Environmental, Socio-behavioural And Biological Predictors Of Early Childhood Caries: A Rural Birth Cohort Study
Funder
National Health and Medical Research Council
Funding Amount
$495,432.00
Summary
In Australia, up to 75% of children have dental decay at five years of age. It is substantially worse in rural parts of Australia, where fluoride is not added to the water supply. Also, the rate of caries increases as socioeconomic status decreases. This study aims to describe the natural history of dental caries from birth to 18 months. It will also examine the environment, behaviours and biology that these infants are exposed to. This data has never been collected before and will therefore pro ....In Australia, up to 75% of children have dental decay at five years of age. It is substantially worse in rural parts of Australia, where fluoride is not added to the water supply. Also, the rate of caries increases as socioeconomic status decreases. This study aims to describe the natural history of dental caries from birth to 18 months. It will also examine the environment, behaviours and biology that these infants are exposed to. This data has never been collected before and will therefore provide a unique contribution to our knowledge and understanding of the development of dental decay in young children. This data is crucial for the development of interventions to prevent dental decay and address health inequalities. The study will examine infants teeth as they come into their mouths and collect questionnaire and saliva data from parents and infants following birth at 1, 6, 12 and 18 months. It is a partnership between the maternal and child health nurses of the western rural areas of Victoria (Ballarat, Ararat, Stawell and Horsham) and a national team of child health, dental researchers and statisticians drawn from the School of Health and Social Development at Deakin University, the Murdoch Children's Research Institute and The Royal Children's Hospital's Department of Paediatric Dentistry, The University of Melbourne, The University of Western Australia, Griffith University and the Queensland Government. The proposed study will make a substantial contribution to the understanding of early childhood caries by providing unique data on its natural history, the relationship between caries and risk and protective factors and the relative contribution of these factors to dental decay. Additionaly, it will include the latest measurement developments for quantifying microflora species and clinical caries outcomes. The comprehensiveness of this approach has been called for internationally, but has not yet been attempted.Read moreRead less
A Longitudinal Multilevel Study Of Change In Physical Activity In Mid-age And Factors Associated With Change
Funder
National Health and Medical Research Council
Funding Amount
$742,678.00
Summary
This project will examine patterns of change in physical activity for men and women aged 40-64 years between 2007-2011; determines the relative contribution of sociodemographic, psychological, social, environmental factors to any observed changes. Knowledge produced by this study will be crucial for the development of strategies to increase physical activity in mid-aged adults, and to prevent high levels of inactivity-related chronic health problems among this group as they move into old age.
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
Pathogenesis Of Infections With Yersinia Enterocolitica
Funder
National Health and Medical Research Council
Funding Amount
$339,634.00
Summary
Yersinia enterocolitica is a significant cause of food-poisoning, gastroenteritis and abdominal pain which may be mistaken for acute appendicitis. Y. enterocolitica is a heterogenous bacterial species only some strains of which are able to cause disease. Many of the disease-causing strains have readily identifiable virulence determinants which facilitate their detection in clinical microbiological laboratories. By contrast, other types, in particular the biotype 1A strains, lack these determinan ....Yersinia enterocolitica is a significant cause of food-poisoning, gastroenteritis and abdominal pain which may be mistaken for acute appendicitis. Y. enterocolitica is a heterogenous bacterial species only some strains of which are able to cause disease. Many of the disease-causing strains have readily identifiable virulence determinants which facilitate their detection in clinical microbiological laboratories. By contrast, other types, in particular the biotype 1A strains, lack these determinants, although many of them are significantly associated with disease. During the past few years, we have compared biotype 1A strains of Y. enterocolitica obtained from patients with those from non-clinical sources in a number of assays for virulence-associated properties. These studies have shown that clinical isolates differ from non-clinical ones in terms of their ability to (1) invade epithelial cells in vitro and intestinal absorptive cells in vivo, (2) escape from epithelial cells and macrophages they have invaded, (3) resist killing by macrophages, and (4) colonise the intestinal tracts of mice. The aim of the study is to identify the bacterial determinants responsible for these differences between clinical and non-clinical strains of Y. enterocolitica biotype 1A. This will be achieved by using genetic techniques to modify virulent strains of biotype 1A at random and then identify derivatives of these bacteria with altered virulence properties. We shall also use genetic techniques to identify genes that are specifically activated when the bacteria come into contact with animal cells and tissues. The results of this research will provide new insights into the virulence mechanisms of Y. enterocolitica and related bacteria, and will be used to develop diagnostic tests which will allow pathogenic strains to be distinguished from harmless ones.Read moreRead less
Explaining Social Inequality In Population Oral Health Using A Multilevel Approach
Funder
National Health and Medical Research Council
Funding Amount
$103,500.00
Summary
Our preliminary research demonstrated a social gradient in the oral health of Australian adults. Adults who occupy higher positions on the social hierarchy experienced less disease and symptom experience, enhanced quality of life, and better self-rated oral health. Not only were associations made between social position and oral health, but a range of other factors such as personal control, social support, stress, life satisfaction, and workplace and childhood social environments were also assoc ....Our preliminary research demonstrated a social gradient in the oral health of Australian adults. Adults who occupy higher positions on the social hierarchy experienced less disease and symptom experience, enhanced quality of life, and better self-rated oral health. Not only were associations made between social position and oral health, but a range of other factors such as personal control, social support, stress, life satisfaction, and workplace and childhood social environments were also associated with oral wellness. This work is new Australian research and is yet to be published. In an expansion of this project, we move from describing oral health inequalities and identifying their social determinants to provide a better understanding of pathways to population oral health. In doing so we shift the focus from the individual to the social context in which individuals live. We suggest that characteristics of social environments contribute independently to the variation in oral health outcomes accounted for by the characteristics of the residents themselves. In particular, we seek to demonstrate that social cohesion (the social integration, trust, and reciprocity within an area) influences conditions linked to oral health. Previous research has demonstrated variation in health according to area. Such studies are able to demonstrate a clustering of health, but are not able to distinguish whether observed social patterns in health reflect characteristics of residents or some feature of the area itself. Such conclusions require multilevel statistical models designed to separate individual effects from contextual effects while simultaneously examining interactions between both levels. Oral health is ideally suited as a proxy for general health because of the ubiquity of dental diseases, the broad utilisation of dental services within the population, and the shared risk factors between oral disease and a wide range chronic health conditions.Read moreRead less