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
The Role Of Trauma Related Anger And The Cycles Of Violence In Post Conflict Countries: A Follow Up Study In Timor Leste
Funder
National Health and Medical Research Council
Funding Amount
$560,618.00
Summary
Our 2004 East Timor study showed that men who suffered abuses remain angry. We will follow-up these men to see if those who remained angry were more likely to be involved in social unrest and violence. We will also find out what factors make angry men more likely to act violently. This study will provide information to help agencies assist men overcome anger to avoid future violence.
After Hours Medical Care And Personal Safety Needs Of Urban General Practitioners
Funder
National Health and Medical Research Council
Funding Amount
$73,250.00
Summary
Experiences of violence and aggression are widespread within the health care field. Episodes of violence and aggression against general practitioners (GPs) in their working environment are not uncommon. These incidents frequently go unreported and the toll they take on GPs, on a personal as well as a professional level, is unknown. The frequency and severity of violence experienced by some health professionals is extreme. Such experiences may undermine the confidence and commitment of GPs and ma ....Experiences of violence and aggression are widespread within the health care field. Episodes of violence and aggression against general practitioners (GPs) in their working environment are not uncommon. These incidents frequently go unreported and the toll they take on GPs, on a personal as well as a professional level, is unknown. The frequency and severity of violence experienced by some health professionals is extreme. Such experiences may undermine the confidence and commitment of GPs and may inevitably have detrimental effects on health care services. Studies in the UK indicate that violence against general practitioners is increasing, violence against GPs in rural areas of Australia is also increasing but there have been no comparable studies carried out in our major cities. This research aims to ask general practitioners working in a range of different urban areas around NSW to describe their experiences of dealing with violent and aggressive patients. The study will be the first of its kind in Australia to provide an important insight into the level of violent and aggressive behaviour GPs are subjected to in city areas. One of the key areas of concern that has been reported in medical journals and the general press has been an increase in attacks on GPs making house-calls, this project will therefore be particularly focussed on GPs who provide after hours care. This study is important so in order to find out exactly what the incidence of violence against our urban general practitioners is, what type of violence is actually occurring, where it is occurring, who the perpetrators are, and also what the longer term psychological effects of abuse against general practitioners may be. The findings from this study will be used by the Commonwealth Government and Health Departments to plan better ways of providing after hours medical care. The findings may also be used to educate GPs and medical students about safety in the workplace.Read moreRead less
Aboriginal Families Study: Closing The Gap In Indigenous Maternal And Child Health Outcomes
Funder
National Health and Medical Research Council
Funding Amount
$981,590.00
Summary
This proposal addresses agreed targets for closing the gap in Indigenous disadvantage outlined by the Council of Australian Governments (COAG) in the National Indigenous Reform Agenda. The Aboriginal Families Study will help to determine organisational and service level factors leading to better health outcomes for Aboriginal women and families during and after pregnancy and inform the implementation of COAG funded maternal and child health initiatives in South Australia and nationally
Social Aspects Of Amputation Among An Aging Population In Urban And Rural Victoria
Funder
National Health and Medical Research Council
Funding Amount
$251,742.00
Summary
In recent years, social scientists have shown increasing interest in how individual and social structural factors inter-relate to produce wellbeing. An associated interest has been the role of social networks and social support for individuals with chronic disease, enabling them to manage ongoing illness or impairment, live fulfilling lives and experience wellbeing. To explore these issues in an Australian context, this project focuses on people who have had amputations from trauma, advanced dis ....In recent years, social scientists have shown increasing interest in how individual and social structural factors inter-relate to produce wellbeing. An associated interest has been the role of social networks and social support for individuals with chronic disease, enabling them to manage ongoing illness or impairment, live fulfilling lives and experience wellbeing. To explore these issues in an Australian context, this project focuses on people who have had amputations from trauma, advanced disease (e.g. cancer) or complications of chronic disease (e.g. diabetes). The study aims to increase our understanding of how people live with particular diseases and health conditions, the impact of these conditions on body image, self-esteem, social relationships and societal participation, and how structural, contextual and environmental factors affect individual functioning and disability. By including people of different gender, ethnicity, age and area of residence, the study is concerned with how life circumstances and socialization (including ideas of gender) influence outcome. The findings will contribute to our knowledge of adaptation and provide information relevant to improved care for people from different backgrounds. The study is significant because of the increase in chronic disease (relative to infectious disease) in contemporary industrialised societies, particularly with an aging population. The policy context of this work is government interest in maximising the independence and wellbeing of people who are aged and-or with chronic disease, while minimising the economic costs. The research is also significant to international agencies and consumer organisations concerned with reducing discrimination against and inequality of people with impairments. The study will contribute to the WHO classification of disability, and efforts to promote and protect the rights and dignity of persons with disabilities.Read moreRead less
Overall Australia provides an ideal environment for research into the public health effects of prostitution laws. The eight states and territories effectively provide eight 'natural experiments' in legal responses to prostitution - ranging from prohibition through almost complete decriminalisation, with varying degrees of regulation and control in between these extremes. This project will examine how different legal and police responses to prostitution may affect the health of sex workers. These ....Overall Australia provides an ideal environment for research into the public health effects of prostitution laws. The eight states and territories effectively provide eight 'natural experiments' in legal responses to prostitution - ranging from prohibition through almost complete decriminalisation, with varying degrees of regulation and control in between these extremes. This project will examine how different legal and police responses to prostitution may affect the health of sex workers. These variable legal contexts guarantee international interest in this research. in addition this research team has extensive experience - dating back up to 20 years - in successfully researching even the most marginalised elements of the sex industry in Australia. By the conclusion of the project we will have assessed sex worker access to health promotion programs, including health services, in three states. We will be able to provide authorities with insights into the effects of prostitution laws and the enforcement of those laws on the health and welfare of sex workers. This finding will inform future interventions with sex industries in Australia and globally.Read moreRead less
How Do Lay People Understand The Risk Of Developing Cancer? A Qualitative Study Using Grounded Theory Procedures.
Funder
National Health and Medical Research Council
Funding Amount
$282,118.00
Summary
This project is about cancer risk. New discoveries are regularly made about the contribution of genes, environmental exposures, and lifestyles to cancer risk. These findings are often reported in the mass media, or used in television advertising to encourage us to attend cancer screening or change our habits. Some cancers are said to be almost entirely preventable. In fact some experts argue that whether or not we get cancer is largely our own responsibility. This study doesn't ask what causes c ....This project is about cancer risk. New discoveries are regularly made about the contribution of genes, environmental exposures, and lifestyles to cancer risk. These findings are often reported in the mass media, or used in television advertising to encourage us to attend cancer screening or change our habits. Some cancers are said to be almost entirely preventable. In fact some experts argue that whether or not we get cancer is largely our own responsibility. This study doesn't ask what causes cancer. Instead it asks what the risk of developing cancer means to Australians and in Australian society. This question will be answered by conducting a rigorous analysis of healthy lay people's descriptions of their own and others' risk of developing cancer. The researchers will talk with a wide range of people about cancer risk. They will ask: how do we think about cancer risk for ourselves? how do we engage with information about cancer risk? Do we listen to it? Do we trust it? Does it make sense to us? What do we think should be done about it? The resulting findings will be compared with the assumptions that underlie cancer prevention activities. Finally, the discoveries made about similarities and differences will be actively translated for expert and lay audiences. There have been many studies of what it is like to be a cancer patient or to be screened for cancer. But there has been very little systematic study of the way in which healthy Australians make sense of cancer risk. This study will develop a detailed model of what cancer risk means to Australians. It will provide new knowledge to researchers and practitioners in public health, health psychology and sociology, and risk communication, guiding communication about cancer risk and research about cancer risk well into the future. It will help lay people and professionals to communicate more effectively about cancer risk, and thus support continuing improvement in cancer prevention in Australia.Read moreRead less