Jodie Avery - Academia.edu (original) (raw)

Papers by Jodie Avery

Research paper thumbnail of Australian Veterans of the Middle East Conflicts 2001–2010: Select Reproductive Health Outcomes Part 1 — Maternal and Paternal Outcomes

Fertility & Reproduction

Background: Anecdotally, infertility concerns among serving female Australian Defense Force (ADF)... more Background: Anecdotally, infertility concerns among serving female Australian Defense Force (ADF) members and veterans are perceived to be prevalent, but precise data are lacking. This is the first of two papers that identify reproductive, pregnancy, and infant outcomes in an exclusively Australian military cohort. This initial paper aims to describe maternal and paternal occupation and fertility characteristics of a group of ADF members who deployed to the Middle East during the period 2001–2010. Methods: Utilizing the Middle East Area of Operations Census Study data set, a descriptive analysis was performed on the demographic and clinical variables of the cohort, where data were reported. Descriptive statistics (means, frequencies, percentiles) were used to describe the population. Sociodemographic data and clinical data, including maternal/paternal outcomes, were reported. Results: The self-reported infertility rate was 9%, which was significantly lower than the reported infertil...

Research paper thumbnail of Deep learning to diagnose pouch of Douglas obliteration with ultrasound sliding sign

Reproduction and Fertility

Objectives: Pouch of Douglas (POD) obliteration is a severe consequence of inflammation in the pe... more Objectives: Pouch of Douglas (POD) obliteration is a severe consequence of inflammation in the pelvis, often seen in patients with endometriosis. The sliding sign is a dynamic transvaginal ultrasound (TVS) test that can diagnose POD obliteration. We aimed to develop a deep learning (DL) model to automatically classify the state of the POD using recorded videos depicting the sliding sign test. Methods: Expert sonologists performed, interpreted, and recorded videos of consecutive patients from Sept 2018-Apr 2020. The sliding sign was classified as positive (i.e. normal) or negative (i.e. POD obliteration). A DL model based on a temporal residual network was prospectively trained with a dataset of TVS videos. The model was tested on an independent test set and its diagnostic accuracy including area under the receiver operating characteristic curve (AUC), accuracy, sensitivity, specificity, positive and negative predictive value (PPV/NPV)) was compared to the reference standard sonologi...

Research paper thumbnail of Polycystic Ovary Syndrome support groups and their role in awareness, advocacy and peer-support: a systematic search and narrative review

Current Opinion in Endocrine and Metabolic Research

Research paper thumbnail of A comparison of sociodemographic and psychological characteristics among intended parents, surrogates, and partners involved in Australian altruistic surrogacy arrangements

Research paper thumbnail of Prevalence of Self-reported Polycystic Ovary Syndrome and Profiles of Health Among Women of Different Generations: A Cross Sectional Study

Fertility & Reproduction

Objective: Although polycystic ovary syndrome (PCOS) is considered a lifelong disorder, very litt... more Objective: Although polycystic ovary syndrome (PCOS) is considered a lifelong disorder, very little is understood about the diagnosis and impact of this condition in women outside of the peak reproductive years. We examined the frequency of diagnosed PCOS and concurrent health conditions in women across the lifespan. Methods: Data were analysed from 1509 women aged 15–95 years participating in a cross-sectional, face-to-face population survey in South Australia, 2015. We assessed the prevalence of PCOS in 10-year age groups and the frequency of comorbidities in women with and without PCOS subgrouped by age (<45, [Formula: see text] 45 years). The main outcome measures were Diagnosed PCOS and other chronic conditions; lifestyle factors. Logistic regression analyses determined the risk of comorbidities in women with PCOS adjusting for age and BMI. Results: Overall prevalence of PCOS was 5.6% (95% confidence interval (CI) 4.6–6.9%), peaking in the 35–44 year age group (9.1%), and lo...

Research paper thumbnail of Complex diseases and co-morbidities: polycystic ovary syndrome and type 2 diabetes mellitus

Endocrine Connections

Objective Many complex diseases exhibit co-morbidities often requiring management by more than on... more Objective Many complex diseases exhibit co-morbidities often requiring management by more than one health specialist. We examined cross-speciality issues that ultimately affect the health and wellbeing of patients with polycystic ovary syndrome (PCOS). PCOS was originally described as a reproductive condition but is now recognised to also be a metabolic and psychological condition affecting 8–13% of women of reproductive age. With a four-fold increased risk of type 2 diabetes (DM2), the Population Attributable Risk of DM2 that could be avoided if PCOS were eliminated is a substantial 19–28% of women of reproductive age. To determine the extent to which PCOS is an important consideration in diabetes development, we examined publications, funding, guidelines and predictors of risk of developing DM2. Results We found that the topic of PCOS appeared in specialist diabetes journals at only 10% the rate seen in endocrinology journals – about 1 in 500 articles. We found research funding to...

Research paper thumbnail of Sugar-sweetened beverage (SSB) consumption, correlates and interventions among Australian Aboriginal and Torres Strait Islander communities: a scoping review

BMJ Open

ObjectivesSugar-sweetened beverage (SSB) consumption in Australian Aboriginal and Torres Strait I... more ObjectivesSugar-sweetened beverage (SSB) consumption in Australian Aboriginal and Torres Strait Islander people is reported to be disproportionally high compared with the general Australian population. This review aimed to scope the literature documenting SSB consumption and interventions to reduce SSB consumption among Australian Aboriginal and Torres Strait Islander people. Findings will inform strategies to address SSB consumption in Aboriginal and Torres Strait Islander communities.MethodsPubMed, SCOPUS, CINAHL, Informit, Joanna Briggs Institute EBP, Mura databases and grey literature were searched for articles published between January 1980 and June 2018. Studies were included if providing data specific to an Australian Aboriginal and/or Torres Strait Islander population’s SSB consumption or an intervention that focused on reducing SSB consumption in this population.DesignSystematic scoping review.Results59 articles were included (1846 screened). While reported SSB consumption ...

Research paper thumbnail of A new evidence-based guideline for assessment and management of polycystic ovary syndrome

The Medical Journal of Australia

Research paper thumbnail of Sleep disturbances in women with polycystic ovary syndrome: prevalence, pathophysiology, impact and management strategies

Nature and science of sleep, 2018

Polycystic ovary syndrome (PCOS) is a complex endocrine disorder affecting the reproductive, meta... more Polycystic ovary syndrome (PCOS) is a complex endocrine disorder affecting the reproductive, metabolic and psychological health of women. Clinic-based studies indicate that sleep disturbances and disorders including obstructive sleep apnea and excessive daytime sleepiness occur more frequently among women with PCOS compared to comparison groups without the syndrome. Evidence from the few available population-based studies is supportive. Women with PCOS tend to be overweight/obese, but this only partly accounts for their sleep problems as associations are generally upheld after adjustment for body mass index; sleep problems also occur in women with PCOS of normal weight. There are several, possibly bidirectional, pathways through which PCOS is associated with sleep disturbances. The pathophysiology of PCOS involves hyperandrogenemia, a form of insulin resistance unique to affected women, and possible changes in cortisol and melatonin secretion, arguably reflecting altered hypothalami...

Research paper thumbnail of The impact of incontinence on health-related quality of life in a South Australian population sample

Australian and New Zealand Journal of Public Health, May 1, 2004

Objective: To assess prevalence of incontinence in a South Australian representative population s... more Objective: To assess prevalence of incontinence in a South Australian representative population sample and compare the health-related quality-of-life impact of incontinence with other chronic conditions. Method: The 1998 South Australian Health Omnibus Survey interviewed 3,010 male and female respondents aged 15 to 97 years (response rate 70.2%). This representative population survey included questions to determine the prevalence of urinary (stress and urge), and anal (faecal and flatus) incontinence, and other chronic conditions. Respondents also completed the MOS SF-36 questionnaire. Results: Self-reported prevalence of all types of incontinence was 26.0%. The prevalence of anal and urinary incontinence were 10.5% and 20.3% respectively, with 4.8% of respondents experiencing both. Univariate analysis found the prevalence of incontinence was statistically significantly higher among females, and those who were older, widowed, had no post-school education, and lower incomes. After adjusting for differences in age and sex, it was found that people with incontinence were significantly impaired across all dimensions of the SF-36, scoring in the lowest 42% of the population, compared with those people without incontinence. People with incontinence exhibited different SF-36 profiles to those with other chronic conditions. Conclusions: Incontinence is common in South Australia, affecting more than onequarter of the population, particularly older women (56.2% for 60 years and over). The impact of incontinence on health-related quality of life is characteristically different to that demonstrated by other chronic conditions. Implications: In an ageing population, identification of the impact of incontinence is necessary to direct policy development and resource allocation to this area.

Research paper thumbnail of Physical Activity: The impact of incontinence on health-related quality of life in a South Australian population sample

Australian and New Zealand Journal of Public Health, 2008

Objective: To assess prevalence of incontinence in a South Australian representative population s... more Objective: To assess prevalence of incontinence in a South Australian representative population sample and compare the health-related quality-of-life impact of incontinence with other chronic conditions. Method: The 1998 South Australian Health Omnibus Survey interviewed 3,010 male and female respondents aged 15 to 97 years (response rate 70.2%). This representative population survey included questions to determine the prevalence of urinary (stress and urge), and anal (faecal and flatus) incontinence, and other chronic conditions. Respondents also completed the MOS SF-36 questionnaire. Results: Self-reported prevalence of all types of incontinence was 26.0%. The prevalence of anal and urinary incontinence were 10.5% and 20.3% respectively, with 4.8% of respondents experiencing both. Univariate analysis found the prevalence of incontinence was statistically significantly higher among females, and those who were older, widowed, had no post-school education, and lower incomes. After adjusting for differences in age and sex, it was found that people with incontinence were significantly impaired across all dimensions of the SF-36, scoring in the lowest 42% of the population, compared with those people without incontinence. People with incontinence exhibited different SF-36 profiles to those with other chronic conditions. Conclusions: Incontinence is common in South Australia, affecting more than onequarter of the population, particularly older women (56.2% for 60 years and over). The impact of incontinence on health-related quality of life is characteristically different to that demonstrated by other chronic conditions. Implications: In an ageing population, identification of the impact of incontinence is necessary to direct policy development and resource allocation to this area.

Research paper thumbnail of Sugar-sweetened beverage consumption, correlates and interventions among Australian Aboriginal and Torres Strait Islander communities: a scoping review protocol

BMJ open, Jan 31, 2017

Aboriginal and Torres Strait Islander communities of Australia experience poorer health outcomes ... more Aboriginal and Torres Strait Islander communities of Australia experience poorer health outcomes in the areas of overweight and obesity, diabetes and cardiovascular disease. Contributing to this burden of disease in the Australian community generally and in Aboriginal and Torres Strait Islander communities, is the consumption of sugar-sweetened beverages (SSBs). We have described a protocol for a review to systematically scope articles that document use of SSBs and interventions to reduce their consumption with Aboriginal and Torres Strait Islander people. These results will inform future work that investigates interventions aimed at reducing harm associated with SSB consumption. This scoping review draws on a methodology that uses a six-step approach to search databases including PubMed, SCOPUS, CINAHL, Informit (including Informit: Indigenous Peoples), Joanna Briggs Institute EBP Database and Mura, between January 1980 and February 2017. Two reviewers will be engaged to search for...

Research paper thumbnail of Food Habits, Lifestyle Factors and Mortality among Oldest Old Chinese: The Chinese Longitudinal Healthy Longevity Survey (CLHLS)

Nutrients, 2015

There are few studies reporting the association between lifestyle and mortality among the oldest ... more There are few studies reporting the association between lifestyle and mortality among the oldest old in developing countries. We examined the association between food habits, lifestyle factors and all-cause mortality in the oldest old (≥80 years) using data from the Chinese Longitudinal Healthy Longevity Survey (CLHLS). In 1998/99, 8959 participants aged 80 years and older took part in the baseline survey. Follow-up surveys were conducted every two to three years until 2011. Food habits were assessed using an in-person interview. Deaths were ascertained from family members during follow-up. Cox and Laplace regression were used to assess the association between food habits, lifestyle factors and mortality risk. There were 6626 deaths during 31,926 person-years of follow-up. Type of staple food (rice or wheat) was not associated with mortality. Daily fruit and vegetable intake was inversely associated with a higher mortality risk (hazard ratios (HRs): 0.85 (95% CI (confidence interval) 0.77-0.92), and 0.74 (0.66-0.83) for daily intake of fruit and vegetables, respectively). There was a positive association between intake of salt-preserved vegetables and mortality risk (consumers had about 10% increase of HR for mortality). Fruit and vegetable consumption were inversely, while intake of salt-preserved vegetables positively, associated with mortality risk among the oldest old. Undertaking physical activity is beneficial for the prevention of premature death.

Research paper thumbnail of Effect of Treatment of Gestational Diabetes Mellitus on Obesity in the Next Generation

Diabetes Care, 2010

OBJECTIVE -Gestational diabetes mellitus (GDM) may cause obesity in the offspring. The objective ... more OBJECTIVE -Gestational diabetes mellitus (GDM) may cause obesity in the offspring. The objective was to assess the effect of treatment for mild GDM on the BMI of 4-to 5-year-old children.

Research paper thumbnail of Costs and consequences of treatment for mild gestational diabetes mellitus - evaluation from the ACHOIS randomised trial

BMC Pregnancy and Childbirth, 2007

Recommended best practice is that economic evaluation of health care interventions should be inte... more Recommended best practice is that economic evaluation of health care interventions should be integral with randomised clinical trials. We performed a cost-consequence analysis of treating women with mild gestational diabetes mellitus by dietary advice, blood glucose monitoring and insulin therapy as needed compared with routine pregnancy care, using patientlevel data from a multi-centre randomised clinical trial.

Research paper thumbnail of Lower educational level and unemployment increase the impact of cardiometabolic conditions on the quality of life: results of a population-based study in South Australia

Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, Jan 11, 2017

To investigate if sociodemographic characteristics increase the adverse effects of cardiovascular... more To investigate if sociodemographic characteristics increase the adverse effects of cardiovascular diseases (CVD) and cardiometabolic risk factors (CMRF) on health-related quality of life (HRQoL). Cross-sectional, face-to-face survey investigating 2379 adults living in South Australia in 2015 (57.1 ± 14 years; 51.7% females). Questions included diagnosis of CMRF (obesity, diabetes, hypertension, dyslipidaemia) and CVD. Physical and mental HRQoL were assessed using the SF-12v1 questionnaire. Multiple linear regression models including confounders (sociodemographic, lifestyle, use of preventive medication) and interaction terms between sociodemographic variables and cardiometabolic conditions were used in adjusted analysis. The prevalence of CMRF (one or more) was 54.6% and CVD was 13.0%. The physical HRQoL reduced from 50.8 (95%CI 50.2-51.4) in healthy individuals to 45.1 (95%CI 44.4-45.9) and 39.1 (95%CI 37.7-40.5) among those with CMRF and CVD, respectively. Adjustment for sociodemo...

Research paper thumbnail of Incontinence in South Australia : prevalence, risk and priorities

... November 2004 LIBRARY gc information Services SA Degt, of Health 162 Grsnfell Street (p .o. B... more ... November 2004 LIBRARY gc information Services SA Degt, of Health 162 Grsnfell Street (p .o. BOX 287 Rundle Mall) ADELAIDE $.A 6000 Jodie Avery Anne Taylor Tiffany Gill Population Research and Outcome Studies Unit South Australian Department of Health Page 4. ...

Research paper thumbnail of South Australian Monitoring and Surveillance System (SAMSS) Which South Australians Experience Psychological Distress?

Research paper thumbnail of Self reported overall health status: Implications for intervention strategies

Australasian Medical Journal, 2008

Data collected using the South Australian chronic disease and risk factor surveillance system wer... more Data collected using the South Australian chronic disease and risk factor surveillance system were analysed in order to monitor changes in the prevalence of overall health status over time.

Research paper thumbnail of Quality Of Life in South Australia as Measured by the SF12 Health Status Questionnaire Population Norms For 2003 Trends From 1997 -2003

Research paper thumbnail of Australian Veterans of the Middle East Conflicts 2001–2010: Select Reproductive Health Outcomes Part 1 — Maternal and Paternal Outcomes

Fertility & Reproduction

Background: Anecdotally, infertility concerns among serving female Australian Defense Force (ADF)... more Background: Anecdotally, infertility concerns among serving female Australian Defense Force (ADF) members and veterans are perceived to be prevalent, but precise data are lacking. This is the first of two papers that identify reproductive, pregnancy, and infant outcomes in an exclusively Australian military cohort. This initial paper aims to describe maternal and paternal occupation and fertility characteristics of a group of ADF members who deployed to the Middle East during the period 2001–2010. Methods: Utilizing the Middle East Area of Operations Census Study data set, a descriptive analysis was performed on the demographic and clinical variables of the cohort, where data were reported. Descriptive statistics (means, frequencies, percentiles) were used to describe the population. Sociodemographic data and clinical data, including maternal/paternal outcomes, were reported. Results: The self-reported infertility rate was 9%, which was significantly lower than the reported infertil...

Research paper thumbnail of Deep learning to diagnose pouch of Douglas obliteration with ultrasound sliding sign

Reproduction and Fertility

Objectives: Pouch of Douglas (POD) obliteration is a severe consequence of inflammation in the pe... more Objectives: Pouch of Douglas (POD) obliteration is a severe consequence of inflammation in the pelvis, often seen in patients with endometriosis. The sliding sign is a dynamic transvaginal ultrasound (TVS) test that can diagnose POD obliteration. We aimed to develop a deep learning (DL) model to automatically classify the state of the POD using recorded videos depicting the sliding sign test. Methods: Expert sonologists performed, interpreted, and recorded videos of consecutive patients from Sept 2018-Apr 2020. The sliding sign was classified as positive (i.e. normal) or negative (i.e. POD obliteration). A DL model based on a temporal residual network was prospectively trained with a dataset of TVS videos. The model was tested on an independent test set and its diagnostic accuracy including area under the receiver operating characteristic curve (AUC), accuracy, sensitivity, specificity, positive and negative predictive value (PPV/NPV)) was compared to the reference standard sonologi...

Research paper thumbnail of Polycystic Ovary Syndrome support groups and their role in awareness, advocacy and peer-support: a systematic search and narrative review

Current Opinion in Endocrine and Metabolic Research

Research paper thumbnail of A comparison of sociodemographic and psychological characteristics among intended parents, surrogates, and partners involved in Australian altruistic surrogacy arrangements

Research paper thumbnail of Prevalence of Self-reported Polycystic Ovary Syndrome and Profiles of Health Among Women of Different Generations: A Cross Sectional Study

Fertility & Reproduction

Objective: Although polycystic ovary syndrome (PCOS) is considered a lifelong disorder, very litt... more Objective: Although polycystic ovary syndrome (PCOS) is considered a lifelong disorder, very little is understood about the diagnosis and impact of this condition in women outside of the peak reproductive years. We examined the frequency of diagnosed PCOS and concurrent health conditions in women across the lifespan. Methods: Data were analysed from 1509 women aged 15–95 years participating in a cross-sectional, face-to-face population survey in South Australia, 2015. We assessed the prevalence of PCOS in 10-year age groups and the frequency of comorbidities in women with and without PCOS subgrouped by age (<45, [Formula: see text] 45 years). The main outcome measures were Diagnosed PCOS and other chronic conditions; lifestyle factors. Logistic regression analyses determined the risk of comorbidities in women with PCOS adjusting for age and BMI. Results: Overall prevalence of PCOS was 5.6% (95% confidence interval (CI) 4.6–6.9%), peaking in the 35–44 year age group (9.1%), and lo...

Research paper thumbnail of Complex diseases and co-morbidities: polycystic ovary syndrome and type 2 diabetes mellitus

Endocrine Connections

Objective Many complex diseases exhibit co-morbidities often requiring management by more than on... more Objective Many complex diseases exhibit co-morbidities often requiring management by more than one health specialist. We examined cross-speciality issues that ultimately affect the health and wellbeing of patients with polycystic ovary syndrome (PCOS). PCOS was originally described as a reproductive condition but is now recognised to also be a metabolic and psychological condition affecting 8–13% of women of reproductive age. With a four-fold increased risk of type 2 diabetes (DM2), the Population Attributable Risk of DM2 that could be avoided if PCOS were eliminated is a substantial 19–28% of women of reproductive age. To determine the extent to which PCOS is an important consideration in diabetes development, we examined publications, funding, guidelines and predictors of risk of developing DM2. Results We found that the topic of PCOS appeared in specialist diabetes journals at only 10% the rate seen in endocrinology journals – about 1 in 500 articles. We found research funding to...

Research paper thumbnail of Sugar-sweetened beverage (SSB) consumption, correlates and interventions among Australian Aboriginal and Torres Strait Islander communities: a scoping review

BMJ Open

ObjectivesSugar-sweetened beverage (SSB) consumption in Australian Aboriginal and Torres Strait I... more ObjectivesSugar-sweetened beverage (SSB) consumption in Australian Aboriginal and Torres Strait Islander people is reported to be disproportionally high compared with the general Australian population. This review aimed to scope the literature documenting SSB consumption and interventions to reduce SSB consumption among Australian Aboriginal and Torres Strait Islander people. Findings will inform strategies to address SSB consumption in Aboriginal and Torres Strait Islander communities.MethodsPubMed, SCOPUS, CINAHL, Informit, Joanna Briggs Institute EBP, Mura databases and grey literature were searched for articles published between January 1980 and June 2018. Studies were included if providing data specific to an Australian Aboriginal and/or Torres Strait Islander population’s SSB consumption or an intervention that focused on reducing SSB consumption in this population.DesignSystematic scoping review.Results59 articles were included (1846 screened). While reported SSB consumption ...

Research paper thumbnail of A new evidence-based guideline for assessment and management of polycystic ovary syndrome

The Medical Journal of Australia

Research paper thumbnail of Sleep disturbances in women with polycystic ovary syndrome: prevalence, pathophysiology, impact and management strategies

Nature and science of sleep, 2018

Polycystic ovary syndrome (PCOS) is a complex endocrine disorder affecting the reproductive, meta... more Polycystic ovary syndrome (PCOS) is a complex endocrine disorder affecting the reproductive, metabolic and psychological health of women. Clinic-based studies indicate that sleep disturbances and disorders including obstructive sleep apnea and excessive daytime sleepiness occur more frequently among women with PCOS compared to comparison groups without the syndrome. Evidence from the few available population-based studies is supportive. Women with PCOS tend to be overweight/obese, but this only partly accounts for their sleep problems as associations are generally upheld after adjustment for body mass index; sleep problems also occur in women with PCOS of normal weight. There are several, possibly bidirectional, pathways through which PCOS is associated with sleep disturbances. The pathophysiology of PCOS involves hyperandrogenemia, a form of insulin resistance unique to affected women, and possible changes in cortisol and melatonin secretion, arguably reflecting altered hypothalami...

Research paper thumbnail of The impact of incontinence on health-related quality of life in a South Australian population sample

Australian and New Zealand Journal of Public Health, May 1, 2004

Objective: To assess prevalence of incontinence in a South Australian representative population s... more Objective: To assess prevalence of incontinence in a South Australian representative population sample and compare the health-related quality-of-life impact of incontinence with other chronic conditions. Method: The 1998 South Australian Health Omnibus Survey interviewed 3,010 male and female respondents aged 15 to 97 years (response rate 70.2%). This representative population survey included questions to determine the prevalence of urinary (stress and urge), and anal (faecal and flatus) incontinence, and other chronic conditions. Respondents also completed the MOS SF-36 questionnaire. Results: Self-reported prevalence of all types of incontinence was 26.0%. The prevalence of anal and urinary incontinence were 10.5% and 20.3% respectively, with 4.8% of respondents experiencing both. Univariate analysis found the prevalence of incontinence was statistically significantly higher among females, and those who were older, widowed, had no post-school education, and lower incomes. After adjusting for differences in age and sex, it was found that people with incontinence were significantly impaired across all dimensions of the SF-36, scoring in the lowest 42% of the population, compared with those people without incontinence. People with incontinence exhibited different SF-36 profiles to those with other chronic conditions. Conclusions: Incontinence is common in South Australia, affecting more than onequarter of the population, particularly older women (56.2% for 60 years and over). The impact of incontinence on health-related quality of life is characteristically different to that demonstrated by other chronic conditions. Implications: In an ageing population, identification of the impact of incontinence is necessary to direct policy development and resource allocation to this area.

Research paper thumbnail of Physical Activity: The impact of incontinence on health-related quality of life in a South Australian population sample

Australian and New Zealand Journal of Public Health, 2008

Objective: To assess prevalence of incontinence in a South Australian representative population s... more Objective: To assess prevalence of incontinence in a South Australian representative population sample and compare the health-related quality-of-life impact of incontinence with other chronic conditions. Method: The 1998 South Australian Health Omnibus Survey interviewed 3,010 male and female respondents aged 15 to 97 years (response rate 70.2%). This representative population survey included questions to determine the prevalence of urinary (stress and urge), and anal (faecal and flatus) incontinence, and other chronic conditions. Respondents also completed the MOS SF-36 questionnaire. Results: Self-reported prevalence of all types of incontinence was 26.0%. The prevalence of anal and urinary incontinence were 10.5% and 20.3% respectively, with 4.8% of respondents experiencing both. Univariate analysis found the prevalence of incontinence was statistically significantly higher among females, and those who were older, widowed, had no post-school education, and lower incomes. After adjusting for differences in age and sex, it was found that people with incontinence were significantly impaired across all dimensions of the SF-36, scoring in the lowest 42% of the population, compared with those people without incontinence. People with incontinence exhibited different SF-36 profiles to those with other chronic conditions. Conclusions: Incontinence is common in South Australia, affecting more than onequarter of the population, particularly older women (56.2% for 60 years and over). The impact of incontinence on health-related quality of life is characteristically different to that demonstrated by other chronic conditions. Implications: In an ageing population, identification of the impact of incontinence is necessary to direct policy development and resource allocation to this area.

Research paper thumbnail of Sugar-sweetened beverage consumption, correlates and interventions among Australian Aboriginal and Torres Strait Islander communities: a scoping review protocol

BMJ open, Jan 31, 2017

Aboriginal and Torres Strait Islander communities of Australia experience poorer health outcomes ... more Aboriginal and Torres Strait Islander communities of Australia experience poorer health outcomes in the areas of overweight and obesity, diabetes and cardiovascular disease. Contributing to this burden of disease in the Australian community generally and in Aboriginal and Torres Strait Islander communities, is the consumption of sugar-sweetened beverages (SSBs). We have described a protocol for a review to systematically scope articles that document use of SSBs and interventions to reduce their consumption with Aboriginal and Torres Strait Islander people. These results will inform future work that investigates interventions aimed at reducing harm associated with SSB consumption. This scoping review draws on a methodology that uses a six-step approach to search databases including PubMed, SCOPUS, CINAHL, Informit (including Informit: Indigenous Peoples), Joanna Briggs Institute EBP Database and Mura, between January 1980 and February 2017. Two reviewers will be engaged to search for...

Research paper thumbnail of Food Habits, Lifestyle Factors and Mortality among Oldest Old Chinese: The Chinese Longitudinal Healthy Longevity Survey (CLHLS)

Nutrients, 2015

There are few studies reporting the association between lifestyle and mortality among the oldest ... more There are few studies reporting the association between lifestyle and mortality among the oldest old in developing countries. We examined the association between food habits, lifestyle factors and all-cause mortality in the oldest old (≥80 years) using data from the Chinese Longitudinal Healthy Longevity Survey (CLHLS). In 1998/99, 8959 participants aged 80 years and older took part in the baseline survey. Follow-up surveys were conducted every two to three years until 2011. Food habits were assessed using an in-person interview. Deaths were ascertained from family members during follow-up. Cox and Laplace regression were used to assess the association between food habits, lifestyle factors and mortality risk. There were 6626 deaths during 31,926 person-years of follow-up. Type of staple food (rice or wheat) was not associated with mortality. Daily fruit and vegetable intake was inversely associated with a higher mortality risk (hazard ratios (HRs): 0.85 (95% CI (confidence interval) 0.77-0.92), and 0.74 (0.66-0.83) for daily intake of fruit and vegetables, respectively). There was a positive association between intake of salt-preserved vegetables and mortality risk (consumers had about 10% increase of HR for mortality). Fruit and vegetable consumption were inversely, while intake of salt-preserved vegetables positively, associated with mortality risk among the oldest old. Undertaking physical activity is beneficial for the prevention of premature death.

Research paper thumbnail of Effect of Treatment of Gestational Diabetes Mellitus on Obesity in the Next Generation

Diabetes Care, 2010

OBJECTIVE -Gestational diabetes mellitus (GDM) may cause obesity in the offspring. The objective ... more OBJECTIVE -Gestational diabetes mellitus (GDM) may cause obesity in the offspring. The objective was to assess the effect of treatment for mild GDM on the BMI of 4-to 5-year-old children.

Research paper thumbnail of Costs and consequences of treatment for mild gestational diabetes mellitus - evaluation from the ACHOIS randomised trial

BMC Pregnancy and Childbirth, 2007

Recommended best practice is that economic evaluation of health care interventions should be inte... more Recommended best practice is that economic evaluation of health care interventions should be integral with randomised clinical trials. We performed a cost-consequence analysis of treating women with mild gestational diabetes mellitus by dietary advice, blood glucose monitoring and insulin therapy as needed compared with routine pregnancy care, using patientlevel data from a multi-centre randomised clinical trial.

Research paper thumbnail of Lower educational level and unemployment increase the impact of cardiometabolic conditions on the quality of life: results of a population-based study in South Australia

Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, Jan 11, 2017

To investigate if sociodemographic characteristics increase the adverse effects of cardiovascular... more To investigate if sociodemographic characteristics increase the adverse effects of cardiovascular diseases (CVD) and cardiometabolic risk factors (CMRF) on health-related quality of life (HRQoL). Cross-sectional, face-to-face survey investigating 2379 adults living in South Australia in 2015 (57.1 ± 14 years; 51.7% females). Questions included diagnosis of CMRF (obesity, diabetes, hypertension, dyslipidaemia) and CVD. Physical and mental HRQoL were assessed using the SF-12v1 questionnaire. Multiple linear regression models including confounders (sociodemographic, lifestyle, use of preventive medication) and interaction terms between sociodemographic variables and cardiometabolic conditions were used in adjusted analysis. The prevalence of CMRF (one or more) was 54.6% and CVD was 13.0%. The physical HRQoL reduced from 50.8 (95%CI 50.2-51.4) in healthy individuals to 45.1 (95%CI 44.4-45.9) and 39.1 (95%CI 37.7-40.5) among those with CMRF and CVD, respectively. Adjustment for sociodemo...

Research paper thumbnail of Incontinence in South Australia : prevalence, risk and priorities

... November 2004 LIBRARY gc information Services SA Degt, of Health 162 Grsnfell Street (p .o. B... more ... November 2004 LIBRARY gc information Services SA Degt, of Health 162 Grsnfell Street (p .o. BOX 287 Rundle Mall) ADELAIDE $.A 6000 Jodie Avery Anne Taylor Tiffany Gill Population Research and Outcome Studies Unit South Australian Department of Health Page 4. ...

Research paper thumbnail of South Australian Monitoring and Surveillance System (SAMSS) Which South Australians Experience Psychological Distress?

Research paper thumbnail of Self reported overall health status: Implications for intervention strategies

Australasian Medical Journal, 2008

Data collected using the South Australian chronic disease and risk factor surveillance system wer... more Data collected using the South Australian chronic disease and risk factor surveillance system were analysed in order to monitor changes in the prevalence of overall health status over time.

Research paper thumbnail of Quality Of Life in South Australia as Measured by the SF12 Health Status Questionnaire Population Norms For 2003 Trends From 1997 -2003