Australian and New Zealand Journal of Public Health最新文献_第9页

Australian youth perspectives on the role of social media in climate action 澳大利亚青年对社交媒体在气候行动中的作用的看法。

IF 3.5 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health

Pub Date : 2023-12-22 DOI: 10.1016/j.anzjph.2023.100111

Grace Arnot , Hannah Pitt , Simone McCarthy , Chloe Cordedda , Sarah Marko , Samantha L. Thomas

Objective

The climate crisis poses a significant public health threat to current and future generations. Limited research has examined young people’s perspectives about the role of social media for climate awareness, action, and policy change.

Methods

Qualitatively led online survey of n=500 young Australians (aged 15–24). Questions focused on the effectiveness of social media platforms in communicating the need for climate action, with TikTok videos used to prompt about appeal strategies and campaigns. Data were analysed using a reflexive approach to thematic analysis.

Results

Participants perceived that social media platforms were a powerful and inclusive communication mechanism for climate action. Social media had the ability to reach diverse audiences and connect young people globally. Limitations included influencing key decision makers and risks associated with misinformation and disinformation. Participants supported messages that highlighted the urgent need for action, trusted celebrity and youth voices, and practical information to engage in action.

Conclusions

Social media presents a powerful opportunity for engaging young people in discussions and decisions made about the climate crisis.

Implications for public health

The public health community should be guided by young people in developing a range of social media mechanisms to empower them to have a seat at the table in public health responses to climate.

目标：气候危机对当代人和后代人的公共健康构成了重大威胁。有关年轻人对社交媒体在气候意识、行动和政策改变方面所起作用的看法的研究有限：方法：对 500 名澳大利亚年轻人（15-24 岁）进行定性在线调查。问题主要集中在社交媒体平台在宣传气候行动必要性方面的有效性，并使用 TikTok 视频提示有关呼吁策略和活动。我们采用主题分析的反思方法对数据进行了分析：结果：参与者认为，社交媒体平台是气候行动的一个强大而包容的传播机制。社交媒体有能力触及不同受众，并将全球青年联系起来。局限性包括影响关键决策者以及与错误信息和虚假信息相关的风险。与会者支持强调迫切需要采取行动的信息、值得信赖的名人和青年的声音以及参与行动的实用信息：结论：社交媒体为年轻人参与有关气候危机的讨论和决策提供了一个有力的机会：对公共卫生的影响：公共卫生界应在年轻人的指导下开发一系列社交媒体机制，使他们在公共卫生应对气候问题的过程中拥有一席之地。

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引用次数: 0

Ethnic-specific prevalence rates of intimate partner violence against women in New Zealand 新西兰特定种族的亲密伴侣暴力侵害妇女发生率

IF 3.5 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health

Pub Date : 2023-12-01 DOI: 10.1016/j.anzjph.2023.100105

Janet L. Fanslow , Brooklyn M. Mellar , Pauline J. Gulliver , Tracey K.D. McIntosh

Objective

This study presents age-standardised ethnic-specific prevalence rates of intimate partner violence against women in New Zealand, by physical and/or sexual intimate partner violence, psychological intimate partner violence, controlling behaviours and economic abuse.

Methods

Data are from 1,431 ever-partnered women in the representative and cross-sectional He Koiora Matapopore, the 2019 New Zealand Family Violence Study.

Results

High lifetime prevalence of intimate partner violence is present across all ethnic groups in NZ, with over half of all women reporting any intimate partner violence (55.8%). Substantial ethnic disparities exist in intimate partner violence rates, with Māori women reporting the highest prevalence of intimate partner violence (64.6%), followed by NZ European women (61.6%).

Conclusions

Intimate partner violence prevention and intervention services are needed at the population-level, and services must be culturally responsive and attuned to the needs of communities that bear the greatest burden.

Implications for Public Health

Ethnic differences in intimate partner violence prevalence likely contribute to health disparities at the population-level, reinforcing calls for prevention and necessitating healthcare systems to be culturally informed and mobilised to address intimate partner violence as a priority health issue.

目的:本研究展示了新西兰针对女性的亲密伴侣暴力的年龄标准化、种族特定流行率，包括身体和/或性亲密伴侣暴力、心理亲密伴侣暴力、控制行为和经济虐待。方法数据来自2019年新西兰家庭暴力研究中代表性和横断面的1431名有过伴侣的女性。结果:在新西兰的所有种族群体中，亲密伴侣暴力的终生发生率都很高，超过一半的女性(55.8%)报告了任何亲密伴侣暴力。亲密伴侣暴力率存在显著的种族差异，Māori妇女报告的亲密伴侣暴力发生率最高(64.6%)，其次是新西兰欧洲妇女(61.6%)。结论在人口层面上需要预防和干预最终伴侣暴力服务，服务必须具有文化响应性，并与负担最重的社区的需求相适应。对公共卫生的影响亲密伴侣暴力流行的种族差异可能导致人口层面的健康差异，加强了对预防的呼吁，并有必要了解和动员卫生保健系统，将亲密伴侣暴力作为一个优先卫生问题来解决。

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引用次数: 0

Evaluation outcomes of a Western Australian campaign designed to reduce alcohol use in pregnancy 西澳大利亚旨在减少怀孕期间饮酒的一项运动的评估结果。

IF 3.5 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health

Pub Date : 2023-12-01 DOI: 10.1016/j.anzjph.2023.100102

Simone Pettigrew , Leon Booth , Tahnee McCausland , Kelly Kennington , Danica Keric

Objective

To assess (i) the effectiveness of a mass media campaign communicating the potential harms associated with consuming even small amounts of alcohol in pregnancy and (ii) changes in females’ intentions to abstain during pregnancy after campaign exposure.

Methods

Independent samples of ∼400 Western Australian adults (18-45 years) were recruited at two time points (before and after the ‘One Drink’ campaign) to complete online surveys. Attitudinal and behavioural intention outcomes were assessed at both time points. Descriptive analyses and generalised linear models were used to assess outcomes.

Results

Three-quarters (76%) of the post-campaign sample members reported awareness of the campaign. In the descriptive analyses there were significant improvements in three of the seven attitudinal items. The regression models yielded significant increases in agreement that pregnant women should not drink alcohol (assessed among females and males) and intentions to abstain during pregnancy (assessed among females only).

Conclusions

The results indicate favourable understanding and behavioural intention effects from exposure to a campaign promoting alcohol abstinence during pregnancy.

Implications for public health

This study demonstrates that investment in campaigns warning about alcohol use in pregnancy is likely to be a worthwhile approach to reduce the burden of alcohol-related harms to individuals and society.

目的:评估(i)大众媒体宣传活动的有效性，宣传怀孕期间即使少量饮酒也会带来的潜在危害;(ii)女性在宣传活动曝光后怀孕期间戒酒意愿的变化。方法:在两个时间点(“一杯饮料”运动之前和之后)招募了约400名西澳大利亚成年人(18-45岁)的独立样本，以完成在线调查。在两个时间点对态度和行为意向结果进行评估。描述性分析和广义线性模型用于评估结果。结果:四分之三(76%)的活动后样本成员报告了该活动的知名度。在描述性分析中，七个态度项目中的三个有显著改善。回归模型显示，孕妇不应饮酒(在女性和男性中进行评估)和怀孕期间戒酒意图(仅在女性中进行评估)的共识显著增加。结论:结果表明，良好的理解和行为意向的影响，暴露于宣传戒酒运动在怀孕期间。对公众健康的影响:这项研究表明，投资于警告怀孕期间饮酒的运动可能是一种有价值的方法，可以减轻酒精对个人和社会的危害。

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引用次数: 0

A pilot place-based renal dialysis model of care responding to Aboriginal and Torres Strait Islander priorities in South Australia 根据南澳大利亚土著居民和托雷斯海峡岛民的优先事项，试点基于地方的肾透析护理模式

IF 3.5 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health

Pub Date : 2023-12-01 DOI: 10.1016/j.anzjph.2023.100107

Toni Shearing , Leda Sivak , Gloria Mejia , Nikki Clinch , Kim O’Donnell , Nari Sinclair , Jared Kartinyeri , Kelli Owen , Douglas Clinch Jr. , Kim Morey

引用次数: 0

Meet us where we are: non-Indigenous young peoples’ ideas on how to reduce alcohol-related harm in Mparntwe (Alice Springs) 在我们所处的地方与我们见面:非土著青年关于如何减少姆帕恩特威(艾丽斯斯普林斯)与酒精有关的伤害的想法。

IF 3.5 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health

Pub Date : 2023-12-01 DOI: 10.1016/j.anzjph.2023.100100

Timothy A. Carey , Mikaela Cibich , Margaret Carey , Sonia Hines

Objective

This research sought to understand the strategies young people in a remote central Australian town believed would reduce alcohol-related harms amongst their peers.

Methods

A total of 38 non-Indigenous residents of Mparntwe (Alice Springs), aged between 14 and 18 years, participated in focus groups at their school. Participants discussed strategies they thought would reduce alcohol-related harms among people their age. Data were analysed using thematic analysis.

Results

Participants suggested that young peoples’ drinking behaviour developed with peers. Through social learning in peer groups, drinking alcohol was perceived as fun and normal. Participants indicated a willingness to learn about strategies to stay safe around alcohol. Their ideas for doing so reflected their existing social methods of learning about alcohol: having comfortable conversations and storytelling with a small group of peers and a relatable role model.

Conclusions

Young residents of Mparntwe (Alice Springs) advised that alcohol-related harm reduction strategies would be most effective if focussed on safety, rather than abstinence, and applied social-learning strategies.

Implications for Public Health

Young people value their burgeoning self-determination. Youth health interventions must engage youth in intervention co-design and aim to assist young people to make safer decisions, rather than making decisions on their behalf.

目的:本研究旨在了解澳大利亚中部偏远城镇的年轻人认为可以减少同龄人中与酒精相关的危害的策略。方法:共有38名年龄在14 - 18岁的Mparntwe (Alice Springs)非土著居民在他们的学校参加焦点小组。参与者讨论了他们认为可以减少与酒精有关的危害的策略。采用专题分析对数据进行分析。结果:参与者认为，年轻人的饮酒行为是与同龄人一起形成的。通过同辈群体的社会学习，喝酒被认为是有趣和正常的。参与者表示愿意学习在酒精环境下保持安全的策略。他们这样做的想法反映了他们现有的学习酒精的社交方法:与一小群同龄人和一个相关的榜样进行轻松的交谈和讲故事。结论:Mparntwe (Alice Springs)的年轻居民建议，如果将重点放在安全而不是戒酒上，并应用社会学习策略，那么减少酒精相关危害的策略将是最有效的。对公共卫生的影响:年轻人重视他们迅速发展的自决。青年健康干预措施必须让青年参与干预措施的共同设计，旨在帮助青年作出更安全的决定，而不是代表他们作出决定。

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引用次数: 0

Aboriginal peoples’ lived experience of household overcrowding in the Kimberley and implications for research reciprocity in COVID-19 recovery 金伯利原住民家庭过度拥挤的生活经历及其对 COVID-19 恢复研究互惠性的影响

IF 3.5 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health

Pub Date : 2023-12-01 DOI: 10.1016/j.anzjph.2023.100104

Chicky Clements , Christine Hoy , Louis Bin-Maarus , Sarah Morris , Ray Christophers

Objective

Household overcrowding was identified early in the COVID-19 pandemic as a risk factor increasing transmission and worsening outcomes. Nirrumbuk Environmental Health and Services designed this project to deepen understanding of Aboriginal peoples’ experiences of overcrowding in social housing.

Methods

Our household survey explored overcrowding, capacity to respond to COVID-19 directives and the Canadian National Overcrowding Standard (CNOS).

Results

For 219 participating Aboriginal households, usual number of residents per household ranged from 1 to 14, increasing with short- and long-term visitors. 17.8% had occupants who themselves were on waiting lists for their own home. Nearly one-third of houses had three generations under one roof. 53.4% indicated isolation of COVID-19 cases as ‘extremely’ difficult. 33.8% indicated their community could not manage COVID-19 at scale. Overcrowding was defined by interpersonal dynamics or consequences such as plumbing blockages or conflict rather than the number or people or ratio of people to bedrooms. 64.8% welcomed CNOS to determine acceptable and healthy occupancy levels. Participants encouraged research about environmental health in Aboriginal hands.

Conclusions

Cultural obligations, poverty and social housing waitlist management impose extreme demand on remote housing. CNOS relevance was endorsed but tempered by lived experience.

Implications for Public Health

Aboriginal-led research is directly accountable to communities through reciprocity and kinship. Nirrumbuk has already modified service planning.

目标在 COVID-19 大流行的早期，家庭过度拥挤就被认为是增加传播和恶化结果的风险因素。Nirrumbuk 环境健康和服务公司设计了这一项目，以加深对原住民在社会住房中过度拥挤经历的了解。我们的家庭调查探讨了过度拥挤问题、响应 COVID-19 指令的能力以及加拿大国家过度拥挤标准（CNOS）。17.8%的住户自己也在轮候自己的住房。近三分之一的家庭三代同堂。53.4% 的人表示隔离 COVID-19 病例 "极其 "困难。33.8%的人表示他们的社区无法大规模管理 COVID-19。拥挤的定义是人际动态或后果，如管道堵塞或冲突，而不是人数或人与卧室的比例。64.8% 的人欢迎全国住户监督委员会确定可接受的健康居住水平。结论文化义务、贫困和社会住房等待名单管理对偏远地区的住房提出了极高的要求。原住民主导的研究通过互惠和亲属关系直接对社区负责。Nirrumbuk 已经修改了服务规划。

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引用次数: 0

Front-of-pack marketing on infant and toddler foods: Targeting children and their caregivers 婴幼儿食品包装正面营销:针对儿童及其照顾者。

IF 3.5 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health

Pub Date : 2023-12-01 DOI: 10.1016/j.anzjph.2023.100101

Alexandra Chung , Judith Myers , Helen Skouteris , Kathryn Backholer

Objective

To identify and quantify child- and caregiver-appeal on front-of-pack marketing on infant and toddler foods in the Australian food supply.

Methods

Content analysis of the presence and type of front-of-pack marketing techniques displayed on the front-of-pack of infant and toddler foods (for children aged up to 36 months) available in Australia’s two major supermarkets’ online stores.

Results

Infant and toddler foods are promoted by up to 15 unique marketing techniques on the front-of-pack with an average of eight unique features per pack. A majority of food packages included marketing techniques targeting children, and all food packages included marketing techniques targeting caregivers, most commonly promoting health and nutrition.

Conclusions

Infant and toddler food packages are saturated with front-of-pack marketing features that target children and caregivers. To adequately protect young children’s diets from the harmful influence of food marketing, and to promote the development of optimal feeding behaviours, government-led controls of all marketing intended to influence children’s diets are required. In the context of marketing infant and toddler foods, this includes regulation of front-of-pack marketing techniques targeted to children and their caregivers.

Implications for Public Health

Comprehensive government-led food marketing controls are required to protect children’s diets from the harmful influence of marketing. The scope of these controls must include all unhealthy food marketing that children are exposed to and all other forms of unhealthy food marketing intended to influence children’s diets.

目的:确定和量化儿童和照顾者对澳大利亚食品供应中婴幼儿食品包装前营销的呼吁。方法:对澳大利亚两大超市网上商店出售的婴幼儿食品(适用于36个月以下的儿童)包装前展示的包装营销技术的存在和类型进行内容分析。结果:婴幼儿食品是由多达15个独特的营销技术，在包装的正面，平均每包8个独特的特点。大多数食品包装包括针对儿童的营销技术，所有食品包装都包括针对照顾者的营销技术，最常见的是促进健康和营养。结论:婴幼儿食品包装饱和了包装前的营销特点，目标儿童和照顾者。为了充分保护幼儿的饮食不受食品营销的有害影响，并促进最佳喂养行为的发展，需要政府主导对旨在影响儿童饮食的所有营销活动进行控制。在婴幼儿食品营销的背景下，这包括针对儿童及其照顾者的包装前营销技术的监管。对公众健康的影响:需要政府主导的全面食品营销控制，以保护儿童的饮食不受营销的有害影响。这些控制的范围必须包括儿童接触到的所有不健康食品营销以及旨在影响儿童饮食的所有其他形式的不健康食品营销。

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引用次数: 0

Corrigendum to “Mortality trends and the impact of exposure on Australian coastal drowning deaths, 2004–2021” [Australian and New Zealand Journal of Public Health 47 (2023) 100034] 2004-2021年澳大利亚沿海溺水死亡的死亡率趋势和暴露的影响》更正[《澳大利亚和新西兰公共卫生杂志》47 (2023) 100034]

IF 3.5 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health

Pub Date : 2023-12-01 DOI: 10.1016/j.anzjph.2023.100125

William A. Koon , Amy E. Peden , Jasmin C. Lawes , Robert W. Brander

引用次数: 0

Population vulnerability to heat: A case-crossover analysis of heat health alerts and hospital morbidity data in Victoria, Australia 人口易受高温影响：澳大利亚维多利亚州高温健康警报和医院发病率数据的病例交叉分析。

IF 3.5 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health

Pub Date : 2023-12-01 DOI: 10.1016/j.anzjph.2023.100092

Tilda N. Thomson , Rayiky Rupasinghe , Daneeta Hennessy , Marion Easton , Tony Stewart , Vanora Mulvenna

Objective

From 2010 to 2022, the Victorian Department of Health operated a heat health alert system. We explored whether changes to morbidity occurred during or directly after these alerts, and how this differed for certain population groups.

Methods

We used a space-time-stratified case-crossover design and conditional logistic regression to examine the associations between heat health alerts and heat-related and all-cause emergency department (ED) presentations and hospital admissions at the state-wide level, with models created for the whole population and subgroups. Data were included for the warm season (November-March) from 2014 to 2021.

Results

Increases occurred in heat-related ED presentations (OR 1.73, 95% CI: 1.53-1.96) and heat-related hospital admissions (OR 1.23, 95% CI: 1.16-1.30) on days on or after heat health alerts. Effect sizes were largest for those 65 years and older, Aboriginal and Torres Strait Islander people, and those living in the most disadvantaged areas.

Conclusions

We confirm that increases in morbidity occurred in Victoria during heat health alerts and describe which population groups are more likely to require healthcare in a hospital.

Implications for Public Health

These findings can inform responses before and during periods of extreme heat, data-driven adaptation strategies, and the development of heat health surveillance systems.

目标：从2010年到2022年，维多利亚州卫生部运行了高温健康警报系统。我们探讨了发病率的变化是发生在这些警报期间还是直接发生在警报之后，以及某些人群的发病率变化有何不同。方法：我们使用时空分层病例交叉设计和条件logistic回归来检验高温健康警报与高温相关和全因急诊科（ED）表现和全州住院人数之间的关系，并为整个人群和亚组创建模型。数据包括2014年至2021年温暖季节（11月至3月）的数据。结果：在高温健康警报当天或之后，与高温相关的ED表现（OR 1.73，95%CI:1.53-1.96）和与高温相关住院人数（OR 1.23，95%CI:11.16-1.30）增加。65岁及以上的人、原住民和托雷斯海峡岛民以及生活在最贫困地区的人的影响最大。结论：我们证实，在高温健康警报期间，维多利亚州的发病率有所增加，并描述了哪些人群更可能需要在医院接受医疗保健。对公共卫生的影响：这些发现可以为极端高温之前和期间的应对措施、数据驱动的适应策略以及高温健康监测系统的开发提供信息。

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引用次数: 0

Type and prevalence of nutrition-related claims on alcoholic ready-to-drink beverages 含酒精即饮饮料的营养相关声明的类型和流行程度。

IF 3.5 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health

Pub Date : 2023-12-01 DOI: 10.1016/j.anzjph.2023.100106

Bella Sträuli , Leon Booth , Nadia Laznik , Simone Pettigrew

Objective

To examine the extent of nutrition-related claims on ready-to-drink (RTD) alcohol products to provide insights into the types and prevalence of claims across the category.

Methods

Product type, alcohol content, and presence/type of nutrition-related claims (n=491) information was collected, March-May 2022. Chi-square analyses with pairwise z-tests were used to identify differences in claim prevalence by product type. Spearman’s correlation was used to assess the relationship between alcohol content and number of claims.

Results

Approximately half (52%) of RTDs displayed at least one claim, with the most common claims referring to naturalness (32%), sugar- (31%), and energy-content (32%). Hard seltzers displayed the most claims (96%, M=3.4 claims/product, SD=1.6). There was a moderate negative correlation between alcohol content and number of claims (r =-.43, p<.001).

Conclusion

Results show the extensive use of nutrition-related claims on RTDs in Australia, particularly for hard seltzers.

Implications for public health

Nutrition-related claims have the potential to mislead consumers about the healthiness of alcohol products and more stringent regulation of nutrition-related claims is needed.

目的:研究即饮(RTD)酒精产品的营养相关索赔的程度，以提供对该类别索赔的类型和流行程度的见解。方法:于2022年3月至5月收集产品类型、酒精含量和营养相关声明的存在/类型(n=491)信息。使用卡方分析和两两z检验来确定不同产品类型的索赔发生率差异。斯皮尔曼相关性用于评估酒精含量与索赔数量之间的关系。结果:大约一半(52%)的rtd显示了至少一项声明，最常见的声明涉及天然(32%)，糖(31%)和能量含量(32%)。硬苏打水显示了最多的索赔(96%，M=3.4索赔/产品，SD=1.6)。酒精含量与索赔数量之间存在中度负相关(r =-)。结论:结果显示，在澳大利亚，rtd的营养相关声明被广泛使用，尤其是硬苏打水。对公众健康的影响:与营养有关的声明有可能误导消费者对酒精产品健康的认识，需要对与营养有关的声明进行更严格的监管。

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引用次数: 0