Melbourne School of Population and Global Health - Research Publications

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    Three Certificates are not enough: Rover Thomas and Art Centre Archives
    Spunner, S ; Jorgensen, D ; McLean, I (UWA Publishing, 2017-11-01)
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    Participant-Guided Mobile Methods
    Block, K ; Gibbs, L ; MacDougall, C ; Liamputtong, P (Springer, 2017)
    Health research is increasingly concerned with tackling health inequalities and inequities. Given that poorer health outcomes are often experienced by those who are suffering a degree of socially, economically, or environmentally determined disadvantage, it is incumbent on us as researchers to include the views and voices of diverse and sometimes marginalized or vulnerable population groups. Challenges which may accompany this imperative include engaging so-called hard-to-reach populations, and addressing an imbalance of power that often occurs between researcher and participant. Participant-guided mobile methods are one strategy for rebalancing this power differential when undertaking qualitative research. In this chapter, we describe the method and several case study examples where the authors have used it. We also discuss the types of research questions for which it is particularly well-suited along with its benefits and its challenges. When compared with a more traditional face-to-face interview, participant-guided mobile methods allow participants more power and control over the interview process. In addition, the method can yield observational and visual data as well as interview data, and is useful for including children and other participants who may be less articulate or lack proficiency in the language of the interviewer as it provides opportunities to “show” as well as “tell.”
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    Participant-guided mobile methods
    Block, K ; Gibbs, L ; MacDougall, C ; Liamputtong, P (Springer Singapore, 2019-01-12)
    Health research is increasingly concerned with tackling health inequalities and inequities. Given that poorer health outcomes are often experienced by those who are suffering a degree of socially, economically, or environmentally determined disadvantage, it is incumbent on us as researchers to include the views and voices of diverse and sometimes marginalized or vulnerable population groups. Challenges which may accompany this imperative include engaging so-called hard-to-reach populations, and addressing an imbalance of power that often occurs between researcher and participant. Participant-guided mobile methods are one strategy for rebalancing this power differential when undertaking qualitative research. In this chapter, we describe the method and several case study examples where the authors have used it. We also discuss the types of research questions for which it is particularly well-suited along with its benefits and its challenges. When compared with a more traditional face-to-face interview, participant-guided mobile methods allow participants more power and control over the interview process. In addition, the method can yield observational and visual data as well as interview data, and is useful for including children and other participants who may be less articulate or lack proficiency in the language of the interviewer as it provides opportunities to “show” as well as “tell.”
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    Mental Health in Multicultural Australia
    Minas, H ; Moussaoui, D ; Bhugra, D ; Tribe, R ; Ventriglio, A (Springer Singapore, 2018)
    Cultural and linguistic diversity is a core feature of the Australian population and a valued element of national identity. The proportion of the population that will be overseas-born is projected to be 32% by 2050. While a very active process of mental health system reform has been occurring for more than two decades – at national state and territory levels – the challenges presented by cultural and linguistic diversity have not been effectively met. A review of Australian research on mental health of immigrant and refugee communities and their patterns of mental health service use reveals many gaps. Although lower rates of utilization of specialist public mental health services by immigrants and refugees are repeatedly reported, the lack of adequate population data prohibits conclusions about whether the observed patterns constitute underutilization. There are virtually no data on quality of service outcomes. A review of studies published in four key Australian journals reveals considerable neglect of cultural and linguistic diversity in Australia’s mental health research. The purpose of this chapter, which is an abbreviated and updated version of Minas et al. (Int J Mental Health Syst 7(1):23, 2013), is to examine what is known about the mental health of immigrant and refugee communities in Australia, whether Australian mental health research pays adequate attention to the fact of cultural and linguistic diversity in the Australian population, and whether national mental health data collections support evidence-informed mental health policy and practice and mental health reform in multicultural Australia. A set of strategic actions is suggested to improve knowledge about, and policy and service responses to, mental health problems in immigrant and refugee communities.
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    Surviving the Legacy of Suicide
    Grad, OT ; Andriessen, K (Wiley, 2016-10-18)
    Through the history of society, suicide remains an enigmatic act that ends the pain of one but brings new pain to those left behind. For various reasons, those bereaved by suicide are at increased risk of developing suicidal behavior themselves, either as a result of biopsy-chosocial vulnerability or because of identification with someone close who has died by suicide. When it became clear that suicide usually provokes many problems in the close and wider social environment, there were many ambiguities about the terms suicide survivor, grief, bereavement, and mourning-indeed, consensus definitions were absent. Despite common feelings experienced by many bereaved individuals, the process of bereavement after a suicide is as unique as a 'fingerprint'. The intensity and the duration of all emotional reactions are again unique for each bereaved individual, and the following processes and experiences might be more pronounced in bereavement after suicide.
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    The Heroic and the Criminal, the Beautiful and the Ugly: Suicide Reflected in the Mirror of the Arts
    Krysinska, K ; Andriessen, K ; Niederkrotenthaler, T ; Stack, S (Routledge, 2017-01-01)
    Some of the nineteenth-century suicide art themes continued into the next century but, “(. . .) in the 20th Century, representation of suicide became truly problematic. In the godless remains of Europe after World War I, suicide’s meanings were primarily linked with depression; subsequently suicidal representation took on certain ambivalence, as if life itself were deemed pointless. It was in Germany, and above all in the anxious images of Expressionism, that the extreme motif of suicide was most prevalent in the first part of the twentieth century” (Brown, 2001, p. 201). In Cutter’s classification, images of suicide created in the twentieth century (at least until the 1960s which was the last decade discussed in his book) can be grouped into three major, partly overlapping themes: depressive (1887-1927), ambivalent (1930-61), and suicide as a “cry for help” (1938-67). e depressive theme presented suicide in a morally neutral manner and considered apathy as the main motivation behind the act. e viewers’ reaction was a feeling of regret, sadness, and pity. e other two themes, ambivalence and suicide as a “cry for help” present suicide in a morally neutral manner and see the motivation behind the death either as explicable (ambivalent theme) or obscure (“cry for help”). e ambivalent theme stressed the shock value of the art, evoking mixed reactions in viewers and drawing their attention to the painful sense of unhappiness experienced by suicides and their ambivalent wish to live mixed with the desire to die.
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    Access to health-promoting facilities and amenities
    Ellaway, A ; Ferguson, N ; Lamb, K ; Ogilvie, D (Springer US, 2013-08-01)
    This chapter provides a brief overview of the existing literature on the importance of the built environment to obesity and examines how local facilities, such as physical activity amenities, are distributed across different sorts of neighbourhoods. The issue of access to these facilities using different forms of transport (walking, cycling, bus or car) is explored using data from a Scotland wide study.
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    Socioeconomic inequalities in fruit and vegetable intakes
    Thornton, L ; Olstad, DL ; Lamb, K ; Ball, K (Elsevier, 2016-05-16)
    In developed countries, certain population groups are at increased risk of consuming inadequate quantities of fruits and vegetables for good health. Specifically, this includes persons of low socioeconomic position (SEP), such as those with low levels of education, on low incomes, working in low status occupations, or living in socioeconomically disadvantaged neighborhoods. Our levels of understanding around the reasons for the socioeconomic gradients in fruit and vegetable consumption vary among age groups. This chapter presents an overview of evidence of SEP variations in fruit and vegetable consumption in children, adolescents, adults, and older adults. It also details the evidence describing potential mechanisms underlying these differences. Implications of these data for both future research and health policy and practice are described.
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    Introduction: Case-based payment systems for hospital funding in Asia
    ANNEAR, P ; Huntington, D ; Annear, PL ; Huntington, D (WTO, 2015-11-02)
    The report focuses on a review of the implementation experience of case-based and DRG mechanisms in the Asia and Pacific region, drawing particularly on research in Australia, Japan, New Zealand, the Republic of Korea, Singapore and Thailand.
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    Population Ageing: A Demographic Perspective
    McDonald, P ; O’Loughlin, K ; Browning, C ; Kendig, H (Springer New York, 2017)
    This stimulating volume examines the many faces of Australia’s ageing population, the social and health issues they contend with, and the steps being taken—and many that should be taken—to help ensure a more positive and productive ...