Determinants Of The Oral Health Of Adults Entering The Third Decade Life-stage
Funder
National Health and Medical Research Council
Funding Amount
$201,500.00
Summary
There has been a strong investment in the oral health of Australian children and their oral health has greatly improved. However, there are a number of indications that not all the gains in child and adolescent oral health are not carried through to the next life stage, adulthood. Somewhere in the intervening years, much of the gains in oral health invested in children and adolescents are dissipated. Hence, the purpose of this proposed research is to document the nature, distribution and determi ....There has been a strong investment in the oral health of Australian children and their oral health has greatly improved. However, there are a number of indications that not all the gains in child and adolescent oral health are not carried through to the next life stage, adulthood. Somewhere in the intervening years, much of the gains in oral health invested in children and adolescents are dissipated. Hence, the purpose of this proposed research is to document the nature, distribution and determinants of oral health among South Australian 29 year olds so as to identify points of intervention to maintain Australian's improved oral health further into adulthood. The specific aims of the research are to document the oral health of a cohort of 29 year olds describe their dental life history and key proximate influences on their oral health identify significant determinants of their oral health to compare the cohort with a representative SA sample of the same age. This project will approach some 3,763 29 year old adults who participated in earlier research as 13 year olds in 1988-89. It will also compare these adults with a random sample of 557 further 29 year olds from the SA Electoral Roll. Participants will be interviewed and then dentally examined, providing a range of key outcome measures on oral health status and explanatory factors from when they were 13 years old, their dental history and circumstances as 29 year olds. The research project is expected to provide detailed documentation of the prevalence and severity of oral disease and its distribution in an adult cohort, and exploration of the dental life history and current determinants of the oral disease observed. It is anticipated that the strength of hypothesised relationships of determinants will have direct policy implications.Read moreRead less
A Case Control Study Of Hypertension In The Setting Of Poverty, Overcrowding And Infection.
Funder
National Health and Medical Research Council
Funding Amount
$603,331.00
Summary
It is unclear why chronic diseases are emerging in regions of significant disadvantage, i.e. where people are not overweight, are physically active and relatively young. We aim to identify factors responsible for the development of high blood pressure in a region where there is overcrowding, poverty, and infection. Low cost strategies to modify risk and educate the community can then be developed to prevent the emergence of these diseases.
Why Do Australian Teenagers Fall Pregnant? Exploring The Antecedents Of Teenage Pregnancy.
Funder
National Health and Medical Research Council
Funding Amount
$542,100.00
Summary
Teenage pregnancy is a major health, social and economic issue for Australia. The teenage birth rate in Australia is higher than many other developed countries and of additional concern is the very high pregnancy and termination rate. Teenage pregnancy places the mother and child at greater risk of lifelong adverse outcomes. Despite research over more than 3 decades, we have only a simplistic understanding of what are likely complex mechanisms leading to early pregnancy. This is thought to be th ....Teenage pregnancy is a major health, social and economic issue for Australia. The teenage birth rate in Australia is higher than many other developed countries and of additional concern is the very high pregnancy and termination rate. Teenage pregnancy places the mother and child at greater risk of lifelong adverse outcomes. Despite research over more than 3 decades, we have only a simplistic understanding of what are likely complex mechanisms leading to early pregnancy. This is thought to be the reason for the failure of nearly all teenage pregnancy prevention efforts worldwide. In addition, there has been little study of this issue in Australian teenagers, and none in Aboriginal teenagers for whom pregnancy is more common and carries worse outcomes. This 2-stage project seeks to elucidate complex biological, psychological, and social pathways to unplanned pregnancy in the teenage years. In Phase 1, perceptions, values and beliefs will be explored in a qualitative study. Aboriginal and non-Aboriginal teenagers attending antenatal, termination and family planning clinics will be interviewed. Data from these interviews will generate new hypotheses regarding pregnancy risk in this age group. In Phase 2, 600 teenagers from schools, antenatal and termination clinics will be surveyed using computerised questionnaires. They will be asked about beliefs (identified in phase 1) and a range of other individual, family, and environmental factors identified in other studies to be risk factors for early pregnancy. Statistical analysis will be used to determine how multiple risk factors interact or combine to shape sexual and childbearing behaviour. This study will lead to new understandings of teenage pregnancy in Australia, and more effective teenage pregnancy intervention programs. Because few researchers in Australia, or elsewhere, have taken such a comprehensive approach to data collection and analysis, the results will be of international significance.Read moreRead less
A Multilevel Study Of Socioeconomic Position And Physical Activity: Environmental And Individual-level Determinants
Funder
National Health and Medical Research Council
Funding Amount
$429,000.00
Summary
Regular physical activity offers many health benefits, whereas inadequate activity is a leading cause of premature death and disability and a major contributor to the increasing prevalence of overweight and obesity. Socioeconomically disadvantaged groups are least likely to be physically active, and they experience higher rates of death and morbidity for conditions directly linked to inactivity. Currently, our understanding of why socioeconomic groups differ in their physical activity is limited ....Regular physical activity offers many health benefits, whereas inadequate activity is a leading cause of premature death and disability and a major contributor to the increasing prevalence of overweight and obesity. Socioeconomically disadvantaged groups are least likely to be physically active, and they experience higher rates of death and morbidity for conditions directly linked to inactivity. Currently, our understanding of why socioeconomic groups differ in their physical activity is limited, and very little research has investigated this issue. This study will investigate why socioeconomic groups differ in their physical activity, by examining the influence of neighbourhood and individual-level factors. Neighbourhood factors include people's access to recreational facilities such as swimming pools, tennis courts, golf clubs, gyms, local parks, walking and bicycle paths; prices for entry to recreational facilities and opening hours; physical characteristics of the neighbourhood including public transport, presence of footpaths and street lighting, speed limits on local streets, availability of local services such as shops and schools, and; aesthetic characteristics, such as the presence and size of parks and green spaces, and traffic density. Individual factors include personal enjoyment, knowledge, confidence, type of occupation and hours worked, family responsibilities, age, health status, and whether other family member or friends engage in physical activity. A major aim of the study is to determine whether environmental or individual factors are more important in influencing participation in physical activity. The study will produce new knowledge to inform future public health strategies directed at increasing physical activity among socioeconomically disadvantaged groups, and these will have the potential to reduce socioeconomic health inequalities, as well as contribute to an overall reduction of the disease burden attributable to chronic conditions.Read moreRead less
Intergenerational Transmission Of Health Inequalities: Effects Of Work Conditions On Parent Resources And Child Health
Funder
National Health and Medical Research Council
Funding Amount
$482,385.00
Summary
The connection between socioeconomic inequalities and health is well documented in nations such as Australia. Research also shows that health inequalities persist from generation to generation. This project extends understanding of health inequalities by investigating whether work conditions contribute to health transmission from parents to children. Work conditions vary by class and occupation and have changed markedly over the last decade. They exert a direct effect on parents' health, and inf ....The connection between socioeconomic inequalities and health is well documented in nations such as Australia. Research also shows that health inequalities persist from generation to generation. This project extends understanding of health inequalities by investigating whether work conditions contribute to health transmission from parents to children. Work conditions vary by class and occupation and have changed markedly over the last decade. They exert a direct effect on parents' health, and influence resources like income, time, energy and attention that parents can invest in their children, thereby influencing children's health and well-being. In this study, we expand models of parent work and child health to include 1) working conditions (rather than employment versus unemployment); 2) collection of data on father's as well as mother's employment; and 3) investigation of the link between working conditions and parental resources as a route by which health inequalities can be transmitted across generations. Findings will contribute to the basis for interventions to improve children's health and development.Read moreRead less
Cardiovascular Disease (CVD) is major problem among indigenous Australians, and imposes a significant financial burden on the Australian health care system. CVD cannot be sufficiently explained by the increased prevalence of conventional cardiovascular risk factors such as diabetes, smoking and overweight. Predicted CVD rates among young Indigenous adults using conventional risk factors are about 30 times lower than the observed rate. Increased recognition has been given to the role of psychosoc ....Cardiovascular Disease (CVD) is major problem among indigenous Australians, and imposes a significant financial burden on the Australian health care system. CVD cannot be sufficiently explained by the increased prevalence of conventional cardiovascular risk factors such as diabetes, smoking and overweight. Predicted CVD rates among young Indigenous adults using conventional risk factors are about 30 times lower than the observed rate. Increased recognition has been given to the role of psychosocial factors in CVD, particularly, the poor psychosocial circumstances of Indigenous Australians. However, psychological phenomena resulting from adverse day-to-day experiences and their relationships to CVD, are poorly understood. This study aims to examine relationships between culturally valid measures of social, emotional and spiritual wellbeing, and traditional and novel cardiovascular risk factors. Findings from this study will help determine if the adverse psychosocial environment of many Aboriginal Australians contributes to the current excess morbidity and mortality from CVD. This study is embedded in a longitudinal study so that early life experiences can be taken into account. Sadly this population is especially suitable for a life course study, because the premature adult mortality and early onset of non-communicable diseases means the time intervals for development of morbidity and mortality events is relatively short.Read moreRead less
A Prospective Study Of Health, Social And Forensic Outcomes In Young Offenders.
Funder
National Health and Medical Research Council
Funding Amount
$189,000.00
Summary
In our environment of increasing illicit drug abuse and violent crime, there is an urgent need to gain an understanding of the forensic, health and social factors leading to offending by young people in Australia. Little research has been conducted worldwide looking at the health profile of young people offending across the entire spectrum of seriousness, and we could not find any studies examining this population in Australia. Most reports concern offenders who have received custodial sentences ....In our environment of increasing illicit drug abuse and violent crime, there is an urgent need to gain an understanding of the forensic, health and social factors leading to offending by young people in Australia. Little research has been conducted worldwide looking at the health profile of young people offending across the entire spectrum of seriousness, and we could not find any studies examining this population in Australia. Most reports concern offenders who have received custodial sentences, the most serious end of the offending spectrum. Furthermore, overseas studies are of limited usefulness in the Australian context, as it is difficult to apply observations from communities where the social, ethnic and crime profile may be markedly dissimilar. We propose to interview 450 young people immediately after they obtain their first sentence, usually a community-based order. The problems we will ask about include depression and anxiety, heavy alcohol consumption, heavy use of cannabis and other illegal drugs, deliberate self harm, sexual risk taking behaviour and offending behaviour. We will also ask about the social circumstances, friends and family structure and support. We will then repeat this interview six months later. In addition, we will monitor the participants' compliance with their order, treatment programs they may be on and re-offending until the end of data collection. The study will give us the basis to examine continuity and inter-relationship between problems such as depression and substance abuse, social factors and continued offending. Further, the study will establish a framework to follow-up these young offenders in the medium and long-term. The development of this sound and thorough research program will provide a rational basis for the planning of preventative interventions, aimed at improving the health and welfare and at reducing recidivism in this marginalised and often disadvantaged group of young people.Read moreRead less
Investigating The Association Between Incarceration While Pregnant And Maternal And Infant Outcomes
Funder
National Health and Medical Research Council
Funding Amount
$307,500.00
Summary
The number of women incarcerated within Australian prisons has doubled over the last ten years. Prisons contain large numbers of women from Indigenous backgrounds, women with a mental illness, women with violent partners and women with substance abuse problems. As such they constitute one of the most disadvantaged groups within Australian society and their children are unlikely to experience a healthy start to life. At any one time around 5-10% of women inside Australian prisons are pregnant. Th ....The number of women incarcerated within Australian prisons has doubled over the last ten years. Prisons contain large numbers of women from Indigenous backgrounds, women with a mental illness, women with violent partners and women with substance abuse problems. As such they constitute one of the most disadvantaged groups within Australian society and their children are unlikely to experience a healthy start to life. At any one time around 5-10% of women inside Australian prisons are pregnant. There has been no Australian research into the effect incarceration has upon pregnant women or their babies. Some believe that women who are incarcerated during their pregnancy may have better outcomes as they are outside their normal milieu with restricted access to alcohol and illicit drugs and separated from abusive partners. Others argue that the stress of incarceration and separation from family and friends could result in poorer pregnancy outcomes. This study will investigate whether being imprisoned while pregnant results in better or worse pregnancy and birth outcomes for Australian women and their babies.Read moreRead less