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Article ; Online: Pathways between foodways and wellbeing for first nations Australians.

Anderson, Kate / Elder-Robinson, Elaina / Ferguson, Megan / Fredericks, Bronwyn / Sherriff, Simone / Dickson, Michelle / Howard, Kirsten / Garvey, Gail

BMC public health

2024 Volume 24, Issue 1, Page(s) 502

Abstract: Background: Supporting the health and wellbeing of Aboriginal and Torres Strait Islander peoples (hereafter respectfully referred to as First Nations peoples) is a national priority for Australia. Despite immense losses of land, language, and governance ...

Abstract	Background: Supporting the health and wellbeing of Aboriginal and Torres Strait Islander peoples (hereafter respectfully referred to as First Nations peoples) is a national priority for Australia. Despite immense losses of land, language, and governance caused by the continuing impact of colonisation, First Nations peoples have maintained strong connections with traditional food culture, while also creating new beliefs, preferences, and traditions around food, which together are termed foodways. While foodways are known to support holistic health and wellbeing for First Nations peoples, the pathways via which this occurs have received limited attention. Methods: Secondary data analysis was conducted on two national qualitative datasets exploring wellbeing, which together included the views of 531 First Nations peoples (aged 12-92). Thematic analysis, guided by an Indigenist research methodology, was conducted to identify the pathways through which foodways impact on and support wellbeing for First Nations peoples. Results and conclusions: Five pathways through which wellbeing is supported via foodways for First Nations peoples were identified as: connecting with others through food; accessing traditional foods; experiencing joy in making and sharing food; sharing information about food and nutrition; and strategies for improving food security. These findings offer constructive, nationally relevant evidence to guide and inform health and nutrition programs and services to harness the strengths and preferences of First Nations peoples to support the health and wellbeing of First Nations peoples more effectively.
MeSH term(s)	Humans ; Australia ; Australian Aboriginal and Torres Strait Islander Peoples ; Health Services, Indigenous ; Research Design ; Food ; Culture ; Child ; Adolescent ; Young Adult ; Adult ; Middle Aged ; Aged ; Aged, 80 and over ; Psychological Well-Being
Language	English
Publishing date	2024-02-16
Publishing country	England
Document type	Journal Article
ZDB-ID	2041338-5
ISSN	1471-2458 ; 1471-2458
ISSN (online)	1471-2458
ISSN	1471-2458
DOI	10.1186/s12889-024-18005-y
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Article ; Online: Family Dog Ownership and Youth Physical Activity Levels: A Scoping Review.

Chase, Colleen J / Mueller, Megan K / Garvey, Caroline / Potter, Katie

Current sports medicine reports

2022 Volume 21, Issue 1, Page(s) 18–27

Abstract: Abstract: Higher youth physical activity (PA) is associated with favorable health outcomes. The PA Guidelines for Americans recommend school-aged children complete at least 60 minutes of daily PA. Only one in three children meet these guidelines. Dog ... ...

Abstract	Abstract: Higher youth physical activity (PA) is associated with favorable health outcomes. The PA Guidelines for Americans recommend school-aged children complete at least 60 minutes of daily PA. Only one in three children meet these guidelines. Dog walking and play are potential strategies to increase youth PA. This scoping review summarizes the existing literature on familial dog ownership and youth PA levels and identifies gaps in the literature to inform future studies. Of nine studies that compared PA levels among youth with and without dogs, 77.8% reported a positive association between dog ownership and PA. The majority of studies investigating dog ownership and youth PA are cross-sectional and suggest dog ownership is associated with increased youth PA. Longitudinal studies are needed to determine whether the relationship is causal. Interventions to increase dog-facilitated PA in youth also are needed. Future studies should examine the dog ownership-PA relationship in low-income and minority youth.
MeSH term(s)	Animals ; Cross-Sectional Studies ; Dogs ; Minority Groups ; Ownership ; Pets ; Walking
Language	English
Publishing date	2022-01-28
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	2080040-X
ISSN	1537-8918 ; 1537-890X
ISSN (online)	1537-8918
ISSN	1537-890X
DOI	10.1249/JSR.0000000000000927
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Article ; Online: Reflections from field notes: An oral human papillomavirus infection and oropharyngeal cancer study among Indigenous Australians.

Hedges, Joanne / Garvey, Gail / Ju, Xiangqun / Canfell, Karen / Howard, Kirsten / Smith, Megan / Jamieson, Lisa

The Australian journal of rural health

2022 Volume 30, Issue 2, Page(s) 286–290

MeSH term(s)	Australia/epidemiology ; Humans ; Oropharyngeal Neoplasms ; Papillomavirus Infections
Language	English
Publishing date	2022-01-17
Publishing country	Australia
Document type	Journal Article
ZDB-ID	2069573-1
ISSN	1440-1584 ; 1038-5282
ISSN (online)	1440-1584
ISSN	1038-5282
DOI	10.1111/ajr.12822
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Article ; Online: Case Report: Initial Successful Treatment of Migraine and Irritable Bowel Syndrome With a Low-FODMAP Diet.

Bonakdar, Robert A / Sweeney, Megan M / Garvey, Cathy / White, Andrew A / VanNoord, Michelle U

Journal of the American Nutrition Association

2023 Volume 43, Issue 4, Page(s) 339–344

Abstract: Objective: Migraine and irritable bowel syndrome (IBS) can be difficult-to-treat comorbidities that may be driven by underlying gut-brain axis dysfunction. This report describes utilization of a low-FODMAP (fermentable oligosaccharides, disaccharides, ... ...

Abstract	Objective: Migraine and irritable bowel syndrome (IBS) can be difficult-to-treat comorbidities that may be driven by underlying gut-brain axis dysfunction. This report describes utilization of a low-FODMAP (fermentable oligosaccharides, disaccharides, monosaccharides, and polyols) diet (LFD) in a patient with refractory migraine and co-occurring IBS. Methods: After unremarkable physical and neurological examinations, a 57-year-old woman with IBS and chronic migraine was started on a LFD under the guidance of a registered dietician. Psychometrically validated surveys administered at baseline and initial follow-up assessed patient-reported outcomes related to migraine and IBS symptoms. Results: At baseline, the patient reported 80/90 migraine days with average pain of 8/10, a Migraine Disability Assessment (MIDAS) score of 33, and Headache Impact Test-6 (HIT-6) score of 64, the latter 2 scores indicating severe disability. Baseline IBS symptom severity was noted at 9/10. Within 1 week on a LFD, the patient's IBS symptoms and migraines improved in both frequency and intensity of episodes. After 5 weeks on a LFD elimination, the patient's clinical improvement continued and she reported significant reduction in migraines, with average pain of 1/10 and IBS severity of 3/10. The patient also improved from severe to minimal levels of disability on validated measures (MIDAS, HIT-6, and IBS Patient Global Impression of Change). Conclusion: This is the first case report detailing successful initial treatment of migraine and co-occurring IBS utilizing a dietician-guided LFD. There are a number of important reasons for potential improvement in these gut-brain axis disorders which are reviewed as well as an implication for long-term management and food reintroduction. Larger, randomized trials evaluating a LFD in diverse individuals with migraine and co-occurring IBS are warranted to help confirm these results.
MeSH term(s)	Humans ; Irritable Bowel Syndrome/diet therapy ; Irritable Bowel Syndrome/complications ; Female ; Migraine Disorders/diet therapy ; Middle Aged ; Oligosaccharides ; Treatment Outcome ; Monosaccharides ; Disaccharides ; Diet, Carbohydrate-Restricted/methods ; FODMAP Diet ; Polymers
Chemical Substances	Oligosaccharides ; Monosaccharides ; Disaccharides ; polyol ; Polymers
Language	English
Publishing date	2023-12-18
Publishing country	United States
Document type	Case Reports ; Journal Article
ISSN	2769-707X
ISSN (online)	2769-707X
DOI	10.1080/27697061.2023.2288081
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Article ; Online: Volume, scope, and consideration of ethical issues in Indigenous cognitive impairment and dementia research: A systematic scoping review of studies published between 2000-2021.

Bryant, Jamie / Freund, Megan / Ries, Nola / Garvey, Gail / McGhie, Alexandra / Zucca, Alison / Hoberg, Hana / Passey, Megan / Sanson-Fisher, Rob

Dementia (London, England)

2022 Volume 21, Issue 8, Page(s) 2647–2676

Abstract: Introduction: High quality research involving Indigenous people with cognitive impairment and dementia is critical for informing evidence-based policy and practice. We examined the volume, scope and ethical considerations of research related to dementia ...

Abstract	Introduction: High quality research involving Indigenous people with cognitive impairment and dementia is critical for informing evidence-based policy and practice. We examined the volume, scope and ethical considerations of research related to dementia with Indigenous populations globally from January 2000-December 2021. Methods: Studies were included if they were published in English from 2000 to 2021 and provided original data that focused on cognitive impairment or dementia in any Indigenous population. Results: The search yielded 13,009 papers of which, 76 met inclusion criteria. The overall number of papers increased over time. Studies were mostly conducted in Australia with Aboriginal and Torres Strait Islander people (n = 30; 39%). Twenty-six papers directly involved Indigenous participants with cognitive impairment or dementia. Of these studies, ethics approval was commonly required from two or more committees (n = 23, 88.5%). Ethical and legal governance frameworks were rarely discussed. Discussion: There is a clear need for further robust studies examining cognitive impairment and dementia with Indigenous populations. Future research should consider the ethical aspects of involving Indigenous participants with cognitive impairment in research.
MeSH term(s)	Humans ; Native Hawaiian or Other Pacific Islander ; Dementia ; Australia/epidemiology ; Cognitive Dysfunction
Language	English
Publishing date	2022-09-02
Publishing country	England
Document type	Systematic Review ; Journal Article
ZDB-ID	2084045-7
ISSN	1741-2684 ; 1471-3012
ISSN (online)	1741-2684
ISSN	1471-3012
DOI	10.1177/14713012221119594
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Article ; Online: Natural History of Oral HPV Infection among Indigenous South Australians.

Ju, Xiangqun / Sethi, Sneha / Antonsson, Annika / Hedges, Joanne / Canfell, Karen / Smith, Megan / Garvey, Gail / Logan, Richard M / Jamieson, Lisa M

Viruses

2023 Volume 15, Issue 7

Abstract: This study aims to describe the natural history of and identify the risk factors associated with oral human papillomavirus (HPV) infections in an Australian Indigenous cohort. A longitudinal cohort study design, with baseline (2018), 12-month, and 24- ... ...

Abstract	This study aims to describe the natural history of and identify the risk factors associated with oral human papillomavirus (HPV) infections in an Australian Indigenous cohort. A longitudinal cohort study design, with baseline (2018), 12-month, and 24-month data obtained from Indigenous Australians aged 18+ years in South Australia, was performed. Face-to-face interviews were conducted, and saliva samples for HPV testing were collected at each time point. Basic descriptive analyses were conducted to calculate prevalence, incidence, persistence, clearance, and incidence proportions of any HPV infection. Multivariable logistic regression analyses with adjusted prevalence ratios (PRs) were conducted to identify risk factors associated with oral HPV infection. Among 993 participants with valid saliva samples, 44 HPV types were identified. The prevalence of infection with any oral HPV infection was 51.3%, high-risk HPV was 11%, and types implicated in Heck's disease (HPV 13 or 32) was 37.4%. The incidence, persistence, and clearance of any and high-risk HPV infections were 30.7%, 11.8% and 33.3% vs. 9.3%, 2.8%, and 9%, respectively. Our findings indicate that the prevalence, incidence, and persistence of oral HPV infection in a large sample of Indigenous Australians were high, and clearance was low. Oral sex behaviours and recreational drug use were risk factors associated with incident high-risk HPV infection.
MeSH term(s)	Humans ; Papillomavirus Infections ; South Australia/epidemiology ; Longitudinal Studies ; Mouth Diseases/epidemiology ; Australia/epidemiology ; Risk Factors ; Papillomaviridae/genetics ; Prevalence
Language	English
Publishing date	2023-07-18
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2516098-9
ISSN	1999-4915 ; 1999-4915
ISSN (online)	1999-4915
ISSN	1999-4915
DOI	10.3390/v15071573
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Article ; Online: Multi-Institutional Review From the Pediatric Colorectal and Pelvic Learning Consortium of Minor Spinal Cord Dysraphism in the Setting of Anorectal Malformations: Diagnosis, Treatment, and Outcomes.

Garvey, Erin M / Fuller, Megan / Frischer, Jason / Calkins, Casey M / Rentea, Rebecca M / Ralls, Matthew / Wood, Richard / Rollins, Michael D / Avansino, Jeffrey / Reeder, Ron W / Durham, Megan M

Journal of pediatric surgery

2023 Volume 58, Issue 8, Page(s) 1582–1587

Abstract: Background/rationale: Anorectal malformations (ARM) are associated with congenital anomalies of the spine, but the impact of a minor spinal cord dysraphism (mSCD) on fecal continence in the setting of ARM remains unclear.: Materials/methods: A ... ...

Abstract	Background/rationale: Anorectal malformations (ARM) are associated with congenital anomalies of the spine, but the impact of a minor spinal cord dysraphism (mSCD) on fecal continence in the setting of ARM remains unclear. Materials/methods: A retrospective review was performed utilizing data from the Pediatric Colorectal and Pelvic Learning Consortium (PCPLC) registry. The patient cohort was reviewed for ARM type, mSCD screening/incidence/neurosurgical intervention and age-based BMP utilization. Results: 987 patients with ARM were categorized into mild (38%), moderate (32%) or complex (19%). 694 (70%) had normal spinal (NS) status. 271 (27.5%) patients had mSCD. MRI alone (49%) was the most common screening test for mSCD. US screening had a positive predictive value of 86.3% and a negative predictive value of 67.1%. Surgical intervention rates for mSCD ranged between 13% and 77% at a median age of 0.6-5.2 years. 726 (73.6%) patients were prescribed BMP (74.4% NS, 77.5% mSCD). Laxatives were most utilized BMP in all groups <5yo. ≥5yo, enema utilization increased with ARM complexity independent of spine status (with or without neurosurgical intervention). Neurosurgical intervention did not affect BMP utilization at any age or with any ARM when mSCD was identified. Conclusions: MSCD influence on bowel function in the setting ARM remains unclear. No significant impact of mSCD was noted on ARM patient bowel management program utilization. Variability exists within PCPLC site with screening and intervention for mSCD in patients with ARM. Future studies with standardized care may be needed to elucidate the true impact of mSCD on long term patient outcomes in ARM patients. Type of study: Retrospective Comparative Study. Level of evidence: III.
MeSH term(s)	Child ; Humans ; Infant ; Child, Preschool ; Anorectal Malformations/complications ; Anorectal Malformations/diagnosis ; Anorectal Malformations/therapy ; Retrospective Studies ; Spinal Dysraphism/complications ; Spinal Dysraphism/diagnosis ; Spinal Dysraphism/therapy ; Neural Tube Defects/complications ; Neural Tube Defects/diagnosis ; Neural Tube Defects/surgery ; Spinal Cord/abnormalities ; Heart Defects, Congenital/complications ; Colorectal Neoplasms/complications
Language	English
Publishing date	2023-04-29
Publishing country	United States
Document type	Multicenter Study ; Journal Article
ZDB-ID	80165-3
ISSN	1531-5037 ; 0022-3468
ISSN (online)	1531-5037
ISSN	0022-3468
DOI	10.1016/j.jpedsurg.2023.04.009
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Article ; Online: Population-based utility scores for HPV infection and cervical squamous cell carcinoma among Australian Indigenous women.

Ju, Xiangqun / Canfell, Karen / Howard, Kirsten / Garvey, Gail / Hedges, Joanne / Smith, Megan / Jamieson, Lisa

PloS one

2021 Volume 16, Issue 7, Page(s) e0254575

Abstract: Objective: Working in partnership with Indigenous communities in South Australia, we aimed to develop, pilot test and estimate utility scores for health states relating to cervical cancer screening, precancer, and invasive cervical cancer and precancer/ ... ...

Abstract	Objective: Working in partnership with Indigenous communities in South Australia, we aimed to develop, pilot test and estimate utility scores for health states relating to cervical cancer screening, precancer, and invasive cervical cancer and precancer/cancer treatment among Indigenous women. Methods: Development and pilot testing of hypothetical cervical cancer health states, specifically through the lens of being an Indigenous Australian woman, was done with an Indigenous Reference Group in conjunction with five female Indigenous community members. Six health states were developed. These included: (1) Screened: cytology normal; (2) human papillomaviruses (HPV) positive with cytology normal; (3) low grade cytology (LSIL);(4) high grade cytology (HSIL); (5) early stage cervical cancer and; (6) later stage cervical cancer. Utility scores were calculated using a two-stage standard gamble approach among a large cohort of Indigenous Australian women taking part in a broader study involving oral HPV infection. The mean and standard deviation (SD) of the rank, percentage of respondents with a utility = 1 (perfect health) and utility score of each health state was summarised. Mean (SD) and medians and inter-quartile range (IQR) over 12 months and lifetime duration were calculated. Potential differences by age and residential location were assessed using the Wilcox Sum Rank test. Results: Data was obtained from 513 Indigenous women aged 19+ years. Mean utility scores were higher for the four non-cancer health states than for invasive cervical cancer states (p-values <0.05). Lower mean utility scores were observed for late stage cervical cancer, with 0.69 at 12 months and 0.70 for lifetime duration (Intra-class correlation coefficients = 0.425). Higher utility scores were observed for the four non-cancer health states among non-metropolitan participants (ranged from 0.93 to 0.98) compared with metropolitan participants (ranged from 0.86 to 0.93) (p-values<0.05). Conclusion: Among a large cohort of Indigenous Australian women, the reduction in quality of life (which utilities reflect) was perceived to be greater with increasing severity of cervical cancer health states. There were differences observed by geographic location, with positive cervical screening and precursor cancer-related quality of life being much higher among non-metropolitan-dwelling participants. These utility values, from one of the largest such studies ever performed in any population will be uniquely able to inform modelled evaluations of the benefits and costs of cervical cancer prevention interventions in Indigenous women.
MeSH term(s)	Adult ; Australia/epidemiology ; Carcinoma, Squamous Cell/epidemiology ; Female ; Humans ; Middle Aged ; Neoplasm Staging ; Oceanic Ancestry Group ; Papillomavirus Infections/epidemiology ; Quality of Life ; Uterine Cervical Neoplasms/epidemiology
Language	English
Publishing date	2021-07-22
Publishing country	United States
Document type	Clinical Trial ; Journal Article ; Research Support, Non-U.S. Gov't
ISSN	1932-6203
ISSN (online)	1932-6203
DOI	10.1371/journal.pone.0254575
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Article ; Online: Poor self-rated oral health associated with poorer general health among Indigenous Australians.

Ju, Xiangqun / Hedges, Joanne / Garvey, Gail / Smith, Megan / Canfell, Karen / Jamieson, Lisa

BMC public health

2021 Volume 21, Issue 1, Page(s) 424

Abstract: Background: Oral diseases negatively impact general health, affecting physical, psychological, social and emotional wellbeing, and ability to give back to community. The relationship between poor oral health, and general health and wellbeing among ... ...

Abstract	Background: Oral diseases negatively impact general health, affecting physical, psychological, social and emotional wellbeing, and ability to give back to community. The relationship between poor oral health, and general health and wellbeing among Indigenous Australians has not been documented. Working in partnership with seven Indigenous communities in South Australia, this study aimed to: 1) quantify self-rated oral health and health-related quality of life and; 2) investigate associations between poor self-rated oral health and general health among Indigenous Australian adults. Methods: Data was collected from a large convenience sample of Indigenous Australians aged 18+ years from Feb 2018 to Jan 2019. General health-related quality of life, as the main outcome variable, was measured by calculating disutility scores with the five individual EQ-5D dimensions (EuroQol instrument: EQ-5D-5L), then classified as 'no problem' and 'at least one problem'. Self-reported oral health, as the main explanatory, was dichotomised into 'fair or poor' and 'excellent, very good or good'. Multivariable log-Poisson regression models were used to estimate associations between poor self-rated oral health and general health by calculating mean rate ratios (MRR) for disutility scores and prevalence ratios (PR) for individual dimensions, after adjusting for social-demographic characteristics and health-related behaviours. Results: Data were available for 1011 Indigenous South Australian adults. The prevalence of 'fair or poor' self-rated oral health was 33.5%. The mean utility score was 0.82 (95% CI: 0.81-0.83). Compared with those rating their oral health as 'excellent or very good or good', those who rated their oral health as 'fair or poor' had a mean disutility score that was 1.6 (95% CI: 1.1-2.2) times higher, and the prevalence of at least one problem ranged from 90 to 160% higher for individual EQ-5D dimensions. Conclusions: Fair or poor self-rated oral health among Indigenous persons in South Australia was associated with poor general health as measured by EQ-5D-5L disutility. The relationship was especially evident with respect to mobility, self-care and anxiety/depression. The findings emphasise the importance of oral health as predictors of general health among Indigenous Australians.
MeSH term(s)	Adolescent ; Adult ; Australia/epidemiology ; Health Status ; Humans ; Oral Health ; Quality of Life ; Self Report ; South Australia/epidemiology ; Surveys and Questionnaires
Language	English
Publishing date	2021-03-01
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ISSN	1471-2458
ISSN (online)	1471-2458
DOI	10.1186/s12889-021-10426-3
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Article ; Online: Population-based utility scores for HPV infection and oropharyngeal squamous cell carcinoma among Indigenous Australians.

Ju, Xiangqun / Canfell, Karen / Howard, Kirsten / Garvey, Gail / Hedges, Joanne / Smith, Megan / Jamieson, Lisa

BMC public health

2021 Volume 21, Issue 1, Page(s) 1455

Abstract: Background: Oropharyngeal squamous cell carcinoma (OPSCC) is associated with high mortality. Human papillomavirus (HPV) infection is a significant risk factor for OPSCC. Utilities are fundamental values representing the strength of individuals' ... ...

Abstract	Background: Oropharyngeal squamous cell carcinoma (OPSCC) is associated with high mortality. Human papillomavirus (HPV) infection is a significant risk factor for OPSCC. Utilities are fundamental values representing the strength of individuals' preferences for specific health-related outcomes. Our study aim was to work in partnership with Indigenous communities in South Australia to develop, pilot test and estimate utility scores for health states related to HPV, HPV vaccination, precursor OPSCC and its treatment, and early stage OPSCC among Indigenous Australians. Methods: Development and pilot testing of hypothetical HPV and OPSCC health states, specifically through the lens of being Indigenous Australian, was conducted with an Indigenous Reference Group. Six health states were decided upon, with utility scores calculated using a two-stage standard gamble approach among a large convenience sample of Indigenous Australians aged 18+ years residing in South Australia. The rank, percentage of perfect health and utility score of each health state was summarised using means, and medians at 12 months and lifetime duration. Potential differences by age, sex and residential location were assessed using the Wilcox Rank Sum test. Results: Data from 1011 participants was obtained. The mean utility scores decreased with increasing severity of health states, ranging from 0.91-0.92 in 'screened, cytology normal, HPV vaccination' and 'screened, HPV positive, endoscopy normal', to less than 0.90 (ranging from 0.87-0.88) in lower grade conditions (oral warts and oral intraepithelial neoplasia) and less than 0.80 (ranging from 0.75-0.79) in 'early stage throat cancer'. Higher utility scores were observed for 'screened, cytology normal and HPV vaccination' among younger participants (18-40 years), for 'early stage invasive throat cancer' among females, and for 'oral intraepithelial neoplasia' and 'early stage invasive throat cancer' among metropolitan-dwelling participants. Conclusion: Among a large sample of Indigenous Australians, utility for oral HPV infection and OPSCC decreased with severity of health states. Older participants, as well as males and those residing in non-metropolitan locations, had decreased utility for high-grade cytology and early invasive cancer states. Our findings are an important contribution to cost-utility and disease prevention strategies that seek to inform policies around reducing HPV infection and OPSCC among all Australians.
MeSH term(s)	Australia/epidemiology ; Female ; Head and Neck Neoplasms ; Humans ; Male ; Oropharyngeal Neoplasms/prevention & control ; Papillomaviridae ; Papillomavirus Infections/prevention & control ; South Australia/epidemiology ; Squamous Cell Carcinoma of Head and Neck
Language	English
Publishing date	2021-07-26
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ISSN	1471-2458
ISSN (online)	1471-2458
DOI	10.1186/s12889-021-11496-z
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