A Randomised Trial Of Allowing Men Who Have Sex With Men To Have HIV And Syphilis Tests Between Clinic Consultations.
Funder
National Health and Medical Research Council
Funding Amount
$381,414.00
Summary
Rates of HIV and syphilis are rising in gay men in Australia. If these men have HIV and syphilis blood tests more frequently this is likely to reduce the spread of these infections. This trial tests the hypothesis that increased access to testing will increase the rate of testing. We are comparing the rate of testing in 420 gay men, half of whom are allowed to test whenever they choose, without having another clinical consultation.
Patterns Of Care And Quality Of Life In Patients With Pancreatic Cancer.
Funder
National Health and Medical Research Council
Funding Amount
$680,010.00
Summary
Available evidence suggests that care of patients with pancreatic cancer is variable and dependent on a variety of factors such as geographic location, socioeconomic status and hospital volume. Variability in care may influence survival and quality of life of patients. We propose to conduct a comprehensive study of the management of patients with pancreatic cancer in NSW and, in a substudy in QLD, to determine how variation in management affects patient quality of life.
Quantifying And Understanding Spatial Inequalities In Cancer Outcomes
Funder
National Health and Medical Research Council
Funding Amount
$443,946.00
Summary
Outcomes for people with cancer depend on where they live; typically poorer in rural and socio-economically disadvantaged areas. However we know very little about why these inequalities exist. My proposed program of research develops and applies emerging statistical and spatial techniques to a unique set of registry and research data to examine the contribution of various individual- and area-level factors to cancer outcomes; increasing our capacity to intervene to reduce these inequalities.
Improving Antiretroviral Treatment (ART) Initiation For People Living With HIV In Australia: A Realistic And Feasible Approach?
Funder
National Health and Medical Research Council
Funding Amount
$434,722.00
Summary
Antiretroviral treatment (ART) has improved the lives of people living with HIV (PLHIV). This study will investigate barriers, incentives and reasons that influence decision making of PLHIV and clinicians regarding whether to start ART and when. The study will examine the potential public health impact of promoting ART use on the HIV epidemic. The study will make significant contributions to improvement of ART use and advances in HIV prevention.
Understanding personal, social and environmental influences on nutrition and physical activity among older adults living in urban and rural areas. There are negative impacts of obesity, poor diet and physical inactivity on physical, psychological and social wellbeing and national economic costs associated with these burdens are substantial. Obesity and its associated illnesses are estimated to cost Australian health services $1.2 billion a year. An understanding of the modifiable determinants of ....Understanding personal, social and environmental influences on nutrition and physical activity among older adults living in urban and rural areas. There are negative impacts of obesity, poor diet and physical inactivity on physical, psychological and social wellbeing and national economic costs associated with these burdens are substantial. Obesity and its associated illnesses are estimated to cost Australian health services $1.2 billion a year. An understanding of the modifiable determinants of nutrition and physical activity behaviours is required in order to develop effective interventions to promote health and well-being. Promoting physical activity and a healthy diet thus has the potential to substantially reduce the burden of disease in Australia and improve quality of life.Read moreRead less
Assessing The Impact Of Geographical Location And Socioeconomics On Clinical Outcomes From Breast Cancer
Funder
National Health and Medical Research Council
Funding Amount
$317,485.00
Summary
Inequalities in survival from and treatment for breast cancer continue to exist in Australia, particularly for women from rural and remote areas, and for disadvantaged populations. Currently, we do not know to what extent these inequalities are due to individual characteristics or to the area in which a women lives. By understanding how these factors impact on clinical outcomes, we enable us to better target health programs, policy and practice to reduce the burden of cancer.
Air pollution: do modern statistical model selection techniques make the silent killer speak too loud? Air pollution is estimated to cause 2400 deaths annually in Australia with an associated cost to the community of $17.2 billion. The outcomes of this project will enable an improved understanding of the association between air pollution and mortality in Australia, thereby allowing government, public health authorities, and regulatory agencies to implement better air pollution standards and pro ....Air pollution: do modern statistical model selection techniques make the silent killer speak too loud? Air pollution is estimated to cause 2400 deaths annually in Australia with an associated cost to the community of $17.2 billion. The outcomes of this project will enable an improved understanding of the association between air pollution and mortality in Australia, thereby allowing government, public health authorities, and regulatory agencies to implement better air pollution standards and provide more informed advice to the public on the necessity of avoiding exposure to air pollutants. These two outcomes are particularly important given Australia's ageing population and the fact that the elderly are among those most susceptible to harm from air pollution exposure.Read moreRead less
Travellers visiting friends and relatives: new approaches to understanding and reducing infectious disease risks. Travel is the single most important factor in the spread of infections globally and travellers who visit friends and relatives in their country of birth are at increased risk of infections. This project will provide necessary evidence to guide an effective response to reducing travel-associated infectious disease in this target at-risk group.
Visual field impairment and injury: A population-based study. This project aims to link a large-scale ophthalmic database of visual field tests to population-based injury data which includes police-reported crash data, hospitalisation, death and trauma data in people aged over 60 years. The identification of individuals with high risk visual fields will enable the development of targeted interventions at the local, national and international level to prevent injuries due to visual field loss. Si ....Visual field impairment and injury: A population-based study. This project aims to link a large-scale ophthalmic database of visual field tests to population-based injury data which includes police-reported crash data, hospitalisation, death and trauma data in people aged over 60 years. The identification of individuals with high risk visual fields will enable the development of targeted interventions at the local, national and international level to prevent injuries due to visual field loss. Significant benefits include a reduction in the number of injuries and consequent reductions in personal harm and health care demands.Read moreRead less
A Survey Of The Sexual Behaviour And Sexual Health Of Australian Prisoners
Funder
National Health and Medical Research Council
Funding Amount
$591,000.00
Summary
The Australian Study of Health and Relationships telephone survey recently reported on the sexual attitudes, knowledge, health and behaviour of over 19,000 Australians. One of the groups that was omitted from that survey was prisoners. Yet prisoners are a high-risk group for sexual ill health. Prisoners are mostly drawn from the most disadvantaged groups in society: they are more likely to be unemployed, they have less education and lower incomes than other Australians, and many suffer from mino ....The Australian Study of Health and Relationships telephone survey recently reported on the sexual attitudes, knowledge, health and behaviour of over 19,000 Australians. One of the groups that was omitted from that survey was prisoners. Yet prisoners are a high-risk group for sexual ill health. Prisoners are mostly drawn from the most disadvantaged groups in society: they are more likely to be unemployed, they have less education and lower incomes than other Australians, and many suffer from minor intellectual disabilities and-or mental illness. This proposed survey of inmates in Australian prisons will fill in this missing data. Prisoners are the forgotten population in many countries. Only a few surveys of prisoners' health have been performed. There are some surveys of sexual behaviour in particular prisons overseas, though most of them concentrate on HIV risks and do not explore the sexual lives of prisoners in the same way as the major national sex surveys in the US, the UK and France did for people living outside prison. Prison is itself a dangerous place for people's sexual health. In prison, much of the sex that occurs is not voluntary. Sexual assault in prisons can lead to serious physical injury as well as risk of sexually transmitted diseases including HIV-AIDS. Although some of these injuries can be sufficiently serious to require surgery, only a small proportion are reported to the authorities. Younger prisoners (aged 18-25) and those who are small, slightly built or gay, are at higher risk of being assaulted. This study will explore the factors surrounding sexual assault in prison and make recommendations for preventing it.Read moreRead less