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
Understandings Of Food And Weight Gain In Pregnant Women: A Qualitative Study
Funder
National Health and Medical Research Council
Funding Amount
$83,256.00
Summary
At a time when the incidence of obesity and associated chronic diseases such as type 2 diabetes continues to rise and public health interventions are struggling to make an impact, this proposal has the potential to generate new insights. By using in-depth interviews to explore practices and understandings leading to excess weight gain during pregnancy this project addresses potential obesity in women and potential predisposition to obesity in their children.
A Practice Change Intervention To Increase The Provision Of Antenatal Care Addressing Maternal Alcohol Consumption During Pregnancy: A Stepped-wedge Trial
Funder
National Health and Medical Research Council
Funding Amount
$766,349.00
Summary
Alcohol consumption during pregnancy contributes to a range of adverse outcomes for the child. Despite guidelines recommending no alcohol use in pregnancy, less than half of all health professionals routinely raise the topic with pregnant women and pregnant women continue to consume alcohol. This study aims to determine if a practice change intervention can increase best-practice care for alcohol consumption in pregnancy.
Developing methods for benefit measurement in health-related economic analyses and their use in selecting public health promotional programs. The program involves the creation, validation and use of a suite of instruments for evaluating outcomes of health promotional programs, including adult and childhood obesity, depression and smoking - areas that are universally recognised as being of importance for the Australian community. The program will provide multiple scoring algorithms for each of th ....Developing methods for benefit measurement in health-related economic analyses and their use in selecting public health promotional programs. The program involves the creation, validation and use of a suite of instruments for evaluating outcomes of health promotional programs, including adult and childhood obesity, depression and smoking - areas that are universally recognised as being of importance for the Australian community. The program will provide multiple scoring algorithms for each of the instruments in order to test the sensitivity of results to assumptions made about social values, and will produce Australian estimates of the person trade-off weights used in the Australian and Victorian Burden of Disease studies (which presently use Dutch PTO weights). Read moreRead less
Understanding Current And Future Opportunities To Promote Healthy Maternal Weight During Pregnancy And The Postpartum Period
Funder
National Health and Medical Research Council
Funding Amount
$75,620.00
Summary
The PhD will document clinical management of maternal weight gain during and post pregnancy, across a range of antenatal care providers and deliver a nine month pilot intervention study for first time mothers, aimed at reducing post pregnancy weight retention and promoting healthy nutrition and physical activity behaviours. Findings from this PhD will inform important future development of healthy weight interventions across the reproductive years.
Understanding And Preventing Avoidable Readmissions: Development Of A Patient Centered And Disease Specific Screening Tool
Funder
National Health and Medical Research Council
Funding Amount
$100,000.00
Summary
This study aims to develop a screenings tool to prevent unplanned re-admissions, based on specific patient centred and disease specific factors. We will include index admission data (367,782 in 2015) of five MACH hospitals. The cohort will be divided into a group for index derivation and a group for internal validation. Variables on patient and admission characteristics are based on literature. After internal validation we will validate the tool externally and implement it in clinical practice
Sociocultural Determinants Of Childrens Oral Health From Refugee And Migrant Communities
Funder
National Health and Medical Research Council
Funding Amount
$57,342.00
Summary
Refugee and migrant children experience significantly poorer oral health than the non-migrant population. Factors that impact on poor oral health include perceptions of tap water safety, dietary changes, access to prevention and treatment health services, and language barriers. This study will explore reasons for these factors and potential solutions. Communities involved are those which have arrived the most recently and those with large numbers of young children.
The role of taxes and subsidies in promoting healthy lifestyles: an economic analysis. This project will look at two critically important policy relevant questions in public health terms - obesity prevention and changing consumption patterns with respect to drinks consumption, including alcohol.
Mis-reporting, adaptation and anchoring: the implications for self assessed health. In terms of targeting scarce public health resources, information concerning the true health status of different social groups is important. This project will provide more accurate information on the health of the Australian population using data already collected on a routine basis. Resources can then be targeted to reduce health inequalities.