Attendance patterns and chlamydia and gonorrhoea testing among young people in Aboriginal primary health centres in New South Wales, Australia

Sexual Health ◽  
2015 ◽  
Vol 12 (5) ◽  
pp. 445 ◽  
Author(s):  
Simon Graham ◽  
Handan C. Wand ◽  
James S. Ward ◽  
Janet Knox ◽  
Debbie McCowen ◽  
...  
Keyword(s):  
Young People ◽  
New South ◽  
New South Wales ◽  
Median Number ◽  
Improvement Program ◽  
Factors Associated ◽  
South Wales ◽  
Frequent Attendance ◽  
Primary Health Centres ◽  
Health Quality

Background To inform a sexual health quality improvement program we examined chlamydia and gonorrhoea testing rates among 15–29 year olds attending Aboriginal Community Controlled Health Services (ACCHS) in New South Wales, Australia, and factors associated with chlamydia and gonorrhoea testing. Methods: From 2009 to 2011, consultation and testing data were extracted from four ACCHS. Over the study period, we calculated the median number of consultations per person and interquartile range (IQR), the proportion attending (overall and annually), the proportion tested for chlamydia and gonorrhoea, and those who tested positive. We examined factors associated with chlamydia and gonorrhoea testing using logistic regression. Results: Overall, 2896 15–29-year-olds attended the ACCHSs, 1223 were male and 1673 were female. The median number of consultations was five (IQR 2–12), four (IQR 1–8) for males and seven (IQR 3–14) for females (P < 0.001). Nineteen percent of males and 32% of females attended in each year of the study (P < 0.001). Overall, 17% were tested for chlamydia (10% of males and 22% of females, P < 0.001), and 7% were tested annually (3% of males and 11% of females, P < 0.001). Findings were similar for gonorrhoea testing. In the study period, 10% tested positive for chlamydia (14% of males and 9% of females, P < 0.001) and 0.6% for gonorrhoea. Factors independently associated with chlamydia testing were being female (adjusted odds ratio (AOR) 2.64, 95% confidence interval (CI) 2.07–3.36), being 20–24 years old (AOR: 1.58, 95% CI: 1.20–2.08), and having >3 consultations (AOR: 16.97, 95% CI: 10.32–27.92). Conclusions: More frequent attendance was strongly associated with being tested for chlamydia and gonorrhoea. To increase testing, ACCHS could develop testing strategies and encourage young people to attend more frequently.

Sociodemographic factors associated with food insecurity: data from the 2003–2014 New South Wales Population Health Survey

2020 ◽  
Vol 23 (11) ◽  
pp. 1857-1867
Author(s):  
Paraskevi Drakoulidou ◽  
Bradley Drayton ◽  
Leah Shepherd ◽  
Seema Mihrshahi
Keyword(s):  
Food Insecurity ◽  
Population Health ◽  
Health Survey ◽  
Smoking Status ◽  
New South ◽  
New South Wales ◽  
Sociodemographic Factors ◽  
Factors Associated ◽  
Self Rated Health ◽  
South Wales

AbstractObjective:To determine the prevalence and sociodemographic factors associated with food insecurity in the state of New South Wales (NSW), Australia.Design:Cross-sectional analysis of food insecurity data collected by the NSW Population Health Survey between 2003 and 2014. Multiple logistic regression was used to examine associations with key sociodemographic variables.Setting:NSW, Australia.Participants:212 608 survey participants responded to the food insecurity survey question between 2003 and 2014. 150 767 of them were aged ≥16 years. The survey sample was randomly selected and weighted to be representative of the NSW population.Results:On average 6 % of adults aged ≥16 years experienced food insecurity in NSW. The odds of food insecurity appeared to increase from one survey year to the next by a factor of 1·05. Food insecurity was found to be independently associated with age, sex, marital status, household size, education, employment status, household income, smoking status, alcohol intake and self-rated health. The association with income, smoking status and self-rated health appeared to be the strongest among all covariates and showed a gradient effect. Food insecurity appeared to increase significantly between the age of 16 and 19 years.Conclusions:The prevalence of food insecurity appears to be rising over time. Given the negative health consequences of food insecurity, more rigorous measurement and monitoring of food insecurity in NSW and nationally is strongly recommended. The findings provide support for interventions targeting low-income and younger population groups.

Characterisation of naturalised strains of Trifolium subterraneum var. brachycalycinum cv. Clare in northern New South Wales

1994 ◽  
Vol 34 (1) ◽  
pp. 33 ◽  
Author(s):  
GM Lodge
Keyword(s):  
Seed Weight ◽  
New South ◽  
New South Wales ◽  
Trifolium Subterraneum ◽  
Summer Rainfall ◽  
Median Number ◽  
South Wales ◽  
The Mean ◽  
Floral Characters ◽  
Number Of Seeds

Burrs were collected from paddocks on 3 properties in northern New South Wales where the age of the Trifolium subterraneum var. brachycalycinum cv. Clare swards varied from 19 to 28 years. At 1 site burrs were also sampled from swards sown 2 and 10 years previously. Twenty seedlings from these burrs and 20 plants of certified cv. Clare were grown as spaced plants in a nursery. These were assessed for vegetative and floral characters, flowering time, number of seeds per burr, seed weight, and percentage hardseed after storage at 25/25�C for 6 months and 25/45�C for a further 6 months. For most plants the mean number of days from sowing to first flower was similar to that of Clare. Compared with the naturalised strains, Clare had the lowest (P<0.05) mean number of seeds per burr: about 25% below the mean of the strains (2.7 seeds per burr). While the lowest mean seed weights of the strains were not significantly different from those of Clare, the seed weights of plants from 3 sites were higher (P<0.05) than those of Clare. After storage for either 6 or 12 months, hardseed levels were also lowest (P<0.05) for Clare. Plants from the 2-year-old sward had the same median number of seeds per burr (2.0) as Clare. As sward age increased, the median number of seeds per burr increased to 2.8. Hardseed percentages were lowest for plants of Clare and for those from the 2-year-old sward after 6 months, and for Clare after 12 months. These studies indicated the presence of divergent strains in old swards of Clare in a summer rainfall environment. Natural selection among variability within Clare is the most likely reason for the development of these strains in an environment marginal for the long-term persistence of this softseeded cultivar. Although strains had the same vegetative and floral markings as Clare, differences in ecologically important characters such as number of seeds per burr, seed weight, and hardseededness may result in plants that are better adapted to the environment in which they evolved. From these studies 23 plants of T. subterraneum var. brachycalycinum were selected for further evaluation.

scholarly journals Building evidence into youth health policy: a case study of the access 3 knowledge translation forum

2021 ◽  
Author(s):  
Daniel Waller ◽  
Fiona Robards ◽  
Carmen Huckel Schneider ◽  
Lena Sanci ◽  
Katharine Steinbeck ◽  
...  
Keyword(s):  
Health Policy ◽  
Young People ◽  
Knowledge Translation ◽  
Research Evidence ◽  
New South ◽  
New South Wales ◽  
Policy Recommendations ◽  
Youth Health ◽  
Health And Wellbeing ◽  
South Wales

Abstract Background Effective integration of research evidence and youth perspectives into policy is crucial for supporting the future health and wellbeing of young people. The aim of this project was to translate findings from the Access 3 research studies to support development of a new state policy on youth health and wellbeing within New South Wales, Australia. Ensuring the active contribution of young people within policy development was a key objective of the knowledge translation process. Methods The knowledge translation activity consisted of a one-day facilitated workshop with 64 purposively sampled stakeholders. Participants included eight young people, fourteen policymakers, fifteen academics, twenty-two clinicians or managers from New South Wales (NSW) health services, four general practitioners and one mental health service worker. The design of the workshop was guided by the knowledge translation frameworks of Lavis et al [1] and Grimshaw et al [2]. Research findings to be translated came from the NSW Access 3 studies. Participant satisfaction with the workshop was evaluated using a brief self-report survey. Policy uptake was examined through exploratory document analysis of the subsequent NSW Youth Health Framework 2017-2024. Results A total of twenty-five policy recommendations were established through the workshop and these were grouped into six themes. The six policy themes were: 1) Technology solutions, 2) Integrated care and investment to build capacity, 3) Adolescent health checks, 4) Workforce, 5) Youth participation, and 6) Youth health indicators. Forum members were asked to vote on the importance of individual recommendations. These policy recommendations were subsequently presented to the NSW Ministry of Health with some evidence of policy uptake identified. The majority of participants rated the forum positively. Conclusions The utilisation of knowledge translation theories and active youth engagement led to the successful transfer of research evidence and youth perspectives into NSW youth health policy. Future research should examine the implementation of policy arising from these knowledge translation efforts.

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