆固醇和高密度脂蛋白胆固醇、总胆固醇/高密度脂蛋白胆固醇比值和甘油三酯。结果 在 1100 名参与者中,各项健康指标在理想范围内的比例从总胆固醇的 59% 到 HbA1c 的 91% 不等。4%的人患有高血压,随着年龄的增长,这种情况在男性中更为常见;1%的人的 HbA1c 指标显示患有糖尿病。更健康的身体组成(体重指数和腰围/身高比)与个人健康指标处于理想范围内以及理想的心脏代谢状况有关。对公共卫生的启示针对原住民青少年的特定筛查和管理指南以及支持保持健康身体成分的人口健康倡议有助于改善这一人群的心脏代谢健康。
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引用次数: 0
An analysis of the features of successful written submissions to government inquiries 分析成功向政府调查提交书面意见的特点
IF 3.5 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-03-04 DOI: 10.1016/j.anzjph.2024.100133
Adam Delaine , Megan Ferguson , Rachel Bacon , Katherine Cullerton

Objective

Government inquiries present a policy window for advocates to influence policy. Evidence on how to write influential submissions, however, is sparse. We aimed to identify features of successful written submissions to the Parliament of Australia’s Inquiry into Food Pricing and Food Security in Remote Indigenous Communities (Inquiry).

Method

A scoping review was conducted to identify influential features of written submissions to government inquiries. A content analysis of a sub-sample of government Inquiry submissions and their recommendations was then coded for influential features. The frequency of submission recommendations incorporated into the final Inquiry report was recorded, as was their link to influential features.

Results

Thirty features were identified. Results from 21 submissions indicate that when writing a submission to a government inquiry, advocates should: (1) ensure their submission is clear and concise; (2) convey the authority of both the writer and supporting evidence; and (3) where possible, align submission recommendations with the government agenda.

Conclusions

We encourage future research to test the framework of influential features on other inquiry topics and in other countries to increase the reliability of results.

Implications for Public Health

This study consolidates and presents a list of features that advocates can consider incorporating when writing a submission to a government inquiry.

目标政府调查为倡导者提供了一个影响政策的政策窗口。然而,有关如何撰写有影响力的意见书的证据却很少。我们旨在确定向澳大利亚议会 "偏远土著社区食品定价和食品安全调查"(调查)提交的成功书面意见的特征。方法我们进行了范围审查,以确定向政府调查提交的书面意见中具有影响力的特征。然后,对政府调查报告及其建议的子样本进行内容分析,对有影响力的特征进行编码。对纳入最终调查报告的意见书建议的频率以及这些建议与有影响力的特征之间的联系进行了记录。从 21 份呈文中得出的结果表明,在撰写政府调查呈文时,倡导者应该(结论我们鼓励未来的研究对其他调查主题和其他国家的影响特征框架进行测试,以提高结果的可靠性。对公共卫生的意义本研究整合并提出了一份特征清单,倡导者在撰写政府调查报告时可考虑将其纳入其中。
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引用次数: 0
Opportunities for the management of metabolic dysfunction-associated fatty liver disease within Aboriginal and Torres Strait Islander peoples 治疗土著居民和托雷斯海峡岛民代谢功能障碍相关脂肪肝的机会
IF 3.5 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-03-04 DOI: 10.1016/j.anzjph.2024.100138
Sarah Dick, Kai Wheeler, Shelley E. Keating
{"title":"Opportunities for the management of metabolic dysfunction-associated fatty liver disease within Aboriginal and Torres Strait Islander peoples","authors":"Sarah Dick,&nbsp;Kai Wheeler,&nbsp;Shelley E. Keating","doi":"10.1016/j.anzjph.2024.100138","DOIUrl":"https://doi.org/10.1016/j.anzjph.2024.100138","url":null,"abstract":"","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"48 2","pages":"Article 100138"},"PeriodicalIF":3.5,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S132602002400013X/pdfft?md5=bd944ee04a8a1f64b714441fa14ded5a&pid=1-s2.0-S132602002400013X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140030816","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
Peer Health Navigators to improve equity and access to health care in Australia: Can we build on successes from the COVID-19 pandemic? 朋辈健康导航员改善了澳大利亚医疗保健的公平性和可及性:我们能否在 COVID-19 大流行的成功基础上再接再厉?
IF 3.5 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-03-04 DOI: 10.1016/j.anzjph.2024.100128
Rebecca L. Jessup , Sian Slade , Veronique Roussy , Susan Whicker , Janet Pelly , Vinita Rane , Virginia Lewis , Lucio Naccarella , Max Lee , Donald Campbell , Keith Stockman , Peter Brooks
{"title":"Peer Health Navigators to improve equity and access to health care in Australia: Can we build on successes from the COVID-19 pandemic?","authors":"Rebecca L. Jessup ,&nbsp;Sian Slade ,&nbsp;Veronique Roussy ,&nbsp;Susan Whicker ,&nbsp;Janet Pelly ,&nbsp;Vinita Rane ,&nbsp;Virginia Lewis ,&nbsp;Lucio Naccarella ,&nbsp;Max Lee ,&nbsp;Donald Campbell ,&nbsp;Keith Stockman ,&nbsp;Peter Brooks","doi":"10.1016/j.anzjph.2024.100128","DOIUrl":"https://doi.org/10.1016/j.anzjph.2024.100128","url":null,"abstract":"","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":"48 2","pages":"Article 100128"},"PeriodicalIF":3.5,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1326020024000037/pdfft?md5=e02fec9c7ad6a087873b2a6afce78d29&pid=1-s2.0-S1326020024000037-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140024321","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
A cross-sectional investigation of the factors associated with awareness of PEP and PrEP among Queensland university students 昆士兰大学生对 PEP 和 PrEP 意识相关因素的横断面调查
IF 3.5 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-03-02 DOI: 10.1016/j.anzjph.2024.100136
Sarah Warzywoda , Amalie Dyda , Lisa Fitzgerald , Amy Mullens , Joseph Debattista , Jo Durham , Zhihong Gu , Kathryn Wenham , Armin Ariana , Charles F. Gilks , Sara F.E. Bell , Judith A. Dean

Objective

University creates unique social environments for many young people that can result in behaviour changes that can impact sexual health-related risks and facilitate transmission of HIV. Little is known about HIV knowledge, risk, and awareness of pre-exposure prophylaxis/post-exposure prophylaxis (PrEP/PEP) among Australian university students.

Methods

A 2019 online survey distributed through Queensland universities, using active recruitment/snowball sampling. Descriptive and logistical regression analysis investigated HIV knowledge/risk and PrEP/PEP awareness.

Results

Of the 4,291 responses, 60.4% were 20–29 years old, 57.0% identified as heterosexual, and 31.8% were born-overseas. Mean HIV knowledge score was 9.8/12. HIV risk scores were higher among men-who-have-sex-with-men (MSM) (mean=5.2/40) compared to all other sexual behaviours (mean=3.1/40). Logistic regression indicated PrEP and PEP awareness was associated with older age (p<0.05), being non-binary/gender-diverse (p<0.05), and MSM (p<0.05). Lower odds of PrEP awareness were associated with international student status (p<0.05).

Conclusion

This study highlights the need for future health promotion targeting younger Australians at risk of HIV to increase uptake of PrEP/PEP, particularly among overseas-born young people and those ineligible for appropriate health care in Australia.

Implications for public health

Addressing these gaps will improve sexual health outcomes for young Australians at risk of HIV and work towards virtual elimination of HIV transmission in Australia.

目标大学为许多年轻人创造了独特的社会环境,这些环境可能会导致行为改变,从而影响与性健康相关的风险并助长艾滋病毒的传播。人们对澳大利亚大学生的艾滋病知识、风险以及暴露前预防/暴露后预防(PrEP/PEP)意识知之甚少。结果在4291名回复者中,60.4%为20-29岁,57.0%为异性恋,31.8%为海外出生。艾滋病知识平均得分为 9.8/12。与所有其他性行为(平均值=3.1/40)相比,男男性行为者(MSM)的 HIV 风险得分更高(平均值=5.2/40)。逻辑回归表明,PrEP 和 PEP 意识与年龄较大(p<0.05)、非二元性/性别多元化(p<0.05)和 MSM(p<0.05)有关。本研究强调,今后需要针对澳大利亚年轻的艾滋病高危人群开展健康宣传,以提高他们对 PrEP/PEP 的接受程度,尤其是在海外出生的年轻人和没有资格在澳大利亚接受适当医疗保健服务的年轻人中。
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引用次数: 0
期刊
Australian and New Zealand Journal of Public Health
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