PSA Testing: A Population-based Longitudinal Study Of Decision Making, Psychological Effects And Patterns Of Care
Funder
National Health and Medical Research Council
Funding Amount
$576,977.00
Summary
Prostate cancer is the most commonly diagnosed cancer in Australian men and the second most common cancer- related cause of death. Since being introduced into Australia in 1988 the Prostate Specific Antigen (PSA) blood test has been widely adopted as a method for detecting early-stage asymptomatic prostate cancer. However there is controversy about the potential benefits and harms of testing for prostate cancer. Little has been documented in Australia about the information men receive when consi ....Prostate cancer is the most commonly diagnosed cancer in Australian men and the second most common cancer- related cause of death. Since being introduced into Australia in 1988 the Prostate Specific Antigen (PSA) blood test has been widely adopted as a method for detecting early-stage asymptomatic prostate cancer. However there is controversy about the potential benefits and harms of testing for prostate cancer. Little has been documented in Australia about the information men receive when considering a PSA test, what happens to men after having an abnormal PSA test and the consequences of PSA testing (including physical and psychological effects). The aim of this study is to interview a representative community sample of men aged 50 to 84 years and resident in NSW to describe: (1) the decision-making process regarding PSA testing; (2) the psychological consequences of men's PSA testing experiences; and (3) patterns of care for men who have had an abnormal PSA test. The main outcomes from this study will include substantial information on the experiences of men regarding patterns of PSA participation (frequency of, and reasons for, testing), the clinical management of men who have had an abnormal PSA test, the psychological effects of PSA testing (both positive and negative) and how decisions about testing are being made. This will provide important information to assist GPs, urologists and Australian men make decisions about PSA testing. It will highlight areas of need regarding the information required by men for informed decision-making and the support they require when undergoing PSA testing to ensure positive psychological outcomes.Read moreRead less
Five Year Outcomes Of Care For Prostate Cancer In New South Wales
Funder
National Health and Medical Research Council
Funding Amount
$388,773.00
Summary
Prostate cancer is the most common cancer in Australian males after non-melanocytic skin cancer. Each year more than 10,000 men are diagnosed with prostate cancer, and over 2,500 die from it. While the issue of early detection of prostate cancer through the use of Prostate Specific Antigen test continues to raise debate, the longer term quality of life outcomes after treatment for this disease remain of great interest to patients, clinicians and health planners. The Prostate Cancer Outcomes Stud ....Prostate cancer is the most common cancer in Australian males after non-melanocytic skin cancer. Each year more than 10,000 men are diagnosed with prostate cancer, and over 2,500 die from it. While the issue of early detection of prostate cancer through the use of Prostate Specific Antigen test continues to raise debate, the longer term quality of life outcomes after treatment for this disease remain of great interest to patients, clinicians and health planners. The Prostate Cancer Outcomes Study is an already established research project that was established in 2000 with the aim of documenting the quality of life outcomes of 2000 men with prostate cancer to five years after diagnosis. The Department of Veterans Affairs funded the study between 2000 and 2005, to establish the cohort, collect patterns of care information from clinicians and quality of life information from participants to 3 years post diagnosis. We are now seeking funds to complete the quality of life follow up for each surviving participant at five years after diagnosis. We also will assess rate of recurrence of prostate cancer to five years and seek support to be able to undertake linkage with death certificate information to determine the vital status of each study subject and begin analysis of five-year survival rates. Five-year quality of life information will be the main endpoint for this part of the study. Initial analysis of the three-year data showed a continued improvement in outcomes related to urinary and sexual function. We wish to determine whether these improvements continue to five years and the extent of the difference, at that time, between men with prostate cancer and men without prostate cancer (controls), whom we are also studying. This information will be uniquely useful in helping men make decisions about treatment options when diagnosed with prostate cancer.Read moreRead less
Discovery Early Career Researcher Award - Grant ID: DE220100569
Funder
Australian Research Council
Funding Amount
$438,175.00
Summary
Mapping fertility control among migrant and refugee women in Australia. This project aims to increase understanding of fertility control among migrant and refugee women living in Australia. This vulnerable group of women report low rates of contraception use and high rates of unintended pregnancy, with significant negative health implications. This project will examine women’s negotiation of fertility control, within the context of broader sexual and reproductive embodiment. It will provide nove ....Mapping fertility control among migrant and refugee women in Australia. This project aims to increase understanding of fertility control among migrant and refugee women living in Australia. This vulnerable group of women report low rates of contraception use and high rates of unintended pregnancy, with significant negative health implications. This project will examine women’s negotiation of fertility control, within the context of broader sexual and reproductive embodiment. It will provide novel insight into women’s negotiation of contraception choice and sides effects, abortion and reproductive coercion, recognising women’s agency, across a range of cultural contexts and backgrounds. These findings will provide recommendations for culturally meaningful health promotion activities and healthcare provision.Read moreRead less
Engaging Men and Boys in Violence Prevention: Effective directions for practice. Violence against women is a significant issue of policy effort and community concern. In the past decade, there has been an increasing emphasis on the need to engage men and boys in preventing and reducing men’s violence against women, both nationally and internationally. However, little is known about what works and does not work. Using robust evaluations of key strategies and interventions, this project aims to pr ....Engaging Men and Boys in Violence Prevention: Effective directions for practice. Violence against women is a significant issue of policy effort and community concern. In the past decade, there has been an increasing emphasis on the need to engage men and boys in preventing and reducing men’s violence against women, both nationally and internationally. However, little is known about what works and does not work. Using robust evaluations of key strategies and interventions, this project aims to produce a systematic framework for effective practice in engaging men and boys in preventing violence against women. It aims to produce both significant scholarly insights regarding gender and violence prevention and practical directions for policy and programming.Read moreRead less
LGBTI experiences of cancer survivorship and care. This project aims to understand the experiences and concerns of cancer survivors and carers within lesbian, gay, bisexual, transgender and intersex communities. This vulnerable population reports higher rates of cancer related distress and dissatisfaction with care than the general population. This project will examine the perspectives of cancer survivors, their carers, and professional stakeholders, to inform targeted patient and carer resource ....LGBTI experiences of cancer survivorship and care. This project aims to understand the experiences and concerns of cancer survivors and carers within lesbian, gay, bisexual, transgender and intersex communities. This vulnerable population reports higher rates of cancer related distress and dissatisfaction with care than the general population. This project will examine the perspectives of cancer survivors, their carers, and professional stakeholders, to inform targeted patient and carer resources, and recommendations for cancer care and policy.Read moreRead less
Sexual well-being and ageing: a study of older Australian women. This research addresses important issues of ageism and sexism that together affect older women's health and well-being. The findings will inform the link between aging, sexuality and more general dimensions of health and well-being and advance our understanding of issues central to policy and services for older Australians.
What will it take to decrease socio-economic inequalities in obesity? There is little understanding of how the increasing prevalence of obesity, and its prevention and management, may contribute to socio-economic inequalities in health. This project aims to identify policies that are most likely to both decrease the prevalence of obesity and decrease associated inequalities in health.
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.
Personal experiences of depression and recovery; an Internet resource for the public and policy makers. The economic, health, a social and personal cost to the Australian community of depression constitutes a public health concern of undoubted significance. Debates in both policy and public arenas are hampered by a lack of comprehensive reliable evidence about factors underlying depression and more importantly recovery from depression. The data gathered from this project will establish an evide ....Personal experiences of depression and recovery; an Internet resource for the public and policy makers. The economic, health, a social and personal cost to the Australian community of depression constitutes a public health concern of undoubted significance. Debates in both policy and public arenas are hampered by a lack of comprehensive reliable evidence about factors underlying depression and more importantly recovery from depression. The data gathered from this project will establish an evidence base and a platform for incorporating lay perspectives on depression and recovery into the currently existing discourses on depression into web based resources providing information to people searching information about depression, its treatments and recovery pathways.Read moreRead less
Strengthening community responses to hepatitis B. Australians who have been born overseas often have high rates of chronic hepatitis B. In this project people with hepatitis B and people who provide them with health and social services will be interviewed to understand individual responses to the infection, and to identify barriers to effective health care delivery.