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Improving Understanding Of Psychostimulant-related Harms In Australia: An Integrated Ethno-epidemiological Approach
Funder
National Health and Medical Research Council
Funding Amount
$612,430.00
Summary
National drug surveys and surveillance systems have detected sharp increases in the use of 'psychostimulant' drugs such as the amphetamines, ecstasy and cocaine. The level of harms associated with excessive use of these drugs, such as mental health problems and drug dependence, has also increased, as has the use of these drugs via injection. These increases in the prevalence of use and related harms have also been detected internationally. Previous research on psychostimulant drugs, in Australia ....National drug surveys and surveillance systems have detected sharp increases in the use of 'psychostimulant' drugs such as the amphetamines, ecstasy and cocaine. The level of harms associated with excessive use of these drugs, such as mental health problems and drug dependence, has also increased, as has the use of these drugs via injection. These increases in the prevalence of use and related harms have also been detected internationally. Previous research on psychostimulant drugs, in Australia and overseas, has suggested that using these drugs in particular ways might be associated with a greater chance of contracting HIV and other blood-borne viruses such as hepatitis C (eg through sharing needles and syringes or other equipment associated with injecting drugs); sexually transmitted infections and other sexual health problems (eg through engaging in unsafe sex); and of being involved in violent incidents. Despite this previous research, however, little is known about the specific social and cultural contexts associated with psychostimulant-related harms, and this has stymied the development of appropriate responses to prevent such harms occurring. This research project will provide a greater understanding of the individual, social and cultural factors associated with pychostimulant-related harm through an innovative combination and integration of anthropological and epidemiological research methods known as 'ethno-epidemiology'. In order to access a range of psychostimulant-using contexts, research will focus on three sites: street-based drug users in Sydney, club drug users in Melbourne, and home-based recreational drug users in Perth. These groups have been chosen because they have high prevalences of psychostimulant use. The research project will provide important data that will inform future interventions, improve multidisciplinary models for drug research, and build Australia's capacity to conduct cutting-edge public health research.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
Implementation and evaluation of a program to reduce alcohol and related problems among farm men and women. Farming is pivotal to Australia's food production and economy; yet farm communities are under great stress. The Sustainable Farm Families program aims to strengthen rural communities across Australia, and our project will add an important component to it by producing an evidence-based strategy for encouraging farm men and women to adopt more positive alcohol-related behaviours that will l ....Implementation and evaluation of a program to reduce alcohol and related problems among farm men and women. Farming is pivotal to Australia's food production and economy; yet farm communities are under great stress. The Sustainable Farm Families program aims to strengthen rural communities across Australia, and our project will add an important component to it by producing an evidence-based strategy for encouraging farm men and women to adopt more positive alcohol-related behaviours that will lead to better physical and mental health. We expect that our project will reduce the level of dangerous alcohol consumption and enhance the economic, social and cultural fabric of rural Australia.Read moreRead less
Selling The Punt: An interdisciplinary analysis of the extent and impact of sports wagering marketing strategies in Australia. Sports wagering is the fastest growing segment of the gambling market in Australia. Despite widespread concern about the impact of marketing strategies on the risky consumption of wagering products by young men and adolescents, research and policy has failed to keep up with this rapidly growing industry. This study will provide: detailed information about the range of ma ....Selling The Punt: An interdisciplinary analysis of the extent and impact of sports wagering marketing strategies in Australia. Sports wagering is the fastest growing segment of the gambling market in Australia. Despite widespread concern about the impact of marketing strategies on the risky consumption of wagering products by young men and adolescents, research and policy has failed to keep up with this rapidly growing industry. This study will provide: detailed information about the range of marketing strategies used to sell sports wagering in Australia; important qualitative insights into the impact of these marketing strategies on gambling behaviours; and, recommendations for a comprehensive public health approach to help counter the potential long and short term risks associated with sports wagering marketing.Read moreRead less
Development of a comprehensive model and programmed intervention for emotion processing deficits in childhood-onset mental health problems. This research is in the National Research Priority, promoting and maintaining good health. Mental health problems cost Australia millions of dollars every year as well as creating immeasurable social adversity for individuals and families. The proposed research represents a significant step towards reducing these costs and improving the effectiveness of earl ....Development of a comprehensive model and programmed intervention for emotion processing deficits in childhood-onset mental health problems. This research is in the National Research Priority, promoting and maintaining good health. Mental health problems cost Australia millions of dollars every year as well as creating immeasurable social adversity for individuals and families. The proposed research represents a significant step towards reducing these costs and improving the effectiveness of early intervention and prevention. The research will lead to improvements in methods for early detection of child psychopathology with potential for implementation in both community health and educational services nation-wide. The research partnership will build Australia's capacity for innovative research in the development, early intervention and treatment of mental health problems.Read moreRead less
A study of contemporary family, social and cultural influences on first-time mothers' decisions about infant feeding and early parenting practices. Children who are never breastfed are more likely to experience respiratory infections, gastroenteritis, diabetes and as adults, high blood pressure, obesity and type-2 diabetes. This study of infant feeding decision-making in first-time mothers will inform strategies, grounded in the daily lives of women and families to assist mothers to breastfeed f ....A study of contemporary family, social and cultural influences on first-time mothers' decisions about infant feeding and early parenting practices. Children who are never breastfed are more likely to experience respiratory infections, gastroenteritis, diabetes and as adults, high blood pressure, obesity and type-2 diabetes. This study of infant feeding decision-making in first-time mothers will inform strategies, grounded in the daily lives of women and families to assist mothers to breastfeed for longer particularly in communities where breastfeeding is not the norm. Increased support for breastfeeding women from family, community and health professionals is likely to reduce the distress reported by many new mothers. Strategic application of findings will lead to health gains from increased breastfeeding and translate into significant cost savings for the Australian health system. Read moreRead less
Understanding and preventing mental health difficulties in young Australian men using the Internet. Mental health is a major public health problem in Australia. Young men are particularly vulnerable to suicide, drug and alcohol problems and yet fail to seek appropriate help. The Internet is currently accessed by 85% of Australia's youth and yet very little evidence exists which examines the capacity of the Internet to engage young men and promote help seeking. This project will build an evidence ....Understanding and preventing mental health difficulties in young Australian men using the Internet. Mental health is a major public health problem in Australia. Young men are particularly vulnerable to suicide, drug and alcohol problems and yet fail to seek appropriate help. The Internet is currently accessed by 85% of Australia's youth and yet very little evidence exists which examines the capacity of the Internet to engage young men and promote help seeking. This project will build an evidence base which explores how innovative on-line strategies and social marketing can effectively promote help seeking behaviour and improve mental health outcomes for young men. Read moreRead less
Influences on farmer suicide in Queensland and New South Wales. Australian farmers have been identified as being at high-risk of suicide. This project will provide direction for targeted suicide prevention strategies by quantifying the individual and environmental factors that place farmers at higher risk of suicide, as well as the protective factors that may buffer against suicide and suicidal behaviours.
Improving the physical and oral health of people with severe mental illness: using Normalisation Process Theory to support new practices. The physical health of people with severe mental illness is extremely poor, often due to inadequate attention to their health needs by health professionals in primary care and the public mental health system. This project will focus on how practices can be changed to improve the health of this population and increase their access to preventative healthcare.
Maternal mental health and anaemia as determinants of infant health and development in resource constrained settings. A healthy start to life is an explicit Australian priority. Maternal health is a major determinant of the health and development of infants. This international collaborative project will contribute evidence about two maternal health conditions: mental disorders and anaemia, and their effects on infant health and development, through research in Vietnam where both are prevalent. ....Maternal mental health and anaemia as determinants of infant health and development in resource constrained settings. A healthy start to life is an explicit Australian priority. Maternal health is a major determinant of the health and development of infants. This international collaborative project will contribute evidence about two maternal health conditions: mental disorders and anaemia, and their effects on infant health and development, through research in Vietnam where both are prevalent. The findings will inform interventions to improve the health of mothers and infants in all resource-constrained settings, including among indigenous and refugee groups in Australia. It will advance Australia's international relations by strengthening a partnership with Viet Nam and contributing to a World Health Organization priority area. Read moreRead less