Incidence And Outcome Of Stroke In Rural South Australia
Funder
National Health and Medical Research Council
Funding Amount
$735,541.00
Summary
We propose to undertake a population-based study of the incidence, management and outcome of stroke (survival, disability, recurrent stroke) in geographically defined segments of rural South Australia and compare these with equivalent data, collected during the same period in a defined sector of metropolitan Adelaide. It is hard to over-state the value of this information for planning health services of many kinds for the next decade.
The Aetiology And Prevention Of Pneumonia Of Indigenous Children In Northern Australia
Funder
National Health and Medical Research Council
Funding Amount
$344,258.00
Summary
This research aims to identify the causes of pneumonia in Indigenous children and to find out whether new and existing vaccines can reduce the amount of infections and their complications.
The Impact Of Household Infrastructure Improvements On Child Health In Remote Aboriginal Communities
Funder
National Health and Medical Research Council
Funding Amount
$413,350.00
Summary
The impact of the living environment on health has been well documented in the last 150 years and it is widely acknowledged that improvements in the living, working and social conditions of industrial countries have resulted in dramatic improvements in health. In Australia the close correlation between an unhealthy environment and the poor health of the Indigenous population has been clearly recognised. In 1993-94 the Federal Government established infrastructure projects as a component in the i ....The impact of the living environment on health has been well documented in the last 150 years and it is widely acknowledged that improvements in the living, working and social conditions of industrial countries have resulted in dramatic improvements in health. In Australia the close correlation between an unhealthy environment and the poor health of the Indigenous population has been clearly recognised. In 1993-94 the Federal Government established infrastructure projects as a component in the implementation of the National Aboriginal Health Strategy. The selection of communities for funding has been based on need, and the Northern Territory has attracted funding support disproportionate to its total population, but consistent with the level of need. While there is wide acceptance of the relationship between the household environment and health status, and evidence to support this general relationship, there is a need at an international and local level for research that informs specific social policy decisions. The aim of the proposed study is to determine the impact of improvements in household infrastructure on the health of children living in remote Aboriginal communities with a view to informing the development of infrastructure projects. The outcomes of this project will be a significant advance in the understanding of the relationship between the household environment and health status, and of the improvements in health that can be achieved through improvement in household infrastructure. The relationship between specific components of household infrastructure and the ability to conduct each of a number of healthy living practices will be defined, to our knowledge, for the first time. There is a unique opportunity in the Northern Territory to conduct world class research in this area. The new information will be of value in the planning of infrastructure projects in remote Indigenous communities across Australia and in similar settings internationallyRead moreRead less
Reducing Maternal Depression Two Years After Birth: Follow-up Of A Cohort Within A Community Randomised Trial
Funder
National Health and Medical Research Council
Funding Amount
$359,920.00
Summary
Maternal depression following childbirth is a significant public health issue. Previous Victorian research has found that 15-17% of women experience depression 6-9 months after birth, and of those depressed then, 30% are likely still to be depressed or depressed again two years after the birth. In 1998 16 Victorian municipalities began participating in the first ever community randomised trial of prevention and early intervention in depression - PRISM (Program of Resources, Information and Suppo ....Maternal depression following childbirth is a significant public health issue. Previous Victorian research has found that 15-17% of women experience depression 6-9 months after birth, and of those depressed then, 30% are likely still to be depressed or depressed again two years after the birth. In 1998 16 Victorian municipalities began participating in the first ever community randomised trial of prevention and early intervention in depression - PRISM (Program of Resources, Information and Support for Mothers). PRISM involves eight areas participating in a range of primary care and community based strategies designed to mobilise appropriate community support for mothers and children with a view to reducing maternal depression and improving maternal physical health and recovery after birth. The other eight areas are participating as comparison communities. Evaluation in PRISM is assessing major health outcomes for mothers and wider community benefits (flow-on effects) of the intervention program. Process and impact evaluation has also been undertaken to document and assess the different program elements and enhance the reproducibility of the program if successful. All women giving birth in the 16 areas are currently being surveyed six months after birth (from August 2000-February 2002). Within PRISM it is now proposed to follow-up women again two years after birth, to assess the impact of the intervention program on: *recovery from depression among the group of mothers in both intervention and comparison areas who were depressed six months after birth; and *the overall prevalence of depression and physical ill-health in all mothers. This follow-up study has the capacity to provide infromation on the poorly documented natural history of maternal depression from birth through the next two years in a large sample, including both urban and rural residents.Read moreRead less
10-year Outcome After Stroke: Final Follow-up For Survival, Stroke Recurrence, Functional Ability And Costs
Funder
National Health and Medical Research Council
Funding Amount
$51,475.00
Summary
Stroke is common, occurring in approximately 50,000 Australians each year. About a third of people with stroke die within the first 12 months but we do not know how many survive or how well they manage in the longer term. We aim to interview 10-year survivors of stroke to assess how much help they need to undertake everyday activities, and how much the stroke is costing the Australian community. This information will help us in planning the health care needs for stroke patients in future years.
Prognostic Factors Following A First Episode Of Central Nervous System Demyelination Suggestive Of Multiple Sclerosis.
Funder
National Health and Medical Research Council
Funding Amount
$719,475.00
Summary
Multiple sclerosis is the second most common cause of neurological morbidity in young Australians after trauma. Knowing who will progress to develop multiple sclerosis after a first attack and at what rate they will progress is an important question as it will allow us to target treatment to those at greatest risk and modify a person's lifestyle to reduce the risk of developing MS or slow their rate of progression.
Prof Lynch is an epidemiologist interested in understanding, quantifying, developing, and applying the evidence base for universal, targeted and clinical population health interventions, particularly in early life, that will improve overall population health and reduce health inequalities.
Aetiology, Burden And Causal Pathways Of Acute Lower Respiratory Infections Using Population Linked Data
Funder
National Health and Medical Research Council
Funding Amount
$437,476.00
Summary
Lower respiratory, or chest infections, are a problem for many children. This project will investigate the impact of chest infections on hospitals and emergency departments, the viruses and bacteria that cause them, identify those children who are at an increased risk of having chest infections and investigate the impact of routine immunisations on specific types of infections. This project will greatly add to our understanding of chest infections so appropriate interventions can be developed.