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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
Maternal Health Study (phase 2): Longitudinal 4-year Follow-up Of A Prospective Nulliparous Pregnancy Cohort
Funder
National Health and Medical Research Council
Funding Amount
$660,402.00
Summary
The burden of disease among women after childbirth is substantial, under-recognised by health professionals, and symptoms do not necessarily resolve within the first 12 months. Common health problems after childbirth include: chronic exhaustion, back pain, urinary and faecal incontinence, perineal pain, sexual health issues and intimate partner violence. This study will extend follow-up of over 1500 women taking part in a longitudinal study investigating the physical and psychological health of ....The burden of disease among women after childbirth is substantial, under-recognised by health professionals, and symptoms do not necessarily resolve within the first 12 months. Common health problems after childbirth include: chronic exhaustion, back pain, urinary and faecal incontinence, perineal pain, sexual health issues and intimate partner violence. This study will extend follow-up of over 1500 women taking part in a longitudinal study investigating the physical and psychological health of women during pregnancy and the first 18 months after the birth of their first child. In phase 2 of the study, women will be followed up 6 and 12 months after second and subsequent births, and 4 years after the birth of their first child. A major aim of phase 2 of the study is to assess the prevalence, incidence, onset, severity, duration, recurrence and chronicity of maternal health problems (including urinary and faecal incontinence, perineal pain, sexual health issues, depression and intimate partner violence) after second and subsequent births, and 4 years after giving birth to a first child. The study will also determine the extent to which the method of birth in the first birth influences longer-term maternal health outcomes including urinary and faecal incontinence, and investigate the implications of chronic and recurring physical health problems for women's psychological health and well-being. Information on the incidence and natural history of maternal health problems after caesarean and operative vaginal births will make a major international contribution to more informed debate among clinicians, and to informing women, about the risks and benefits of increasing caesarean births. The study findings will be used to inform clinical midwifery, obstetric and primary care practice, and assist in the design of new early intervention and primary care strategies for supporting women in the early years of parenting.Read moreRead less
Thai Health-Risk Transition: A National Cohort Study - Phase II
Funder
National Health and Medical Research Council
Funding Amount
$1,662,829.00
Summary
We are conducting a pioneering collaborative longitudinal study of population health in Thailand, following over time more than 80,000 adults living throughout the country. We repeatedly measure a wide array of health risks and outcomes. We capture information on the health-risk transition underway in Thailand as the population experiences the new burden of disease associated with economic development and modernisation. We team up with policy makers for national responses to lower the burden.
Climate Change And Rural Communities: Integrated Study Of Physical And Social Impacts, Health Risks And Adaptive Options
Funder
National Health and Medical Research Council
Funding Amount
$611,599.00
Summary
Rural Australia has begun to experience climate change impacts - which will increase in future. Losses in farm yields, water supplies, property, community morale and family incomes have diverse health effects. We will study the separate and joint effects of climate change and associated extreme events (e.g., bushfires) on selected health outcomes. Using integrative methods, we will clarify the main influences on health risks, their future projections, and how best to intervene to lessen risks.
Morbidity, Mortality And Health Service Use Among Criminal Offenders: A Western Australian Population-based Study
Funder
National Health and Medical Research Council
Funding Amount
$133,750.00
Summary
This study will focus on the health of criminal offenders, as a most likely marginalised and neglected section of the community, in order to identify areas of need that if addressed will possess benefits for both offenders and the general community. A research team will apply their public health, criminology and forensic psychology expertise, in partnership with the WA Police Service, to provide information on the health outcomes and health service use of adult offenders in WA. Four themes will ....This study will focus on the health of criminal offenders, as a most likely marginalised and neglected section of the community, in order to identify areas of need that if addressed will possess benefits for both offenders and the general community. A research team will apply their public health, criminology and forensic psychology expertise, in partnership with the WA Police Service, to provide information on the health outcomes and health service use of adult offenders in WA. Four themes will be explored: (1) Health Status, to estimate the prevalence of overall and cause-specific hospital-treated morbidity (2) Mortality, to estimate the prevalence of overall and cause-specific mortality, (3) Health Service Use, focussing on both the rate of primary and secondary health service use; and (4) Inequalities In Health Outcomes, firstly comparing the health outcomes of adult offenders with the general WA population, and secondly, comparing the health outcomes of adult offenders based on sanction severity and custodial setting. This investigation is one of only a few worldwide to study health among criminal offenders. Offenders are a neglected section of the Australian health system. Responding to their needs is not possible without an understanding of their health outcomes and the disparities that exist. An important public health opportunity therefore exists to investigate the health of this socially disadvantaged group. This study will provide more detailed data regarding offender-health than currently exists internationally or nationally. Results can be used by health and-or justice administrators as indicators of program and service performance, and potentially lead to improved collaboration between these sectors. The methods used for outcome evaluation can be used readily for the routine evaluation of health performance indicators for offenders.Read moreRead less