7 results on '"Tran, Duong Thuy"'
Search Results
2. Prevalence and Risk Factors of Type 2 Diabetes in Older Vietnam-Born Australians
- Author
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Tran, Duong Thuy, Jorm, Louisa R., Johnson, Maree, Bambrick, Hilary, and Lujic, Sanja
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- 2014
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3. Compliance with telephone triage advice among adults aged 45 years and older: an Australian data linkage study.
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Duong Thuy Tran, Gibson, Amy, Randall, Deborah, Havard, Alys, Byrne, Mary, Robinson, Maureen, Lawler, Anthony, Jorm, Louisa R., and Tran, Duong Thuy
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HEALTH information services ,MEDICAL care ,HOSPITALS ,OLDER patients ,HEALTH self-care ,AGE distribution ,HOSPITAL care ,HOSPITAL emergency services ,MEDICAL referrals ,PATIENT compliance ,TELEMEDICINE ,TELEPHONES ,MEDICAL triage ,SOCIOECONOMIC factors - Abstract
Background: Middle-aged and older patients are prominent users of telephone triage services for timely access to health information and appropriate referrals. Non-compliance with advice to seek appropriate care could potentially lead to poorer health outcomes among those patients. It is imperative to assess the extent to which middle-aged and older patients follow triage advice and how this varies according to their socio-demographic, lifestyle and health characteristics as well as features of the call.Methods: Records of calls to the Australian healthdirect helpline (July 2008-December 2011) were linked to baseline questionnaire data from the 45 and Up Study (participants age ≥ 45 years), records of emergency department (ED) presentations, hospital admissions, and medical consultation claims. Outcomes of the call included compliance with the advice "Attend ED immediately"; "See a doctor (immediately, within 4 hours, or within 24 hours)"; "Self-care"; and self-referral to ED or hospital within 24 h when given a self-care or low-urgency care advice. Multivariable logistic regression was used to investigate associations between call outcomes and patient and call characteristics.Results: This study included 8406 adults (age ≥ 45 years) who were subjects of 11,088 calls to the healthdirect helpline. Rates of compliance with the advices "Attend ED immediately", "See a doctor" and "Self-care" were 68.6%, 64.6% and 77.5% respectively, while self-referral to ED within 24 h followed 7.0% of calls. Compliance with the advice "Attend ED immediately" was higher among patients who had three or more positive lifestyle behaviours, called after-hours, or stated that their original intention was to attend ED, while it was lower among those who lived in rural and remote areas or reported high or very high levels of psychological distress. Compliance with the advice "See a doctor" was higher in patients who were aged ≥65 years, worked full-time, or lived in socio-economically advantaged areas, when another person made the call on the patient's behalf, and when the original intention was to seek care from an ED or a doctor. It was lower among patients in rural and remote areas and those taking five medications or more. Patients aged ≥65 years were less likely to comply with the advice "Self-care". The rates of self-referral to ED within 24 h were greater in patients from disadvantaged areas, among calls made after-hours or by another person, and when the original intention was to attend ED. Patients who were given a self-care or low-urgency care advice, whose calls concerned bleeding, cardiac, gastrointestinal, head and facial injury symptoms, were more likely to self-refer to ED.Conclusions: Compliance with telephone triage advice among middle-age and older patients varied substantially according to both patient- and call-related factors. Knowledge about the patients who are less likely to comply with telephone triage advice, and about characteristics of calls that may influence compliance, will assist in refining patient triage protocols and referral pathways, training staff and tailoring service design and delivery to achieve optimal patient compliance. [ABSTRACT FROM AUTHOR]- Published
- 2017
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- View/download PDF
4. Variation in the use of primary care services for diabetes management according to country of birth and geography among older Australians.
- Author
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Tran, Duong Thuy, Jorm, Louisa R., Havard, Alys, Harris, Mark F., and Comino, Elizabeth Jean
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TYPE 2 diabetes diagnosis ,TYPE 2 diabetes treatment ,TYPE 2 diabetes & psychology ,AGE distribution ,AGING ,COMPARATIVE studies ,CULTURE ,HEALTH attitudes ,HEALTH services accessibility ,HEALTH status indicators ,PSYCHOLOGY of immigrants ,RESEARCH methodology ,MEDICAL cooperation ,MEDICAL records ,MULTIVARIATE analysis ,TYPE 2 diabetes ,POPULATION ,PRIMARY health care ,RESEARCH ,LOGISTIC regression analysis ,SOCIOECONOMIC factors ,EVALUATION research ,PATIENTS' attitudes ,ODDS ratio - Abstract
Aims: To investigate variation according to country of birth and geography in the use of primary care services funded through Medicare Australia-Australian universal health insurance-for diabetes annual cycle of care among older overseas-born Australians with type-2 diabetes.Methods: Records of Medicare claims for medical services were linked to self-administered questionnaire data for people with type-2 diabetes enrolled in the 45 and Up Study, including 840 participants born in Italy, Greece, Vietnam, Lebanon, China, India, or the Philippines and 12,444 participants born in Australia, living in 195 statistical local areas (SLAs) in New South Wales, Australia. Study outcomes included ≥6 claims for general practitioner (GP) visits, at least one claim for specialist, optometrist, Practice Incentive Payment for completion of diabetes annual cycle of care (PIP), GP Management Plan or Team Care Arrangement (GPMP/TCA), allied health, blood tests for glycosylated haemoglobin (HbA1c) and cholesterol, and urine test for micro-albumin. Multivariable multilevel logistic regression was performed, controlling for personal socio-demographic and health characteristics and geographical area remoteness and socio-economic status.Results: Compared with Australia-born participants, people born in Vietnam and China had significantly lower rates of claims for allied health services (odds ratio [OR] 0.14, 95% confidence interval [CI] 0.05-0.43, and OR 0.40, 95%CI 0.18-0.87, respectively), those born in Italy had lower rates of PIP claims (OR 0.60, 95%CI 0.39-0.92) and micro-albuminuria testings (OR 0.65, 95%CI 0.47-0.89), and those born in the Philippines had lower claims for specialist services (OR 0.59, 95%CI 0.38-0.91). Participants born in Greece and China (GP visits), Vietnam (optometrist services), and India (micro-albuminuria tests) were more likely to claims for these services than Australia-born people. Significant geographic variation was observed for all study outcomes, with the greatest variations in claims for allied health services (variation 9.3%, median odds ratio [MOR] 1.74, 95% credible interval [CrI] 1.60-2.01), PIP (7.8%, MOR 1.65, 95%CrI 1.55-1.83), and GPMP/TCA items (6.6%, MOR 1.58, 95%CrI 1.49-1.73).Conclusions: Different approach among geographical areas and intervention programs for identified cultural groups and their providers are warranted to improve disparities in diabetes care. [ABSTRACT FROM AUTHOR]- Published
- 2016
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5. Effects of Acculturation on Lifestyle and Health Status Among Older Vietnam-Born Australians.
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Tran, Duong Thuy, Jorm, Louisa, Johnson, Maree, Bambrick, Hilary, and Lujic, Sanja
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ACCULTURATION ,IMMIGRANTS ,BEHAVIOR ,CONFIDENCE intervals ,DIET ,LOGISTIC regression analysis ,LIFESTYLES ,DATA analysis software ,DESCRIPTIVE statistics ,ODDS ratio ,PSYCHOLOGY - Abstract
Vietnamese immigrants represent a substantial culturally and linguistically diverse population of Australia, but little is known about the health-related effects of acculturation in this population. This study investigated the relationship between measures of acculturation and lifestyle behaviors and health status among 797 older Vietnam-born Australians who participated in the 45 and Up Study (www.45andup.org.au). The findings suggested that higher degrees of acculturation were associated with increased consumption of red meat, white meat, and seafood; higher levels of physical activities; and lower prevalence of overweight and obesity, type 2 diabetes, and smoking (in men). Targeted health messages could emphasize eating more vegetables, avoiding smoking and alcohol drinking, and increasing levels of physical activity. [ABSTRACT FROM PUBLISHER]
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- 2015
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6. Type 2 diabetes hospitalisation and mortality in Vietnamese immigrants in Australia.
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Tran, Duong Thuy, Jorm, Louisa R., Johnson, Maree, Bambrick, Hilary J., and Lujic, Sanja
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TYPE 2 diabetes , *HOSPITAL care , *DIABETES , *MORTALITY , *IMMIGRANTS , *PATIENT readmissions , *DISEASES - Abstract
Abstract: In comparison to Australia-born patients with type 2 diabetes (n =14,197), Vietnam-born patients (n =152) had significantly higher risks of mortality (any-cause and diabetes-specific) while experiencing similar rates of readmission for diabetes and co-morbidities. The findings may reflect delays in seeking care and suboptimal diabetes care in Vietnamese immigrants. Further investigation into quality of diabetes care in Vietnamese immigrant populations is needed. [Copyright &y& Elsevier]
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- 2014
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7. Use of smoking cessation pharmacotherapies during pregnancy is not associated with increased risk of adverse pregnancy outcomes: a population-based cohort study
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Deborah Randall, Louisa Jorm, David B. Preen, Stephanie K. Y. Choi, Alys Havard, Kristjana Einarsdóttir, Anna Kemp-Casey, Duong Thuy Tran, Læknadeild (HÍ), Faculty of Medicine (UI), Heilbrigðisvísindasvið (HÍ), School of Health Sciences (UI), Háskóli Íslands, University of Iceland, Tran, Duong Thuy, Preen, David B, Einarsdottir, Kristjana, Kemp-Casey, Anna, Randall, Deborah, Jorm, Louisa R, Choi, Stephanie KY, and Havard, Alys
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Adult ,Nicotine replacement therapy ,medicine.medical_specialty ,medicine.medical_treatment ,Fósturgallar ,lcsh:Medicine ,Lower risk ,Cohort Studies ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,Smoking cessation pharmacotherapy ,Risk Factors ,Pregnancy ,medicine ,Humans ,Nicotinic Agonists ,030212 general & internal medicine ,Meðganga ,Varenicline ,Bupropion ,030219 obstetrics & reproductive medicine ,business.industry ,Obstetrics ,Hazard ratio ,lcsh:R ,Australia ,Gestational age ,General Medicine ,medicine.disease ,Adverse outcomes ,3. Good health ,Birth defects ,chemistry ,Smoking cessation ,Small for gestational age ,Female ,Smoking Cessation ,Smoking in pregnancy ,business ,Reykingar ,Research Article - Abstract
Publisher's version (útgefin grein), Background: Varenicline, bupropion and nicotine replacement therapy (NRT) are three effective pharmacotherapies for smoking cessation, but data about their safety in pregnancy are limited. We assessed the risk of adverse perinatal outcomes and major congenital anomalies associated with the use of these therapies in pregnancy in Australia. Methods: Perinatal data for 1,017,731 deliveries (2004 to 2012) in New South Wales and Western Australia were linked to pharmaceutical dispensing, hospital admission and death records. We identified 97,875 women who smoked during pregnancy; of those, 233, 330 and 1057 were exposed to bupropion, NRT and varenicline in pregnancy, respectively. Propensity scores were used to match exposed women to those who were unexposed to any smoking therapy (1:10 ratio). Propensity scores and gestational age at exposure were used to match varenicline-exposed to NRT-exposed women (1:1 ratio). Time-dependent Cox proportional hazards models estimated hazard ratios (HR) with 95% confidence intervals (95% CI) for any adverse perinatal event (a composite of 10 unfavourable maternal and neonatal outcomes) and any major congenital anomaly. Results: The risk of any adverse perinatal event was not significantly different between bupropion-exposed and unexposed women (39.2% versus 39.3%, HR 0.93, 95% CI 0.73-1.19) and between NRT-exposed and unexposed women (44.8% vs 46.3%, HR 1.02, 95% CI 0.84-1.23), but it was significantly lower in women exposed to varenicline (36.9% vs 40.1%, HR 0.86, 95% CI 0.77-0.97). Varenicline-exposed infants were less likely than unexposed infants to be born premature (6.5% vs 8.9%, HR 0.72, 95% CI 0.56-0.92), be small for gestational age (11.4% vs 15.4%, HR 0.68, 95% CI 0.56-0.83) and have severe neonatal complications (6.6% vs 8.2%, HR 0.74, 95% CI 0.57-0.96). Among infants exposed to varenicline in the first trimester, 2.9% had a major congenital anomaly (3.5% in unexposed infants, HR 0.91, 95% CI 0.72-1.15). Varenicline-exposed women were less likely than NRT-exposed women to have an adverse perinatal event (38.7% vs 51.4%, HR 0.58, 95% CI 0.33-1.05). Conclusions: Pregnancy exposure to smoking cessation pharmacotherapies does not appear to be associated with an increased risk of adverse birth outcomes. Lower risk of adverse birth outcomes in varenicline-exposed pregnancies is inconsistent with recommendations that NRT be used in preference to varenicline., This study was funded by the Australian National Health and Medical Research Council (NHMRC #1028543). Author AH was supported by a National Heart Foundation of Australia Future Leader Fellowship (#100411). The funding source had no influence on the design and conduct of the study; collection, management, analysis and interpretation of the data; preparation, review or approval of the manuscript; or the decision to submit the manuscript for publication.
- Published
- 2020
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