http://hdl.handle.net/2123/1210 2013-05-21T04:28:26Z 2013-05-21T04:28:26Z Hardy, Louise King, Lesley http://hdl.handle.net/2123/9095 2013-05-20T16:53:07Z 2013-05-20T00:00:00Z

Title: Weight and weight related behaviours among NSW students from low SES and non-English speaking backgrounds: Secondary analysis of the NSW Schools Physical Activity and Nutrition Survey 2010 Authors: Hardy, Louise; King, Lesley Abstract: The 2010 SPANS survey showed that the prevalence of overweight and obesity among NSW school students has not increased since 2004, stabilizing at 22.8%. The findings reported in the SPANS Full Report also indicate that many children engage in a range of adverse weight related behaviours and that the prevalence of weight-related behaviours varied according to socioeconomic status (SES) and cultural background. The findings may have implications for policy regarding interventions among school aged children and the design of interventions for different sociodemographic groups. The purpose of the report is to undertake more detailed data analyses regarding socioeconomic and cultural variations in students’ health behaviours, in order to inform the NSW Ministry of Health, Local Health Districts (LHD) and other government and non-government stakeholders.

2013-05-20T00:00:00Z Hardy, Louise King, Lesley http://hdl.handle.net/2123/9094 2013-05-20T16:53:07Z 2013-05-20T00:00:00Z

Title: Weight and weight related behaviours among NSW Kindergarten children Authors: Hardy, Louise; King, Lesley Abstract: The findings from the 2010 NSW Schools Physical Activity and Nutrition Survey (SPANS) show that the prevalence of combined overweight and obesity among Kindergarten children has significantly increased at a rate of 0.17% per annum between 2004 and 2010, from 17.7% to 18.7%, respectively. The rate of increase in combined overweight and obesity has been stronger among boys compared with girls (0.25% pa vs 0.10% pa, respectively). With one-in-five NSW children entering school overweight or obese there is a need for preventive interventions during early childhood and preschool years. The purpose of the report is to inform the NSW Ministry of Health on the weight status and associated behaviours of children in their first year of school.

2013-05-20T00:00:00Z Hardy, Louise http://hdl.handle.net/2123/9093 2013-05-20T16:53:07Z 2013-05-20T00:00:00Z

Title: SPANS 2010: NSW Schools Physical Activity and Nutrition Survey: Executive Summary.  Authors: Hardy, Louise Abstract: The findings from the 2010 NSW Schools Physical Activity and Nutrition Survey (SPANS) show that the prevalence of combined overweight and obesity among Kindergarten children has significantly increased at a rate of 0.17% per annum between 2004 and 2010, from 17.7% to 18.7%, respectively. The rate of increase in combined overweight and obesity has been stronger among boys compared with girls (0.25% pa vs 0.10% pa, respectively). With one-in-five NSW children entering school overweight or obese there is a need for preventive interventions during early childhood and preschool years. The purpose of the report is to inform the NSW Ministry of Health on the weight status and associated behaviours of children in their first year of school.

2013-05-20T00:00:00Z Hardy, Louise King, Lesley Espinel, Paola Cosgrove, Carmen Bauman, Adrian http://hdl.handle.net/2123/9092 2013-05-20T16:53:07Z 2013-05-20T00:00:00Z

Title: NSW Schools Physical Activity and Nutrition Survey (SPANS) 2010: Short Report.  Authors: Hardy, Louise; King, Lesley; Espinel, Paola; Cosgrove, Carmen; Bauman, Adrian Abstract: This short report comprises a summary of the full report. The NSW Schools Physical Activity and Nutrition Survey (SPANS) is conducted periodically by the NSW Ministry of Health to monitor weight and weight related behaviours of NSW school-aged children. SPANS surveys have been conducted in 1985, 1997, 2004 and 2010. Over this 25 year period, the survey has produced internationally significant evidence on childhood overweight and obesity and its determinants, which has proven useful to policy makers with a focus on population health.

2013-05-20T00:00:00Z Hardy, Louise King, Lesley Espinel, Paola Cosgrove, Carmen Bauman, Adrian http://hdl.handle.net/2123/9091 2013-05-20T16:53:06Z 2013-05-20T00:00:00Z

Title: NSW Schools Physical Activity and Nutrition Survey (SPANS) 2010: Full Report. Authors: Hardy, Louise; King, Lesley; Espinel, Paola; Cosgrove, Carmen; Bauman, Adrian Abstract: NSW Schools Physical Activity and Nutrition Survey 2010 is the fourth in a series of monitoring surveys that have been conducted in NSW. The survey provides a comprehensive overview of weight and weight-related behaviours of school children in the state. The NSW Schools Physical Activity and Nutrition Survey (SPANS) 2010 is the fourth in a series of school-based surveys of NSW school students which provides valuable trend information on weight status and associated behaviours of the NSW school-age population. The survey has been designed to update information provided by the 1985 Australian Health and Fitness survey (NSW cases) and previous NSW surveys of school children conducted in 1997 and 2004, and report on the trajectory of the prevalence of childhood overweight and obesity and on key modifiable weight-related behaviours.

2013-05-20T00:00:00Z Rangan, Anna Hector, Debra http://hdl.handle.net/2123/9086 2013-05-20T16:53:03Z 2013-05-20T00:00:00Z

Title: Consumption of fruit and vegetables by children in Australia and NSW: Results from National Surveys in 1995 and 2007. Monitoring Update. Authors: Rangan, Anna; Hector, Debra Abstract: Fruit and vegetables provide multiple health benefits in children and adults, including a likely role in the prevention of excess weight gain. As such, the promotion of fruit and vegetables is included as a core component of policies and programs to promote healthy eating and reduce obesity. In order to ascertain the effectiveness of promotional efforts, it is important to measure and report on levels of consumption of fruit and vegetables over time. This brief report provides detailed information on the levels of consumption of fruit and vegetables among children aged 2‐16 years, in Australia and in NSW. Data are derived from the two most recent national dietary surveys, the 1995 National Nutrition Survey (1995 NNS) and the 2007 Australian National Children Nutrition and Physical Activity Survey (2007 Survey). The national surveys use detailed 24‐hour recall methods, enabling amounts of fruit and vegetables consumed as well as numbers of serves consumed to be reported.

2013-05-20T00:00:00Z Hector, Debra Hebden, Lana Innes-Hughes, Christine King, Lesley http://hdl.handle.net/2123/9085 2013-05-17T18:52:39Z 2013-05-17T00:00:00Z

Title: Update of the evidence base to support the review of the NSW Health Breastfeeding Policy (PD2006_012): A rapid appraisal.  Authors: Hector, Debra; Hebden, Lana; Innes-Hughes, Christine; King, Lesley Abstract: This report provides the findings from a rapid review and appraisal of the evidence base to support a review of the NSW Health Breastfeeding Policy Breastfeeding in NSW: Protection, Promotion and Support (PD2006_012, NSW Department of Health 2006). This Policy is currently being updated, particularly in consideration of the Australian National Breastfeeding Strategy 2010-2015 and the associated, forthcoming Implementation Plan. The development of the NSW Breastfeeding Policy in 2006 was strongly supported by the systematic evidence base that had accumulated at that time. This review therefore includes evidence since the previous evidence summaries, i.e. since 2005. Specifically, it appraises the evidence around the health benefits of breastfeeding, it identifies those sub-groups of the population that are most at risk of poorer breastfeeding practices (not breastfeeding at all, short duration of breastfeeding, low intensity (exclusivity) of breastfeeding), and it examines the evidence, particularly from systematic reviews, of the effectiveness of interventions to promote, encourage and support breastfeeding.

2013-05-17T00:00:00Z Hector, Debra Espinel, Paola King, Lesley http://hdl.handle.net/2123/9084 2013-05-17T18:52:38Z 2013-05-17T00:00:00Z

Title: Reducing the risk of chronic disease in older adults: A summary report to support obesity prevention planning in NSW.  Authors: Hector, Debra; Espinel, Paola; King, Lesley Abstract: This document is a summary of the information contained within a full report detailing the research evidence on the rationale, determinants and effective intervention approaches to reduce the prevalence of obesity and chronic disease among community-dwelling older adults, aged 55-74 years. It is designed specifically to contribute to the planning of programs and interventions for obesity and chronic disease prevention in NSW, Australia.

2013-05-17T00:00:00Z Innes-Hughes, Christine Thrift, Aaron Cosgrove, Carmen http://hdl.handle.net/2123/9083 2013-05-17T18:52:37Z 2013-05-17T00:00:00Z

Title: A further analysis of the weight status and dietary characteristics of people reporting food insecurity in NSW: NSW Population Health Survey data 2007 and 2008. Authors: Innes-Hughes, Christine; Thrift, Aaron; Cosgrove, Carmen Abstract: Food security refers to the ability to acquire appropriate and nutritious food on a regular and reliable basis. The NSW Population Health Survey uses a single item indicator of individual and household level food insecurity which measures financial access to food by asking the question “In the last 12 months, were there any times that you ran out of food and couldn’t afford to buy more?” The purpose of this study was to explore the relationship between food insecurity and dietary habits in the NSW population, using data from the 2007 and 2008 NSW Population Health Surveys. Dietary habits of interest comprised the frequency of consumption of energy dense nutrient poor (EDNP) foods and drinks, as well as intake of fruit and vegetables. This study explores self reported data from the 2007 and 2008 New South Wales Population Health Surveys. Six dietary intake variables were included for this analysis based on their relevance to chronic disease and weight gain: vegetable intake, fruit intake, soft drink, hot chip, salty snacks and takeaway food consumption. Responses on these variables were dichotomised into ‘healthier’/’unhealthier’ categories.

2013-05-17T00:00:00Z Innes-Hughes, Christine Bowers, K King, Lesley Chapman, Kathy Eden, Barbara http://hdl.handle.net/2123/9082 2013-05-17T01:20:07Z 2013-05-16T00:00:00Z

Title: Food Security: The What, How, Why and Where to of Food Security in NSW. Discussion Paper Authors: Innes-Hughes, Christine; Bowers, K; King, Lesley; Chapman, Kathy; Eden, Barbara Abstract: This Discussion Paper considers food security in the context of food supply and access systems, and articulates how it links with food consumption patterns, weight and risk of chronic disease, in order to provide direction for research, policy and programs. The paper provides an overview of what is meant by the term ‘food security’, a summary of studies describing patterns of food insecurity in Australia, and strategies for promoting food security, with examples of programs. This synthesis also discusses the implications for research and programs in NSW. Importantly, it also seeks to clarify where there are or might be both common and divergent approaches to addressing food security and obesity and chronic disease prevention. Whilst there are known global and national influences on food security, this document mainly focuses on community, household and individual level food security.

2013-05-16T00:00:00Z Espinel, Paola Khambalia, Amina Cosgrove, Carmen Thrift, Aaron http://hdl.handle.net/2123/9078 2013-05-15T16:53:06Z 2013-05-15T00:00:00Z

Title: An Examination of the Demographic Characteristics and Dietary Intake of People Who Meet the Physical Activity Guidelines: NSW Population Health Survey Data 2007 Authors: Espinel, Paola; Khambalia, Amina; Cosgrove, Carmen; Thrift, Aaron Abstract: The purpose of this report is to examine the association between physical activity and dietary intake using self reported data from the 2007 NSW Population Health Survey. This report first investigates whether being physically active is associated with healthy dietary behaviours, and then describes the sociodemographic profile of physically active people who do not engage in healthy eating behaviours. Overall, results showed that older people, especially men, tend to do less physical activity compared to younger people, and that obese women were less likely to meet physical activity guidelines compared to healthy weight women. Those who reported a higher intake of fruits and vegetables and/or a lower consumption of soft drinks were more likely to meet the physical activity guidelines. Findings also indicate that among those meeting the physical activity guidelines, men were more likely to report a lower intake of vegetables and a higher consumption of soft drinks and takeaway foods compared to women. Among active people, young people were at a higher risk of unhealthy eating than older age groups. This study strongly supports the hypothesis that physical activity and dietary habits are correlated behaviours, which is consistent with other research findings. The gender and age differences in the association of these health behaviours suggest the value of targeting specific population groups for future interventions.

2013-05-15T00:00:00Z Espinel, Paola Innes-Hughes, Christine http://hdl.handle.net/2123/9077 2013-05-15T16:53:05Z 2013-05-15T00:00:00Z

Title: Apparent Consumption of Selected Foods and Household Food Expenditure. Authors: Espinel, Paola; Innes-Hughes, Christine Abstract: This report aims to describe trends in the apparent consumption of key core and non-core foods, food prices and household expenditure to understand population level dietary patterns. Findings indicate that Australians have made substantial changes in their diet in the past four decades. The observed trends in increasing apparent consumption of sugar in manufactured foods, and increased expenditure on takeaway food and snacks, are consistent with the increasing prevalence of overweight and obesity amongst Australian adults and children. Statistics on supply and demand of selected foods can provide an indication of consumer and industry trends, and contribute to a comprehensive system for monitoring population weight status.

2013-05-15T00:00:00Z Innes-Hughes, Christine Hebden, Lana http://hdl.handle.net/2123/9075 2013-05-13T16:52:32Z 2013-05-13T00:00:00Z

Title: ‘Green’ and ‘Amber’ Foods: Analysing the Nutritional Content of Food and Beverage Products Registered with Healthy Kids Association. Authors: Innes-Hughes, Christine; Hebden, Lana Abstract: The Healthy Kids Association (HKA) is a NSW-based not-for profit, non-government, health promotion organisation offering a product registration scheme to support NSW schools in identifying and selecting healthier foods and beverages to sell from their school canteen.  This report describes the key nutritional characteristics of food and beverage products registered with the HKA (formerly the New South Wales School Canteen Association). Nutrient content data were obtained from the product nutrition information panels for each product, within popular product subcategories, registered as of October 2009. The level of key nutrients (including saturated fat, sugar, calcium and fibre) was identified and analysed in relation to the nutrient criteria threshold levels for green and amber products specified by the HKA. The results indicated that for most product subcategories, the nutrient content of products clustered just below the nutrient criteria thresholds for total energy, saturated fat, sodium and sugar, while the nutrient content for the positive nutrients (calcium and fibre) frequently clustered just above the thresholds. In addition, small package sizes were found to be common among products classified as amber. The distribution of key nutrients around the criteria thresholds suggests that products are formulated with reference to these thresholds, although manufacturers may also achieved the nutrient thresholds through smaller portion sizes. The potential of nutrient thresholds as levers to influence the nutritional profile of foods needs further research and industry dialogue.

2013-05-13T00:00:00Z Hebden, Lana http://hdl.handle.net/2123/9074 2013-05-13T16:52:31Z 2013-05-13T00:00:00Z

Title: Comparability of Dietary Measures Among NSW Children and Adolescents. Authors: Hebden, Lana Abstract: The measurement of lifestyle behaviours among child and adolescent populations is challenging. Over the past two decades, there have been at least six population-based surveys that have measured lifestyle and anthropometric factors among 13 population-based samples of children and adolescents in New South Wales (NSW). While these surveys have used different instruments and modes of administration, all have to some extent collected data on the same types of indicators (or variables) for assessing dietary intake and food related behaviours. This report collates estimates of the different dietary indicators used in population-based surveys conducted with young people in NSW between 1995 and 2010, and compares these estimates according to age group, survey methods, the different population survey questions, by age group and respondent (child versus parent). The results provide valuable information to guide the interpretation of population dietary surveillance data, and future decisions around population nutrition monitoring, in NSW.

2013-05-13T00:00:00Z Chau, Josephine http://hdl.handle.net/2123/9073 2013-05-13T16:52:31Z 2013-05-13T00:00:00Z

Title: Evidence Module: Workplace Physical Activity and Nutrition Interventions. Authors: Chau, Josephine Abstract:  This evidence module synthesizes the findings and recommendations from multiple systematic reviews and reports to provide a summary of what works in workplace health promotion programs to physical activity, healthy diet or both, and prevent overweight and obesity.

2013-05-13T00:00:00Z Kelly B, Bridget Baur, Louise Bauman, Adrian King, Lesley Chapman, Kathy Smith, Ben http://hdl.handle.net/2123/9072 2013-05-13T16:52:30Z 2013-05-13T00:00:00Z

Title: Promoting Health and Nutrition Through Sport: Attitudes of the Junior Sporting Community Authors: Kelly B, Bridget; Baur, Louise; Bauman, Adrian; King, Lesley; Chapman, Kathy; Smith, Ben Abstract: Introduction: This study aimed to provide information on parents’, children’s and sporting officials’ attitudes to sponsorship arrangements, and their support of potential policy interventions to reorient sponsorship to be more health promoting. Methods: Sports clubs (n=20) known to have food and beverage sponsors in Sydney, Illawarra and Canberra/Queanbeyan were selected. Parents and children at sports clubs were recruited through convenience sampling by approaching those attending the sports club at the time of the survey and those children who had a signed consent form. Sports clubs were visited between May and November 2010. At each club, one sports club official, ten parents of players aged 5 to 14 years, and five children aged 10 to 14 years were surveyed. Results: The majority of sporting officials and parents were supportive of policies to restrict unhealthy food and beverage sponsorship of elite sport and children’s sports clubs. More than two-thirds of all children were able to correctly recall sponsors of their sports club and almost half could correctly name at least one sponsor of their favourite elite sports team. Most children thought that food and beverage companies sponsored sport to help out sports clubs and liked to return the favour to these sponsors by buying their products. Conclusion: Children’s high level of recall of food and beverage sponsors is concerning as this recall is likely to be linked to children’s product preferences and consumption behaviours. Alternative funding mechanisms are required to replace community and elite sport sponsorship from unhealthy food and beverage companies to reduce the promotional effects of this marketing on children’s food choices and eating behaviours.

2013-05-13T00:00:00Z Longman, J M Barraclough, F L Barclay, L M http://hdl.handle.net/2123/9057 2013-04-30T16:52:51Z 2013-04-30T00:00:00Z

Title: Evaluation of the Nimbin Integrated Services Project Authors: Longman, J M; Barraclough, F L; Barclay, L M Abstract: This report is an evaluation of a Nurse Practitioner-led integrated service for mental health and drug and alcohol clients, in a small town in rural NSW.

2013-04-30T00:00:00Z St.George, Alexis King, Lesley http://hdl.handle.net/2123/9041 2013-05-16T00:26:17Z 2013-04-18T00:00:00Z

Title: Evaluation Framework for NSW Implementation of Healthy Workers Initiative Authors: St.George, Alexis; King, Lesley Abstract: This document presents a framework for the evaluation of the NSW implementation of the Healthy Workers Initiative being undertaken as part of the National Partnership Agreement on Preventive Health. The NSW Healthy Workers Initiative seeks to address unhealthy lifestyle factors by reaching individuals in the workplace, and supporting behaviour change for healthy lifestyles in and through businesses.

2013-04-18T00:00:00Z Hector, Debra Espinel Diaz, Paola St.George, Alexis Macniven, Rona Rissel, Chris King, Lesley http://hdl.handle.net/2123/9040 2013-04-18T16:52:42Z 2013-04-18T00:00:00Z

Title: A Review of Available Information on Workplace Physical Activity and Nutrition Challenges Authors: Hector, Debra; Espinel Diaz, Paola; St.George, Alexis; Macniven, Rona; Rissel, Chris; King, Lesley Abstract: This review examined the evidence surrounding workplace nutrition and physical activity challenge events and the extent of these challenges in Australia, and internationally. A search of the peer-reviewed literature, grey literature and websites revealed 18 peer-reviewed studies meeting the inclusion criteria, six reports involving evaluations of workplace challenges, and a number of websites supporting challenge events.

2013-04-18T00:00:00Z St.George, Alexis Laws, Rachel King, Lesley Hector, Debra Portors, Claire http://hdl.handle.net/2123/9038 2013-05-16T00:29:17Z 2013-04-16T00:00:00Z

Title: Results of a Survey on Workplace Health Promotion in Businesses in Lithgow Authors: St.George, Alexis; Laws, Rachel; King, Lesley; Hector, Debra; Portors, Claire Abstract: In partnership with the Nepean Blue Mountains and Western Sydney Local Health Districts, a survey on workplace health promotion (WHP) was developed and piloted in workplaces in the Lithgow local government area in 2011. This document reports on the development, administration and findings of the survey.

2013-04-16T00:00:00Z St.George, Alexis King, Lesley Bennie, Jason Portors, Claire Hing, Liz Mc Nicholas, Janelle http://hdl.handle.net/2123/9037 2013-04-16T16:52:47Z 2013-04-16T00:00:00Z

Title: Evaluation of the Effectiveness of Disseminating Workplace Health Promotion Resources to Businesses Authors: St.George, Alexis; King, Lesley; Bennie, Jason; Portors, Claire; Hing, Liz; Mc Nicholas, Janelle Abstract: Encouraging workplaces to undertake health promotion is important yet little is known of the types of information small and medium size workplaces would find useful. Two resources on workplace health promotion were mailed to 213 workplaces. The resources provided information on the benefits of workplace health promotion, suggestions for low-cost activities and components of a sustainable program. 62% of respondents rated the resources as either ‘very useful’ or ‘somewhat useful’. Workplaces in ‘contemplation’ and ‘preparation’ stages of change for engaging in WHP were most likely to have undertaken an activity to support the health and well-being of employees or be intending to, as a result of reading the resources .The findings of this study provide useful information on the reach and impact of dissemination of health promotion resources by mail to workplaces, and particularly small businesses.

2013-04-16T00:00:00Z Cohen, Gillian E http://hdl.handle.net/2123/8987 2013-03-19T15:52:39Z 2012-10-01T00:00:00Z

Title: I'm Safe, I'm Home: A process evaluation Authors: Cohen, Gillian E Abstract: “I’m Safe, I’m Home: A Process Evaluation” is the first evaluation of the Domestic Violence Support Western Sydney Service (DVSWSS) program, a three year trial of a new intervention to prevent homelessness caused by domestic violence. Funded by the NSW Homelessness Action Plan to run between 2010-2012 in parallel to the traditional refuge system, DVSWSS offers medium term “wrap around” support for women and children escaping domestic violence to restart their lives in private accommodation. The evaluation describes how DVSWSS is run to overcome implementation difficulties and how it assisted over 650 people, exceeding targets by 13 per cent. DVSWSS cost effectively provides client-centred, individually tailored support across 38 services and 12 local government areas in Greater Western Sydney. The report serves both as a manual for wider dissemination of the program, and describes in detail the policy implications and opportunities arising from this program.

2012-10-01T00:00:00Z Chapman, Simon St.George, Alexis Waller, Karen Cakic, Vince http://hdl.handle.net/2123/8977 2013-04-04T21:22:03Z 2013-03-14T00:00:00Z

Title: Spatio-temporal differences in the history of health and noise complaints about Australian wind farms: evidence for the psychogenic, “communicated disease” hypothesis. Authors: Chapman, Simon; St.George, Alexis; Waller, Karen; Cakic, Vince Abstract: Background and objectives With often florid allegations about health problems arising from wind turbine exposure now widespread in parts of rural Australia and on the internet, nocebo effects potentially confound any future investigation of turbine health impact. Historical audits of health complaints across periods when such claims were rare are therefore important. We test 4 hypotheses relevant to psychogenic explanations of the variable timing and distribution of health and noise complaints about wind farms in Australia. Setting All (n=51) Australian wind farms (with 1634 turbines) operating from 1993–2012 . Methods Records of complaints about noise or health obtained from wind farm companies regarding residents living near 51 Australian wind farms, expressed as proportions of estimated populations residing within 5km of wind farms, and corroborated with complaints in submissions to 3 government public enquiries and news media records and court affidavits . Results There are large spatio-temporal variations in wind farm noise and health complaints.33/51(64.7%) of Australian wind farms including 17/34(50%) with turbine size >1MW have never been subject to noise or health complaints. These 33 farms have some 21,592 residents within 5km of their turbines and have operated complaint-free for a cumulative total of 267 years. Western Australia and Tasmania Have seen no complaints. Only 131 individuals across Australia representing approximately 1 in 250 residents living within 5km of wind farms appear to have ever complained, with 94(72%) of these being residents near 6 wind farms which have been targeted by anti wind farm groups . About 1 in 87 (126/10901) of those living near turbines >1MW have ever complained. The large majority 104/131(79%) of health and noise complaints commenced after 2009 when anti wind farm groups began to add health concerns to their wider opposition. In the preceding years, health or noise complaints were rare despite large and small turbined wind farms having operated for many years. Conclusions In view of scientific consensus that the evidence for wind turbine noise and infrasound causing health problems is poor, the reported spatio-temporal variations in complaints are consistent with psychogenic hypotheses that health problems arising are “communicated diseases” with nocebo effects likely to play an important role in the aetiology of complaints.

2013-03-14T00:00:00Z Laws, Rachel St.George, Alexis King, Lesley Rissel, Chris http://hdl.handle.net/2123/8972 2013-03-26T15:52:30Z 2013-03-12T00:00:00Z

Title: Employer Perspectives of Workplace Health Promotion Authors: Laws, Rachel; St.George, Alexis; King, Lesley; Rissel, Chris Abstract: This report presents the findings of a qualitative study exploring the views of a small group of employers (n=25) about WHP, in particular the value and priority placed on promoting employee health, who should be responsible, as well as key barriers and facilitators. Interviews also aimed to gain an understanding of how workplace health programs and activities are currently being implemented by workplaces. The findings provide important preliminary insights into the key issues to be addressed when implementing health promotion programs in the workplace.

2013-03-12T00:00:00Z Leask, Julie http://hdl.handle.net/2123/8960 2013-03-06T15:53:48Z 2011-05-26T00:00:00Z

Title: Target the fence-sitters Authors: Leask, Julie Abstract: Past waves of vaccine rejection in industrialized nations have a lot to teach us about preventing future ones.

2011-05-26T00:00:00Z Fogarty, Andrea S Chapman, S http://hdl.handle.net/2123/8946 2013-02-19T15:53:01Z 2013-02-19T00:00:00Z

Title: What should be done about policy on alcohol pricing and promotions? Australian experts’ views of policy priorities: a qualitative interview study Authors: Fogarty, Andrea S; Chapman, S Abstract: ABSTRACT Background Alcohol policy priorities in Australia have been set by the Preventative Health Task Force, yet significant reform has not occurred. Public health experts aware of these priorities are not reported as in agreement in news media discussions and Government has not adequately supported the legislative recommendations made. We investigate policy experts’ views on alcohol policy priorities with a view to establishing levels of accord and providing suggestions for future advocates. Methods We conducted semi-structured in depth interviews with alcohol policy experts and advocates around Australia. Open-ended questions examined participants’ thoughts on existing policy recommendations, obvious policy priorities and specifically, the future of national reforms to price and promotions policies. All transcripts were analysed for major themes and points of agreement or disagreement. Results Twenty one alcohol policy experts agreed that pricing policies are a top national priority and most agreed that “something should be done” about alcohol advertising. Volumetric taxation and minimum pricing were regarded as the most important price policies, yet differences emerged in defining the exact form of a proposed volumetric tax. Important differences in perspective emerged regarding alcohol promotions, with lack of agreement about the likely form regulations should take, where to start and who the policy should be directed at. Very few discussed online advertising and social networks. Conclusions Despite existing policy collaborations, a clear ‘cut through’ message is yet to be repeatedly endorsed by all alcohol control advocates. There is a need to articulate in greater detail the specifics of policy reforms to minimum pricing, volumetric taxation and restrictions on alcohol advertising, particularly regarding sporting sponsorships and new media.

2013-02-19T00:00:00Z Young, Jane Jorgensen, Mikaela Dobbins, Timothy Solomon, Michael http://hdl.handle.net/2123/8936 2013-02-13T15:52:47Z 2012-12-01T00:00:00Z

Title: CESR Technical Report 1: The quality and usefulness of the NSW Clinical Cancer Registry Minimum Dataset and Colorectal Dataset Extension for colorectal cancer services research Authors: Young, Jane; Jorgensen, Mikaela; Dobbins, Timothy; Solomon, Michael Abstract: Colorectal cancer is one of the most common cancers worldwide. Population-based studies of care and outcomes are essential to monitor the uptake of evidence-based treatment guidelines and identify groups most at risk of receiving suboptimal care or experiencing poor outcomes. With the development of locally-managed Clinical Cancer Registries (ClinCR) in public facilities in NSW since 2006, ‘patterns of care’ studies which previously relied on the collection of clinical information through time- and resource-intensive surveys or medical record audits now have the potential to be conducted through linkage of routinely collected data. However there is little experience with the use of ClinCR data for research. The purpose of this report is to assess the quality, coverage and completeness of ClinCR data for use in colorectal cancer services research, and to assess the feasibility of developing surgical process and outcomes indicators that rely on ClinCR data items.

2012-12-01T00:00:00Z Herde, Emily Lower, Tony http://hdl.handle.net/2123/8913 2013-02-04T15:52:38Z 2013-02-04T00:00:00Z

Title: Farm related injuries reported in the Australian print media 2012 Authors: Herde, Emily; Lower, Tony Abstract: This report documents the non-intentional farm deaths and injuries that were identified in the Australian print media in 2012.

2013-02-04T00:00:00Z Herde, Emily Lower, Tony http://hdl.handle.net/2123/8879 2013-01-15T15:52:47Z 2013-01-15T00:00:00Z

Title: Quad Bike Related Deaths and Injuries Australia 2012 Media Monitors Report Authors: Herde, Emily; Lower, Tony Abstract: This report outlines the fatal and non-fatal quad bike cases reported in the Australian print media for 2012

2013-01-15T00:00:00Z Hebden, Lana http://hdl.handle.net/2123/8812 2013-05-15T04:49:35Z 2012-12-07T00:00:00Z

Title: Comparability of Dietary Measures Among NSW Children and Adolescents Authors: Hebden, Lana Abstract: The measurement of lifestyle behaviours among child and adolescent populations is challenging. Existing population based surveys of lifestyle and anthropometric variables have used different instruments and modes of administration, however all have to some extent collected data on the same types of variables for assessing dietary intake and food related behaviours. The purpose of this report was to collate estimates of dietary indicators for young people across different population-based surveys conducted in NSW between 1995 and 2010, and compare estimates according to age group, survey methods, the different population survey questions, by age group and respondent (child versus parent). The results of this report provide valuable information to guide the interpretation of population dietary surveillance data, and future decisions around population nutrition monitoring in NSW.

2012-12-07T00:00:00Z Mitchell, Julie Ann Eden, Barbara Dunn, Scott Cramp, Jo Chapman, Kathy Jayewardene, Vikki King, Lesley St.George, Alexis http://hdl.handle.net/2123/8777 2013-05-16T00:47:03Z 2012-11-15T00:00:00Z

Title: Healthy Workplace Activities: At a Glance Authors: Mitchell, Julie Ann; Eden, Barbara; Dunn, Scott; Cramp, Jo; Chapman, Kathy; Jayewardene, Vikki; King, Lesley; St.George, Alexis Abstract: This four page brochure provides practical suggestions for physical activity and healthy eating activities that can be easily implemented in your workplace to promote a healthy lifestyle for your employees.

2012-11-15T00:00:00Z Mitchell, Julie Ann Eden, Barbara Dunn, Scott Cramp, Jo Chapman, Kathy Jayewardene, Vikki King, Lesley St.George, Alexis http://hdl.handle.net/2123/8776 2013-05-16T00:48:30Z 2012-11-15T00:00:00Z

Title: Healthy Workplace Guide: Ten Steps to Implementing A Workplace Health Program Authors: Mitchell, Julie Ann; Eden, Barbara; Dunn, Scott; Cramp, Jo; Chapman, Kathy; Jayewardene, Vikki; King, Lesley; St.George, Alexis Abstract: To assist businesses to improve the health of their employees, the Heart Foundation, Cancer Council NSW and Physical Activity, Nutrition and Obesity Research Group (PANORG) from the School of Public Health at The University of Sydney, collaborated to develop this practical ten step guide. The guide provides easy to follow steps on creating a workplace that supports employees in leading healthy lifestyles, including how to get started, construct, implement and evaluate a workplace health program.

2012-11-15T00:00:00Z Grunseit, Anne Hardy, Louise King, Lesley Rangan, Anna http://hdl.handle.net/2123/8763 2013-05-16T00:52:45Z 2012-11-12T00:00:00Z

Title: A Junk Food Index for Children and Adolescents: Secondary Analysis of the NSW SPANS 2010 Authors: Grunseit, Anne; Hardy, Louise; King, Lesley; Rangan, Anna Abstract: The purpose of this report is to document the methodology used to develop a Junk Food Index for Children and Adolescents from data collected in the 2010 NSW Schools Physical Activity and Nutrition Survey (SPANS).

2012-11-12T00:00:00Z Hector, Debra King, Lesley Hardy, Louise Alexis, St.George Hebden, Lana Espinel, Paola Rissel, Chris http://hdl.handle.net/2123/8762 2013-05-16T00:55:16Z 2012-11-12T00:00:00Z

Title: Evidence Update On Obesity Prevention Across The Life-course Authors: Hector, Debra; King, Lesley; Hardy, Louise; Alexis, St.George; Hebden, Lana; Espinel, Paola; Rissel, Chris Abstract: This Evidence Update, prepared for NSW Ministry of Health, provides a summary of evidence on the prevention of overweight and obesity in order to guide the development of the NSW State Obesity Plan 2012–2015. A solutions-focused approach to identifying promising strategies across different stages of the life course has been applied.

2012-11-12T00:00:00Z Innes-Hughe, Christine Boylan, Sinead Lobb, Elizabeth King, Lesley http://hdl.handle.net/2123/8761 2013-05-16T00:56:18Z 2012-11-12T00:00:00Z

Title: Measuring Rural Food Environments Within Murrumbidgee Health Network, NSW. Authors: Innes-Hughe, Christine; Boylan, Sinead; Lobb, Elizabeth; King, Lesley Abstract: This report presents the results of a study which mapped food availability in three small rural towns in New South Wales on the topic of Food Fairness in disadvantaged towns. This small study designed and tested simple, specifically-designed tools for assessing food availability, and has generated tools and protocols that can be disseminated and used in other locations, as well as information for the three study towns.

2012-11-12T00:00:00Z Boylan, Sinead Innes-Hughes, Christine Lobb, Elizabeth King, Lesley http://hdl.handle.net/2123/8759 2013-05-16T00:49:50Z 2012-11-12T00:00:00Z

Title: Measuring Rural Food Environments Within Murrumbidgee Health Network, NSW: Methodology. Authors: Boylan, Sinead; Innes-Hughes, Christine; Lobb, Elizabeth; King, Lesley Abstract: This document supplements the report on Measuring rural food environments within Murrumbidgee Local Health Network. This study has generated tools and protocols that can be disseminated and used in other locations, as well as information for the three study towns.

2012-11-12T00:00:00Z Espinel, Paola King, Lesley http://hdl.handle.net/2123/8758 2013-05-16T00:51:43Z 2012-11-12T00:00:00Z

Title: A Framework For Monitoring Overweight And Obesity In NSW Authors: Espinel, Paola; King, Lesley Abstract: Monitoring of population weight status is valuable in order to track changes and identify likely causes and implications, and to adjust policy and program priorities. A monitoring framework sets out what information should be collected, when and how it should be collected, and systems for the reporting of this information. The framework covers dietary behaviours, physical activity and sedentary behaviours, food environment factors, physical activity environment factors, socio-demographic and other factors.

2012-11-12T00:00:00Z Bonfiglioli, Catriona PANORG http://hdl.handle.net/2123/8757 2013-05-15T04:44:20Z 2012-11-12T00:00:00Z

Title: Reporting Obesity: A Resource For Journalists Authors: Bonfiglioli, Catriona PANORG Abstract: The aim of this publication is to highlight current debates in relation to obesity as a health problem, point to evidencebased research, suggest alternative news angles and illuminate the choices journalists can make in how they cover this topic.

2012-11-12T00:00:00Z St.George, Alexis Laws, Rachel King, Lesley Hector, Debra Bohn-Goldbaum, Erika Portors, Claire Newman, Christine Rissel, Chris http://hdl.handle.net/2123/8734 2012-11-07T03:12:50Z 2012-10-24T00:00:00Z

Title: PRC Workplace Survey on Health Promotion Authors: St.George, Alexis; Laws, Rachel; King, Lesley; Hector, Debra; Bohn-Goldbaum, Erika; Portors, Claire; Newman, Christine; Rissel, Chris Abstract: This survey was developed to collect information on workplace health promotion at the organizational level for the purpose of i) informing planning of workplace interventions, ii) evaluation of the impact of workplace interventions, and iii) characterising the workplace. Some items were drawn from existing WHP surveys, either directly or in a modified version. Additional items were developed by the authors, based on literature review and consultation. Questions on workplace and workforce characteristics are based on standard items used by the Australian Bureau of Statistics for classifying occupations and industry.

2012-10-24T00:00:00Z Herde, E Lower, T http://hdl.handle.net/2123/8614 2012-07-30T16:52:37Z 2012-07-01T00:00:00Z

Title: Farm related injuries mid year 2012 report Authors: Herde, E; Lower, T Abstract: This report provides a summary of farm deaths and injuries for the period Jan 1- June 30, 2012

2012-07-01T00:00:00Z Imison, Michelle Chapman, Simon http://hdl.handle.net/2123/8602 2012-07-20T18:52:43Z 2012-07-01T00:00:00Z

Title: Australian journalists’ reflections on local coverage of a health-related story from the developing world Authors: Imison, Michelle; Chapman, Simon Abstract: Given the limited Australian media coverage of health news from low- and middle-income countries (LMICs), the 2009 story of conjoined Bangladeshi twins Trishna and Krishna was conspicuous for its scale. This paper draws on interviews with journalists who reported the story and considers what those seeking to increase the news exposure given to LMIC health issues might learn from this coverage. It considers, in particular, the extent to which the twins’ story fitted with prevailing journalistic norms and beliefs about both health and news, and suited professional expectations and routines, especially in relation to choice of sources and access to material. Finally, the paper surveys opportunities for broader and deeper coverage of such news in the future.

2012-07-01T00:00:00Z Chapman, Simon Haynes, Abby Derrick, Gemma Sturk, Heidi Hall, Wayne D St.George, Alexis http://hdl.handle.net/2123/8369 2012-05-22T16:52:40Z 2012-05-22T00:00:00Z

Title: Reaching “an audience that you would never dream of speaking to”: influential public health researchers’ views on the role of news media in influencing policy and public understanding. Authors: Chapman, Simon; Haynes, Abby; Derrick, Gemma; Sturk, Heidi; Hall, Wayne D; St.George, Alexis Abstract: While governments and academic institutions urge researchers to engage with news media, traditional academic values of public disengagement have inhibited many from giving high priority to media activity. In this interview-based study, we report on the views about news media engagement and strategies used by 36 peer-voted leading Australian public health researchers in six fields. We consider their views about the role and importance of media in influencing policy; their reflections on effective or ineffective media communicators; and strategies used by these researchers about how to best retain their credibility and influence while engaging with the news media. A willingness and capacity to engage with the mass media was seen as an essential attribute of influential public health researchers.

2012-05-22T00:00:00Z Chapman, Simon http://hdl.handle.net/2123/8366 2012-05-28T16:52:43Z 2012-05-21T00:00:00Z

Title: The case for a smokers' licence. Authors: Chapman, Simon Abstract: The history of tobacco control has seen the introduction of policies initially considered radical, but which rapidly came to be considered normal and essential to the goals of reducing use and the burden of disease that tobacco causes. No other consumer product is subject to total advertising bans. None are required to be sold in plain packaging, as will be the case in Australia from December 2012. Again uniquely, 47 nations now require large graphic warnings on tobacco packaging. Smokefree public transport, workplaces, restaurants, bars, and stadiums are now the rule rather than the exception in an increasingly large number of nations. The legally binding World Health Organisation’s Framework Convention on Tobacco Control which requires such measures has been ratified by 174 nations. Despite these developments, the sale of tobacco and cigarettes is subject to trivial controls compared with other dangerous products that threaten either public or personal health or safety. In this paper, I outline a proposal for a major new development with potential to reduce tobacco use: the smokers’ license, and consider its likely benefits and the main objections.

2012-05-21T00:00:00Z Lower, T http://hdl.handle.net/2123/8365 2012-05-20T16:52:35Z 2012-05-12T00:00:00Z

Title: crush protection - raising the bar Authors: Lower, T Abstract: This opinion piece provides a summary of recent events involving moves to improve the safety of quad bikes and the manufacturers' attmepts to counter progress

2012-05-12T00:00:00Z Herde, E Lower, T http://hdl.handle.net/2123/8364 2012-05-20T16:52:33Z 2012-03-01T00:00:00Z

Title: Quad Bike Related Deaths and Injuries Australia 2011 Media Monitors Report Authors: Herde, E; Lower, T Abstract: This report provides a summary of uad bike related deaths and serious injuries reported in the media throughout 2011

2012-03-01T00:00:00Z Chapman, Simon St.George, Alexis http://hdl.handle.net/2123/8362 2012-05-18T18:52:32Z 2012-05-18T00:00:00Z

Title: A disease in search of a cause: a study of self-citation and press release pronouncement in the factoid of wind farms causing “vibroacoustic disease”. Authors: Chapman, Simon; St.George, Alexis Abstract: Background In recent years, claims have proliferated that wind turbines cause a large variety of diseases. Two of these, “Wind Turbine Syndrome” (WTS) and “Vibroacoustic disease” (VAD) are frequently mentioned. Seventeen reviews of the evidence for wind turbines causing harm have concluded the evidence to be poor yet some regulatory authorities are now referencing health concerns as part of the rationale for set-back guidelines from residences, greatly reducing siting opportunities. Methods and Findings Google returns 158,000 hits for WTS and 298,000 for VAD. We conducted a search for all papers and citations on WTS or VAD, and searched for evidence for any association between wind turbine exposure and VAD. No papers on WTS were found in indexed journals. Thirty five papers on VAD were found, none reporting on an association between VAD and wind turbines. Of the 35 papers on VAD, 34 had a first author from a single Portuguese research group. Seventy four per cent of citations to these papers were self-citations by the group. Median self-citation rates in science are around 7%. Two unpublished case reports presented at conferences were found alleging that VAD was “irrefutably demonstrated” to be caused by wind turbines. Conclusions VAD has received virtually no scientific recognition beyond the group who invented the term. The claim that wind turbines cause VAD is a factoid that has gone “viral” in cyberspace and may be contributing to nocebo effects among those living near turbines.

2012-05-18T00:00:00Z Chen, Jian Sheng http://hdl.handle.net/2123/8340 2012-05-10T16:52:36Z 2012-05-02T00:00:00Z

Title: Planned caesarean section (CS) for second birth following a first vaginal birth (VB) Authors: Chen, Jian Sheng Abstract: Introduction There is international concern over rising rates of CS and its impacts on maternal and neonatal health outcomes. Of interest are the factors driving the increase in primary caesareans in a 2nd birth. Objectives To examine effects of previous birth factors on subsequent planned CS. Methods Women with both 1st and 2nd births were identified from NSW birth data from 2000-2009. The study population included only women with VB at 1st birth and excluded those who had an indisputable indication for CS in the 2nd birth (multiple pregnancy, breech presentation or placenta praevia). Logistic regression was used for the analysis. Results Of the 114,287 women, 4,787 (4.2%) had planned CS at 2nd birth. After adjusting for 2nd pregnancy risk factors including interval between two births, year at birth, maternal age, hospital location, private care, hypertension, diabetes, infant size and antepartum hemorrhage, independent 1st birth risk factors for planned CS (in order of effect size) were 3rd-4th degree tear, severe neonatal morbidity, a perinatal death, severe maternal morbidity, instrumental birth, large infant, labour induction, epidural, use of oxytocics and episiotomy. The leading four 1st birth risk factors increased the risk of planned CS by more than 100%, for example odds ratio of 3rd-4th degree tear: 5.00 (95% CI 4.58-5.44). Conclusion Women who had obstetric interventions and adverse pregnancy outcomes in the first birth were at increased risk of planned CS in the second birth. The results indicate the importance of ‘getting the first birth right’ in reducing CS rate. Description: Co-authors: Christine L. Roberts, Jane B. Ford, Amanda Ampt and Judy M. Simpson

2012-05-02T00:00:00Z Wu, Jason Hao Yu http://hdl.handle.net/2123/8182 2012-05-01T17:15:28Z 2012-01-01T00:00:00Z

Title: Omega-3 Fatty Acids and incident Type 2 Diabetes A Systematic Review and Meta-Analysis Authors: Wu, Jason Hao Yu Abstract: The aim of this work place portfolio (WPP) was to carry out a systematic review and meta-analysis of the association of dietary seafood, dietary omega-3 polyunsaturated fatty acid (n-3 PUFA), and n-3 PUFA biomarkers with the risk of type 2 diabetes (T2D) in prospective cohort studies. The WPP was conducted between May 2011 and September 2011.

2012-01-01T00:00:00Z Herde, Emily Lower, Tony http://hdl.handle.net/2123/8080 2012-05-01T17:15:19Z 2012-01-31T00:00:00Z

Title: Farm Related Injuries Reported in the Australian Print Media 2011 Authors: Herde, Emily; Lower, Tony Abstract: This report provides a summary of the fatal and non-fatal injuries reported in the Australian media throughout 2011

2012-01-31T00:00:00Z Chapman, Simon Hyland, Andrew http://hdl.handle.net/2123/7914 2012-05-01T17:15:30Z 2011-11-25T00:00:00Z

Title: Environmental tobacco smoke in outdoor areas: a rapid review of the research literature. Authors: Chapman, Simon; Hyland, Andrew Abstract: Restrictions on smoking outdoors have been introduced for reasons of public amenity and to promote litter reduction. This review considers the evidence about whether outdoor secondhand smoke (SHS) might also pose health risks to others. Six published studies have assessed outdoor levels of SHS using metred PM2.5 as a marker of exposure. The magnitude of PM2.5is dependent on the number of smokers present, proximity of the measurement device to the source of the SHS, the extent to which the outdoor space is physically constrained (e.g., walls, partial roof, umbrellas), and wind. The data show peak outdoor PM2.5 levels in semi-enclosed areas with several smokers present can be comparable to those recorded in indoor smoky environments. However, outdoor PM2.5 levels are more transient as the smoke plume is less confined and can rapidly dissipate. SHS can be a major source of PM2.5, particularly in indoor environments. The average PM2.5 level in bars where smoking occurs is 303 µg/m3 and 157 µg/m3 in restaurants. Because of repeated and cumulative exposure to SHS in outdoor settings like beer gardens and outdoor eating areas, occupational exposures to PM2.5 from SHS are likely to be far higher than those experienced by patrons who are present for far shorter periods. We estimate that occupational exposure to SHS in waitstaff working in outdoor patio areas where smoking is allowed could average 1.6 to 9.8 µg/m3 per year. It is thus plausible that occupational exposure to PM2.5 in outdoor work settings where smoking is allowed could exceed the Australian National Environment Protection Measure for Ambient Air Quality benchmark annual average target of 8µg/m3 . An increase of 5µg/m3 to 10 µg/m3 in average annual PM2.5 exposure is associated with a 3-6% increase in all-cause mortality. Personal monitoring studies have not yet been conducted to corroborate modelled estimates of staff exposure in these settings. Such studies should be conducted to test the modelled exposure estimates we have calculated.

2011-11-25T00:00:00Z