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Limited estimates exist on risk factors for epithelial ovarian cancer (EOC) in Asian, Hispanic, and Native Hawaiian/Pacific Islander women. Participants in this study included 1734 Asian (n  = 785 case and 949 control participants), 266 Native Hawaiian/Pacific Islander (n  = 99 case and 167 control participants), 1149 Hispanic (n  = 505 case and 644 control participants), and 24 189 White (n  = 9981 case and 14 208 control participants) from 11 studies in the Ovarian Cancer Association Consortium. Logistic regression models estimated odds ratios (ORs) and 95% CIs for risk associations by race and ethnicity. Heterogeneity in EOC risk associations by race and ethnicity (P  ≤ .02) was observed for oral contraceptive (OC) use, parity, tubal ligation, and smoking. We observed inverse associations with EOC risk for OC use and parity across all groups; associations were strongest in Native Hawaiian/Pacific Islander and Asian women. The inverse association for tubal ligation with risk was most pronounced for Native Hawaiian/Pacific Islander participants (odds ratio (OR) = 0.25; 95% CI, 0.13-0.48) compared with Asian and White participants (OR = 0.68 [95% CI, 0.51-0.90] and OR = 0.78 [95% CI, 0.73-0.85], respectively). Differences in EOC risk factor associations were observed across racial and ethnic groups, which could be due, in part, to varying prevalence of EOC histotypes. Inclusion of greater diversity in future studies is essential to inform prevention strategies. This article is part of a Special Collection on Gynecological Cancers. [ABSTRACT FROM AUTHOR]

Physical activity is a key component in gestational diabetes mellitus management to optimise glycaemic control and reduce adverse pregnancy outcomes. However, inadequate physical activity during pregnancy is common. Underpinned by a woman-centred pregnancy care model, appropriate strategies targeting patients' cultural needs may facilitate physical activity participation. Ethnic Chinese migrants have a four-fold higher risk of gestational diabetes mellitus than the Australian Caucasian host population. To identify potentially effective disease management strategies to improve physical activity participation, understanding and comparing ethnic Chinese migrants' and Caucasian women's views will provide insights into developing an end-user-informed intervention. This study aimed to compare perceptions and practices around physical activity participation during pregnancy between 44 ethnic Chinese migrants and 39 Australian-born Caucasian women with gestational diabetes mellitus. This mixed-methods study used in-depth, semi-structured audio-recorded interviews, validated pregnancy physical activity questionnaires and pedometers. Qualitative data were thematically analysed and compared between ethnicities. SPSS (SPSS Inc) was used in quantitative data analysis. Data triangulation was made to identify patterns in participant characteristics, physical activity beliefs and participation. Despite both ethnic groups doing less physical activity than recommended, Chinese participants were less physically active than Caucasian participants. Chinese participants expressed greater safety concerns about physical activity and opted for a more sedentary lifestyle. Data triangulation indicated that non-Australian-born Chinese participants whose husbands were Asian were overcautious about miscarriage risk related to physical activity, which promoted a sedentary lifestyle. Chinese participants suggested individualised, specific physical activity advice on safe physical activity during pregnancy would mitigate their concerns. Caucasian participants reported that digital step measurement technologies motivated their participation in physical activity. Different strategies are suggested by Chinese and Caucasian participants to improve physical activity participation to manage gestational diabetes mellitus among ethnic Chinese and Caucasian populations, which will be evaluated in future interventions. [ABSTRACT FROM AUTHOR]

Beliefs in hostile conspiracies against 'Western civilisation' or 'white people' play a key role in tying divergent far-right tropes together under an internally coherent meta-narrative. Claims of having discovered this conspiratorial truth offer personal pride, create a sense of righteousness and urgency to stand up against these alleged secretive, malevolent forces, and help build a parallel counter-hegemonic community with its own distinct epistemology. Using qualitative interviews and a focus group, this study examines how actors engaged in 'ordinary' dissent in Australia developed an antagonistic fringe belief system, and the extent to which this alternative epistemology constitutes a manifestation of 'anti-publics' (Davis, 2021). The study found how participants' ideological mindset has grown from rather benign manifestations of dissent into a hostile, counter-hegemonic, conspiratorial meta-narrative through processes of 'doing their own research', sharing their learnings with significant others, and incorporating each other's ideological convictions. Their ideological radicalisation was characterised by personal feelings of pride and epistemic superiority, which created a sense of meaning, urgency, and purpose, as well as social recognition within their group. These psychological and social processes drew them further into a far-right 'anti-public' milieu and away from democratic expressions of dissent. The findings shed new light on how the complex and mutually reinforcing interplay between ideological and socio-psychological factors cements an alternative, oppositional epistemology. The study offers close-up insights into what drives radicalisation processes, creating or reinforcing a parallel 'anti-public' in hostile opposition to democratic processes and norms. [ABSTRACT FROM AUTHOR]

Background: Most published reports analysing the differences in causation of stillbirth between different ethnic groups focus on stillbirth risk factors, with a paucity of data comparing actual causes of stillbirth. Aims: To determine whether causes of stillbirth differ between Caucasian and non‐Caucasian ethnic groups in an Australian context. Materials and Methods: Data from all stillbirths occurring at 20 or more completed weeks of gestation between 1 January 2010 and 31 December 2020 at a secondary level, outer metropolitan hospital, were analysed in this retrospective case series. Causes of stillbirth as determined by perinatal autopsy and placental histopathology were categorised using the Perinatal Society of Australia and New Zealand Perinatal Death Classification and compared between Caucasian and non‐Caucasian groups. Results: Ninety‐two stillbirths (0.7% of all births) were identified during the study period. A greater proportion of non‐Caucasian women had small for gestation age placentas compared to Caucasian women (n = 22/43 (51%) vs n = 12/49 (24%); P = 0.025). A greater proportion of stillbirths were caused by hypoxic peripartum death in non‐Caucasian than in Caucasian women (n = 4/43 (9%) vs n = 0/49 (0%); P = 0.044), and a greater prevalence of placental dysfunction was seen in the non‐Caucasian cohort compared to Caucasian women (n = 14/43 (33%) vs n = 8/49 (16%); P = 0.057). Conclusions: The differences observed in causes of stillbirth between Caucasian and non‐Caucasian women are hypothesis generating and warrant further larger‐scale, multi‐centred studies using standardised definitions and classification systems to determine whether these differences persist in a more representative sample. [ABSTRACT FROM AUTHOR]

Purpose: To investigate the association between pro-inflammatory markers platelet-activating factor (PAF), lipoprotein-associated phospholipase A2 (Lp-PLA2), hsCRP, and intake of core food groups including fruit, cruciferous and other vegetables, grains, meat and poultry, fish and seafood, nuts and legumes, and dairy. Methods: A cross-sectional study was conducted. 100 adults (49 ± 13 years, 31% male) with variable cardiovascular disease risk were recruited. Data were collected in 2021 and 2022. Fasting PAF, Lp-PLA2 activity, hsCRP and usual dietary intake (via a validated food frequency questionnaire) were measured. Intake of foods were converted into serves and classified into food groups. Correlations and multiple regressions were performed with adjustment for confounders. Results: A one-serve increase in cruciferous vegetables per day was associated with 20–24% lower PAF levels. An increase of one serve per day of nuts and legumes was associated with 40% lower hsCRP levels. There were small correlations with PAF and Lp-PLA2 and cheese, however, these were not significant at the Bonferroni-adjusted P < 0.005 level. Conclusion: The lack of associations between PAF and Lp-PLA2 and other healthy foods may be due to confounding by COVID-19 infection and vaccination programs which prevents any firm conclusion on the relationship between PAF, Lp-PLA2 and food groups. Future research should aim to examine the relationship with these novel markers and healthy food groups in a non-pandemic setting. [ABSTRACT FROM AUTHOR]

Genocide can take many forms and be justified in many different ways. The cultural genocide that was intended to annihilate the identity of the Aboriginal people in Australia during the 20th century was based on the assumption that these people were visibly “inferior” to those who colonized Australia and thus, had to be “civilized”. It was a process of internal colonialism present in other parts of the world, too, and its intention was to assimilate the ethnic groups of Aboriginal people and integrate them by educating their children by force, in the schools of the white people. To admit the wrongs done, and the injustice of governmental programmes was not an easy task but, in Australia, it happened in 2008 when Prime Minister Kevin Rudd delivered a public speech, which took him a lot of courage, saying officially “sorry” for the “stolen generations; that were affected by the forced removal of children on racial grounds” made fully lawful by the authority. In his speech The Prime minister mentioned they could resolve together all the common problems while preserving the dignity of difference and trying to give Australia a new beginning, a new chapter in looking for a new kind of identity which should include “cultures that provide a unique uninterrupted human thread, linking the Australian Continent the one of the most ancient prehistory of our planet! [ABSTRACT FROM AUTHOR]

Background: Immigrants worldwide have a two‐fold higher risk of gestational diabetes mellitus (GDM) than women of the host country. Providing culturally appropriate woman‐centred GDM care to attenuate adverse maternal and neonatal health outcomes is a persistent challenge for health services. Underpinned by the Knowledge to Action Framework, understanding and comparing the views of patients from different ethnic backgrounds and healthcare professionals (HCPs) about current and optimal GDM care can highlight priority areas to improve woman‐centred care. This qualitative study aimed to compare the views of ethnic Chinese and Australian‐born Caucasian women and their HCPs, including endocrinologists, obstetricians, midwives, diabetes nurse educators and dietitians, about what constitutes optimal GDM care and how to improve woman‐centred GDM care. Methods: Purposive sampling was used to recruit 42 Chinese and 30 Caucasian women with GDM and 17 HCPs from two large Australian hospital maternity services to complete in‐depth, semi‐structured interviews. Patients' and HCPs' views were thematically analysed and compared. Results: Four out of nine themes showed misalignments between patients' and HCPs' views on GDM care, reflecting priority areas to improve woman‐centred care by (i) reaching agreement on the attitudes towards different treatment targets between HCPs; (ii) enhancing inter‐professional communication; (iii) improving GDM care transition to postpartum care; and (iv) providing detailed dietary advice tailored to Chinese patients' cultural diet. Conclusions: Further research on reaching consensus on treatment targets, enhancing inter‐professional communication, developing a perinatal care transition model from pregnancy to postpartum, and developing Chinese patient‐oriented educational resources is required to improve woman‐centred care. Key points: Comparing clinical and consumer end‐users' views about gestational diabetes mellitus care can identify priority areas to improve woman‐centred obstetric care.Four key priorities to improve care were identified: (1) reaching a consensus on treatment targets; (2) enhancing inter‐professional communication; (3) improving continuity of care from the antenatal to the postpartum period; (4) and developing patient‐oriented educational resources. [ABSTRACT FROM AUTHOR]

While medical quarantining has (again) received widespread attention during the COVID-19 pandemic, comparatively little consideration has been given to how medical quarantining is entangled with socio-political life. Further, there are no known studies that consider how quarantine might also be employed as a socio-political practice. This article explores the concept of social quarantine by tracing the creation of white Australia via the social construction, excise and discipline of Indigenous peoples as a potentially contagious Other. It shows how social quarantine integrates largely disparate sociological concepts/literatures (e.g. bordering, (im)mobility, confinement, enclave society, discipline, eugenics, assimilation), demonstrating how they unite under settler colonialism as a powerful assemblage of disciplinary technologies. Social quarantine also makes visible how the threat of contamination has been central to constructing and protecting Australia's (white) imagined nationhood from the perceived disease of Otherness. [ABSTRACT FROM AUTHOR]

Education and knowledge sharing has a long and rich history within Australia prior to, and since invasion. Aboriginal and Torres Strait Islander peoples have always been committed to truth telling and ways of knowing, being, and doing. The process of decolonisation through the implementation of Aboriginal and Torres Strait Islander knowledges and pedagogy is an ongoing commitment in higher education settings and is especially relevant in social work education and practices. Social work has historically been complicit in the oppression and genocide of Aboriginal and Torres Strait Islander peoples and, as a result, continues to struggle to define itself within an Australian context. Through our experiences in higher education settings, we have found the process of decolonising education practices in social work to be challenging but necessary. This review aims to explore and reflect upon current literature that addresses western-centric social work pedagogical practice in Australia and aims to incorporate Aboriginal and Torres Strait Islander epistemologies using a positional and narrative lens. IMPLICATIONS Engaging Aboriginal and Torres Strait Islander knowledges and pedagogy decolonises social work education and practice. Decolonising social work pedagogy positions social work practice to reflect on the intersectionality of Aboriginal and Torres Strait Islander peoples without othering within contemporary Australia. Positioning social work education within an Indigenous pedagogical framework provides a basis for future teaching practices and knowledge sharing. [ABSTRACT FROM AUTHOR]

A cardinal feature of adult cognition is the awareness of our own cognitive struggles and the capacity to draw upon this awareness to offload internal demand into the environment. In this preregistered study conducted in Australia, we investigated whether 3–8-year-olds (N = 72, 36 male, 36 female, mostly White) could self-initiate such an external metacognitive strategy and transfer it across contexts. Children watched as an experimenter demonstrated how to mark the location of a hidden prize, thus helping them successfully retrieve that prize in the future. Children were then given the opportunity to spontaneously adopt an external marking strategy across six test trials. Children who did so at least once were then introduced to a conceptually similar but structurally distinct transfer task. Although most 3-year-olds deployed the demonstrated strategy in the initial test phase, none of them modified that strategy to solve the transfer task. By contrast, many children aged 4 years and older spontaneously devised more than one previously unseen reminder-setting strategy across the six transfer trials, with this tendency increasing with age. From age 6, children deployed effective external strategies on most trials, with the number, combination, and order of unique strategies used varying widely both within and across the older age groups. These results demonstrate young children's remarkable flexibility in the transferral of external strategies across contexts and point to pronounced individual differences in the strategies children devise. Public Significance Statement: We investigated whether 3–8-year-old children could adopt a reminder-setting strategy to help them find and retrieve a hidden prize and then, without any prompting, transfer the logic behind the strategy to solve a related problem in a novel context. From age 4, children were using previously unseen reminder-setting strategies in the transfer task that followed the same logic as the initial task, with this tendency increasing markedly with age. The number, combination, and order of strategies used varied widely both within and across age groups, indicating remarkable creativity and flexibility in children's external strategy use. [ABSTRACT FROM AUTHOR]

This article explores how Australian social workers who work with people resettling interpret Whiteness operating within organisational practices and contexts. Eight White Tasmanian social workers participated in a multimethod qualitative study informed by relationality and a dialogical framework. The research data were analysed using narrative analysis. Participants reported that Whiteness operated through workplace climate, culture and practices, and how physical spaces are constructed. Whilst the majority reported feeling discomfort about these contexts and practices, many had not spoken up or challenged Whiteness within organisations, affirming and perpetuating Whiteness. This research highlights the importance of social workers becoming actively involved in decision-making that explores alternatives to dominant approaches to refugee resettlement. Given the research suggests that knowing about Whiteness does not guarantee action, social workers also need to explore strategies for ensuring that they speak up to challenge Whiteness. However, service delivery models which are refugee-led and/or refugee-staffed organisations, or who utilise accountability practices are alternatives requiring more attention. [ABSTRACT FROM AUTHOR]

What happens to everyday social interactions when other‐race recognition fails? Here, we provide the first formal investigation of this question. We gave East Asian international students (N = 89) a questionnaire concerning their experiences of the other‐race effect (ORE) in Australia, and a laboratory test of their objective other‐race face recognition deficit using the Cambridge Face Memory Test (CFMT). As a 'perpetrator' of the ORE, participants reported that their problems telling apart Caucasian people contributed significantly to difficulties socializing with them. Moreover, the severity of this problem correlated with their ORE on the CFMT. As a 'victim' of the ORE, participants reported that Caucasians' problems telling them apart also contributed to difficulties socializing. Further, 81% of participants had been confused with other Asians by a Caucasian authority figure (e.g., university tutor, workplace boss), resulting in varying levels of upset/difficulty. When compared to previously established contributors to international students' high rates of social isolation, ORE‐related problems were perceived as equally important as the language barrier and only moderately less important than cultural differences. We conclude that the real‐world impact of the ORE extends beyond previously identified specialized settings (eyewitness testimony, security), to common everyday situations experienced by all humans. [ABSTRACT FROM AUTHOR]

PURPOSE Childhood cancer survivors report self-monitoring for and worrying about symptoms of disease recurrence and secondary cancers, although symptom-related worry is associated with poorer health-related quality of life. This survey captured pediatric oncologists’ beliefs and communication practices regarding symptom self-monitoring for childhood cancer survivors. METHODS Using a closed-loop snowball sampling technique, pediatric oncologists completed an online survey regarding the importance of symptom self-monitoring for off-therapy patients, the degree to which symptom self-monitoring was perceived to cause stress and worry, and communication practices. RESULTS 196 pediatric oncologists (White [78%]; female [64%]; Mage = 5 47 years) from every continent except Antarctica participated. Oncologists believed it is important for off-therapy patients to self-monitor for symptoms of cancer recurrence (90%) and treatment late effects (94%), although some noted that recurrence (30%) and late effects (55%) are typically detected by routine surveillance before symptoms appear. Oncologists varied in their beliefs that off-therapy patients do (31%) or do not (31%) worry unnecessarily about symptoms of recurrence. Two thirds (62%) of oncologists reported often/always discussing with off-therapy patients which symptoms could indicate cancer recurrence, whereas fewer than half (43%) often/always discussed which symptoms were unlikely to indicate recurrence. Oncologists identified a need for education regarding how to communicate around symptom self-monitoring and the potential utility of a screening tool to identify those who worry excessively. CONCLUSION Despite nearly universal belief that their off-therapy patients should self-monitor for symptoms of disease recurrence and late effects, a substantial proportion of pediatric oncologists do not counsel patients on symptom self-monitoring. Since nearly one-third believe that off-therapy patients worry unnecessarily about symptoms of recurrence, improving patient education regarding which symptoms are and are not medically concerning could decrease stress and improve health-related quality of life for pediatric cancer survivors. [ABSTRACT FROM AUTHOR]

Body composition in elite rugby union athletes is routinely assessed using surface anthropometry, which can be utilized to provide estimates of absolute body composition using regression equations. This study aims to assess the ability of available skinfold equations to estimate body composition in elite rugby union athletes who have unique physique traits and divergent ethnicity. The development of sport-specific and ethnicitysensitive equations was also pursued. Forty-three male international Australian rugby union athletes of Caucasian and Polynesian descent underwent surface anthropometry and dual-energy X-ray absorptiometry (DXA) assessment. Body fat percent (BF%) was estimated using five previously developed equations and compared to DXA measures. Novel sport and ethnicity-sensitive prediction equations were developed using forward selection multiple regression analysis. Existing skinfold equations provided unsatisfactory estimates of BF% in elite rugby union athletes, with all equations demonstrating a 95% prediction interval in excess of 5%. The equations tended to underestimate BF% at low levels of adiposity, whilst overestimating BF% at higher levels of adiposity, regardless of ethnicity. The novel equations created explained a similar amount of variance to those previously developed (Caucasians 75%, Polynesians 90%). The use of skinfold equations, including the created equations, cannot be supported to estimate absolute body composition. Until a population-specific equation is established that can be validated to precisely estimate body composition, it is advocated to use a proven method, such as DXA, when absolute measures of lean and fat mass are desired, and raw anthropometry data routinely to derive an estimate of body composition change. [ABSTRACT FROM AUTHOR]

Background/objectives: Caucasian and Asian patients with hidradenitis suppurativa demonstrate significant differences with regard to age, gender and body mass index. Demographic characteristics are known to influence the efficacy and drug survival of hidradenitis suppurativa therapeutics including biologic therapies. What remains unknown is the impact of ethnicity upon the efficacy of therapeutics once demographic and disease characteristics have been taken into account. This is an important question given the expansion of biologic therapies for HS into the global patient community., Methods: We assessed 170 patients from a single HS specialist centre in Australia stratified by patient-identified ethnicity including those identifying as either Caucasian or Asian., Results: Asian patients demonstrated lower BMI, higher rates of smoking and greater odds of Hurley stage 3 disease with tunnels than Caucasian patients in line with the reported literature. There was no significant difference between percentage of individuals achieving HiSCR50 or IHS4-55 at Week 16. Significant differences were seen in median time to secondary loss of response, and Kaplan-Meier curve analysis showed a significant difference between curves when stratified by patient-reported ethnicity. Cox regression analysis demonstrated after accounting for age, gender, BMI, smoking and Hurley stage, the significance of ethnicity in influencing time to secondary loss of response disappears., Conclusions: Caucasian or Asian ethnicity does not influence response to adalimumab treatment on patients with hidradenitis suppurativa., (© 2024 The Author(s). Australasian Journal of Dermatology published by John Wiley & Sons Australia, Ltd on behalf of Australasian College of Dermatologists.)

Objectives The objective of the present study was to describe pressurized wideband absorbance at tympanometric peak pressure (WBA TPP) and 0 daPa (WBA 0) in healthy Caucasian neonates. Subjects A total of 249 ears from 249 neonates who passed a test battery of 1,000-Hz tympanometry, distortion product otoacoustic emissions and automated auditory brainstem response were included in the study. Method WBA TPP and WBA 0 were averaged in one-third octave frequencies from 0.25 to 8 kHz. Data were statistically analyzed for effects of frequency, ear, and gender. Results Normative WBA TPP and WBA 0 data obtained from healthy neonates are presented. There was no significant difference between WBA TPP and WBA 0 at all frequencies. Both WBA TPP and WBA 0 demonstrated a multipeaked pattern with maxima of 0.80 and 0.72 at 1.25 to 1.5 and 6 kHz, respectively, and two minima of 0.45 and 0.49 at 0.4 to 0.5 and 4 kHz, respectively. The effects of ear and gender were not significant for both WBA measures. Conclusion Pressurized WBA TPP and WBA 0 data were provided for healthy Caucasian neonates. They will be useful for the assessment of middle ear function and assist in differentiating between conductive and sensorineural hearing losses in neonates. [ABSTRACT FROM AUTHOR]

Acceptance and inclusion of diversity is challenged by the prevailing sociopolitical and ethnocultural framework of Whiteness in Australia. To examine the impact of Whiteness on practitioner construct systems, mental health practitioners' constructions and preference for non-White and White people, as well as frameworks of Whiteness and non-Whiteness, were explored. Twenty White and non-White mental health practitioners and trainees were purposively sampled and interviewed using an adapted version of the laddering interview technique. Data was analyzed thematically and interpreted using Personal Construct Theory—the theoretical framework that informed the study. The findings reiterate those found in research literature which highlights the persistent role of Whiteness on constructs of non-Whiteness, as well as on White and non-White people. The results suggest that a potential shift has occurred in the discourse on constructions of White and non-White people amongst mental health practitioners. This shift may be the movement away from being blind to difference and acknowledgement of the inequities and inequalities experienced by diverse groups. The implications of such a shift allow both White and non-White people increased opportunities for access to and engagement with supports aimed at improving psychological wellbeing. [ABSTRACT FROM AUTHOR]

The nursing/midwifery professions are facing a sea change with the inclusion of cultural safety in the Code of Conduct for Registered Nurses [Nursing and Midwifery Board of Australia. (2018a). Midwife standards of practice. Retrieved January 30, 2021, from ], the Code of Conduct for Midwives [Nursing and Midwifery Board of Australia. (2018b). Code of conduct for nurses. Retrieved January 30, 2021, from ], the Registered Nurse Accreditation Standards (Australian Nursing and Midwifery Accreditation Council. (2019). Registered Nurse Accreditation Standards. Retrieved from ), and the Midwife Accreditation Standards [Australian Nursing and Midwifery Accreditation Council. (2021). Midwife Accreditation Standards. Retrieved from ]. In this paper, we focus on the theme of enabling cultural safety seeking to overcome the barrier of confusion surrounding it. The inclusion of cultural safety in codes and accreditation standards highlights the pressing need for these professions to attain deep understanding of cultural safety so that clinicians and educators can confidently practice and teach in this area. This need is underscored by the context of heightened awareness, that developed amongst mainstream Australians with Black Lives Matter in 2020, of inequity including health inequity. Our concern as academics responsible for staff development, curriculum development and implementation in university Schools of Nursing/Midwifery is to enable and support the teaching and practice of cultural safety. Its focus on working in partnership, addressing power imbalances, racisms and related systems of discrimination constitutes it as a vastly different model to cultural other-awareness and notions of cultural competency which have held sway on matters of culture in health service provision up to now. Our approach was to undertake a reflection on our combined decades of studying, leadership, teaching, and practice of cultural safety, which consistently showed the confusion in Australia about the model overall and about the definition of culture underpinning it. This paper supports the profession by addressing the need to educate academics and clinicians on cultural safety itself and on the role of all nurses/midwives, Indigenous and non-Indigenous, in these endeavours. This paper encourages a coherent development and confident implementation of cultural safety curriculum and practice to meet current requirements. [ABSTRACT FROM AUTHOR]

Objective: The purpose of this study was to examine the role of resilience on problematic Internet use (PIU) among 220 Australian youth. Besides, it was investigated how resilience scores differ across the variables such as ethnicity, academic performance and outside school activity. Method: The study was conducted with an online survey among 220 volunteer high school students in Melbourne. Participants were evaluated by administering the Compulsive Internet Use Scale (CIUS) and Child and Youth Resilience Measure (CYRM-28). Results: The findings revealed that there was significant negative relationships between PIU and resilience. Also, individual personal skills and context spiritual scores, sub-dimensions of resilience, predicted PIU negatively. Resilience scores of the Black students were lower than those of the White and students from multiple ethnicities. Those whose academic performance was below average and who rarely engaged in activities outside school had low resilience scores. Conclusion: Findings that PIU may be correlated with low individual personal skills and spirituality were discussed within the framework of this topic. In addition, the results were elaborated regarding the theoretical framework of resilience, and concepts that may be important related to strengthening resilience are included. [ABSTRACT FROM AUTHOR]

Disparities in exposure to workplace hazards exist between Māori and non-Māori workers in New Zealand, with Māori workers generally incurring poorer conditions. This study aimed to determine if these ethnic disparities are similar after migration to Australia. A national cross-sectional telephone survey asked participants what tasks they undertook in their job to assess exposure to carcinogens as well as whether they experienced ethnic discrimination, bullying, job precariousness, or job strain. A total of 389 New Zealand Caucasians and 152 Māori/Pasifika workers were recruited. After adjustment, 79% of Māori/Pasifika compared with 67% of New Zealand Caucasian workers were assessed as being exposed to at least one carcinogen at work. Māori/Pasifika workers were also more likely to report ethnic discrimination and fair or poor current health than New Zealand Caucasians. Some ethnic disparities in exposure to workplace hazards in New Zealand are apparent after migration to Australia. [ABSTRACT FROM AUTHOR]

Purpose: To assess the relationships between player characteristics (including age, playing experience, ethnicity, and physical fitness) and in-season injury in elite Australian football. Design: Single-cohort, prospective, longitudinal study. Methods: Player characteristics (height, body mass, age, experience, ethnicity, playing position), preseason fitness (6-min run, 40-m sprint, 6 x 40-m sprint, vertical jump), and in-season injury data were collected over 4 seasons from 1 professional Australian football club. Data were analyzed for 69 players, for a total of 3879 player rounds and 174 seasons. Injury risk (odds ratio [OR]) and injury severity (matches missed; rate ratio [RR]) were assessed using a series of multilevel univariate and multivariate hierarchical linear models. Results: A total of 177 injuries were recorded with 494 matches missed (2.8 ± 3.3 matches/injury). The majority (87%) of injuries affected the lower body, with hamstring (20%) and groin/hip (14%) most prevalent. Nineteen players (28%) suffered recurrent injuries. Injury incidence was increased in players with low body mass (OR = 0.887, P = .005), with poor 6-min-run performance (OR = 0.994, P = .051), and playing as forwards (OR = 2.216, P = .036). Injury severity was increased in players with low body mass (RR = 0.892, P = .008), tall stature (RR = 1.131, P = .002), poor 6-min-run (RR = 0.990, P = .006), and slow 40-m-sprint (RR = 3.963, P = .082) performance. Conclusions: The potential to modify intrinsic risk factors is greatest in the preseason period, and improvements in aerobic-running fitness and increased body mass may protect against in-season injury in elite Australian football. [ABSTRACT FROM AUTHOR]

Objective: To describe racial/ethnic representation in United States (US) and Australian obstetric research, represented by the Maternal-Fetal Medicine Units Network (MFMU) and Australian Research Centre for Health of Women and Babies (ARCH) trials. Methods: MFMU studies were identified through PubMed and ARCH studies through their online publication listing from 2011 to 2016. Observational and randomized cohorts and primary and secondary data analyses were included. Studies with race-based enrollment were excluded. Racial/ethnic representation was expressed as the mean racial/ethnic percentages of the studies (i.e.,: studies weighted equally regardless of sample size). Racial/ethnic percentages in MFMU studies were compared to US registered births and ARCH compared to Australian census ancestry data. Results: 38 MFMU studies included 580,282 women. Racial/ethnic representation (% [SD]) included White 41.7 [12.3], Hispanic 28.1 [15.4], Black 26.2 [12.3], Asian 3.6 [2.3], and American Indian/Alaskan Native (AI/AN) 0.2 [0.02]. No studies reported Native Hawaiian/other Pacific Islanders (NHOPI) separately. Comparatively, registered US births (%) were White 75.7, Hispanic 28.1, Black 16.1, Asian/Pacific Islander 7.1, and AI/AN 1.1, which differed from the MFMU (P = 0.02). 20 ARCH studies included 51,873 women. The most reported groups were White 76.5 [17.4], Asian 15.2 [14.8], and Aboriginal/Torres Strait Islander 13.9 [30.5], compared to census numbers of White 88.7, Asian 9.4, and Aboriginal/Torres Strait Islander 2.8 (P < 0.01). Two ARCH studies reported African ethnicity. Conclusion: There is racial diversity in studies by MFMU and ARCH, with opportunities to increase enrollment and enhanced reporting of Asian, AI/AN, and NHOPI races in MFMU studies and Black race in ARCH studies. [ABSTRACT FROM AUTHOR]

Social movements pushing for social change are often met with reactionary counter‐movements that defend the status quo. The present research examined this interplay by focusing on the role of racial majority group members claiming collective psychological ownership. We examined collective ownership that stems from being native to the land and from being founders of the nation. Study 1 found that in Malaysia, the Malay majority group endorsed more native ownership than Chinese and Indian minorities, which in turn predicted greater threat in response to protests demanding electoral reforms and subsequently greater support for a reactionary pro‐government movement. Situated in the United States, Study 2 found that the more that White Americans endorsed founder ownership beliefs, the more they reported negative attitudes towards the Black Lives Matter protests, which in turn predicted more support for White nationalistic counter‐protests. This effect was stronger among White people compared to people of colour. Study 3 examined both founder and native ownership in Australia. Founder (but not native) ownership beliefs predicted more negative attitudes towards Invasion Day protests, which subsequently predicted more support for counter‐protests defending Australia Day celebrations. Implications of culture‐specific beliefs about collective ownership for social movement research are discussed. [ABSTRACT FROM AUTHOR]

Background This report provides the theory, method and practice of culturally secure translation and knowledge exchange in the Healing Right Way Clinical Trial (2017-2022), outlining activities to date. Healing Right Way was a stepped wedge cluster randomised controlled trial conducted in Western Australia, aimed at enhancing rehabilitation services and quality of life for Aboriginal Australians following acquired brain injury. The trial translation plan was aspirational and action-oriented, with its implementation iterative and ongoing. Translational activities aimed to inform service and research planning for Aboriginal people with brain injury. Situated in the intercultural space, the work guards against undertaking activities that are monocultural, colonial and appropriating in favour of work that is authentically viewed through the dual lens of whiteness and Aboriginal and Torres Strait Islander ways of knowing, being and doing, and is strengths-based. Methods Three translational and knowledge exchange components were identified, relating to the role of Aboriginal Brain Injury Coordinators, cultural training of hospital staff and the research process itself. Knowledge plans were developed for key audiences, with potential translation products to be monitored for ongoing impact. Results Results demonstrate that translational and knowledge exchange were iteratively embedded throughout the trial life cycle. Data sources included community engagement, partnership meetings and interviews. Activities involved presentations to diverse audiences including bureaucrats, community and participants. Conclusions This report provides a snapshot of the first translation knowledge exchange plan and activities constructed in relation to brain injury rehabilitation services for Aboriginal people. Challenges encountered, as well as successes to date, are discussed.

Indigenous nurse scholars across nations colonised by Europeans articulate the need for accomplices (as opposed to mere performative allies) to work alongside them and support their ongoing struggle for health equity and respect and to prioritise and promote culturally safe healthcare. Although cultural safety is now being mandated in nursing codes of practice as a strategy to address racism in healthcare, it is important that white nurse educators have a comprehensive understanding about cultural safety and the pedagogical skills needed to teach it to undergraduate nurses. We open this article with stories of our journeys as two white nurses in becoming accomplices and working alongside Indigenous Peoples, as patients and colleagues. Our lived experience of the inertia of healthcare and education organisations to address systemic and institutional resistance to the practice of cultural safety underpins the intention of this article. We understand that delivering this challenging and complex topic effectively and respectfully is best achieved when Indigenous and white educators work together at the cultural interface. Doing so requires commitment from white nurses and power holders within universities and healthcare institutions. A decolonising approach to nurse education at individual and institutional levels is fundamental to support and grow the work that needs to be done to reduce health inequity and increase cultural safety. White nurse accomplices can play an important role in teaching future nurses the importance of critical reflection and aiming to reduce power imbalances and racism within healthcare environments. Reducing power imbalances in healthcare environments and decolonising nursing practice is the strength of a cultural safety framework., (© 2023 The Authors. Nursing Inquiry published by John Wiley & Sons Ltd.)

White ignorance has a critical impact on race relations and is implicated in the maintenance of Aboriginal disadvantage. Addressing this ignorance is a largely overlooked capacity‐building opportunity within Australia's non‐Aboriginal population. It warrants consideration as a key component of strategies targeting Aboriginal disadvantage. Despite the established links between race relations and Aboriginal well‐being, Aboriginal perspectives on non‐Aboriginal people rarely feature in public discourse on "Aboriginal problems." This paper draws on data from 180 in‐depth interviews with 44 Aboriginal people in Darwin on the topic of White Australian people, culture and race relations. It reports Aboriginal perceptions of White Australian ignorance across areas of great symbolic and practical significance to Aboriginal people's lives. Their experience is that most White Australians are ignorant of the history of colonisation and the complexities of its aftermath. They are ignorant of Aboriginal law, cultures and languages, and of the extent of their own ignorance. The call to address White ignorance subverts assumptions about whose ignorance and capacity must be dealt with in order to progress national goals of reconciliation, address Aboriginal disadvantage and achieve justice and equality for Aboriginal people. [ABSTRACT FROM AUTHOR]

Australian multiculturalism emerged as national policy in the 1970s following contentious immigration policies designed to limit the entry of non-white immigrants. Multiculturalism frames articulations of national belonging in terms of broad moral implications and the immigration policy from which such implications stem. Paradoxically, discourses central to the multicultural ideal, such as integration and tolerance, can act to limit people's experience of social belonging by providing scope for demonstrations of Anglo-Celtic heritage as a form of symbolic capital. I explore the ways non-white young people with refugee backgrounds interpret whiteness in relation to multiculturalism and negotiate their sense of belonging in Brisbane, Australia. I discuss the link between whiteness and multiculturalism from the perspectives of these young people and demonstrate the various ways in which they interpret Australian national belonging as intrinsically linked to skin color. By alternately highlighting and evading their own racialized sense of themselves, young people exhibit a multiplicity of possibilities for belonging and respond to the political context of their own lives. [ABSTRACT FROM AUTHOR]

Background and aims: Among older adults, olfactory dysfunction is associated with cognitive impairment, lower quality of life, and increased mortality. While age is a risk factor for olfactory dysfunction, other risk factors are less well understood, and may vary between ethno-regional groups. This study investigated how associations between odour identification (OI) and various risk factors, as well as cognition and language ability, differed or were similar in two distinct ethno-regional groups of older adults. Methods: This cross-sectional study used data from two cohorts: 470 Indonesians (aged 67.4 ± 7.4 years) and 819 white Australians (aged 78.7 ± 4.8 years). Univariate and multivariate analyses explored whether OI test scores were associated with age, sex, education, cholesterol levels, apolipoprotein E ε4 status, smoking, diabetes, hypertension and depression scale scores, or with Mini-Mental State Examination (MMSE) and language test performance. Results: Univariate analyses identified some factors associated with OI scores in both Indonesians and white Australians, including older age and smoking with lower scores, and MMSE and language test performance with higher scores. Multivariate analyses yielded different and mutually exclusive patterns of associations in the two ethno-regional groups, with language test scores significantly associated with higher OI scores in Indonesians, and age, being male, smoking, having diabetes and higher depression scale scores significantly associated with lower OI scores in white Australians. Conclusion: Ethno-regional differences may need consideration in the attempt to fully understand associations between OI and negative outcomes like dementia and mortality, and interventions for olfactory dysfunction might need to be tailored to specific ethno-regional groups. However, the difference in mean age between cohorts is a limitation of this study, and future studies should aim to compare populations with similar age distributions. [ABSTRACT FROM AUTHOR]

Dietary modification is the primary intervention strategy for management of gestational diabetes mellitus (GDM), which usually occurs in the third trimester of pregnancy when women have extra nutritional needs. There is a high migration rate of ethnic Chinese people to Western countries, and those women present a high-risk group for GDM. Little is known about diet, dietary self-management, and nutritional supplementation use among ethnic Chinese migrant women with GDM compared with members of the host population with GDM. This study aimed to compare the perceptions and experiences of dietary self-management and nutritional needs of ethnic Chinese migrants with those of Australian-born white women with GDM in Australia. A predominantly qualitative mixed methods approach with a quantitative component was used. Data collection involved in-depth, semistructured interviews, and 3-day 24-hour recall diaries collected concurrently. Data analysis and management relied on NVivo (QSR International Pty Ltd), FoodWorks (FoodWorks Professional 2017, Xyris Software), and SPSS (SPSS Inc). Pearson χ2 test, independent-samples t test, and Mann-Whitney U test were used to compare nutrient intakes between groups. The Pearson correlation was used to determine the relationship between dietary patterns and nutrient intake. A total of 44 ethnic Chinese and 39 Australian-born white participants with GDM were recruited from two large Australian maternity services located in tertiary hospitals. Ethnic differences in satisfaction with GDM education influenced GDM self-management. Ethnic Chinese women with GDM perceived dietary advice received from health professionals to be lacking in cultural relevance and detail and responded by restricting their dietary intake and relying on nutritional supplementation. The perceived benefits of specific supplements produced ethnic differences in the patterns of supplement use. Cultural dietary patterns influenced dietary adequacy in pregnancy. This study suggests the need for provision of more concrete, prescriptive, and culturally relevant dietary and supplementation advice for ethnic Chinese women with GDM. [ABSTRACT FROM AUTHOR]

Background: Prolonged sitting is common in older adults and is associated with insulin resistance and poor cardiometabolic health. We investigate whether breaking prolonged sitting with regular short bouts of standing or light walking improves postprandial metabolism in older white European and South Asian adults and whether effects are modified by ethnic group.Methods: Thirty South Asian (15 women) and 30 white European (14 women) older adults (aged 65-79 years) undertook three experimental conditions in random order. (a) Prolonged sitting: continuous sitting during an observation period if 7.5 hours consuming two standardized mixed meals. (b) Standing breaks: sitting interrupted with 5 minutes of standing every 30 minutes (accumulating 60 minutes of standing over the observation period). (c) Walking breaks: sitting interrupted with 5 minutes of self-paced light walking every 30 minutes (accumulating 60 minutes of walking). Blood samples (glucose, insulin, triglycerides) and blood pressure were sampled regularly throughout each condition.Results: Compared with prolonged sitting, walking breaks lowered postprandial insulin by 16.3 mU/L, (95% CI: 19.7, 22.0) with greater reductions (p = .029) seen in South Asians (22.4 mU/L; 12.4, 32.4) than white Europeans (10.3 mU/L; 5.9, 14.7). Glucose (0.3 mmol/L; 0.1, 0.5) and blood pressure (4 mm Hg; 2, 6), but not triglycerides, were lower with walking breaks, with no ethnic differences. Standing breaks did not improve any outcome.Conclusions: Breaking prolonged sitting with short bouts of light walking, but not standing, resulted in clinically meaningful improvements in markers of metabolic health in older adults, with South Asians gaining a greater reduction in postprandial insulin.Trial Registration: NCT02453204. [ABSTRACT FROM AUTHOR]

Objective: Higher rates of neonatal morbidity and mortality at term combined with earlier spontaneous delivery have led to the hypothesis that babies born to South Asian born (SA-born) women may mature earlier and/or their placental function decreases earlier than babies born to Australian and New Zealand born (Aus/NZ-born) women. Whether babies born to SA-born women do better in the preterm period, however, has yet to be evaluated. In this study we investigated respiratory outcomes, indicative of functional maturity, of preterm babies born to SA-born women compared with those of Aus/NZ-born women to explore this hypothesis further.Study Design and Setting: This retrospective cohort study was conducted at Monash Health.Patients: Data were collected from neonatal and birth records of moderate-late preterm (32-36 weeks) infants born between 2012 and 2015 to SA-born and Aus/NZ-born women.Outcome Measures: Rates of nursery admissions and neonatal respiratory outcomes were compared.Results: Babies born to Aus/NZ-born women were more likely to be admitted to a nursery (80%) compared with SA-born babies (72%, p=0.004). Babies born to SA-born mothers experienced significantly less hyaline membrane disease (7.8%), required less resuscitation at birth (28.6%) and were less likely to require ventilation (20%) than babies born to Aus/NZ-born mothers (18%, 42.2%, 34.6%; p<0.001). There was no difference in the duration of ventilation or length of stay in hospital.Conclusions: Moderate-late preterm babies born to SA-born women appear to have earlier functional maturity, as indicated by respiratory outcomes, than Aus/NZ-born babies. Our findings support the hypothesis of earlier fetal maturation in SA-born women. [ABSTRACT FROM AUTHOR]

Background: Maternal smoking is associated with a number of adverse outcomes with a dose‐dependent increase in risk. The aim of this study was to evaluate the obstetric and perinatal outcomes in women who smoked during pregnancy. Methods: This was a retrospective cohort study of women who smoked during pregnancy and birthed at a major perinatal centre in Australia between January 2000 and April 2017. The study cohort was compared to a cohort of women who did not smoke in pregnancy. Smoking status was ascertained on history and included all types of smoking. Demographic characteristics and obstetric, intrapartum and perinatal outcomes were compared between the two groups. Results: The study cohort included 20 477 (14.6%) women who smoked during pregnancy and 119 396 controls. Women who smoked tended to be younger, of higher body mass index (BMI), Caucasian and Indigenous ethnicity. Smokers were less likely to be nulliparous, but more likely to be hypertensive and have a lower socioeconomic status compared to non‐smokers. Women who smoked were more likely to have a caesarean section for non‐reassuring fetal status (adjusted odds ratio (aOR) 1.16, 95%CI 1.07–1.26, P < 0.001). The infants of women who smoked were more likely to be born preterm, have a lower median birth weight and birth weights <10th (aOR 1.76, 95%CI 1.66–1.86, P < 0.001) and <5th centile (aOR 2.00, 95%CI 1.86–2.16, P < 0.001). Neonatal outcomes in the smoking cohort were worse with an increase in neonatal intensive care unit admission (aOR 1.34, 95%CI 1.27–1.43, P < 0.001), severe acidosis (aOR 1.41, 95%CI 1.27–1.43, P < 0.001) and a composite of severe neonatal outcomes (18.0% vs 12.0%, aOR 1.35, 95%CI 1.28–1.43, P < 0.001). Conclusion: Women who smoke in pregnancy have worse obstetric and perinatal outcomes compared to controls and should be managed as high risk. [ABSTRACT FROM AUTHOR]

A set of racial policies known as the White Australia policy steered Australian culture during and after its progressive dismantlement in the 1970's. White faces and hair textures dominated the human landscape and its norms when I boarded a bus in metropolitan Adelaide in 1960, aged three. In early 1969 it continued to be the pervasive norm - hair might be combed, cut, cleaned, conditioned, coloured or permed but the hair texture norm was that of a strict norm of the dominant white race and ethnic groups of Australia. Hair should be straight or curly but never kinky so my mother and a sister-in-law's twelfth birthday present was a hair relaxing kit imported from North America. The White Australia Policy was well gone in 1990 yet still I would be refused service at a cafe and large department store after stern disapproving scrutiny of my natural hair texture. In my first professional appointment, advocating land rights for Indigenous peoples, I received a written death threat from the Ku Klux Klan based in the Australian metropolis where I lived. I was visited at my home by black-clad thugs with Australian accents from National Action, a white power group. I was followed onto and out of a bus by white men with baseball bats who stared at me during the bus-ride. With pale skin, blue eyes and a thick Australian accent I have no other drop of race to signify I am anything but a White Australian. Is African hair texture significant in Australia? This article explores violent hair-raising stories in an auto-ethnographic examination of having lawless hair in a domesticated habitat in Australia. Sociological perspectives and historical contexts within Australian Critical Whiteness Studies are deployed to examine the significance of one drop of difference in physical signification of race and ethnicity. I offer auto-ethnographic vignettes to speak to my experience and to invite the reader to consider an Australian experience of what it is to have one apparently unacceptable racialized feature: hair texture and whether it matters and what it might mean as a signifier of race and racism in a nation boasting to its Asian business partners that the White Australia policy is done and dusted. [ABSTRACT FROM AUTHOR]

Internalization of cultural standards of attractiveness and subscription to gender-based discourses are significant predictors of disordered eating attitudes in fully sighted women. Yet, whether these variables predict the disordered eating attitudes of women who are legally blind is underexplored. In the current study, we examined how internalization of White European cultural standards of attractiveness and subscription to gender-based discourses (body surveillance and self-silencing) and body shame predicted the disordered eating attitudes of 80, primarily White, heterosexual, Australian women who are legally blind. Participants completed an online survey comprising existing validated measures of all variables. A path analysis was performed using the Hayes PROCESS approach. As predicted, in women living with vision impairment, body surveillance, self-silencing, and shame fully mediated the relation between internalization of cultural standards of attractiveness and disordered eating attitudes. Results showed that in much the same way as sighted women, women living with vision impairment are susceptible to internalizing harmful messages related to socio-cultural standards of attractiveness. We provide further support for including subscription to gender-based discourses in research on women's body-image disturbances. Data will be available for other researchers from the author via email. Online slides for instructors who want to use this article for teaching are available on PWQ's website at http://journals.sagepub.com/page/pwq/suppl/index [ABSTRACT FROM AUTHOR]

This article examines the wrongful labelling in the colonial and post-federation era of Chinese Australians as ‘aliens’, ‘coloured aliens’, ‘outsiders’ or those who did not belong when in fact many had equal status under the law with white settlers as ‘British subjects’, mainly through birth in British possessions in Asia or in Australia itself. Executive, legislative and judicial pronouncements in nineteenth- and twentieth-century Australia all played into a racial discourse of alienage overriding the common law meaning regarding Chinese Australians. Existing histories have not properly taken into account the large number of Chinese Australians who were ‘natural-born’ British subjects compared to the small proportion with subject status by naturalisation. Consequently, the extent of the unlawful labelling and treatment of ethnic Chinese who had full legal belonging in Australia has been overlooked. [ABSTRACT FROM AUTHOR]

In a national survey of witnessing racism, ten per cent of respondents reported an event where they perceived a white Australian had been the target of racism. We discuss the social and political context in which claims of anti-white ‘racism’ have come to the fore. The paper introduces three analytical entry points from which to approach the problem of anti-white ‘racism’: an individual analysis, an analysis of power and its effects, and a historical and structural analysis. These entry points cascade into each other, revealing both divergence in how these reported experiences might be understood and the tensions between different ways of approaching the analytical problem of claims of anti-white ‘racism’. We explore the characteristics of those who report witnessing anti-white ‘racism’ and examine the contexts within which anti-white ‘racism’ is perceived to have occurred. The racialised incidents reported are analysed in their specificities; we attend to the individuals involved and their social positioning, the historical context and how the event relates to structures and histories of domination. The paper highlights the asymmetry of claims to race based victimhood, emphasising the differences between anti-white ‘racism’ and other experiences of racism. [ABSTRACT FROM AUTHOR]

This article extends the critical race literature in education by theorising the ways through which white power passes through the bodies of people of colour in higher education institutions. Using autoethnographic inquiry of our experiences as non-white academic and professional staff in two Australian universities, we examine the ways we became co-opted into reinforcing white privilege while subordinating or marginalising students of colour. Rather than complying with the white supremacist ideologies and practices of our institutions, we explore the potentials for resistance against the institutionalised racial order, recognising that writing and publishing our experiences is one approach to speaking out against white supremacy at our universities. [ABSTRACT FROM AUTHOR]

South Asians are a growing migrant population, both globally and in Australia. This group are at higher risk for both cardiovascular disease and type 2 diabetes. The aim of this qualitative study was to compare dietary practices of South Asians, n = 41 (Indian, n = 25; Sri Lankan, n = 16) and Anglo-Australians, n = 16, with these conditions, using semi-structured in-depth interviews. Findings suggest that both groups had a high level of awareness of dietary practices necessary for optimum disease management, both prior to and post diagnosis. Bi-directional effects of migration were noted in the dietary practices of both groups suggesting hybrid diets are evident in Australia. A key barrier to implementing dietary changes highlighted by both groups of participants was a lack of specific, timely and detailed dietary advice from clinicians. Both groups expressed that advice should be repeated and reinforced throughout the course of their disease. In addition, South Asian participants wanted more culturally relevant advice. Clinicians providing dietary advice need to recognise that preferences for staple food items are resistant to change and may affect adherence. Acculturation was evident in the dietary practices of the South Asian participants. Nevertheless, many maintained traditional food practices which were tied to their cultural identity. It is recommended that clinicians consider these factors when offering advice. [ABSTRACT FROM AUTHOR]

Background: Myopia prevalence has increased in the past 20 years, with many studies linking the increase to reduced time spent outdoors. A number of recent observational studies have shown an inverse association between vitamin D [25(OH)D] serum levels and myopia. However, in such studies it is difficult to separate the effects of time outdoors and vitamin D levels. In this work we use Mendelian randomization (MR) to assess if genetically determined 25(OH)D levels contribute to the degree of myopia.Methods: We performed MR using results from a meta-analysis of refractive error (RE) genome-wide association study (GWAS) that included 37 382 and 8 376 adult participants of European and Asian ancestry, respectively, published by the Consortium for Refractive Error And Myopia (CREAM). We used single nucleotide polymorphisms (SNPs) in the DHCR7, CYP2R1, GC and CYP24A1 genes with known effects on 25(OH)D concentration as instrumental variables (IV). We estimated the effect of 25(OH)D on myopia level using a Wald-type ratio estimator based on the effect estimates from the CREAM GWAS.Results: Using the combined effect attributed to the four SNPs, the estimate for the effect of 25(OH)D on refractive error was -0.02 [95% confidence interval (CI) -0.09, 0.04] dioptres (D) per 10 nmol/l increase in 25(OH)D concentration in Caucasians and 0.01 (95% CI -0.17, 0.19) D per 10 nmol/l increase in Asians.Conclusions: The tight confidence intervals on our estimates suggest the true contribution of vitamin D levels to degree of myopia is very small and indistinguishable from zero. Previous findings from observational studies linking vitamin D levels to myopia were likely attributable to the effects of confounding by time spent outdoors. [ABSTRACT FROM AUTHOR]

Objectives: We compare the prevalence of suicidal thoughts and attempts between Indigenous and non-Indigenous males in urban and regional Australia, and examine the extent to which any disparity between Indigenous and non-Indigenous males varies across age groups. Methods: We used data from the baseline wave of The Australian Longitudinal Study on Male Health (Ten to Men), a large-scale cohort study of Australian males aged 10–55 years residing in urban and regional areas. Indigenous identification was determined through participants self-reporting as Aboriginal, Torres Strait Islander or both. The survey collected data on suicidal thoughts in the preceding 2 weeks and lifetime suicide attempts. Results: A total of 432 participants (2.7%) identified as Indigenous and 15,425 as non-Indigenous (97.3%). Indigenous males were twice as likely as non-Indigenous males to report recent suicidal thoughts (17.6% vs 9.4%; odds ratio = 2.1, p < 0.001) and more than three times as likely to report a suicide attempt in their lifetime (17.0% vs 5.1%; odds ratio = 3.6; p < 0.001). The prevalence of recent suicidal thoughts did not differ between Indigenous and non-Indigenous males in younger age groups, but a significant gap emerged among men aged 30–39 years and was largest among men aged 40–55 years. Similarly, the prevalence of lifetime suicide attempts did not differ between Indigenous and non-Indigenous males in the 14- to 17-years age group, but a disparity emerged in the 18- to 24-years age group and was even larger among males aged 25 years and older. Conclusion: Our paper presents unique data on suicidal thoughts and attempts among a broad age range of Indigenous and non-Indigenous males. The disparity in the prevalence of suicidal thoughts increased across age groups, which is in contrast to the large disparity between the Indigenous and non-Indigenous suicide rates in younger age groups. [ABSTRACT FROM AUTHOR]

Same-sex friendship can increase an individual's health, happiness, and sense of social connectedness. To date, few studies have explored young men's accounts of their friendships and the communication strategies within close male friendships. The present qualitative study explored the ways in which 7 young, White, heterosexual, working/middle-class men from rural Victoria construct their understanding of their friendships and the discursive strategies used to signify meaning, specifically the role of insults, in close male friendships. Drawing on tools from discursive theory, thematic analysis of the data demonstrated that discursive strategies including insults, silences, and direct interrogation were used to signify closeness, gratefulness, concern, and masculinity and dominance. These discursive strategies are informed by hegemonic representations of masculinity, which the young men negotiate within everyday interactions with close male friends. The findings further support past research that suggests that in the absence of explicit verbal expression of closeness, male friendships can be intimate and psychosocially significant. It is suggested that health promotion in men should focus on informal spaces where men can enjoy each other's company. By exploring the breadth of communication styles and strategies of men, we are better equipped to understand men's needs. [ABSTRACT FROM AUTHOR]

Summary: Falls among the elderly are common and characteristics may differ between injurious and non-injurious falls. Among 887 older Australian women followed for 1.6 years, 32% fell annually. Only 8.5% resulted in fracture and/or hospital admission. The characteristics of those falls are indistinguishable from those not coming to medical attention. Introduction: The precipitants and environment of all falls occurring among a large cohort of older Caucasian women were categorised by injury status to determine if the characteristics differed between injurious and non-injurious falls. Methods: Among 887 Australian women (70+ years), falls were ascertained using monthly postcard calendars and a questionnaire was administered for each fall. Hospital admissions and fractures were independently confirmed. Results: All falls were reported for a mean observation time of 577 (IQR 546-607) days per participant, equating to a total 1400 person-years. Thirty-two percent fell at least once per year. The most common features of a fall were that the faller was walking (61%) at home (61%) during the day (88%) and lost balance (32%). Only 12% of all falls occurred at night. Despite no difference in the type of injury between day and night, the likelihood of being hospitalised from a fall at night was 4.5 times greater than that of a daytime fall with adjustment for injury type and participant age (OR 4.5, 95% CI 2.1, 9.5; p < 0.001). Of all falls, approximately one third were associated with no injury to the faller (31%), one third reported a single injury (37%) and one third reported more than one injury (32%). In 95% of falls, the faller was not admitted to hospital. Only 5% of falls resulted in fracture(s). Conclusions: Our findings demonstrate the significant diversity of precipitants and environment where falls commonly occur among older community-dwelling women. Falls resulting in fracture and/or hospital admission collectively represent 8.5% of all falls and their characteristics are indistinguishable from falls not coming to medical attention and incurring no apparent cost to the health system. [ABSTRACT FROM AUTHOR]

Background: The health status of Indigenous populations of Australia and New Zealand (NZ) Māori manifests as life expectancies substantially lower than the total population. Accurate assessment of time trends in mortality and life expectancy allows evaluation of progress in reduction of health inequalities compared to the national or non-Indigenous population. Methods: Age-specific mortality and life expectancy (at birth) (LE) for Indigenous populations (Australia from 1990 and NZ from 1950); and all Australia and non-Māori NZ (from 1890), males (M) and females (F), were obtained from published sources and national statistical agency reports. Period trends were assessed for credible estimates of Indigenous LE, and the LE gap compared to the total population for Australia, and non-Māori for NZ. Period trends in premature adult mortality, as cumulative probability of dying over 15-59 years, were assessed similarly. The relative contribution of differences in age-specific mortality to the LE gap between Indigenous and the all-Australia population, and the non-Māori NZ, was estimated for each country by sex for the most recent period: 2010-2012 for Australia, 2012-2014 for NZ. Results: LE increased for all populations, although LE gaps between Indigenous and all Australia showed little change over time. LE gaps between NZ Māori and non-Māori increased significantly from the early 1980s to the mid-1990s, and since then have fallen again. Recent LE gaps in Australia (M 12.5; F 12.0 years in 2010-2012) were larger than in NZ (M 7.3; F 6.8 years in 2012-2014). Premature adult mortality (15-59 years) improved for all populations, but mortality ratios show little change since 2000, with Indigenous at 3½-4 times that of all Australians, and Māori 2-3 times that of non-Māori. Using decomposition analysis, the age interval contributing most strongly to differences in LE between Indigenous and all Australia was 35-59 years, but between Māori and non-Māori it was 60-74 years. Conclusion: In Australia and NZ, Indigenous LE and adult mortality are improving in absolute terms, but not relative to the entire or non-Indigenous populations, causing gaps in life expectancy to persist. [ABSTRACT FROM AUTHOR]

The aim of this study was to assess whether the Harris Hip Score (HHS) and the Oxford Hip Score (OHS) were comparable in normal, healthy, pathology-free individuals of different age, gender, ethnicity, handedness and nationality. The purpose of this study was to establish normal population values for the HHS and OHS using an electronic data collection system.~Background~Background~317 Australian and 310 Canadian citizens with no active hip pain, injury or pathology in the ipsilateral hip corresponding to their dominant arm, were evaluated. Participants completed an electronically-administered questionnaire and were assessed clinically. Chi-square tests, Fisher's exact test and Poisson regression models were used where appropriate, to investigate the association between hip scores, ethnicity, nationality, gender, handedness and age.~Methods~Methods~There was a statistically significant association between the OHS and age (p<0.0001) and the HHS and age (p = 0.0006); demonstrating that as age increased, normal hip scores decreased. There was no statistically significant association between the HHS and gender (p = 0.1389); or HSS and nationality, adjusting for age (p = 0.5698) and adjusting for gender (p = 0.6997). There was no statistically significant association between the OHS and gender (p = 0.1350). Australians reported a statistically significant 4.2% higher overall OHS value compared to Canadians (p = 0.0490). There was no statistically significant association between the OHS and nationality in age groups 18-79 years. Participants >80 years reported a statistically significant association between the OHS and nationality (p<0.0001).~Results~Results~Studies using an electronic control group should consider differences in gender, age, ethnicity and nationality when using the HHS and OHS to assess patient outcomes. This study has established an electronic, normal control group for studies using the HHS and OHS. When using the OHS, the control group should be sourced from the same country of origin. When using the HHS, the control group should be sourced from a pre-established control group within a database, without necessarily being sourced from the same country of origin.~Conclusions~Conclusions [ABSTRACT FROM AUTHOR]

In recent years, family history research has become a popular activity for many Australians. This imperative to connect with our ancestors extends into the field of literary production. In this essay, we examine one prominent novel that reflects this movement, Andrew McGahan’sThe White Earth(2004). Looking through a lens of family history and historiography, the novel asks questions about postcolonial belonging, inheritance, and the violent foundations of the nation. McGahan’s young protagonist, William, stands to inherit a vast but crumbling property on the Darling Downs in Queensland. As William discovers more about the land, he comes into contact with both his own white pastoralist ancestors, and the powerful Indigenous spirits who inhabit secret and sacred spaces in the landscape. We argue that William’s encounter with secret family histories produces the hysteria at the climax of the novel, when the repressed violence of the past returns to haunt the present. Confronted with hidden knowledge, William—and, by proxy, the reader—is called to reconsider inherited histories in light of contemporary historiographies. The move towards knowledge of the family’s origins is a realisation of the complexity of the white Australian relationship to the land and its first inhabitants. [ABSTRACT FROM PUBLISHER]

Objective Inclusion body myositis (IBM) is characterized by a combination of inflammatory and degenerative changes affecting muscle. While the primary cause of IBM is unknown, genetic factors may influence disease susceptibility. To determine genetic factors contributing to the etiology of IBM, we conducted the largest genetic association study of the disease to date, investigating immune-related genes using the Immunochip. Methods A total of 252 Caucasian patients with IBM were recruited from 11 countries through the Myositis Genetics Consortium and compared with 1,008 ethnically matched controls. Classic HLA alleles and amino acids were imputed using SNP2HLA. Results The HLA region was confirmed as the most strongly associated region in IBM ( P = 3.58 × 10−33). HLA imputation identified 3 independent associations (with HLA-DRB1*03:01, DRB1*01:01, and DRB1*13:01), although the strongest association was with amino acid positions 26 and 11 of the HLA-DRB1 molecule. No association with anti-cytosolic 5′-nucleotidase 1A-positive status was found independent of HLA-DRB1*03:01. There was no association of HLA genotypes with age at onset of IBM. Three non-HLA regions reached suggestive significance, including the chromosome 3 p21.31 region, an established risk locus for autoimmune disease, where a frameshift mutation in CCR5 is thought to be the causal variant. Conclusion This is the largest, most comprehensive genetic association study to date in IBM. The data confirm that HLA is the most strongly associated region and identifies novel amino acid associations that may explain the risk in this locus. These amino acid associations differentiate IBM from polymyositis and dermatomyositis and may determine properties of the peptide-binding groove, allowing it to preferentially bind autoantigenic peptides. A novel suggestive association within the chromosome 3 p21.31 region suggests a role for CCR5. [ABSTRACT FROM AUTHOR]

Background: The Stand Up Victoria multi-component intervention successfully reduced workplace sitting time in both the short (three months) and long (12 months) term. To further understand how this intervention worked, we aimed to assess the impact of the intervention on four social-cognitive constructs, and examined whether these constructs mediated intervention effects on workplace sitting time at 3 and 12 months post-baseline. Methods: Two hundred and thirty one office-based workers (14 worksites, single government employer) were randomised to intervention or control conditions by worksite. The intervention comprised organisational, environmental, and individual level elements. Participant characteristics and social-cognitive constructs (perceived behavioural control, barrier self-efficacy, perceived organisational norms and knowledge) were measured through a self-administered online survey at baseline, 3 months and 12 months. Workplace sitting time (min/8 h day) was measured with the activPAL3 device. Single multi-level mediation models were performed for each construct at both time points. Results: There were significant intervention effects at 3 months on perceived behavioural control, barrier self-efficacy and perceived organisational norms. Effects on perceived organisational norms were not significant at 12 months. Perceived behavioural control significantly mediated intervention effects at 3 months, accounting for a small portion of the total effect (indirect effect: -8.6 min/8 h day, 95% CI: -18.5, -3.6 min; 7.5% of total effect). At 12 months, barrier self-efficacy significantly mediated the intervention effects on workplace sitting time (indirect effect: -10.3 min/8 h day, 95% CI: -27.3, -2.2; 13.9% of total effect). No significant effects were observed for knowledge at either time point. Conclusions: Strategies that aim to increase workers' perceived control and self-efficacy over their sitting time may be helpful components of sedentary behaviour interventions in the workplace. However, social-cognitive factors only partially explain variation in workplace sitting reduction. Understanding the importance of other levels of influence (particularly interpersonal and environmental) for initiating and maintaining workplace sedentary behaviour change will be informative for intervention development and refinement. Trial registration: This study was prospectively registered with the Australian New Zealand Clinical Trials register (ACTRN12611000742976) on 15 July 2011. [ABSTRACT FROM AUTHOR]

Dyslipidaemia is a known risk factor for developing cardiovascular disease. The impact of ethnicity on variations in lipid patterns has been studied in certain racial and ethnic groups with limited data on other ethnicities, particularly Asian subgroups. This cross-sectional study evaluated the ethnic variation in lipid profile and its association with body composition and diet in ninety-one overweight and obese Australians of European (n = 32), Indian (n = 28) and Iranian (n = 31) ancestries. Different measures of total and truncal adiposity were assessed using the method of whole body dual energy X-ray absorptiometry. The results showed that serum total cholesterol (TC) and low density lipoprotein cholesterol (LDL-chol) levels in Iranians were significantly lower than in Europeans and Indians. Both Iranian and Indian groups exhibited lower mean high density lipoprotein cholesterol (HDL-chol) relative to Europeans. Triglycerides (TG) and HDL-chol, but not TC and LDL-chol, were significantly associated with different truncal adiposity measurements; however the degree of associations varied in ethnic groups. Regression analysis showed ethnicity as a significant predictor of TC ( p = 0.01), TG ( p = 0.03) and HDL-chol ( p = 0.04), after controlling for potential confounders. However, LDL-chol was significantly associated with the intake of total ( p = 0.005), and saturated fats ( p = 0.004), which were also other significant determinants of serum TC ( p = 0.04 and p = 0.02, respectively). In conclusion, ethnicity was a strong predictor of serum lipids, except LDL-chol which was significantly determined by dietary fat intake. Prevention and management of obesity, particularly abdominal adiposity may effectively reduce the risk of low HDL-chol reported in Iranians and Indians. [ABSTRACT FROM AUTHOR]

Background: Maternal ethnicity is a recognized risk factor for stillbirth, such that South Asian women have higher rates than their Caucasian counterparts. However, whether maternal ethnicity is a risk factor for intrapartum outcomes is less clear. The aim of this study is to explore associations between maternal country of birth, operative vaginal delivery and emergency cesarean section, and to identify possible mechanisms underlying any such associations.Methods: We performed a retrospective cohort study of singleton term births among South Asian, South East/East Asian and Australian/New Zealand born women at an Australian tertiary hospital in 2009-2013. The association between maternal country of birth, operative vaginal birth and emergency cesarean was assessed using multivariate logistic regression.Results: Of the 31,932 births, 54% (17,149) were to Australian/New Zealand-born women, 25% (7874) to South Asian, and 22% (6879) to South East/East Asian born women. Compared to Australian/New Zealand women, South Asian and South East/East Asian women had an increased rate of both operative vaginal birth (OR 1.43 [1.30-1.57] and 1.22 [1.11-1.35] respectively, p < 0.001 for both) and emergency cesarean section (OR 1.67 [1.53-1.82] and 1.16 [1.04-1.26] respectively, p < 0.001 and p = 0.007 respectively). While prolonged labor was the predominant reason for cesarean section among Australian/New Zealand and South East/East Asian women, fetal compromise accounted for the majority of operative births in South Asian women.Conclusion: South Asian and South East/East Asian women experience higher rates of both operative vaginal birth and cesarean section in comparison to Australian/New Zealand women, independent of other risk factors for intrapartum interventions. [ABSTRACT FROM AUTHOR]