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Introduction and Aims: Adolescent alcohol consumption and associated harms are significant public health issues in Australia. One strategy to reduce this problem is restricting alcohol supply to adolescents below age 18. To ensure compliance with laws that forbid underage alcohol sales, effective monitoring systems that operate across a range of settings, including sporting clubs, are required. This study investigated compliance with regulations requiring proof of age identification and refusal of underage alcohol sales in community sporting clubs.Design and Methods: Compliance with alcohol sales laws was monitored using a male confederate that appeared under 18 who attempted to purchase alcohol at community sporting clubs in two regional areas of Victoria, Australia during the 2016-2017 sporting seasons.Results: Purchase observations were completed at 43 clubs (observations could not be conducted at 14 clubs); alcohol was purchased at 41 (95%) clubs. Four (9%) clubs asked the confederate-purchaser to provide identification of age-in two instances the purchaser was not sold alcohol and in two instances was sold alcohol after not showing identification. Rates of compliance with proof of age identification and alcohol sales did not vary according to staff- and club-related variables.Discussion and Conclusions: This study indicates the need for more rigorous enforcement of alcohol sales regulations in community sporting clubs. Community health agencies could work with sporting clubs to assist them to improve compliance with alcohol sales regulations and to provide information on the significant role clubs play in shaping the adolescent alcohol culture. [ABSTRACT FROM AUTHOR]

Objective The aim of this study was to examine associations between family-based stressors and depressive symptoms in adolescents. Method Participants were 10-14 year olds who participated in a large Australian population study (n = 6,552). Depressive symptoms and pubertal development were assessed using the self-report Short Mood and Feelings Questionnaire and the Pubertal Development Scale. Three indicators of stress exposure were examined-low emotional closeness to parents, residential and school transitions, and family conflict. The effect of gender, stress exposure and the interaction of gender and stress exposure on depressive symptoms was tested using multivariate logistic regression. Results High family conflict, residential instability and low emotional closeness with parents were independently associated with adolescent depressive symptoms. There was a significant gender by emotional closeness interaction; females reporting low emotional closeness to their parents were 2.3 times more likely to report high depressive symptoms than females reporting high emotional connections with parents. Conclusions Female adolescents may be more susceptible to particular types of stresses and particularly the quality of the parent-child relationship. [ABSTRACT FROM AUTHOR]

Issues addressed: Research is needed to understand young people's perspectives about public health promotion strategies relevant for their health and wellbeing. This study provides suggestions from young male gamblers about sports betting harm prevention and reduction strategies. Methods: In‐depth interviews were conducted with 16 young men aged 18 to 24 years, from Melbourne, Victoria, who regularly engaged in sports betting. A critical qualitative inquiry approach, using methods of constructivist grounded theory guided the study. Reflexive thematic analysis was used to interpret and construct themes from the data. Results: Participants indicated three main harm prevention strategies. These were online consumer protection and regulatory strategies, public education campaigns that highlighted sports betting risks and harms and the creation of formal and informal support networks to reduce stigma and encourage help seeking. They also supported being engaged in the development of harm prevention strategies and suggested ways to help reduce barriers to engagement. Conclusion: Young men recognise the need for regulatory, education and engagement responses to counter the risks posed by new gambling products. Young men may be difficult to engage in formal prevention activities, however, youth‐led and informal interactive mechanisms may help to overcome this barrier, and contribute to a comprehensive public health approach to gambling harm prevention. So what?: Young men can draw upon their lived experiences of gambling to provide insights relevant for public health promotion. Mechanisms should be developed to engage young people in the co‐production of strategies and policies aimed at gambling harm prevention and reduction. [ABSTRACT FROM AUTHOR]

Online wagering has expanded significantly in recent decades and has emerged as a serious public health issue. Research investigating online wagering has predominantly used quantitative methods to explore the determinants that influence young men's engagement with these products, with fewer qualitative insights. Social practice theory offers a framework in which to qualitatively analyse how online wagering practices are shaped, modified, and evolve. This study explored the online wagering practices of sixteen, 18–24 year old, young men, in Victoria, Australia. In-depth, qualitative interviews explored the contexts and motivations in their early and current wagering practices and the influence of social and structural conditions. Data were interpreted using a reflexive approach to thematic analysis. The data were theoretically conceptualised through a social practice lens, focusing on materials, meanings, and competencies. Materials included social networks and spaces, and wagering infrastructure and marketing. Meanings encompassed peer belongingness and bonding. Perceived competencies included an exaggerated confidence that influenced the type of gambling chosen and perceived spending strategies to achieve financial gain. Importantly, these three elements intersected to form a bundle of wagering practices. Interrupting the interconnection of these bundles may form the basis of public health intervention. Public health research must also continue to monitor how online wagering practices evolve and change in response to a range of interacting determinants and move away from a focus on the individual. [ABSTRACT FROM AUTHOR]

Background: Gambling is an inherently risky activity. New technologies have led to the development of new, online forms of gambling such as sports betting, with round the clock availability and accessibility. While young men have been identified as a group that may be particularly vulnerable to the harms associated with these new online products, few studies have qualitatively explored young men's perceptions of the risks associated with these products. Using concepts associated with the sociology of risk, this paper sought to explore the range of factors that may influence how 18-24 year old young Australian men conceptualise the risks associated with sports betting.Methods: Using a critical qualitative inquiry approach, in-depth interviews were conducted with sixteen participants in Victoria, Australia, who engaged in sports betting at least monthly. The data interpreted for this study included questions relating to awareness of gambling, the contexts associated with early gambling experiences; the factors that influenced current gambling behaviours, and why they engaged in gambling. A reflexive approach to thematic analysis was used to interpreted themes from the data.Results: Four key themes were constructed from the data relating to the factors that influenced risk perceptions. These included: 1) 'The role of early experiences', including exposure to gambling advertising in sport, and the gambling behaviours of social networks; 2) 'The influence of peer rivalry and competition', in which sports betting was used to form connections within and across peer groups; 3) 'The normalisation of gambling', including the embedding of gambling in everyday activities; and 4) 'The influence of perceptions of knowledge, skill, and control', including the belief that they could engage in responsible behaviours and stop gambling if they needed to.Conclusion: This study indicated that a range of factors may influence how young men conceptualise the risks and benefits associated with sports betting. Current public health strategies for gambling that focus on individual determinants and responsibility paradigms must be broadened to target the social and commercial factors that influence young men's attitudes towards, and engagement in sports betting. [ABSTRACT FROM AUTHOR]

To explore how Experts by Experience (EbyE) conceptualize key priorities for preventing and reducing gambling-related harm in the United Kingdom (UK). To identify barriers and facilitators to EbyE engagement in decisions for gambling research, education, treatment (RET) and policy development. Qualitative study utilizing semi-structured interviews with 20 participants from the UK between March and July 2020. Gamblers aged 29–60 years who self-reported that they had experienced gambling-related harm, and who actively used their experiences to inform strategies to prevent and reduce gambling-related harm in the UK. Participants were motivated to: advocate for gambling reform, and raise awareness of their experiences of gambling addiction or disorder. Gambling regulation was described as not adequately keeping pace with gambling industry practices, with initiatives needed to prevent the harms associated with product design, how individuals engaged with products and marketing practices. The reliance on voluntary contributions by the gambling industry for RET was perceived as a potential barrier to reform. Participants recommended new independent structures which engaged EbyE in meaningful ways in contributing to decision-making. An independent body run by and for EbyE was one mechanism that participants perceived could represent the voices of those impacted by gambling-related harm. Individuals with a lived experience of gambling-related harm, including affected social network members, bring a range of unique experiences and perspectives, and should be seen as valuable stakeholders in co-producing strategies to prevent and reduce gambling-related harm. [ABSTRACT FROM AUTHOR]

Background and Aims: In many countries adolescent alcohol use is a major health problem. To supplement national policies, it is important to trial community interventions as a potential strategy to prevent adolescent alcohol use.Methods: This study evaluated a multicomponent community intervention that included community mobilisation, social marketing, and the monitoring of alcohol sales to minors. Evaluation was a clustered randomised trial design with 14 intervention and 14 control communities. Prior to randomisation, communities were matched on socioeconomic status and location. Intervention communities were not blinded.Participants: 3545 Year 8 students (M = 12 years) were surveyed at baseline from 75 schools; 3377 students were surveyed post intervention in 2013 from 54 schools.Outcomes: It was hypothesised that the primary outcome, individual alcohol consumption in last 30 days, after the intervention would be 15% lower in intervention communities. Secondary outcomes were consumption in the past year and intention not to drink before age 18.Results: The intervention communities showed larger relative reductions compared to the controls in last 30-day consumption and past year (10%), but not significantly different. A significantly lower proportion of participants in the intervention community (63%), compared to the controls (71%), reported intending to drink before 18 years old. Subgroup analysis identified regional and state differences for some secondary measures.Conclusions: Intervention assignment was associated with lower adolescent intention to drink before the age of 18. However, more intensive and longer-term intervention may be required to measure significant differences in behaviour change.Trial Registration: ACTRN12612000384853.Protocol: Rowland B, Toumbourou JW, Osborn A, et al. BMJ Open 2013;3:e002423. doi:10.1136/bmjopen-2012-002423. [ABSTRACT FROM AUTHOR]

Background: Policies targeting obesogenic environments and behaviours are critical to counter rising obesity rates and lifestyle-related non-communicable diseases (NCDs). Policies are likely to be most effective and enduring when they are based on the best available evidence. Evidence-informed policy making is especially challenging in countries with limited resources. The Pacific TROPIC (Translational Research for Obesity Prevention in Communities) project aims to implement and evaluate a tailored knowledge-brokering approach to evidence-informed policy making to address obesity in Fiji, a Pacific nation challenged by increasingly high rates of obesity and concomitant NCDs. Methods: The TROPIC project draws on the concept of 'knowledge exchange' between policy developers (individuals; organisations) and researchers to deliver a knowledge broking programme that maps policy environments, conducts workshops on evidence-informed policy making, supports the development of evidence-informed policy briefs, and embeds evidence-informed policy making into organisational culture. Recruitment of government and nongovernment organisational representatives will be based on potential to: develop policies relevant to obesity, reach broad audiences, and commit to resourcing staff and building a culture that supports evidence-informed policy development. Workshops will increase awareness of both obesity and policy cycles, as well as develop participants' skills in accessing, assessing and applying relevant evidence to policy briefs. The knowledge-broking team will then support participants to: 1) develop evidence-informed policy briefs that are both commensurate with national and organisational plans and also informed by evidence from the Pacific Obesity Prevention in Communities project and elsewhere; and 2) collaborate with participating organisations to embed evidence-informed policy making structures and processes. This knowledge broking initiative will be evaluated via data from semi-structured interviews, a validated self-assessment tool, process diaries and outputs. Discussion: Public health interventions have rarely targeted evidence-informed policy making structures and processes to reduce obesity and NCDs. This study will empirically advance understanding of knowledge broking processes to extend evidence-informed policy making skills and develop a suite of national obesity-related policies that can potentially improve population health outcomes. [ABSTRACT FROM AUTHOR]