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Stewart, Alistair. "Becoming-Speckled Warbler: Re/creating Australian Natural History Pedagogy." Australian Journal of Environmental Education 27, no. 1 (2011): 68–80. http://dx.doi.org/10.1017/s0814062600000082.
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AbstractThe speckled warbler and other woodland birds of south-eastern Australia have declined dramatically since European settlement; many species are at risk of becoming locally and/or nationally extinct. Coincidently, Australian environmental education research of the last decade has largely been silent on the development of pedagogy that refects the natural history of this continent (Stewart, 2006). The current circumstances that face the speckled warbler, I argue, is emblematic of both the state of woodland birds of south-eastern Australia, and the condition of natural history pedagogy within Australian environmental education research. In this paper I employ Deleuze and Guattari's (1987) philosophy “becoming-animal” to explore ways that the life and circumstances of the speckled warbler might inform natural history focused Australian environmental education research. The epistemology and ontology ofbecoming-speckled warbleroffers a basis to reconsider and strengthen links between Australian natural history pedagogy and notions of sustainability.
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Miles, Rebecca, Linda Harrison, and Amy Cutter-Mackenzie. "Teacher Education: A Diluted Environmental Education Experience." Australian Journal of Environmental Education 22, no. 1 (2006): 49–59. http://dx.doi.org/10.1017/s0814062600001658.
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AbstractThis paper presents the findings of a small-scale research project about student teachers' perceptions and experiences of environmental education. The context of this study is a pre-service teacher education faculty in rural New South Wales, Australia. A combined methods approach was applied, with a survey designed from rich data elicited through focus group interviews. The focus of this paper is on the findings of the survey, revealing that prospective teachers' preparedness in environmental education is diluted by their teacher education experience and that such experiences are not providing a stimulus for novice teachers to practice environmental education.
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Yusuf, Farhat, and Dora Briggs. "Abortion in South Australia, 1971–86: an update." Journal of Biosocial Science 23, no. 3 (July 1991): 285–96. http://dx.doi.org/10.1017/s0021932000019350.
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SummaryOfficial statistics on abortion in South Australia for the period 1971–86 are analysed in terms of incidence, age of patients and nuptiality, reasons for abortion, method of termination, period of gestation, previous abortions and concurrent sterilisation. Demographic implications are discussed and recommendations are made for more education and counselling, especially for younger and unmarried women for whom the incidence of abortion seems to be rising.
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KNOX, CHRISTINE. "An Historical Perspective of Continuing Nurse Education in Rural South Australia." Australian Journal of Rural Health 1, no. 1 (November 1992): 11–16. http://dx.doi.org/10.1111/j.1440-1584.1992.tb00057.x.
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Walker, Kim. "The Teaching and Learning of Environmental Education in N.S.W. Primary Schools: A Case Study." Australian Journal of Environmental Education 11 (1995): 121–29. http://dx.doi.org/10.1017/s0814062600003013.
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The aim of the doctoral study outlined in this paper is to contribute to the improvement of teaching and learning of environmental education. The significance of environmental education as a strategy to address environmental problems has been documented widely in Australia and overseas. This study shows that as a strategy to solve such problems its success so far has been questionable.The study assumes that there is a problem in the teaching and learning of environmental education and that the policy document, Environmental Education Curriculum Statement K-12 (New South Wales Department of Education, 1989) has not been adequately implemented.
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de Crespigny, Charlotte, Carol Grbich, and Jennifer Watson. "Older Aboriginal Women's Experiences of Medications in Urban South Australia." Australian Journal of Primary Health 4, no. 4 (1998): 6. http://dx.doi.org/10.1071/py98057.
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Older women are more likely to live alone in poverty than others in the community. They are also likely to maintain their independence well into older life. Recent Australian research into women's health issues has not investigated older women's direct experiences associated with their medication use, or any related interactions with health professionals such as general practitioners, pharmacists or registered nurses. This is despite significant funding, policy and research in most other areas of women's health in the 1990s. Similarly, the medication experiences of older Aboriginal women have been neglected. This paper reports on a cohort of older Aboriginal women (N-10) from a recent South Australian qualitative study into medication use of diverse groups of older women (N-142). In-depth, semi-structured, face to face interviews were conducted, predominantly in participants' suburban homes, and in a community setting. Thematic analysis of the data was undertaken, and comparisons were made with other cohorts in the overall study. Results showed that the experiences and perspectives of the urban Aboriginal women highlighted their connectedness with family, services and community, and that this was largely due to their access to particular Aboriginal services, and to indigenous cultural affiliations and practices. Despite this connectedness, and regular contact with general practitioners and pharmacists, there were significant deficits in their knowledge and skills in managing their medication. It became clear that there is an urgent need for culturally safe medication information, education and support for older Aboriginal women. There is also an urgent need for better education, training and support of all health workers who have critical roles and responsibilities in assisting this group in the community.
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MAMOUNEY, LOUISA. "SHIFTING USE OF POLICY INSTRUMENTS FOR ENVIRONMENTAL PROBLEMS: NEW SOUTH WALES, AUSTRALIA, 1979–2010." Journal of Environmental Assessment Policy and Management 16, no. 01 (March 2014): 1450006. http://dx.doi.org/10.1142/s1464333214500069.
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It is generally accepted that choice and use of environmental policy instruments has changed over recent decades, however this has rarely been investigated empirically. A quantitative analysis of 505 policy instruments to address environmental problems between 1979–2010 in New South Wales, Australia, was undertaken to explore this further, in a jurisdiction reasonably typical of advanced economies. The data do show a shift in the use of instrument types, with the most common type of policy instrument being regulation. However, there was no trend away from regulation as a way of delivering policy outcomes, but a relative strengthening in the importance of newer policy instrument types such as strategy, education, incentives and schemes, compared with foundation policy types including regulation and land reservation. Foundation policies dominated the earlier years and provided significant structural elements of the policy system, including setting up organisations, assigning roles and responsibilities and prescribing rules. The political party holding government at the time does not drive the selection of policy instruments. The methods in this paper could be applied in other jurisdictions or to other policy areas.
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Soltani, Ali, Andrew Allan, Ha Anh Nguyen, and Stephen Berry. "Students’ commuting pattern from the viewpoint of environmentalism: comparing Australia with China." International Journal of Sustainability in Higher Education 20, no. 1 (January 7, 2019): 91–114. http://dx.doi.org/10.1108/ijshe-08-2018-0146.
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Purpose This paper aims to clarify the differences between students’ travel behaviours in Australia and China and the association between students’ environmental attitudes and their travel behaviours in both countries. Design/methodology/approach The paper extensively reviewed most of existing literature work on commuting patterns of higher education students with referring to different studies around the world and then used it to build a theoretical framework and conceptual model to relate the travel patterns of students to built environment, personal demographics and environmental knowledge/consideration. An online survey was used with 230 students at Mawson Lakes campus of University of South Australia and Beiyangyuan campus of Tianjin University (China). Statistical tests (i.e. mean test, one-way analysis of variance, factor analysis) were used to analyse the data. Findings The study reveals that a high dependence on private vehicles amongst students at the Mawson Lakes campus, whilst a more environmentally sustainable modal choice dominated at the Beiyangyuan campus. Those who studied at Mawson Lakes campus tended to have stronger involvement in environmental activities than their counterparts at Beiyangyuan campus, which presented a clear association between environmental awareness and the travel behaviours of the sampled students. Research limitations/implications The study focussed on two respective campuses of both universities in Australia and China. Future work could be expanded with students at all campuses of two universities. Practical implications The study affirmed the value of nurturing environmental awareness for students in both universities to encourage more environmentally sustainable travel behaviours amongst students. The paper provides policy recommendations such as establishing infrastructure, and facilities for new stream of mobility included sharing bike schemes, which would be very practical due to flexibility and cost effectiveness within University campuses. The paper attempted to transfer lessons from Chinese bike friendly society to Adelaide’s car dominated campus. Originality/value This study brings remarkable contributions as comparing university students’ travel behaviours in two different nations. It is the first one in Australia, which links the environmental concerns among university students with their travel behaviours. The paper was successful in getting the gap between theory and practice filled to some extent. The paper has a capability to be used as an evidence-base work in the area of sustainability education.
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Mullan, Leanne, Karen Wynter, Andrea Driscoll, and Bodil Rasmussen. "Barriers and enablers to providing preventative and early intervention diabetes-related foot care: a qualitative study of primary care healthcare professionals' perceptions." Australian Journal of Primary Health 27, no. 4 (2021): 319. http://dx.doi.org/10.1071/py20235.
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This study explored the perceived healthcare system and process barriers and enablers experienced by GPs and Credentialled Diabetes Educators (CDEs) in Australian primary care, in the delivery of preventative and early intervention foot care to people with diabetes. A qualitative design with inductive analysis approach was utilised and reported according to the Consolidated Criteria for Reporting Qualitative Studies (COREQ). Semi-structured interviews were conducted with two GPs and 14 CDEs from rural, urban and metropolitan areas of Australia. Participants were from New South Wales, South Australia, Victoria, Western Australia, the Northern Territory and Queensland. Barriers to providing foot care constituted five broad themes: (1) lack of access to footcare specialists and services; (2) education and training insufficiencies; (3) human and physical resource limitations related to funding inadequacies; (4) poor care integration such as inadequate communication and feedback across services and disciplines, and ineffectual multidisciplinary care; and (5) deficient footcare processes and guidelines including ambiguous referral pathways. Enablers to foot care were found at opposing ends of the same spectra as the identified barriers or were related to engaging in mentorship programs and utilising standardised assessment tools. This is the first Australian study to obtain information from GPs and CDEs about the perceived barriers and enablers influencing preventative and early intervention diabetes-related foot care. Findings offer an opportunity for the development and translation of effective intervention strategies across health systems, policy, funding, curriculum and clinical practice, in order to improve outcomes for people with diabetes.
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Dollman, Jim, Kevin Norton, and Graeme Tucker. "Anthropometry, Fitness and Physical Activity of Urban and Rural South Australian Children." Pediatric Exercise Science 14, no. 3 (August 2002): 297–312. http://dx.doi.org/10.1123/pes.14.3.297.
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The aim of this study was to compare urban and rural South Australian primary schoolchildren on measures of anthropometry, fitness, and environmental mediators of physical activity. The sample was comprised of 445 urban and 205 rural boys and 423 urban and 158 rural girls, all age 10–11 yrs at the time of testing. After controlling for socioeconomic status and ethnicity, rural girls and boys were faster over 1.6 k than their urban counterparts while rural girls were also faster over 50 m. Rural residence independently predicted participation in organized activity, increasing involvement in club sport, and decreasing involvement in school sport. Rural children reported a greater likelihood of participating in two or more physical education classes per week. It is evident that urban and rural South Australia differ in ways which impact on fitness and physical activity patterns of upper primary age children.
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Ferry, Brian. "Enhancing Environmental Experiences through Effective Partnerships among Teacher Educators, Field Study Centers, and Schools." Journal of Experiential Education 18, no. 3 (December 1995): 133–37. http://dx.doi.org/10.1177/105382599501800304.
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Few teacher educators would dispute that preservice teachers benefit from active participation in planning, implementing, and evaluating experiential learning activities in natural environments. Such experiences help them to understand how environmental education can be successfully woven into a teaching program rather than just an added “frill” presented in isolation. However, it is difficult to find efficient ways of organising these experiences in tertiary institutions. This paper discusses a partnership formed among teacher educators, schools, and field study centers in New South Wales, Australia. It was devised to enhance the experiences in environmental education for all participants, and at the same time make efficient use of human resources.
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Lorig, Kate, Philip L. Ritter, Kathryn Plant, Diana D. Laurent, Pauline Kelly, and Sally Rowe. "The South Australia Health Chronic Disease Self-Management Internet Trial." Health Education & Behavior 40, no. 1 (April 4, 2012): 67–77. http://dx.doi.org/10.1177/1090198112436969.
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Objectives. To evaluate the effectiveness of an online chronic disease self-management program for South Australia residents. Method. Data were collected online at baseline, 6 months, and 12 months. The intervention was an asynchronous 6-week chronic disease self-management program offered online. The authors measured eight health status measures, seven behaviors, and four utilization measures; self-efficacy; and health care satisfaction. Results. Two hundred fifty-four South Australian adults with one or more chronic conditions completed baseline data. One hundred forty-four completed 6 months and 194 completed 1 year. Significant improvements ( p < .05) were found at 6 months for four health status measures, six health behaviors, self-efficacy, and visits to emergency departments. At 12 months, five health status indicators, six health behaviors, self-efficacy, and visits to emergency departments remained significant. Satisfaction with health care trended toward significance. Discussion. The peer-led online program was both acceptable and useful for this population. It appeared to decrease symptoms, improve health behaviors, self-efficacy, and reduce health care utilization up to 1 year. This intervention also has large potential implications for the use of a public health education model for reaching large numbers of people. It demonstrates that an Internet self-management program, which includes social media, can reach rural and underserved people as well as be effective and reduce health care costs. If this intervention can be brought to scale, it has the potential for improving the lives of large numbers of people with chronic illness. It represents a way the medical care and public health sectors can interact.
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Foley, Wendy, Paul Ward, Patricia Carter, John Coveney, George Tsourtos, and Anne Taylor. "An ecological analysis of factors associated with food insecurity in South Australia, 2002–7." Public Health Nutrition 13, no. 2 (August 26, 2009): 215–21. http://dx.doi.org/10.1017/s1368980009990747.
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AbstractObjectiveTo estimate the extent of food insecurity in South Australia and its relationship with a variety of socio-economic variables.DesignData collected routinely from 2002 to 2007 by SA Health were analysed to explore food security in the State’s population. An ecological analysis of data collected by the South Australian Monitoring and Surveillance System (SAMSS) that collects data on key health indicators. Questions on food security are asked periodically from July 2002 to December 2007.SettingSouth Australia.SubjectsOver 37 000 interviewees took part in SAMSS surveys. Questions about food security were asked of 19 037 subjects. The sample was weighted by area, age and gender so that the results were representative of the South Australian population.ResultsSeven per cent (1342/19 037) of subjects reported running out of food during the previous year and not having enough money to buy food (food insecurity). Logistic regression analysis found food insecurity to be highest in households with low levels of education, limited capacity to save money, Aboriginal households, and households with three or more children.ConclusionsThe study confirms that food insecurity is strongly linked to economic disadvantage. Increasing cost of food is likely to exacerbate food insecurity. This is of concern given that food insecurity is associated with poor health, especially obesity and chronic disease. Comprehensive action at all levels is required to address root causes of food insecurity. Regular surveillance is required to continue to monitor levels of food security, but more in-depth understandings, via qualitative research, would be useful.
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Mitchell, Rebecca J., Lauren Ware, and Mike R. Bambach. "The role of evidence, standards and education in rock fishing safety in New South Wales, Australia." Australian and New Zealand Journal of Public Health 38, no. 6 (August 28, 2014): 579–84. http://dx.doi.org/10.1111/1753-6405.12247.
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Nursey-Bray, Melissa, Robert Palmer, Bridie Meyer-Mclean, Thomas Wanner, and Cris Birzer. "The Fear of Not Flying: Achieving Sustainable Academic Plane Travel in Higher Education Based on Insights from South Australia." Sustainability 11, no. 9 (May 12, 2019): 2694. http://dx.doi.org/10.3390/su11092694.
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Universities are both disseminators and producers of the climate knowledge needed to institute the social and cultural change required for climate adaptation and mitigation to occur. They also have the opportunity to lead and model pro-environmental behavior, yet often have large carbon budgets, partly caused by staff travel. This paper explores this topic via an institutional case study of what factors motivate the academic community to undertake plane travel and the implications this has for wielding wider societal influence in terms of pro-environmental behavior. We report on a year-long qualitative social science study of academic plane travel at the University of Adelaide, South Australia where we investigated the tension between academic requirements to travel and the institution’s formal commitment to sustainability within the Campus Sustainability Plan. We found that, while many academics were worried about climate change, very few were willing to change their current practice and travel less because they are not institutionally incentivized to do so. There is a fear of not flying: plane travel is perceived as a key driver for career progression and this is an ongoing barrier to pro-environmental behavior. We conclude that institutional and political change will be required for individual change to occur and sustainable agendas to be met within academic communities.
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Peterson, Paula. "Patients’ cultural and spiritual explanatory models in health encounters: a focus on the efficacy of cancer prevention strategies in women from South Sudan." Australian Journal of Primary Health 26, no. 3 (2020): 227. http://dx.doi.org/10.1071/py19229.
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This qualitative study examined non-clinical factors that affect health, namely the cultural and spiritual beliefs of the patient. The study focuses on women from South Sudan. Although the overt religious adherence of these women is familiar to mainstream Australia (i.e. Christian), they are culturally diverse from the mainstream. The experiences of five women were documented. These women, all regarded as community leaders, were also asked about their assessment of the views of the wider community of women from South Sudan. This study informs targeted health promotion messages for a significant community in Australia. It is anticipated that the findings of this research, although not generalisable to the whole South Sudanese community or to all those with a refugee background, will provide important information to guide the development of culturally appropriate health care into the future. The findings point to the need for enhanced clinical education around communication, especially in relation to understanding the patients’ explanatory models of health. The findings have implications for patient education strategies. Finally, the findings reinforce the importance of engaging the community in the development of those strategies and ensuring their input into further research.
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Butler, T., B. Donovan, J. Taylor, A. L. Cunningham, A. Mindel, M. Levy, and J. Kaldor. "Herpes simplex virus type 2 in prisoners, New South Wales, Australia." International Journal of STD & AIDS 11, no. 11 (November 1, 2000): 743–47. http://dx.doi.org/10.1258/0956462001915174.
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Our objectives were to determine the prevalence of, and risk factors for, herpes simplex virus type 2 (HSV-2) antibodies in male and female prisoners. A cross-sectional random sample was used consisting of 789 prisoners (657 males and 132 females) from 27 correctional centres across New South Wales (NSW), stratified by sex, age and Aboriginality. Participants were questioned about demographics and behavioural risk factors and were screened for serum antibody to HSV-2. The overall prevalence of HSV-2 antibodies was higher in females (58%) than males (21%), and in Aborigines (34%) compared with non-Aborigines (24%). HSV-2 prevalence increased with the number of sexual partners. Few prisoners (1%) reported a previous diagnosis of genital herpes. Independent risk factors for the presence of HSV-2 antibodies were increasing age and Aboriginality for men, and higher reported number of lifetime sexual partners and the presence of hepatitis C antibodies for women. HSV-2 infection is common in prison inmates. There is a need to incorporate information about STDs, including HSV-2, into education programmes for inmates.
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Moskwa, Emily C. "Tourist Opinions on Animal Culling: A South Australian Example." Australian Journal of Environmental Education 31, no. 2 (July 3, 2015): 208–22. http://dx.doi.org/10.1017/aee.2015.28.
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AbstractEnvironmental education is commonly used to satisfy the natural curiosity of tourists, increase conservation awareness and strengthen pro-conservation values. Yet it does not always address the more sensitive ecosystem management issues such as animal culling as it may be seen to upset the balance of the positive tourist experience. For this reason, this study compared acceptance and non-acceptance of animal culling from two angles: for tourists either provided or not provided with a brief passage of information regarding why animals may be culled; and tourists’ opinions on the culling of native versus non-native animal species. Conducted in the Flinders Ranges of South Australia where conservation and tourism co-exist within a traditional pastoral setting, 789 self-administered questionnaires were analysed. Results highlighted the differences in tourists’ acceptance levels for the culling of native and non-native species, as well as the possible influence of environmental information on these acceptance levels.
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Ip-Soo-Ching, Jean Marie, Suzanne Zyngier, and Tahmid Nayeem. "Ecotourism and environmental sustainability knowledge: An open knowledge sharing approach among stakeholders." Australian Journal of Environmental Education 35, no. 01 (December 19, 2018): 62–82. http://dx.doi.org/10.1017/aee.2018.45.
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AbstractThe discipline of knowledge management (KM) considers knowledge as potentially the most valuable organisational asset that must be shared among staff and stakeholders and even communities in order to yield considerable returns and benefits. However, in a real-world context, managers in industries such as high technology, manufacturing and finance jealously guard their valuable knowledge and prevent other entities from gaining access to this resource. Open cases of knowledge sharing among stakeholders such as staff, customers, business partners, competitors and the public are rare. Therefore, the philosophical premise of KM — knowledge must be openly shared — is often unrealised. Knowledge of environmental sustainability is a valuable resource for ecotourism operators because they operate in natural environments such as the Great Barrier Reef in Australia and Sipadan Marine Park in Malaysia, and depend on the quality of these environments for their ongoing success. This research provides evidence that knowledge dissemination in the form of environmental sustainability knowledge can be openly shared among staff, customers, competitors and the public, thereby linking KM and environmental education. This article provides an interpretivist analysis of knowledge sharing by innovative ecotourism operators in Australia and South East Asia (Malaysia and Thailand). Data were collected through in-depth interviews with 14 executives, field observations and analysis of company documents. Results from this research found that ecotourism managers are passionate believers of environmental sustainability and benevolently share their valuable organisational knowledge and beliefs with all stakeholders.
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MAY, ESTHER, ROBYNE GARRETT, and ALISON BALLANTYNE. "Being mobile: electric mobility-scooters and their use by older people." Ageing and Society 30, no. 7 (July 20, 2010): 1219–37. http://dx.doi.org/10.1017/s0144686x10000334.
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ABSTRACTThere is increasing use of electric mobility-scooters by older people in South Australia, the fourth largest state in Australia. Although various issues about their use have been raised by users, carers, urban planners and legislators, to date they have received little research attention. The purpose of the study reported in this paper was to explore the factors that influence and impact upon older people who use mobility-scooters, particularly from their own perspectives. Data were collected through a survey of 67 current electric mobility-scooter older users, and through two focus groups with other older South Australian people who were users. The data showed that more than 71 per cent of the participants had owned their scooter for more than two years, most had purchased the scooter as new, and 80 per cent owned a four-wheel scooter. The scooter was used predominantly for getting to and from shops, visiting friends and family, and to go for rides. Most respondents used their scooters three to five times each week and travelled between two and five kilometres from their home. The key findings from the focus groups were categorised into three major themes of ‘obtaining a scooter’, ‘the meaning of mobility’ and ‘issues around sharing spaces’. Each is exemplified. The implications for environmental and building design, for the better training of users, and for public education are discussed.
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Clark, Julie, and Terry Harrison. "Are Educational Outcomes Relevant to Environmental Education Addressed by Primary School Teachers?" Australian Journal of Environmental Education 13 (1997): 27–36. http://dx.doi.org/10.1017/s0814062600002809.
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AbstractConcern exists over the extent to which environmental education is being addressed in Australian primary school curricula. This is especially so since the release of the nationally developed Statements and Profiles in eight key areas of learning because no documents specifically relating to environmental education were produced. This paper reports the results of a study in which a survey based on outcomes relevant to environmental education, as drawn from curriculum documents in use in the Australian states of New South Wales and Victoria, was completed by a sample of primary teachers from both states. Results indicated that, in most schools, outcomes relevant to environmental education were being given significant attention. However, the extent to which different outcomes were addressed varied widely, as did the extent to which individual schools addressed outcomes over the years kindergarten/preparatory to year 6 (K/P-6). Implications for teacher education drawn from the findings are discussed.
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Fauk, Nelsensius Klau, Anna Ziersch, Hailay Gesesew, Paul Ward, Erin Green, Enaam Oudih, Roheena Tahir, and Lillian Mwanri. "Migrants and Service Providers’ Perspectives of Barriers to Accessing Mental Health Services in South Australia: A Case of African Migrants with a Refugee Background in South Australia." International Journal of Environmental Research and Public Health 18, no. 17 (August 24, 2021): 8906. http://dx.doi.org/10.3390/ijerph18178906.
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International mobility has increased steadily in recent times, bringing along a myriad of health, social and health system challenges to migrants themselves and the host nations. Mental health issues have been identified as a significant problem among migrants, with poor accessibility and underutilisation of the available mental health services (MHSs) repeatedly reported, including in Australia. Using a qualitative inquiry and one-on-one in-depth interviews, this study explored perspectives of African migrants and service providers on barriers to accessing MHSs among African migrants in South Australia. The data collection took place during the COVID-19 pandemic with lockdown and other measures to combat the pandemic restricting face to face meetings with potential participants. Online platforms including Zoom and/or WhatsApp video calls were used to interview 20 African migrants and 10 service providers. Participants were recruited from community groups and/or associations, and organisations providing services for migrants and/or refugees in South Australia using the snowball sampling technique. Thematic framework analysis was used to guide the data analysis. Key themes centred on personal factors (health literacy including knowledge and the understanding of the health system, and poor financial condition), structural factors related to difficulties in navigating the complexity of the health system and a lack of culturally aware service provision, sociocultural and religious factors, mental health stigma and discrimination. The findings provide an insight into the experiences of African migrants of service provision to them and offer suggestions on how to improve these migrants’ mental health outcomes in Australia. Overcoming barriers to accessing mental health services would need a wide range of strategies including education on mental health, recognising variations in cultures for effective service provision, and addressing mental health stigma and discrimination which strongly deter service access by these migrants. These strategies will facilitate help-seeking behaviours as well as effective provision of culturally safe MHSs and improvement in access to MHSs among African migrants.
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Peralta, Louisa R., Renata L. Cinelli, and Claire L. Marvell. "Health literacy in school-based health programmes: A case study in one Australian school." Health Education Journal 80, no. 6 (April 7, 2021): 648–59. http://dx.doi.org/10.1177/00178969211003600.
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Objective: The ability of schools, school leaders and teachers to promote critical health literacy in teaching and learning is central to the development of health literacy in schools. However, research focusing on teachers and planning for health literacy through health programmes in school is minimal. This paper describes how one school Health and Physical Education (HPE) department planned for and implemented health literacy learning across Years 7–10 as part of the first-year delivery of the Australian Curriculum: Health and Physical Education in New South Wales, Australia. Design: Single setting case study. Setting: A Years 7–10 Catholic school for boys. The HPE department comprised five teachers and one head of department. Method: Thirty-four lessons and 61 learning activities were analysed using Nutbeam’s health literacy hierarchy and the Australian Curriculum: Health and Physical Education outcomes and content. Results: A large number of learning activities were categorised as interactive ( n = 37, 60.7%) and a smaller number of learning activities categorised as critical ( n = 16, 26.2%). The number of learning activities categorised as functional was the smallest ( n = 5, 8.1%). Conclusion: Findings suggest that school-based health programmes that lack a connection to a whole school approach may fail to provide opportunities for students to achieve the critical understandings of health literacy that will provide them with the capability to enhance the health of others.
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Gough, Noel. "Interrogating Silence: Environmental Education Research as Postcolonialist Textwork." Australian Journal of Environmental Education 15 (1999): 113–20. http://dx.doi.org/10.1017/s0814062600002676.
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In December 1997 I was privileged—and very pleasantly surprised—to receive the inaugural Allen Strom Eureka Prize for Environmental Education for ‘environmental education research of a substantive nature which contributes to professional thinking and practice’. According to the program for the prize-giving ceremony, I was awarded the prize ‘for research on recent cultural and philosophical movements, such as postmodernism, which has translated and applied complex social theories to theory and practice in environmental education’.I want to take this opportunity to repeat my thanks to the New South Wales Environment Protection Authority for their generous sponsorship of this prize. I offer these thanks not only as an individual recipient but also on behalf of the wider Australian environmental education community. I see particular significance in the Allen Strom Eureka Prize for Environmental Education being awarded in a suite that includes separate prizes for environmental research and environmental journalism. This helps to distinguish our field from other disciplines with which it is sometimes confused. My own research emphasises that environmental education is not just another type of environmental study but more a form of cultural and media literacy.
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Bernard, A. G. "Factors Influencing the Bacteriological Quality of Spa-Pool Waters in New South Wales (Australia)." Water Science and Technology 21, no. 2 (February 1, 1989): 141–45. http://dx.doi.org/10.2166/wst.1989.0041.
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The increasing popularity in the use of spa pools during the 1970's and 1980's and the accompanying incidents of folliculitis and ear infections caused by Pseudomonas aeruginosa associated with spa-pool use has necessitated the development of bacteriological and chemical guidelines for spa-pool water quality. The New South Wales (N.S.W.) Department of Health introduced a bacteriological standard for swimming pools and spa-pools in 1981 based on the findings of a series of surveys aimed at identifying the principal factors influencing the bacteriological quality of spa waters. Four surveys are summarised in this paper. The major findings described are the tenfold higher recovery of P. aeruginosa from spa-pools than from outdoor pools; the need for at least 2.0 milligrams per litre (mg/L) free chlorine residual in order to achieve reliable satisfactory water quality in spas compared with a requirement of 1.0mg/L to achieve the same quality in outdoor pools; the need to maintain pH below 8.0 in order to ensure efficient chlorine disinfection; the apparent inability of bromochlorodimethylhydantoin to adequately disinfect spas during heavy bather load periods; and the success of the Health Department's spa-pool operator education program which resulted in a 30% reduction in the incidence of bacteriologically unsatisfactory spa-pool waters in N.S.W. between 1980 and 1986.
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Whitford, Deirdre, Tony Smith, and Jonathan Newbury. "The South Australian Allied Health Workforce survey: helping to fill the evidence gap in primary health workforce planning." Australian Journal of Primary Health 18, no. 3 (2012): 234. http://dx.doi.org/10.1071/py11027.
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There is a lack of detailed evidence about the allied health workforce to inform proposed health care reforms. The South Australian Allied Health Workforce (SAAHW) survey collected data about the demographic characteristics, employment, education and recruitment and retention of allied health professionals in South Australia. The SAAHW questionnaire was widely distributed and 1539 responses were received. The average age of the sample was 40 years; males were significantly older than females, the latter making up 82% of respondents. Three-quarters of the sample worked in the city; 60% worked full time and the remainder in part-time, casual or locum positions. ‘Work–life balance’ was the most common attraction to respondents’ current jobs and ‘Better career prospects’ the most common reason for intending to leave. Practice in a rural location was influenced by rural background and rural experience during training. A greater proportion of Generation Y (1982–2000) respondents intended to leave within 2 years than Generation X (1961–81) or Baby Boomers (1943–60). Most respondents were satisfied with their job, although some reported lack of recognition of their knowledge and skills. Systematic, robust allied health workforce data are required for integrated and sustainable primary health care delivery.
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Arora, Maansi, Kaete Walker, Judy Luu, Robbert J. Duvivier, Tinashe Dune, and Katie Wynne. "Education of the medical profession to facilitate delivery of transgender health care in an Australian health district." Australian Journal of Primary Health 26, no. 1 (2020): 17. http://dx.doi.org/10.1071/py19102.
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Transgender individuals who desire medical transition need to access care through their local healthcare system. This is the first study to explore the perceptions of the community and attitudes of healthcare providers towards the delivery of transgender health care in an Australian context. An anonymous survey was conducted of trans and gender-diverse community members; and physicians and trainees in the Hunter New England Local Health District of New South Wales, Australia. Community members were surveyed about their healthcare experiences. Medical students, GPs and hospital physicians were surveyed on their attitudes towards the delivery of transgender health care before and after a 1-h education session that included the lived experience of a community member. Community members expressed a need for increased education for healthcare providers in transgender medicine. Following the intervention, significantly more healthcare providers felt confident to facilitate transgender health care for adults, adolescents and children; and more healthcare providers agreed that medical and surgical treatment should be offered to transgender patients if desired. The positive safety profile of treatment was felt to be the most persuasive factor for the provision of care. Healthcare providers identified a need for health education in transgender medicine; easy access to evidence-based resources; and local referral pathways as key strategies to improving transgender health care.
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Lynagh, Marita, Jenny Knight, Margot J. Schofield, and Lorraine Paras. "Lessons Learned from the Hunter Region Health Promoting Schools Project in New South Wales, Australia." Journal of School Health 69, no. 6 (August 1999): 227–32. http://dx.doi.org/10.1111/j.1746-1561.1999.tb06394.x.
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White, S. B., and S. A. Fane. "Designing cost effective water demand management programs in Australia." Water Science and Technology 46, no. 6-7 (September 1, 2002): 225–32. http://dx.doi.org/10.2166/wst.2002.0683.
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This paper describes recent experience with integrated resource planning (IRP) and the application of least cost planning (LCP) for the evaluation of demand management strategies in urban water. Two Australian case studies, Sydney and Northern New South Wales (NSW) are used in illustration. LCP can determine the most cost effective means of providing water services or alternatively the cheapest forms of water conservation. LCP contrasts to a traditional approach of evaluation which looks only at means of increasing supply. Detailed investigation of water usage, known as end-use analysis, is required for LCP. End-use analysis allows both rigorous demand forecasting, and the development and evaluation of conservation strategies. Strategies include education campaigns, increasing water use efficiency and promoting wastewater reuse or rainwater tanks. The optimal mix of conservation strategies and conventional capacity expansion is identified based on levelised unit cost. IRP uses LCP in the iterative process, evaluating and assessing options, investing in selected options, measuring the results, and then re-evaluating options. Key to this process is the design of cost effective demand management programs. IRP however includes a range of parameters beyond least economic cost in the planning process and program designs, including uncertainty, benefit partitioning and implementation considerations.
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De Bellis, Anita, Pauline Hill, Wendy Abigail, Jane Giles, and Christine McCloud. "Grey nomads with diabetes: the experience of rural and remote diabetes educators in South Australia." Australian Journal of Primary Health 26, no. 4 (2020): 300. http://dx.doi.org/10.1071/py19164.
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The phenomenon of grey nomads travelling in rural and remote regions of Australia is on the increase, and as this cohort is an older age group, they are often travelling with chronic conditions, such as diabetes. Seven rural and remote diabetes educators were interviewed about their experiences of grey nomad travellers with diabetes, to whom they provided services. The findings revealed problems associated with grey nomads with diabetes, including maintenance of equipment, medications, self-management, glycaemic control and unpredictable events. The problems highlighted by the participants were exacerbated when travelling long distances for extended periods, often with changes to their usual regime of self-management. The isolation and remoteness of some areas was a factor for the travellers who were often not prepared and often turned to pharmacists for help. The participants were able to enhance the care and self-management of the travellers with diabetes and identified several pathways travellers may undertake if they needed services related to their diabetes. The diabetes educators’ capacity to provide services for travellers was stretched at times; however, this was viewed as positive in that it added diversity to their normal practice. Recommendations included a preparation checklist and information for travellers with diabetes and further education for pharmacists.
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Dao, Julie, Catherine Spooner, Winston Lo, and Mark F. Harris. "Factors influencing self-management in patients with type 2 diabetes in general practice: a qualitative study." Australian Journal of Primary Health 25, no. 2 (2019): 176. http://dx.doi.org/10.1071/py18095.
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Many Australian adults with type 2 diabetes mellitus (T2DM) do not follow recommended self-management behaviours that could prevent or delay complications. This exploratory study aimed to investigate the factors influencing self-management of T2DM in general practice. Semi-structured qualitative interviews were conducted with patients with T2DM (n = 10) and their GPs (n = 4) and practice nurses (n = 3) in a low socioeconomic area of Sydney, New South Wales, Australia. The interviews were analysed thematically using the socio-ecological model as a framework for coding. Additional themes were derived inductively based on the explicitly stated meaning of the text. Factors influencing self-management occurred on four levels of the socio-ecological model: individual (e-health literacy, motivation, time constraints); interpersonal (family and friends, T2DM education, patient-provider relationship); organisational (affordability, multidisciplinary care); and community levels (culture, self-management resources). Multi-level strategies are needed to address this wide range of factors that are beyond the scope of single services or organisations. These could include tailoring health education and resources to e-health literacy and culture; attention to social networks and the patient–provider relationship; and facilitating access to affordable on-site allied health services.
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Carroll, Suzanne J., Michael J. Dale, Anne W. Taylor, and Mark Daniel. "Contributions of Multiple Built Environment Features to 10-Year Change in Body Mass Index and Waist Circumference in a South Australian Middle-Aged Cohort." International Journal of Environmental Research and Public Health 17, no. 3 (January 30, 2020): 870. http://dx.doi.org/10.3390/ijerph17030870.
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Residential areas may shape health, yet few studies are longitudinal or concurrently test relationships between multiple residential features and health. This longitudinal study concurrently assessed the contributions of multiple environmental features to 10-year change in clinically measured body mass index (BMI) and waist circumference (WC). Longitudinal data for adults (18+ years of age, n = 2253) from the north-west of Adelaide, Australia were linked to built environment measures representing the physical activity and food environment (expressed for residence-based 1600 m road-network buffers) and area education. Associations were concurrently estimated using latent growth models. In models including all environmental exposure measures, area education was associated with change in BMI and WC (protective effects). Dwelling density was associated with worsening BMI and WC but also highly correlated with area education and moderately correlated with count of fast food outlets. Public open space (POS) area was associated with worsening WC. Intersection density, land use mix, greenness, and a retail food environment index were not associated with change in BMI or WC. This study found greater dwelling density and POS area exacerbated increases in BMI and WC. Greater area education was protective against worsening body size. Interventions should consider dwelling density and POS, and target areas with low SES.
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van Eyk, Helen, Toni Delany-Crowe, Angela Lawless, Fran Baum, Colin MacDougall, and Deborah Wildgoose. "Improving child literacy using South Australia’s Health in All Policies approach." Health Promotion International 35, no. 5 (September 16, 2019): 958–72. http://dx.doi.org/10.1093/heapro/daz013.
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Abstract The Health in All Policies (HiAP) approach aims to create coherent policy across government that will improve population health, wellbeing and equity while progressing the goals of other sectors. The quest to achieve policy coherence across government has focused interest on processes that facilitate collaboration between health and many other sectors. Health and education sectors have long been seen as natural partners with mutually beneficial goals. This article focuses on a case study of HiAP work, undertaken between health and education in South Australia to increase parental engagement in children’s literacy among lower socio-economic families. It draws on a document analysis of 71 documents, seven in-depth interviews with senior policy actors and a programme logic model. The project began with the intention of using policy levers to improve long-term health outcomes through addressing child literacy, a proven social determinant of health. Because of the context in which it was operating, the project extended from a focus on policy to working directly with four schools implementing strategies to facilitate parental engagement, with the intention of finally influencing system-wide education policy. We use an institutional framework to support our analysis through a discussion of ideas, actors and institutions and how these influenced the project. The article provides insight into the facilitators and impediments to intersectoral efforts to progress shared educational and health goals and achieve sustainable change, and identifies lessons for others intending to use this approach.
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Sinharoy, Ankita, Shubhajit Mitra, and Pritish Mondal. "Socioeconomic and Environmental Predictors of Asthma-Related Mortality." Journal of Environmental and Public Health 2018 (2018): 1–7. http://dx.doi.org/10.1155/2018/9389570.
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The prevalence of asthma-related mortality (ARM) varies significantly among different countries, possibly influenced by various socioeconomic and environmental conditions (SEC). In-depth epidemiological research is necessary to understand the causal relationship between different SECs and ARM and to develop public health strategies to reduce the global burden of asthma. Our research aimed to identify the key SECs which may be attributed to ARM worldwide and to study the relationship between ARM and asthma prevalence. We included twenty-two countries with available data on SECs (2014-2015) and divided them into four groups: Asia, Africa, Europe, and Miscellaneous (Australia and North and South America). Tertiary school enrollment (TSE), gross domestic product (GDP), air pollution index, and male and female smoking prevalence rates were analyzed as predictors of ARM, using multiple linear regression. We found that ARM and asthma prevalence had an inverse relationship and developing countries compared to developed countries experienced higher ARM despite having lower asthma prevalence. Asian and African countries, compared to Europe and Miscellaneous countries, experienced poorer SECs, possibly associated with higher ARM. Among SECs, TSE and GDP had strongest association with ARM. In conclusion, lack of education and uneven distribution of resources may have an influence on the increased ARM in developing countries.
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Mehta, Kaye, Carolyn Dent, Georgia Middleton, and Sue Booth. "Personal development, wellbeing and empowerment gains for nutrition peer educators: a South Australian perspective." Health Promotion International 35, no. 5 (November 7, 2019): 1159–67. http://dx.doi.org/10.1093/heapro/daz099.
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Abstract This study aimed to explore the experience of being a Community Foodies (CF) peer educator with respect to personal benefits, specifically, personal development, wellbeing and empowerment. Qualitative semi-structured telephone interviews conducted with metropolitan and country peer educators of the CF programme. The CF programme in South Australia (SA) delivers nutrition education to disadvantaged communities. Ten adult peer educators from the CF programme: seven from country SA and three from Adelaide. Phenomenon of interest is that peer educators’ perceptions of personal growth and development from involvement in the CF programme. The interviews were audiotaped and analysed thematically. The experience of being a nutrition peer educator improved personal skills and knowledge, dietary habits, self-esteem, confidence, sense of belonging and civic engagement. Peer educators felt that the CF programme was run in a straightforward, easy to understand way, with a welcoming environment and abundant support from the coordinators. Apart from benefits to themselves, peer educators appeared to be most proud of their capacity to contribute to the nutritional health of the broader community. Peer education programmes in disadvantaged communities provide policy makers with valuable and cost-effective approaches to improve health, build self-efficacy, strengthen community engagement, and, foster active participation and trust.
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Sweeney, Sally, Yan Cheng, Jessica R. Botfield, and Deborah Bateson. "National Cervical Screening Program renewal in Australia: survey of clinician views and attitudes." Australian Journal of Primary Health 26, no. 5 (2020): 410. http://dx.doi.org/10.1071/py20032.
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From 1 December 2017, the National Cervical Screening Program was renewed in Australia, with updated national cervical screening guidelines released. This study was performed to determine clinicians’ familiarity with the updated guidelines and explore their views and attitudes towards the renewed program. Clinicians providing cervical screening in New South Wales, Australia, were invited to complete an online survey in 2018. Of the 241 clinicians who responded, 91.5% supported the change to 5-yearly human papillomavirus screening from the age of 25 years. However, nearly 13% indicated they did not know where to access the renewed guidelines and 37% had never or rarely accessed them. Open-ended responses highlighted clinicians’ concerns about missed cancers and missed opportunities for health checks. Those raising these concerns accessed the guidelines less frequently. The findings highlight important areas for additional education and support for clinicians in translating guidelines into practice to ensure successful delivery of the renewed program.
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Long, Katrina M., Shiva Vasi, Susannah Westbury, Sandy Shergill, Chloé Guilbert-Savary, Ashley Whitelaw, I.-Hao Cheng, and Grant Russell. "Improving access to refugee-focused health services for people from refugee-like backgrounds in south-eastern Melbourne through the education sector." Australian Journal of Primary Health 27, no. 2 (2021): 93. http://dx.doi.org/10.1071/py20233.
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People from refugee-like backgrounds living in Australia face substantial health challenges that benefit from access to health and social services. Many people from refugee-like backgrounds have frequent contact with education sector staff, who have the potential to act as conduits to health and social services. The aim of this project was to improve access to refugee-focused health services for people from refugee-like backgrounds in south-eastern Melbourne by codesigning and delivering a 1-day education forum to education sector staff. Evaluation of the forum used mixed-methods analysis of data from pre-post and follow-up surveys (n=11; administered before, immediately after and 1 month after the forum respectively), post-forum interviews (n=4) and one school’s referral records. The forum improved attendees’ refugee-focused health service referral knowledge, confidence and behaviour. This was supported by the qualitative findings of high staff motivation, high forum satisfaction and evidence of outcome sustainability. Education staff are an important complement to an integrated model of health care for recently resettled people from refugee-like backgrounds. These results show that a straightforward local intervention can improve the ability of education staff to act as conduits to health services, increasing access to health services for people from refugee-like backgrounds.
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White, Peta, and Sally Birdsall. "AJEE Special Issue: 2016 Australian Association for Environmental Education Conference: ‘Tomorrow Making — Our Present to the Future’." Australian Journal of Environmental Education 33, no. 3 (November 2017): iii—vi. http://dx.doi.org/10.1017/aee.2017.23.
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The 19th Biennial Conference for the Australian Association for Environmental Education (AAEE) was a wonderful milestone for any national organisation. Our South Australian hosts were very excited to see us all descend on Adelaide in September 2016 to take up their offer of ‘Tomorrow Making’. ‘Our Present to the Future’ was four days filled with considering what we were working on and what we are working towards, both individually and collectively. Youth presentations, collegial collaborations, and sharing of goodwill and thought resulted in a generative conference, just like we have come to expect from environmental educators. Sally and I are pleased to maintain the tradition of guest editing the AJEE Special Issue, showcasing six papers as a representation of the knowledge shared, considered, adapted, and devised at the conference.
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Morran, J., and M. Marchesan. "Taste and odour testing: how valuable is training?" Water Science and Technology 49, no. 9 (May 1, 2004): 69–74. http://dx.doi.org/10.2166/wst.2004.0537.
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Correct identification of specific tastes and odours in a water supply can be a powerful tool in identifying the cause of the problem and facilitating rapid remediation. While taste and odour identification can be achieved by laboratory testing, consumer involvement is not only worthwhile as a public education exercise but can also indicate tastes and odours to which the public do not object. Interpretation of taste and odour results is a complex process. The Australian Water Quality Centre (AWQC), based in Adelaide, South Australia, has established a flavour profile panel, trained in Flavour Profile Analysis (FPA). This group was chosen to carry out a survey of tastes and odours present in selected Australian water supplies and laboratory treated water and bottled water. The waters were also assessed by a group of untrained volunteers to simulate the responses of consumers. In two series of tests there were significant differences in responses between the groups with respect to the intensity of the tastes and odours detected. In both instances the responses by the trained group were more consistent, making interpretation of results more straightforward. In the second series of tests the panellists were also asked their personal preferences. The results showed in general the preferred waters were those with minimal taste and odour and this was generally irrespective of the type of taste and odour present.
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McKemey, Michelle, Emilie Ens, Yugul Mangi Rangers, Oliver Costello, and Nick Reid. "Indigenous Knowledge and Seasonal Calendar Inform Adaptive Savanna Burning in Northern Australia." Sustainability 12, no. 3 (January 30, 2020): 995. http://dx.doi.org/10.3390/su12030995.
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Indigenous fire management is experiencing a resurgence worldwide. Northern Australia is the world leader in Indigenous savanna burning, delivering social, cultural, environmental and economic benefits. In 2016, a greenhouse gas abatement fire program commenced in the savannas of south-eastern Arnhem Land in the Northern Territory, managed by the Indigenous Yugul Mangi rangers. We undertook participatory action research and semi-structured interviews with rangers and Elders during 2016 and 2019 to investigate Indigenous knowledge and obtain local feedback about fire management. Results indicated that Indigenous rangers effectively use cross-cultural science (including local and Traditional Ecological Knowledge alongside western science) to manage fire. Fire management is a key driver in the production of bush tucker (wild food) resources and impacts other cultural and ecological values. A need for increased education and awareness about Indigenous burning was consistently emphasized. To address this, the project participants developed the Yugul Mangi Faiya En Sisen Kelenda (Yugul Mangi Fire and Seasons Calendar) that drew on Indigenous knowledge of seasonal biocultural indicators to guide the rangers’ fire management planning. The calendar has potential for application in fire management planning, intergenerational transfer of Indigenous knowledge and locally driven adaptive fire management.
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Clark, Alice, Andrew Gilbert, Deepa Rao, and Lorraine Kerr. "‘Excuse me, do any of you ladies speak English?’ Perspectives of refugee women living in South Australia: barriers to accessing primary health care and achieving the Quality Use of Medicines." Australian Journal of Primary Health 20, no. 1 (2014): 92. http://dx.doi.org/10.1071/py11118.
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Reforms to the Australian health system aim to ensure that services are accessible, clinically and culturally appropriate, timely and affordable. During the reform consultation process there were urgent calls from stakeholders to specifically consider the health needs of the thousands of refugees who settle here each year, but little is known about what is needed from the refugee perspective. Access to health services is a basic requirement of achieving the quality use of medicines, as outlined in Australia’s National Medicines Policy. This study aimed to identify the barriers to accessing primary health care services and explore medicine-related issues as experienced by refugee women in South Australia. Thirty-six women participated in focus groups with accredited and community interpreters and participants were from Sudan, Burundi, Congo, Burma, Afghanistan and Bhutan who spoke English (as a second language), Chin, Matu, Dari and Nepali. The main barrier to accessing primary health care and understanding GPs and pharmacists was not being able to speak or comprehend English. Interpreter services were used inconsistently or not at all. To implement the health reforms and achieve the quality use of medicines, refugees, support organisations, GPs, pharmacists and their staff require education, training and support.
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Eriksen, Christine, and Timothy Prior. "The art of learning: wildfire, amenity migration and local environmental knowledge." International Journal of Wildland Fire 20, no. 4 (2011): 612. http://dx.doi.org/10.1071/wf10018.
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Communicating the need to prepare well in advance of the wildfire season is a strategic priority for wildfire management agencies worldwide. However, there is considerable evidence to suggest that although these agencies invest significant effort towards this objective in the lead up to each wildfire season, landholders in at-risk locations often remain under-prepared. One reason for the poor translation of risk information materials into actual preparation may be attributed to the diversity of people now inhabiting wildfire-prone locations in peri-urban landscapes. These people hold widely varying experiences, beliefs, attitudes and values relating to wildfire, which influence their understanding and interpretation of risk messages – doing so within the constraints of their individual contexts. This paper examines the diversity of types of local environmental knowledge (LEK) present within wildfire-prone landscapes affected by amenity-led in-migration in south-east Australia. It investigates the ways people learn and form LEK of wildfire, and how this affects the ability of at-risk individuals to interpret and act on risk communication messages. We propose a practical framework that complements existing risk education mechanisms with engagement and interaction techniques (agency–community and within community) that can utilise LEK most effectively and facilitate improved community-wide learning about wildfire and wildfire preparedness.
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Basedow, Martin, William B. Runciman, Wendy Lipworth, and Adrian Esterman. "Australian general practitioner attitudes to clinical practice guidelines and some implications for translating osteoarthritis care into practice." Australian Journal of Primary Health 22, no. 5 (2016): 403. http://dx.doi.org/10.1071/py15079.
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Clinical practice guidelines (CPGs) have been shown to improve processes of care and health outcomes, but there is often a discrepancy between recommendations for care and clinical practice. This study sought to explore general practitioner (GP) attitudes towards CPGs, in general and specifically for osteoarthritis (OA), with the implications for translating OA care into practice. A self-administered questionnaire was conducted in January 2013 with a sample of 228 GPs in New South Wales and South Australia. Seventy-nine GPs returned questionnaires (response rate 35%). Nearly all GPs considered that CPGs support decision-making in practice (94%) and medical education (92%). Very few respondents regarded CPGs as a threat to clinical autonomy, and most recognised that individual patient circumstances must be taken into account. Shorter CPG formats were preferred over longer and more comprehensive formats, with preferences being evenly divided among respondents for short, 2–3-page summaries, flowcharts or algorithms and single page checklists. GPs considered accessibility to CPGs to be important, and electronic formats were popular. Familiarity and use of The Royal Australian College of General Practitioners OA Guideline was poor, with most respondents either not aware of it (30%; 95% confidence interval (CI) 27 – 41%), had never used it (19%; 95% CI 12 – 29%) or rarely used it (34%; 95% CI 25–45%). If CPGs are to assist with the translation of evidence into practice, they must be easily accessible and in a format that encourages use.
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Williams, Melinda, Sandra C. Jones, Peter Caputi, and Don Iverson. "Do Australian adolescent female fake tan (sunless tan) users practice better sun-protection behaviours than non-users?" Health Education Journal 71, no. 6 (September 13, 2011): 654–61. http://dx.doi.org/10.1177/0017896911419344.
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Objective: To determine differences in sun-protection behaviours, and incidence of sunburn, between Australian adolescent female fake tan users and non-users. Design: Cross sectional survey. Method: 398 adolescent females aged 12 to 18 years participated in a survey at public venues, schools, and online. The main outcome measures were self-reported fake tan usage in the past 12 months, frequency of sunburns and habitual sun-protection behaviours. Setting: Surveys were completed in New South Wales, Australia. Results: The prevalence of self-reported use of fake tanning products in the past 12 months among Australian adolescent females was 34.5%. Female fake tan users were significantly less likely to report wearing a hat, wearing a shirt with sleeves or wearing pants covering to the knees. There was no difference between fake tan users and non-users in use of sunscreen, seeking shade, wearing sunglasses or avoidance of peak ultraviolet (UV) hours. Logistic regression modelling, when accounting for age, desire for a tan and skin type, revealed fake tan users were more likely to experience frequent sunburns and less likely to wear protective clothing. Conclusions: Our findings show that fake tan use among Australian female adolescents is associated with decreased sun protection, specifically reduced use of both upper and lower body protective clothing. Fake tan users were significantly more likely to experience repeated sunburns, after controlling for skin type. These findings provide impetus for the development of health education programmes targeting a new sub-group of adolescents with distinct tanning behaviours.
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Sydes, Brendan. "Climate Law in Australia. Edited by Tim Bonyhady and Peter Christoff. Annandale, New South Wales: The Federation Press, 12 2007, 315 pp. ISBN: 978 186287 6736." Australian Journal of Environmental Education 24 (2008): 81–82. http://dx.doi.org/10.1017/s081406260000063x.
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Cashin, Andrew, Emily Potter, Warren Stevens, Kerri Davidson, and Diane Muldoon. "Moving and Thinking Behind Bars: The Effectiveness of an Exercise and Health Education Program on Psychological Distress of Incarcerated People with, or at Risk of Developing, a Chronic Illness." Australian Journal of Primary Health 14, no. 1 (2008): 9. http://dx.doi.org/10.1071/py08002.
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Rates of chronic illness within the New South Wales, Australia, prison population are alarmingly high. Population approaches to health care and community development pose some unique challenges in the context of prisons. These challenges are discussed in the context of the report on the results of a small pilot randomised control trial conducted within one New South Wales prison that investigated the effect of a 12-week exercise and health education program on male inmates? psychological distress. The exercise program targeted individuals with a chronic illness, those who had two or more risk factors for developing a chronic illness and/or inmates over 40 years of age. The psychological distress of the inmate participants was measured weekly using a modified Kessler 10 tool. No statistically significant differences were found between the groups pre- or post- the exercise program. There was also no significant correlation between total psychological distress and participating or not participating in the exercise. A further study, with a larger sample size and different tool, is recommended.
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Reading, Chris, Constance Khupe, Morag Redford, Dawn Wallin, Tena Versland, Neil Taylor, and Patrick Hampton. "Educating for Sustainability in Remote Locations." Rural Educator 40, no. 2 (July 24, 2019): 43–53. http://dx.doi.org/10.35608/ruraled.v40i2.849.
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At a time when social, economic and political decisions, along with environmental events, challenge the viability of remote communities, educators need to better prepare young people in these communities to work towards sustainability. Remote locations can be defined by their inaccessibility rather than just distance from the nearest services, while the sustainability construct encapsulates a range of community needs: environmental, social, cultural and economic. This paper describes experiences that involve innovative approaches towards educating for sustainability in remote locations in six diverse countries: South Africa, Scotland, Canada, United States of America, Pacific Island Nations, and Australia. For each, the nature of what constitutes a “remote” location, as well as the detail and challenges of the innovation are presented. Readers should consider how they might more suitably educate the next generation to protect, showcase and learn from/with the local knowledges and capacities of the people and environments in remote locations.
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Reading, Richard. "Area socioeconomic status and childhood injury morbidity in New South Wales, Australia." Child: Care, Health and Development 34, no. 1 (December 12, 2007): 136. http://dx.doi.org/10.1111/j.1365-2214.2007.00818_5.x.
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Buchanan, John, Sandy Schuck, and Peter Aubusson. "In-School Sustainability Action: Climate Clever Energy Savers." Australian Journal of Environmental Education 32, no. 2 (January 28, 2016): 154–73. http://dx.doi.org/10.1017/aee.2015.55.
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AbstractThe mandate for living sustainably is becoming increasingly urgent. This article reports on the Climate Clever Energy Savers (CCES) Program, a student-centred, problem- and project-based program in New South Wales, Australia, aimed at enabling school students to identify ways of reducing their schools’ electricity consumption and costs. As part of the program, students apply for Department of Education and Communities funds to address issues of electricity usage, such as building or appliance modifications, or education campaigns. In particular, this article focuses on the systemic approach used to assist teachers and students in meeting the aims of the CCES program, the Sustainability Action Process (SAP). To ascertain the contribution and value of such a framework in achieving project outcomes and associated learning and attitudinal change, we investigated teachers’ and some students’ uses and opinions of the SAP via surveys (n= 434), 16 interviews, and analysis of documents such as student work samples and lesson outlines. Our research indicates that the SAP has been a highly effective, enabling and engaging tool in helping students to identify ways and means of reducing electricity consumption and evaluating their effectiveness, as well as identifying allies and other sources of assistance in carrying out their projects.
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Thurber, Katherine Ann, Grace Joshy, Rosemary Korda, Sandra J. Eades, Vicki Wade, Hilary Bambrick, Bette Liu, and Emily Banks. "Obesity and its association with sociodemographic factors, health behaviours and health status among Aboriginal and non-Aboriginal adults in New South Wales, Australia." Journal of Epidemiology and Community Health 72, no. 6 (March 7, 2018): 491–98. http://dx.doi.org/10.1136/jech-2017-210064.
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BackgroundHigh body mass index (BMI) is the second leading contributor to Australia’s burden of disease and is particularly prevalent among Aboriginal peoples. This paper aims to provide insight into factors relating to obesity among Aboriginal adults and Aboriginal–non-Aboriginal differences.MethodsCross-sectional analysis of data from the 45 and Up Study, comparing obesity (BMI ≥30 kg/m2) prevalence and risk factors among 1515 Aboriginal and 213 301 non-Aboriginal adults in New South Wales. Age–sex-adjusted prevalence ratios (PRs) for obesity by sociodemographic factors, health behaviours and health status were estimated (multivariable log-binomial regression) for Aboriginal and non-Aboriginal participants separately. We quantified the extent to which key factors (physical activity, screen time, education, remoteness, area-level disadvantage) accounted for any excess Aboriginal obesity prevalence.ResultsObesity prevalence was 39% among Aboriginal and 22% among non-Aboriginal participants (PR=1.65, 95% CI 1.55 to 1.76). Risk factors for obesity were generally similar for Aboriginal and non-Aboriginal participants and included individual-level and area-level disadvantage, physical inactivity, and poor physical and mental health, with steeper gradients observed among non-Aboriginal participants for some factors (Pinteraction <0.05). Many risk factors were more common among Aboriginal versus non-Aboriginal participants; key factors accounted for >40% of the excess Aboriginal obesity prevalence.ConclusionA substantial proportion of the excess obesity prevalence among Aboriginal versus non-Aboriginal participants was explained by physical activity, screen time, education, remoteness and area-level disadvantage. Socioeconomic and health behaviour factors are potential targets for promoting healthy BMI, but these must be considered within the context of upstream social and cultural factors. Adults with health needs and disability require particular attention.