Using Data Integration to Improve Health and Welfare Insights

The Australian Institute of Health and Welfare (AIHW) is a leader in the provision of high-quality health and welfare information. Its work program has built a strong evidence base for better decisions that deliver improved health and welfare outcomes. The evolution of the AIHW’s data integration program has exemplified innovation in identifying and addressing key information gaps, as well as responsiveness to opportunities to develop and capture the data required to inform national priorities. The AIHW conducts data integration in partnership with data custodians and specialists in integration and analysis. A linkage project requiring the integration of Australian government data must be undertaken by an accredited integrating authority. The AIHW has met stringent criteria covering project governance, capability, and data management to gain this accreditation. In this capacity, the AIHW is trusted to integrate Australian government data for high-risk research projects. To date, the AIHW’s integration projects have generated improved research outcomes that have identified vulnerable population groups, improved the understanding of health risk factors, and contributed to the development of targeted interventions. These projects have fostered new insights into dementia, disability, health service use, patient experiences of healthcare, and suicide. Upcoming projects aim to further the understanding of interrelationships between determinants of wellbeing.

Women’s Healthcare Services since the Covid-19 Pandemic Outbreak in Poland

The COVID-19 pandemic had a direct impact on the extent of guaranteed healthcare services. Many gynecologists’, obstetricians’, and midwives’ offices were closed, laboratories suspended their activities, the collection of necessary tests was delayed, and women had to wait much longer for test results than they had to previously. General women’s healthcare prophylactic programs were suspended or delayed. In 2020, screening financed by public funds covered less than one-seventh of the female population in Poland. As medical teams, professionals, clinicians, and scientists, we have been facing a challenge to help, protect, and care for one of the most vulnerable population groups, pregnant women. A significant part of that challenge has been in preventing the spread of severe COVID-19, along with other preventable diseases, among women who are pregnant, who are in labor, or who have recently given birth.

Toward Equitable Micromobility: Lessons from Austin E-Scooter Sharing Program

This study revealed the inequitable societal impacts of E-scooters on disadvantaged populations. The study conducted a population distribution analysis to compare the use opportunities and space intrusion burdens of E-scooter sharing on four vulnerable population groups in Austin, Texas. Nearly all minority population experienced fewer E-scooter use opportunities. Ten percent of the minority population waited for a disproportionately longer time before a disturbance could be resolved. Ten percent of the low-income population were in a disadvantaged position in high opportunities and moderate burdens. Twenty percent of the physically disabled population faced more moderate-level burdens. The result did not show significant inequitable outcomes for the elderly population.

Urban Shrinkage and Socio-Economic Segregation in Medium-Sized Cities: The Case of Schwerin (Germany)

Although past studies have found that processes of urban shrinkage may act as a catalyst for socio-economic segregation, these relationships remain underexplored outside the context of large cities and capitals. Moreover, cities at lower-tiers of the urban hierarchy in post-socialist Europe have been doubly excluded from the critical discourse on the socio-spatial effects of shrinkage. Hence, this article examines how shrinkage affects socio-economic segregation in the medium-sized post-socialist city of Schwerin, employing segregation indices to assess levels of spatial unevenness and location quotients to map intra-urban patterns of vulnerable population groups over time. Results indicate processes of shrinkage may exacerbate socio-economic segregation in medium-sized cities and that the spatial heterogeneity of shrinkage intersects with uneven distributions of affluence and poverty. However, suggesting that legacies of state socialism shape contemporary socio-spatial change, segregation in Schwerin is strongly conditioned by its socialist-era housing estates, which are generally characterised by the highest rates of population decline, vacancy, and vulnerable groups.

Impact of Covid-19 on Livestock Production Chain and its Consequences on Food Security: A Review

Covid-19 represents an unprecedented public health threat and a severe crisis of society globally. Government agencies, policymakers and the global institutions, on the other hand, should give particular attention to and try to alleviate the problem (present and prospective) of the pandemic and related crisis response on key sectors that contribute to food stability, nutrition and livelihoods. The livestock sector plays an essential role in these areas, particularly for the particularly vulnerable population groups. Covid-19’s effects on livestock production are still largely unsubstantiated and not fully felt. Although case studies are not yet possible, observational data show interruptions in livestock’s entire value chain. The consequences of Covid-19 on the livestock production chain are in particular interruptions throughout the entire livestock value chain, lack of sales markets, import/export restrictions due to border closures, substantial financial losses to producers, increased cases of food insecurity.

Assessing hepatitis C virus distribution among vulnerable populations in London using whole genome sequencing: results from the TB-REACH study

Background: Injecting drugs substantially increases the risk of hepatitis C virus (HCV) infection and is common in vulnerable population groups, such as the homeless and prisoners. Capturing accurate data on relative genotype distribution within these groups is essential to inform strategies to reduce HCV transmission. The aim of this study was to utilise a next-generation whole-genome sequencing method recently validated by Public Health England, in order to produce near complete HCV genomes. Methods: In total, 98 HCV positive patients were recruited from homeless hostels and drug treatment services through the National Health Services (NHS) Find and Treat (F&T) Service between May 2011 and June 2013 in London, UK. Samples were sequenced by Next-generation sequencing, with 88 complete HCV genomes constructed by a de novo assembly pipeline. They were analysed phylogenetically for an estimate of their genetic distance. Results: Of the 88 complete HCV genomes, 50/88 (56.8%) were genotype 1; 32/88 (36.4%) genotype 3; 4/88 (4.5%) genotype 2; and 1/88 (1.1%) for genotypes 4 and 6 each. Subtype 1a had the highest number of samples (51.1%), followed by subtype 3a (35.2%), 1b (5.7%), and 2b (3.4%). Samples collected from drug treatment services had the highest number of genotype 1 (69%); genotypes 4 and 6 were only found from samples collected in homeless shelters. Small clusters of highly related genomic sequences were observed both across and within the vulnerable groups sampled. Conclusions: Subsequent phylogenetic analysis provides a first indication that there are related HCV sequences amongst the three vulnerable population groups, reflecting their overlapping social behaviours. This study is the first presentation of whole genome HCV sequences from such vulnerable groups in London and paves the way for similar research in the future.

COVID-19 Vaccination during Pregnancy in Southeast Asia

Southeast Asia is rapidly becoming the region hit hardest by coronavirus disease (COVID-19), as evidenced by the surging daily number of new confirmed cases and deaths. The COVID-19 crisis continues to worsen with the entry of the more transmissible variants of concern, primarily the Delta variant of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) which was first identified in India. Pregnant women are among the vulnerable population groups at risk of suffering from severe COVID-19 and may experience poor pregnancy and neonatal outcomes due to the infection. Vaccination seems to be the most effective strategy to curb the pandemic and secondarily by social distancing, wearing face masks and practising hand hygiene. There has been limited yet reassuring evidence in support of vaccinating pregnant women against COVID-19. We sought to review the latest evidence regarding the safety, immunogenicity and reactogenicity of COVID-19 vaccines in pregnant women as well as the recommendations and guidance provided by the public health authorities in the countries in Southeast Asia.

Undeclared (Poly)phosphates Detection in Food of Animal Origin as a Potential Tool toward Fraud Prevention

(Poly)phosphates are approved as water-preserving and emulsifying agents that improve the appearance and consistency of many food products. The labelling of added (poly)phosphates is essential for protecting vulnerable population groups and to prevent unfair trade practices resulting in economic fraud. The problems with (poly)phosphates’ utilisation concerns both analytical and legislative issues, such as: (1) their straightforward detection; (2) excessive addition altering freshness perception and misleading consumers; (3) uncontrolled usage increasing foodstuff weight; (4) application in products where they are not permitted; and (5) no indication on the label. Bearing all these issues in mind, the main purpose of this study was the quantification and screening of the (poly)phosphates profile in meat, marine and dairy products (160 samples), of which 43 were without declared (poly)phosphate treatment. Analysis was completed by high-performance ion-exchange chromatography either with conductometric detection or coupled to Q-Exactive Orbitrap high-resolution mass spectrometry. Although the (poly)phosphates profiles varied greatly according to species and processing type, the following criteria for detection of illicit treatment were established: high orthophosphate level, quantified short-chain (poly)phosphate anions and the presence of long-chain forms. In conclusion, the instrumental platforms used in this study can be recommended to inspection bodies as reliable methods for the detection of food adulteration with (poly)phosphates.

Methodological Issues in the International Study of Victimization

Victimization studies, which became popular in the 1970s, are largely based on surveys of the population. As of the late 1980s, the potential for internationally comparable surveys emerged with the first round of the International Crime Victim Survey (ICVS). Starting from early international studies and using the ICVS as a prominent example, an examination of the characteristics of victimization surveys is given, both in terms of content and methodology, their potential and limits, which make them suitable for international use. Multi-country surveys can provide indications from different countries about major crime problems, the most vulnerable population groups at risk of victimization, and perceptions and opinions about fear of crime and the performance of delegated authorities. Victimization surveys initially covered several types of conventional crime directly experienced by respondents and progressively expanded and specialized to measure bribery and corruption, both among individuals and businesses, as well as violence against women through dedicated surveys. Considering that surveys are an effective tool to measure crime and victims’ perceptions where institutional capacity is weak, the possibility to bridge knowledge gaps and engage developing countries has been identified as a major potential. Despite some methodological challenges, further use and expansion of victimization surveys is in progress (e.g., for measuring some indicators for Sustainable Development Goals [SDG]).

Are There Differences and Complementarities between Senior and Young Entrepreneurs? An Intergenerational Perspective

Social exclusion related to the unemployment of vulnerable population groups constitutes a crucial limitation to achieving a sustainable world. In particular, young and senior populations have specific characteristics that put them at risk of exclusion from the labor market. This circumstance has motivated an attempt to foster cooperation between these age groups to enable them to develop entrepreneurial initiatives that will contribute to close this social vulnerability gap. We approach this topic by focusing on intergenerational entrepreneurship, understood as entrepreneuring projects jointly undertaken by seniors and young adults. The objective of this study was to identify the differences and complementarities between senior and young entrepreneurs with a view to enabling them to develop viable intergenerational entrepreneurial projects, with special emphasis in the motivational push, pull, and blocking factors that affect them. This kind of entrepreneurial initiative fosters knowledge transfer and experience between age groups, promotes job creation and social inclusion, improves a sense of belonging, and, thus, contributes to the construction of a stronger society serving as an engine for sustainable development. Therefore, intergenerational entrepreneurship can be considered a form of social innovation. A mixed-methods approach was utilized in this study, using quantitative data from a questionnaire as a starting point for the characterization and identification of senior and young entrepreneurial profiles, and qualitative data from focus groups, which enabled us to identify complementarities among generations. The results show that there are significant differences between youths and seniors in terms of the motivations and factors that push, pull, or block the decision to form an intergenerational entrepreneurial partnership. These differences can be interpreted as complementarities that can boost intergenerational cooperation to promote social inclusion.