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Significant Health (significant + health)

Distribution by Scientific Domains
Medical Sciences100%

Terms modified by Significant Health

  • significant health problem
    		•

    Selected Abstracts

    Approaches to tobacco control: the evidence base

    EUROPEAN JOURNAL OF DENTAL EDUCATION, Issue 2004
    M. Lober Aquilino
    Tobacco production, distribution, and use are international issues with significant health and economic implications. This paper provides an overview of the effective approaches to tobacco control including decreasing demand for tobacco products through taxation, consumer education, research, bans on advertising and promotion, warning labels, and restrictions on public smoking. The effectiveness of reducing the supply of tobacco products through prohibition, restrictions on youth access, crop substitution, trade restrictions, and control of smuggling, will also be discussed. Decreasing smoking, particularly among young people, by preventing or delaying initiation, preventing regular use, and increasing cessation through behavioural approaches for all ages is reviewed. Cessation methods including pharmacological approaches, ,quitlines', Internet programmes, and the targeting of specific populations are discussed. Internet availability of tobacco products and sustainability of current efforts are presented as continuing challenges to tobacco control. [source]

    Cost-Effectiveness of Preventive Occupational Therapy for Independent-Living Older Adults

    JOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 8 2002
    Joel Hay PhD
    OBJECTIVES: To evaluate the cost-effectiveness of a 9-month preventive occupational therapy (OT) program in the Well-Elderly Study: a randomized trial in independent-living older adults that found significant health, function, and quality of life benefits attributable to preventive OT. DESIGN: A randomized trial. SETTING: Two government-subsidized apartment complexes. PARTICIPANTS: One hundred sixty-three culturally diverse volunteers aged 60 and older. INTERVENTION: An OT group, a social activity group (active control), and a nontreatment group (passive control). MEASUREMENTS: Use of healthcare services was determined by telephone interview during and after the treatment phase. A conversion algorithm was applied to the RAND 36-item Short Form Health Survey to derive a preference-based health-related quality of life index, quality-adjusted life years (QALYs), and the incremental cost-effectiveness ratio for preventive OT relative to the combined control group. RESULTS: Costs for the 9-month OT program averaged $548 per subject. Postintervention healthcare costs were lower for the OT group ($967) than for the active control group ($1,726), the passive control group ($3,334), or a combination of the control groups ($2,593). The quality of life index showed a 4.5% QALY differential (OT vs combined control), P < .001. The cost per QALY estimates for the OT group was $10,666 (95% confidence interval = $6,747,$25,430). For the passive and active control groups, the corresponding costs per QALY were $13,784 and $7,820, respectively. CONCLUSION: In this study, preventive OT demonstrated cost-effectiveness in conjunction with a trend toward decreased medical expenditures. [source]

    Older Indigenous Australians: their integral role in culture and community

    AUSTRALASIAN JOURNAL ON AGEING, Issue 1 2007
    Jeni Warburton
    This review explores the social and cultural roles played by older Indigenous Australians within their communities. In the absence of a body of conventional academic literature on this topic, we used a broad range of sources including stories, articles, videos, and other narratives to present the lived experiences of older Indigenous Australians illustrated in their own words. The intention is to move beyond the usual negative focus of reporting the significant health and social problems experienced by older Indigenous Australians, whilst still recognising that their present-day roles within the society have to be understood against a backdrop of such lifetime disadvantage. The major underlying theme of this review is the crucial roles played by older Indigenous people and how these roles have adapted over time to contemporary circumstances. Roles include kinship relationships, support for the young, transmission of cultural knowledge, as well as the key concept of respect for older people as ,survivors'. [source]

    Matching health needs of refugee children with services: how big is the gap?

    AUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, Issue 5 2009
    Shanti Raman
    Abstract Objectives: To document the health needs of refugee children accessing comprehensive refugee health services in New South Wales (NSW), to match needs with available services and establish gaps in services. Methods: We collated clinical data on all children aged under 14 years attending the three refugee specific clinics seeing children in NSW in 2005. We compared these data to the number of refugee children settling in NSW in 2005. Results: NSW received 1,557 refugee children (<14 years) in 2005. Around one in five (n=331) was seen in a refugee specific clinic. Most were asymptomatic. Of those tested, 25% had anaemia, 27% were serology positive for schistosomiasis, 16% had evidence of current or recent malaria, 25% were tuberculin skin test positive, 69% were hepatitis B non-immune and 20% had low vitamin D levels. Most children needed catch up immunisation. Other problems included chronic health, developmental and behavioural problems. Screening tests varied across sites. Follow up was problematic for most. Conclusions: A small proportion of refugee children arriving in NSW have access to comprehensive screening and assessment, in spite of significant health needs. There is variation in screening practices, and follow up is poor. There is a high pick up rate for diseases of personal and public health significance. Implications: There is a strong moral and public health imperative to provide appropriately resourced, culturally competent and comprehensive health care to optimise refugee children's wellbeing. [source]