The Extent And Impact Of Pharmaceutical Opioids For Chronic Non-cancer Pain
Funder
National Health and Medical Research Council
Funding Amount
$318,768.00
Summary
There have been dramatic increases in the use of pharmaceutical opioids (PO) for chronic non-cancer pain (CNCP), despite limited data on their long-term effectiveness and an increase in associated harm. This Fellowship provides critical new data to inform both clinicians and policymakers on the global extent of PO for CNCP, trajectories of problematic use and associated morbidity and a unique evaluation of the impact of real-time prescription monitoring program to reduce these harms.
Predictors And Correlates Of Health-related Quality Of Life And Morbidity In Overweight/obese Adolescents: Cohort Study
Funder
National Health and Medical Research Council
Funding Amount
$512,525.00
Summary
There is now no doubting the size and long-term risks to health of the childhood obesity epidemic. However, very little research has examined at population level its immediate consequences for mental health and physical functioning, what pathways confer risk and protection for these consequences, and their likely healthcare consequences. This study will utilise an existing cohort of approximately 1500 Victorian adolescents followed since childhood to examine neglected aspects of the genesis and ....There is now no doubting the size and long-term risks to health of the childhood obesity epidemic. However, very little research has examined at population level its immediate consequences for mental health and physical functioning, what pathways confer risk and protection for these consequences, and their likely healthcare consequences. This study will utilise an existing cohort of approximately 1500 Victorian adolescents followed since childhood to examine neglected aspects of the genesis and impacts of overweight and obesity. The Health of Young Victorians Study was originally assembled in 1997 when the children were in Grades Prep-3. In addition to information on putative risk and protective factors for overweight-obesity and direct measures of height and weight, it is unique in having collected data on health-related quality of life (HRQoL) since children were first recruited during the early primary school years. Eight years after the first wave, the children will be adolescents in Grades 8-11. This third wave will retain a focus on HRQoL. Innovations include study of potential emotional, behavioural and physical consequences of childhood obesity that may in turn affect the natural history of obesity. This large, population-based longitudinal study will redress neglected aspects of child and adolescent overweight-obesity specifically identified in 2003 by the NH and MRC. As well as establishing whether a range of common problems are related to overweight-obesity, it will be able to shed light on mechanisms of adverse outcomes associated with adolescent overweight-obesity, and study protective factors predicting remitting overweight from childhood to adolescence that may inform preventive activities. The study will make an international contribution to knowledge about pathways, prevalence and preventive opportunities for child and adolescent overweight-obesity.Read moreRead less
Morbidity, Mortality And Health Service Use Among Criminal Offenders: A Western Australian Population-based Study
Funder
National Health and Medical Research Council
Funding Amount
$133,750.00
Summary
This study will focus on the health of criminal offenders, as a most likely marginalised and neglected section of the community, in order to identify areas of need that if addressed will possess benefits for both offenders and the general community. A research team will apply their public health, criminology and forensic psychology expertise, in partnership with the WA Police Service, to provide information on the health outcomes and health service use of adult offenders in WA. Four themes will ....This study will focus on the health of criminal offenders, as a most likely marginalised and neglected section of the community, in order to identify areas of need that if addressed will possess benefits for both offenders and the general community. A research team will apply their public health, criminology and forensic psychology expertise, in partnership with the WA Police Service, to provide information on the health outcomes and health service use of adult offenders in WA. Four themes will be explored: (1) Health Status, to estimate the prevalence of overall and cause-specific hospital-treated morbidity (2) Mortality, to estimate the prevalence of overall and cause-specific mortality, (3) Health Service Use, focussing on both the rate of primary and secondary health service use; and (4) Inequalities In Health Outcomes, firstly comparing the health outcomes of adult offenders with the general WA population, and secondly, comparing the health outcomes of adult offenders based on sanction severity and custodial setting. This investigation is one of only a few worldwide to study health among criminal offenders. Offenders are a neglected section of the Australian health system. Responding to their needs is not possible without an understanding of their health outcomes and the disparities that exist. An important public health opportunity therefore exists to investigate the health of this socially disadvantaged group. This study will provide more detailed data regarding offender-health than currently exists internationally or nationally. Results can be used by health and-or justice administrators as indicators of program and service performance, and potentially lead to improved collaboration between these sectors. The methods used for outcome evaluation can be used readily for the routine evaluation of health performance indicators for offenders.Read moreRead less