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190 results on '"Zwi, Karen"'

4. Racism

Author

Babacan, Alperhan, Jacobs, Rachael, Kamp, Alanna, Paradies, Yin, Piyarathne, Anton, Wang, Caroline, Zwi, Karen, Woodland, Lisa, Hutton, Vicki, Hutton, Vicki, editor, and Sisko, Susan, editor

Published
2021
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7. School-Based Education Programs for the Prevention of Child Sexual Abuse: A Cochrane Systematic Review and Meta-Analysis

Author

Walsh, Kerryann, Zwi, Karen, Woolfenden, Susan, and Shlonsky, Aron

Abstract

Objective: To assess evidence of the effectiveness of school-based education programs for the prevention of child sexual abuse (CSA). The programs deliver information about CSA and strategies to help children avoid it and encourage help seeking. Methods: Systematic review including meta-analysis of randomized controlled trials (RCTs), cluster RCTs, and quasi-RCTs. Results: Twenty-four studies with 5,802 participants were included. Child self-protective skills, odds ratio = 5.71, confidence interval = [1.98, 16.51]; factual, standardized mean difference (SMD) = 0.61 [0.45, 0.78]; and applied knowledge, SMD = 0.45 [0.24, 0.65], increased in the intervention group, and knowledge gains were retained at 6 months, SMD = 0.69 [0.51, 0.87]. There were no differences in anxiety or fear, SMD = -0.08 [0.22, 0.07], and findings regarding disclosure of abuse were inconclusive. Conclusion: Children's self-protective skills and knowledge can be increased by participation in school-based sexual abuse prevention programs. However, it is unknown whether gains in skills and knowledge actually decrease the likelihood of CSA.

Published
2018
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8. Racism

Author

Babacan, Alperhan, primary, Jacobs, Rachael, additional, Kamp, Alanna, additional, Paradies, Yin, additional, Piyarathne, Anton, additional, Wang, Caroline, additional, Zwi, Karen, additional, Woodland, Lisa, additional, and Hutton, Vicki, additional

Published
2020
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11. Codesigning a social prescribing pathway to address the social determinant of health concerns of children with cerebral palsy and their families in Australia: a protocol for a mixed-methods formative research study

Author

Ostojic, Katarina, primary, Paget, Simon, additional, Martin, Tanya, additional, Dee-Price, Betty-Jean, additional, McIntyre, Sarah, additional, Smithers Sheedy, Hayley, additional, Mimmo, Laurel, additional, Burnett, Heather, additional, Scott, Timothy, additional, Berg, Alison, additional, Masi, Anne, additional, Scarcella, Michele, additional, Calderan, Jack, additional, Azmatullah, Sheikh, additional, Mohamed, Masyitah, additional, Woodbury, Mackenzie, additional, Wilkinson, Alunya, additional, Zwi, Karen, additional, Dale, Russell, additional, Eapen, Valsamma, additional, Lingam, Raghu, additional, Strnadová, Iva, additional, and Woolfenden, Susan, additional

Published
2023
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15. Offshore detention: cross-sectional analysis of the health of children and young people seeking asylum in Australia

Author

Amarasena, Lahiru, primary, Samir, Nora, additional, Sealy, Louise, additional, Hu, Nan, additional, Rostami, Mohammad Reza, additional, Isaacs, David, additional, Gunasekera, Hasantha, additional, Young, Helen, additional, Agrawal, Rishi, additional, Levitt, David, additional, Francis, Joshua R, additional, Coleman, Jacinta, additional, Mares, Sarah, additional, Larcombe, Penny, additional, Cherian, Sarah, additional, Raman, Shanti, additional, Lingam, Raghu, additional, and Zwi, Karen, additional

Published
2022
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18. Offshore detention: cross-sectional analysis of the health of children and young people seeking asylum in Australia.

Author

Amarasena, Lahiru, Samir, Nora, Sealy, Louise, Nan Hu, Rostami, Mohammad Reza, Isaacs, David, Gunasekera, Hasantha, Young, Helen, Agrawal, Rishi, Levitt, David, Francis, Joshua R., Coleman, Jacinta, Mares, Sarah, Larcombe, Penny, Cherian, Sarah, Raman, Shanti, Lingam, Raghu, and Zwi, Karen

Subjects
YOUNG adults, POLITICAL refugees, CHILDREN'S health, CROSS-sectional method, EMIGRATION & immigration, POST-traumatic stress disorder, AUSTRALIANS, CHILD mental health services
Published
2023
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19. Screening and social prescribing in healthcare and social services to address housing issues among children and families: a systematic review

Author

Anderst, Ania, primary, Hunter, Kate, additional, Andersen, Melanie, additional, Walker, Natasha, additional, Coombes, Julieann, additional, Raman, Shanti, additional, Moore, Melinda, additional, Ryan, Lola, additional, Jersky, Michelle, additional, Mackenzie, Amy, additional, Stephensen, Jennifer, additional, Williams, Carina, additional, Timbery, Lee, additional, Doyle, Kerrie, additional, Lingam, Raghu, additional, Zwi, Karen, additional, Sheppard-Law, Suzanne, additional, Erskine, Christine, additional, Clapham, Kathleen, additional, and Woolfenden, Susan, additional

Published
2022
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25. Perspective: ‘The forgotten children: National inquiry into children in immigration detention (2014)’

Author

Paxton, Georgia, Tosif, Shidan, Graham, Hamish, Smith, Andrea, Reveley, Colette, Standish, Jane, McCloskey, Kate, Ferguson, Grant, Isaacs, David, Gunasekera, Hasantha, Marais, Ben, Britton, Philip, Khatami, Ameneh, Zwi, Karen, Raman, Shanti, Elliott, Elizabeth, Levitt, David, Francis, Joshua, Bauert, Paul, Morris, Peter, Whybourne, Annie, Cherian, Sarah, Mutch, Raewyn, Forbes, David, Rutherford, David, and Packer, Suzanne

Published
2015
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28. COVID‐19 pandemic: The impact on vulnerable children and young people in Australia

Author

Jones, Benjamin, primary, Woolfenden, Susan, additional, Pengilly, Sandra, additional, Breen, Christie, additional, Cohn, Richard, additional, Biviano, Lyn, additional, Johns, Adam, additional, Worth, Andrea, additional, Lamb, Robyn, additional, Lingam, Raghu, additional, Silove, Natalie, additional, Marks, Susan, additional, Tzioumi, Dimitra, additional, and Zwi, Karen, additional

Published
2020
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29. Exploring the intersection of human rights, health, disability and refugee status: an arts-based approach

Author

Wells, Ruth, primary, Murad, Mahmoud, additional, Higgins, Maree, additional, Smith, Louisa, additional, Lenette, Caroline, additional, Lappin, Julia, additional, Dew, Angela, additional, Boydell, Katherine, additional, Bibby, Helen, additional, Cassaniti, Maria, additional, Isaacs, David, additional, Raman, Shanti, additional, and Zwi, Karen, additional

Published
2020
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31. Asylum seeking children and adolescents in Australian immigration detention on Nauru: a longitudinal cohort study

Author

Zwi, Karen, primary, Sealy, Louise, additional, Samir, Nora, additional, Hu, Nan, additional, Rostami, Reza, additional, Agrawal, Rishi, additional, Cherian, Sarah, additional, Coleman, Jacinta, additional, Francis, Josh, additional, Gunasekera, Hasantha, additional, Isaacs, David, additional, Larcombe, Penny, additional, Levitt, David, additional, Mares, Sarah, additional, Mutch, Raewyn, additional, Newman, Louise, additional, Raman, Shanti, additional, Young, Helen, additional, Norwood, Christy, additional, and Lingam, Raghu, additional

Published
2020
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32. A co-developed speech-language pathology model of care for urban Aboriginal children.

Author

Hamill, Lauren, Doig, Laura, Hunt-Madden, Cyrena, Murray, Calita, Beller, Pauline, Beller, Kirsty, Moore, Melinda, Reynolds, Tallara, Parkin, Melissa, Woolfenden, Sue, Zwi, Karen, Goodger, Brendan, and Purcell, Alison

Subjects
INDIGENOUS Australians, OCCUPATIONAL roles, SPEECH therapy, MATHEMATICAL models, COMMUNITY health services, CULTURAL pluralism, MEDICAL protocols, THEORY, PSYCHOLOGICAL resilience
Abstract

Timely access to culturally safe and responsive speech-language pathology (SLP) services for Aboriginal and Torres Strait Islander children, led and implemented by communities, is essential. However, a multitude of barriers relating to accessibility, policy, the impacts of colonisation, awareness of services and expectations, and experiences often prevent this from being a reality. This article describes a "good news" story-the development of a SLP model of care (MoC) for urban Aboriginal children, co-designed by Aboriginal community members and Aboriginal and non-Aboriginal health professionals, where the unique strengths, values, and resilience of Aboriginal families, communities, and culture are incorporated into routine clinical practice. We will describe the clinical redesign process undertaken to develop the MoC, the key elements and activities of the MoC, and outline implications for clinical practice. Within this article, Aboriginal is inclusive of Aboriginal and Torres Strait Islander peoples. We acknowledge the diversity in cultures and identities of all First Nations people. [ABSTRACT FROM AUTHOR]

Published
2022
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33. Ethics and governance for a multi‐site study in Australia: Navigating the snakes and ladders.

Author

Samir, Nora, Amarasena, Lahiru, Sealy, Louise, Hodgins, Michael, Gelaw, Yalemzewod, Lingam, Raghu, and Zwi, Karen

Abstract

Multi‐site research studies are essential if we are to conduct national research across all Australian jurisdictions. There is widespread agreement among clinicians and researchers that obtaining essential approvals to conduct multi‐site research studies in Australia can be complex, bureaucratic and time consuming. Although there is inherent value in the review process, resources and months of valuable research time are often expended long before the study has begun. Using our recent experience for a multi‐site, longitudinal paediatric cohort study of children and adolescents who were detained in offshore immigration detention on Nauru, we describe the process of navigating the ethics and governance approval systems. We identify tips for researchers and clinicians conducting multi‐site studies, including early consultation with ethics and governance committees, using their recommended templates, anticipating time delays, and commencing time consuming processes as early as permissible. Our recommendations at the systemic level include streamlined and integrated ethics and governance review processes for all Australian jurisdictions, with co‐ordinated requests for further information, a standardised approach across all Research Governance Offices, a rapid system for addressing amendments and individualised study support and consultations. Above all, a nationally agreed framework whereby ethics and governance committees across jurisdictions communicate with each other, use the same electronic platform and present a unified process whilst protecting the welfare, rights, dignity and safety of research participants is required. The complexity of the current ethics and governance processes may inadvertently and unintentionally be a barrier to conducting ethical research. [ABSTRACT FROM AUTHOR]

Published
2022
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35. Active and Safe: Preventing unintentional injury to Aboriginal children and young people in NSW: Guidelines for Policy and Practice

Author

Clapham, Kathleen F, Bennett-Brook, Keziah R, Hunter, Kate, Zwi, Karen J, Ivers, Rebecca Q, Clapham, Kathleen F, Bennett-Brook, Keziah R, Hunter, Kate, Zwi, Karen J, and Ivers, Rebecca Q

Abstract

The purpose of these guidelines is to provide a resource to assist organisations, communities and individuals to work together to prevent unintentional injury to Aboriginal children in New South Wales in a way that reflects the values, attitudes and priorities of Aboriginal people.

Published
2019

36. A co-developed speechlanguage pathology model of care for urban Aboriginal children

Author

Hamill, Lauren, Doig, Laura, Hunt-Madden, Cyrena, Murray, Calita, Beller, Pauline, Beller, Kirsty, Moore, Melinda, Reynolds, Tallara, Parkin, Melissa, Woolfenden, Sue, Zwi, Karen, Goodger, Brendan, and Purcell, Alison

Abstract

Timely access to culturally safe and responsive speech-language pathology (SLP) services for Aboriginal and Torres Strait Islander children, led and implemented by communities, is essential. However, a multitude of barriers relating to accessibility, policy, the impacts of colonisation, awareness of services and expectations, and experiences often prevent this from being a reality. This article describes a “good news” story—the development of a SLP model of care (MoC) for urban Aboriginal children, co-designed by Aboriginal community members and Aboriginal and non-Aboriginal health professionals, where the unique strengths, values, and resilience of Aboriginal families, communities, and culture are incorporated into routine clinical practice. We will describe the clinical redesign process undertaken to develop the MoC, the key elements and activities of the MoC, and outline implications for clinical practice.Within this article, Aboriginal is inclusive of Aboriginal and Torres Strait Islander peoples. We acknowledge the diversity in cultures and identities of all First Nations people.

Published
2022
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37. Refugee children in the first years of settlement in Australia

Author

Zwi, Karen

Subjects
Wellbeing, Refugee child health, Detention
Abstract

Background: Long-term health, development and wellbeing and related predictors in resettled refugee children are unknown. Aims: This work aims to (1) understand barriers to accessing health care in refugee children and families (2) measure access to timely post-arrival screening (3) assess physical health, development and social-emotional wellbeing longitudinally over three years post-arrival (4) identify risk and protective factors for social-emotional wellbeing, and (5) determine the impact of detention on social-emotional wellbeing. Methods: A literature review on the barriers to healthcare in refugee families informed the design and implementation of a population based screening program, from which a longitudinal cohort of refugee children was created and followed for three years. Physical health, development and social-emotional wellbeing were assessed using standardised measures. Risk and protective factors were collected and analysed to predict social-emotional wellbeing. The impact of detention on wellbeing was explored by comparing the non-detained longitudinal cohort with detained asylum seeker children. Results: The screening program provided highly accessible and timely health assessments to newly-arrived refugee children (n=367, 97%; average of 20 days post-arrival). Sixty-one children were enrolled in the longitudinal study. Retention was 100% at year two and 85% at year three. Fifteen per cent had a chronic disease and 13% were overweight. In preschool children, 27% had mild developmental problems in year two; all were normal by year three. Most children (>87%) improved in social-emotional wellbeing over time. Protective factors for normal social-emotional wellbeing (at year three) were: originating from Africa, a father present on arrival, and reduced stressful life events in the past year. Cumulatively, four or more protective factors predicted better social-emotional wellbeing (p

Published
2018
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41. Refugee children in the first years of settlement in Australia

Author

Palasanthiran, Pamela, Women's & Children's Health, Faculty of Medicine, UNSW, Jaffe, Adam, Women's & Children's Health, Faculty of Medicine, UNSW, Woolfenden, Susan, Women's & Children's Health, Faculty of Medicine, UNSW, Zwi, Karen, Women's & Children's Health, Faculty of Medicine, UNSW, Palasanthiran, Pamela, Women's & Children's Health, Faculty of Medicine, UNSW, Jaffe, Adam, Women's & Children's Health, Faculty of Medicine, UNSW, Woolfenden, Susan, Women's & Children's Health, Faculty of Medicine, UNSW, and Zwi, Karen, Women's & Children's Health, Faculty of Medicine, UNSW

Abstract

Background:Long-term health, development and wellbeing and related predictors in resettled refugee children are unknown. Aims:This work aims to (1) understand barriers to accessing health care in refugee children and families (2) measure access to timely post-arrival screening (3) assess physical health, development and social-emotional wellbeing longitudinally over three years post-arrival (4) identify risk and protective factors for social-emotional wellbeing, and (5) determine the impact of detention on social-emotional wellbeing.Methods:A literature review on the barriers to healthcare in refugee families informed the design and implementation of a population based screening program, from which a longitudinal cohort of refugee children was created and followed for three years. Physical health, development and social-emotional wellbeing were assessed using standardised measures. Risk and protective factors were collected and analysed to predict social-emotional wellbeing. The impact of detention on wellbeing was explored by comparing the non-detained longitudinal cohort with detained asylum seeker children. Results:The screening program provided highly accessible and timely health assessments to newly-arrived refugee children (n=367, 97%; average of 20 days post-arrival). Sixty-one children were enrolled in the longitudinal study. Retention was 100% at year two and 85% at year three. Fifteen per cent had a chronic disease and 13% were overweight. In preschool children, 27% had mild developmental problems in year two; all were normal by year three. Most children (>87%) improved in social-emotional wellbeing over time. Protective factors for normal social-emotional wellbeing (at year three) were: originating from Africa, a father present on arrival, and reduced stressful life events in the past year. Cumulatively, four or more protective factors predicted better social-emotional wellbeing (p<0.006). Modifiable protective factors included stability in the child’s sc

Published
2018

46. Additional file 1: Table S1. of Inequalities in pediatric avoidable hospitalizations between Aboriginal and non-Aboriginal children in Australia: a population data linkage study

Author

Falster, Kathleen, Banks, Emily, Lujic, Sanja, Falster, Michael, Lynch, John, Zwi, Karen, Eades, Sandra, Leyland, Alastair, and Jorm, Louisa

Abstract

(ICD-10-AM codes) and Table S2. (Potentially avoidable, ambulatory care sensitive and non-avoidable hospitalisation admission rates). Table S1. title “List of ICD-10-AM codes used to identify potentially avoidable, ambulatory care sensitive and non-avoidable hospitalisations (adapted from Andersen et al., 2012)”, and Table S2. title “Potentially avoidable, ambulatory care sensitive and non-avoidable hospitalisation admission rates (2000–2013) in a population cohort of Aboriginal and non-Aboriginal children born between July 2000 and December 2012 in New South Wales, Australia”. (DOCX 61 kb)

Published
2016
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50. Inequalities in pediatric avoidable hospitalizations between Aboriginal and non-Aboriginal children in Australia: a population data linkage study

Author

Falster, Kathleen, Banks, Emily, Lujic, Sanja, Falster, Michael, Lynch, John, Zwi, Karen, Eades, Sandra, Leyland, Alastair H, Jorm, Louisa, Falster, Kathleen, Banks, Emily, Lujic, Sanja, Falster, Michael, Lynch, John, Zwi, Karen, Eades, Sandra, Leyland, Alastair H, and Jorm, Louisa

Abstract

BACKGROUND Australian Aboriginal children experience a disproportionate burden of social and health disadvantage. Avoidable hospitalizations present a potentially modifiable health gap that can be targeted and monitored using population data. This study quantifies inequalities in pediatric avoidable hospitalizations between Australian Aboriginal and non-Aboriginal children. METHODS This statewide population-based cohort study included 1 121 440 children born in New South Wales, Australia, between 1 July 2000 and 31 December 2012, including 35 609 Aboriginal children. Using linked hospital data from 1 July 2000 to 31 December 2013, we identified pediatric avoidable, ambulatory care sensitive and non-avoidable hospitalization rates for Aboriginal and non-Aboriginal children. Absolute and relative inequalities between Aboriginal and non-Aboriginal children were measured as rate differences and rate ratios, respectively. Individual-level covariates included age, sex, low birth weight and/or prematurity, and private health insurance/patient status. Area-level covariates included remoteness of residence and area socioeconomic disadvantage. RESULTS There were 365 386 potentially avoidable hospitalizations observed over the study period, most commonly for respiratory and infectious conditions; Aboriginal children were admitted more frequently for all conditions. Avoidable hospitalization rates were 90.1/1000 person-years (95 % CI, 88.9-91.4) in Aboriginal children and 44.9/1000 person-years (44.8-45.1) in non-Aboriginal children (age and sex adjusted rate ratio = 1.7 (1.7-1.7)). Rate differences and rate ratios declined with age from 94/1000 person-years and 1.9, respectively, for children aged <2 years to 5/1000 person-years and 1.8, respectively, for ages 12- < 14 years. Findings were similar for the subset of ambulatory care sensitive hospitalizations, but in contrast, non-avoidable hospitalization rates were almost identical in Aboriginal (10.1/1000 person-years, (9.6-1

Published
2016

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