Melbourne School of Population and Global Health - Research Publications
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ItemCommunity development interventions to improve Aboriginal health: Building an evidence base(Informa UK Limited, 2007-10)
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ItemDeveloping and using local community wellbeing indicators: Learning from the experience of Community Indicators Victoria(AUSTRALIAN COUNCIL SOCIAL SERVICE INC, 2010-01-01)The recent upsurge of interest in local community wellbeing indicators in Australia and internationally reflects growing awareness of their importance as a platform for citizen engagement, community planning, and evidence based policy making. More broadly community wellbeing indicators are part of an international movement towards rethinking the ways in which political priorities are debated and in which progress and wellbeing are defined and measured. This article documents the establishment of Community Indicators Victoria (CIV), a local community wellbeing indicators initiative in Victoria, Australia. The article begins by locating the CIV initiative in the broad historical and international context of work on wellbeing, progress and sustainability indicators as well as the Australian and Victorian policy context. We then outline the steps involved in the establishment of CIV, critical partnerships and initial outcomes. We conclude with some reflections on lessons from the CIV experience to date and on future research and policy development priorities.
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ItemThe Good Life: what about the children?(AUSTRALIAN COUNCIL SOCIAL SERVICE INC, 2010-01-01)This paper is a reflective historical survey of how Australia, despite its affluence, has not delivered ‘the good life’ to poor Australians, both indigenous and non‐indigenous. It argues that, contrary to our national mythology, this country was founded on institutionalised social inequality and on the exclusion of Indigenous people from land rights, property and equal citizenship. As one of the world's twenty richest countries, we perform poorly across a wide range of social and health indicators because we suffer from entrenched, systemic and growing inequality. If we are to survive the challenges that face us from climate change and the global financial crisis, we need to shape policies that mitigate income and social inequality and that promote inclusion and better social cohesion.
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ItemDeep structure and controversy: Re-reading the fluoridation debate(ECONTENT MANAGEMENT, 2009-10)
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ItemSilent witnesses: Child health and well-being in England and Australia and the health transition 1870-1940(ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD, 2009-06)
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ItemWalking: A gender issue?(WILEY, 2008-01-01)Gender has been neglected in models of the social determinants of health. We use walking as a case study to demonstrate how gender might be incorporated into multilevel social determinants of health frameworks to investigate health behaviours. We found that while men and women had some similar individual (e.g. confidence in doing regular physical activity) and environmental (e.g. presence of destinations) predictors of walking there were also gender differences in the associations found at both of these levels. For example, low levels of education were only associated with men's walking time while having people in the household who made walking easy or hard was only associated with women's walking time. Likewise, having a variety of places to walk to was important for women's walking but not men's. These results indicate that both universal and gender‐specific approaches to health education, health promotion and planning might be needed to improve walking levels.
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ItemGender equity and women's contraception use(WILEY, 2008-01-01)Gender equity describes the distribution between men and women of social and material resources and decision‐making powers. Women's experiences of gender equity are likely to influence their contraceptive use. Multilevel analysis of two databases: the National Survey of Sexual Attitudes and Lifestyles from the United Kingdom and the United Nations' Fertility and Family Surveys, was undertaken to explore the association between gender equity measured at two spatial scales (small areas and countries) and women's contraception use. Results suggest that the spatial scale at which gender equity is considered is important. Gender equity was associated with contraception use at a local level, but not at the country level. Further, gender equity (at a local level) benefited women with less education in terms of increasing their likelihood of contraception use compared with more highly educated women. Results suggest gender equity is a potential pathway to reducing socio‐economic inequalities in health in developed settings.
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ItemDiscrimination and health in an English study(PERGAMON-ELSEVIER SCIENCE LTD, 2008-04)In this study we examine the relationship between education, racial discrimination and health among white (n=227), African Caribbean (n=213) and Indian and Pakistani (n=233) adults aged between 18 and 59 years living in Leeds, England, as measured in a stratified population survey. Measures of discrimination included any physical attack, verbal abuse and a combined variable, any discrimination due to race, colour, ethnicity or sex. Analyses were conducted examining the relationship between education and discrimination, discrimination and health, and discrimination and health controlling for education. People educated above secondary level were more likely than people educated to secondary level or below to report being physically attacked, verbally abused and exposed to discrimination. People from minority ethnic groups (African Caribbean and Indian Pakistani) were more likely to be verbally abused and exposed to discrimination than the white group. Ethnicity and education interacted for African Caribbeans, such that respondents with post-school qualifications were more likely to report verbal abuse or any discrimination. There was no association between having been exposed to any kind of discrimination and having fair or poor health. Physical attack and any discrimination were associated with anxiety, worry and depression. The results remained unchanged when ethnicity and education were included in the models. Education and ethnicity were associated with differences in exposure to discrimination. In turn, exposure to discrimination was associated with higher levels of anxiety, worry or depression although there was no association between discrimination and health. The results support the contention that racial discrimination may play an important role in modifying the relationship between ethnicity, socioeconomic position and health. The counter-intuitive relationship between education and levels of reported discrimination in non-minority ethnic groups highlights the value of explicitly modeling discrimination to gain a better understanding of the social determinants of health.