Obesity, Overweight And Hospitalisation: Identifying Targets For Interventions To Prevent Adverse Health Outcomes
Funder
National Health and Medical Research Council
Funding Amount
$603,755.00
Summary
Obesity is an important and rapidly increasing health problem, especially in indigenous communities. The proposed project investigates how obesity affects the risk of hospital admission in Indigenous and non-Indigenous Australians, including providing evidence regarding the nature of the hospitalisation, the cost and whether specific groups are at a higher risk of obesity-related hospitalisation. In doing so it aims to identify targets for intervention to reduce obesity-related hospitalisation
Gudaga Project: Understanding The Health, Development, And Service Use Of Aboriginal Children In An Urban Environment
Funder
National Health and Medical Research Council
Funding Amount
$1,424,845.00
Summary
The Gudaga project is a birth cohort of Aboriginal children that will be followed from 18 months to 5 years and describe their health, development and service (health and children's) use. This is the first study of its kind in Eastern Australia. The research team are working closely with stakeholders in Aboriginal health care including the Aboriginal community to implement the research. The research will contribute to services for Aboriginal children in the local and wider community.
Suicide Ideation, Attempts, Help-seeking Behaviour And Compliance Within The Gold Coast District
Funder
National Health and Medical Research Council
Funding Amount
$111,320.00
Summary
In response to increasing suicide rates in Australia, and abroad, the Australian Government has embraced a nationally coordinated approach to suicide prevention. The National Suicide Prevention Strategy identifies the need for suicide prevention efforts that are based on research evidence. The Australia Institute for Suicide Research and Prevention, in cooperation with the World Health Organisation, is planning to undertake a study to examine suicidal behaviour in the community. Specifically the ....In response to increasing suicide rates in Australia, and abroad, the Australian Government has embraced a nationally coordinated approach to suicide prevention. The National Suicide Prevention Strategy identifies the need for suicide prevention efforts that are based on research evidence. The Australia Institute for Suicide Research and Prevention, in cooperation with the World Health Organisation, is planning to undertake a study to examine suicidal behaviour in the community. Specifically the study will focus on two areas: (a) the willingness of people who displaying suicidal behaviour to seek help and reasons why some people do not seek help, and (b) The compliance with medical treatment among people who seek help following an attempted suicide and the reasons why some of these people do not comply with medical advice. 15,000 people who permanently reside in the Gold Coast Health District will be telephoned at random and asked to participate in the study. Eligible people who agree to participate will be mailed a paper questionnaire. The data gathered in the duty will be examined to gain greater insight into what happens to people following the development or suicidal behaviour. Pilot studies have already revealed that 15% of people in the Gold Coast District have thought about suicide at some time in their lives and as many as 5% have attempted suicide. It is hoped that this study will provide valuable information that can help design more effective suicide prevention programs.Read moreRead less
Population Based Estimates Of MBS, PBS And Hospital Utilisation Rates Using Prevalent Chronic Disease Denominators
Funder
National Health and Medical Research Council
Funding Amount
$246,000.00
Summary
This project will use hospital morbidity and mortality data from the WA Data Linkage System, linked to the Medicare Benefits Scheme and Pharmaceutical Benefits Scheme databases to produce measures of disease occurrence and health service utilisation within the Western Australian population according to indices of social and geographical disadvantage. The first objective will involve establishing teams of clinicians and researchers who will work together to develop and validate lists of MBS and P ....This project will use hospital morbidity and mortality data from the WA Data Linkage System, linked to the Medicare Benefits Scheme and Pharmaceutical Benefits Scheme databases to produce measures of disease occurrence and health service utilisation within the Western Australian population according to indices of social and geographical disadvantage. The first objective will involve establishing teams of clinicians and researchers who will work together to develop and validate lists of MBS and PBS item numbers that are indicative of specified chronic diseases. This information will then be used to identify patients with these conditions from the MBS and PBS databases during the period 1990-2003 and this method of case ascertainment will be compared with the use of the Hospital morbidity data system alone. Once groups of patients have been identified, their utilisation rates of MBS, PBS and hospital services will be calculated. The effect of social and geographical indices on the occurrence of disease and the utilisation of services will also be studied. Trends over time in health status and health service utilisation are vital to the evidence-based planning and evaluation of health services and to the provision of an equitable and accessible health service which is based on the needs of the community. The work will represent the first time that the utilisation of Australian MBS and PBS itemised services is measured in diagnostically defined groups of patients with chronic diseases.Read moreRead less
Choice Or Chance: The Social Context Of Contraceptive Use By Women With HCV And Their Reproductive & Sexual Health Needs
Funder
National Health and Medical Research Council
Funding Amount
$260,150.00
Summary
Hepatitis C is a growing health concern, with 1% of the Australian population now HCV positive, and signs that it is increasing more quickly among women of child-bearing age. This study builds upon recent research that shows that Australia women with Hepatitis C have low levels of contraception even though they have specific contraceptive needs relating to concerns about the risks of vertical transmission, the effects of the diease on their children and the use of Ribavirin, a teratogen, in HCV ....Hepatitis C is a growing health concern, with 1% of the Australian population now HCV positive, and signs that it is increasing more quickly among women of child-bearing age. This study builds upon recent research that shows that Australia women with Hepatitis C have low levels of contraception even though they have specific contraceptive needs relating to concerns about the risks of vertical transmission, the effects of the diease on their children and the use of Ribavirin, a teratogen, in HCV treatment. This study aims to elucidate the reasons for this low level of contraception among women with Hepatitis C through interviews with them (and in some cases their partners) about the complex array of practices and understandings, within the contexts of their lives, that influence their contraceptive and reproductive behaviours. The public health outcomes of this research include the development of contraceptive information that is relevant to the specific needs of women with Hepatitis C and the identification of barriers to family planning and reproductive health services for these women.Read moreRead less
Use And Adequacy Of Diabetic Retinopathy Screening: A Whole Population Linked Data Study
Funder
National Health and Medical Research Council
Funding Amount
$219,382.00
Summary
Diabetes and its health complications are major public health issues presently facing Australia. Currently, around 7% of Australians have diabetes and it is estimated that 300 million people will be diabetic within 20-years. One major complication of diabetes is diabetic retinopathy, which is the most common cause of blindness in working-age adults. Although early treatment can prevent vision loss from diabetic retinopathy, often there are no visual symptoms until the condition is more advanced ....Diabetes and its health complications are major public health issues presently facing Australia. Currently, around 7% of Australians have diabetes and it is estimated that 300 million people will be diabetic within 20-years. One major complication of diabetes is diabetic retinopathy, which is the most common cause of blindness in working-age adults. Although early treatment can prevent vision loss from diabetic retinopathy, often there are no visual symptoms until the condition is more advanced and less treatable. Consequently, it is vital that people with diabetes have their eyes examined regularly. We aim to investigate the use of eye services by people with diabetes. The WA Data Linkage System provides the unique opportunity to efficiently examine the benefits of specialist eye care in diabetics within WA over a 17-year period. The study period encompasses the introduction of NHMRC guidelines for diabetic retinopathy screening in 1997. This will enable us to examine the effectiveness of these guidelines in increasing ophthalmic services use by people with diabetes. Evaluating these trends will provide important data on the effectiveness of policy and NHMRC guidelines in improving diabetic eye care, which has never been comprehensively investigated. Early intervention can prevent and delay vision loss from diabetic retinopathy, substantially reducing the personal and community burden from diabetes. The identification of poorly screened groups will enable more targeted programs to improve the use of ophthalmic series, which in turn may reduce the risk of: i) eye surgery related to diabetes, ii) injury resulting from diabetes-related vision disorder or iii) blindness. The feasibility of using linked health data to evaluate eye screening in diabetics will enable future work addressing processes of care in the prevention of other diabetic complications to be undertaken quickly and cost-effectively.Read moreRead less