scholarly journals Social determinants of diabetes-related foot disease among older adults in New South Wales, Australia: evidence from a population-based study

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Moin Uddin Ahmed ◽  
Wadad Kathy Tannous ◽  
Kingsley Emwinyore Agho ◽  
Frances Henshaw ◽  
Deborah Turner ◽  
...  
Keyword(s):  
Physical Activity ◽  
Data Collection ◽  
Social Determinants ◽  
Diabetic Foot ◽  
New South ◽  
Lower Income ◽  
Factors Associated ◽  
South Wales ◽  
History Of ◽  
Foot Disease

Abstract Background Diabetes-related foot is the largest burden to the health sector compared to other diabetes-related complications in Australia, including New South Wales (NSW). Understanding of social determinants of diabetes-related foot disease has not been definitive in Australian studies. This study aimed to investigate the social determinants of diabetes-related foot disease in NSW. Methodology The first wave of the 45 and Up Study survey data was linked with NSW Admitted Patient Data Collection, Emergency Department Data Collection, and Pharmaceutical Benefits Scheme data resulting in 28,210 individuals with diabetes aged 45 years and older in NSW, Australia. Three outcome variables were used: diabetes-related foot disease (DFD), diabetic foot ulcer (DFU), and diabetic foot infection (DFI). They were classified as binary, and survey logistic regression was used to determine the association between each outcome measure and associated factors after adjusting for sampling weights. Results The prevalence of DFD, DFU and DFI were 10.8%, 5.4% and 5.2%, respectively, among people with diabetes. Multivariate analyses revealed that the common factors associated with DFD, DFU and DFI were older age (75 years or more), male, single status, background in English speaking countries, and coming from lower-income households (less than AUD 20,000 per year). Furthermore, common lifestyle and health factors associated with DFD, DFU, and DFI were low physical activity (< 150 min of moderate-to-vigorous physical activity per week), history of diabetes for over 15 years, and having cardiovascular disease. Conclusion Our study showed that about 1 in 10 adults with diabetes aged 45 years and older in NSW reported DFD. Interventions, including the provision of related health services aimed at reducing all forms of DFD in NSW, are recommended to target older individuals with a long history of diabetes, and coming from lower-income households.

scholarly journals Prevalence and Burden of Diabetes-Related Foot Disease in New South Wales, Australia: Evidence from the 45 and Up Study Survey Data Linked with Health Services Data

2021 ◽  
Vol 18 (21) ◽  
pp. 11528
Author(s):  
Moin Uddin Ahmed ◽  
Wadad Kathy Tannous ◽  
Kingsley Emwinyore Agho ◽  
Frances Henshaw ◽  
Deborah Turner ◽  
...  
Keyword(s):  
Health Services ◽  
Survey Data ◽  
Low Income ◽  
Diabetic Foot ◽  
New South ◽  
New South Wales ◽  
Health Concern ◽  
Baseline Survey ◽  
South Wales ◽  
Foot Disease

Diabetes-related foot disease (DFD) is a major public health concern due to the higher risks of hospitalisation. However, estimates of the prevalence of DFD in the general population are not available in Australia. This study aims to estimate the prevalence of DFD and diabetes-related lower-extremity amputation (DLEA) among people aged 45 years and over in New South Wales (NSW), Australia. The NSW 45 and Up Study baseline survey data of 267,086 persons aged 45 years and over, linked with health services’ administrative data from 2006 to 2012 were used in our study. Of these, 28,210 individuals had been diagnosed with diabetes, and our study identified 3035 individuals with DFD. The prevalence of DFD, diabetic foot ulcer (DFU), diabetic foot infection (DFI), diabetic gangrene (DG), and DLEA were 10.8% (95%CI: 10.3, 11.2), 5.4% (95% CI: 5.1, 5.8), 5.2% (95%CI: 4.9, 5.5), 0.4% (95%CI: 0.3, 0.5), and 0.9% (95%CI: 0.7, 1.0), respectively. DFD, DFU, DFI, DG, and DLEA were the most common among those who were older, born in Australia, from low-income households (<AUD 20,000), or were without private health insurance. Interventional messages to reduce all forms of DFD should target those who are from high-risk groups.

scholarly journals Latent profiles of early developmental vulnerabilities in a New South Wales child population at age 5 years

2017 ◽  
Vol 52 (6) ◽  
pp. 530-541 ◽  
Author(s):  
Melissa J Green ◽  
Stacy Tzoumakis ◽  
Kristin R Laurens ◽  
Kimberlie Dean ◽  
Maina Kariuki ◽  
...  
Keyword(s):  
Mental Illness ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Early Development ◽  
Latent Class ◽  
New South ◽  
Criminal Offending ◽  
Parental History ◽  
South Wales ◽  
History Of

Objective: Detecting the early emergence of childhood risk for adult mental disorders may lead to interventions for reducing subsequent burden of these disorders. We set out to determine classes of children who may be at risk for later mental disorder on the basis of early patterns of development in a population cohort, and associated exposures gleaned from linked administrative records obtained within the New South Wales Child Development Study. Methods: Intergenerational records from government departments of health, education, justice and child protection were linked with the Australian Early Development Census for a state population cohort of 67,353 children approximately 5 years of age. We used binary data from 16 subdomains of the Australian Early Development Census to determine classes of children with shared patterns of Australian Early Development Census–defined vulnerability using latent class analysis. Covariates, which included demographic features (sex, socioeconomic status) and exposure to child maltreatment, parental mental illness, parental criminal offending and perinatal adversities (i.e. birth complications, smoking during pregnancy, low birth weight), were examined hierarchically within latent class analysis models. Results: Four classes were identified, reflecting putative risk states for mental disorders: (1) disrespectful and aggressive/hyperactive behaviour, labelled ‘misconduct risk’ ( N = 4368; 6.5%); (2) ‘pervasive risk’ ( N = 2668; 4.0%); (3) ‘mild generalised risk’ ( N = 7822; 11.6%); and (4) ‘no risk’ ( N = 52,495; 77.9%). The odds of membership in putative risk groups (relative to the no risk group) were greater among children from backgrounds of child maltreatment, parental history of mental illness, parental history of criminal offending, socioeconomic disadvantage and perinatal adversities, with distinguishable patterns of association for some covariates. Conclusion: Patterns of early childhood developmental vulnerabilities may provide useful indicators for particular mental disorder outcomes in later life, although their predictive utility in this respect remains to be established in longitudinal follow-up of the cohort.

Association Between the Diabetes mellitus Duration and the Severity of Diabetic Foot Disease in Hospitalized Patients in Latin America

2021 ◽  
pp. 153473462110632
Author(s):  
Belissa Bedriñana-Marañón ◽  
Maria Rubio-Rodríguez ◽  
Marlon Yovera-Aldana ◽  
Eilhart Garcia-Villasante ◽  
Isabel Pinedo-Torres
Keyword(s):  
Diabetes Mellitus ◽  
Latin America ◽  
Diabetic Foot ◽  
Poisson Regression ◽  
Hospitalized Patients ◽  
Bivariate Analysis ◽  
Severe Injuries ◽  
History Of ◽  
Diabetic Foot Disease ◽  
Foot Disease

The objective was to determine the association between a diabetes mellitus duration greater than 10 years and the severity of diabetic foot in hospitalized patients in Latin America. Analytical, observational, and retrospective study based in secondary databases. Patients older than 18 years with diagnosis of diabetes mellitus (DM) and hospitalized for any causes were included. The independent and dependent variables were having more than 10 years of diagnosis of DM and the severity of the diabetic foot disease (Wagner> = 2), respectively. A crude Poisson regression analysis was performed to obtain prevalence rates adjusted to confounders. Male gender was 54.8% and the median age was 62 years. In the group with more than10 years of disease (n = 903) 18% (n = 162) had severe injuries. We performed two Poisson regression analyzes, one of which included the entire sample; and in the other, only patients with some degree of ulcer were included at the time of evaluation (Wagner > = 1). In the first analysis the PR was 1.95 ( p < 0.01) adjusted for the significant variables in the bivariate analysis and in the second analysis the PR was 1.18 ( p < 0.01) adding to the adjustment the days of injury prior to hospitalization and the location of the ulcer. We conclude that in patients with more than 10 years of diabetes mellitus, diabetic foot injuries are more severe, regardless type of diabetes, gender, age, history of amputation and days of injury prior to hospitalization for inpatients in Latin America.

Accountability, asbestos and indigenous rights: The case of Baryulgil

2011 ◽  
Vol 16 (4) ◽  
pp. 439-457 ◽  
Author(s):  
Lee C. Moerman ◽  
Sandra L. van der Laan
Keyword(s):  
Human Rights ◽  
New South ◽  
Indigenous Rights ◽  
Environmental Issues ◽  
Historical Study ◽  
Corporate Accountability ◽  
Human Rights Abuses ◽  
South Wales ◽  
Corporate Entity ◽  
History Of

This paper documents the history of paternalistic state policies and the effects of asbestos mining on the Indigenous community at Baryulgil in northern New South Wales. Despite the lack of profitability, the asbestos operations continued for over 30 years leaving a legacy of asbestos-related health and environmental issues. The shift of responsibility for Indigenous welfare from the State to a corporate entity is evidenced in this historical study using the lens of historical institutionalism. The Baryulgil case is instructive in a number of ways: it demonstrates the subtlety with which human rights abuses can occur in an environment where paternalistic attitudes towards Indigenous peoples prevail; it demonstrates the clash between pursuit of corporate objectives and human rights; and finally it demonstrates the lack of corporate accountability in the asbestos industry.

Use of products of straw decomposition by N2-fixing (C2H2-reducing) populations of bacteria in three soils from wheat-growing areas

1986 ◽  
Vol 37 (1) ◽  
pp. 1 ◽  
Author(s):  
MM Roper ◽  
DM Halsall
Keyword(s):  
Nitrogenase Activity ◽  
New South ◽  
Carbon Sources ◽  
Clay Content ◽  
Free Living ◽  
Straw Decomposition ◽  
South Wales ◽  
History Of ◽  
Straw Incorporation ◽  
The Difference

The potential for N2 fixation by free-living bacteria using straw as a source of energy was evaluated in three soils (one from Gunnedah and two from Cowra) representative of the wheat belt in New South Wales. All three soils had a history of straw incorporation. The abilities of the respective microbial populations to use a range of carbon sources, including potential products of decomposition of straw, was determined and compared with the size and composition of each population. Neutral to alkaline (pH 7.4) soil of high (51%) clay content from Gunnedah produced higher rates of nitrogenase activity with straw than more acid (pH 5.6) lower (17%) clay containing soil from Cowra (site B). Gunnedah soil also contained a larger population of N2-fixing bacteria which used a broader range of energy sources than soil from either Cowra site B or Cowra site W (pH 5.8, clay content 34%). There was little difference in the composition of the N2-fixing populations in each of the soils except that Azotobacter spp. were absent from the acid Cowra soils. It was concluded that the difference in behaviour of the respective N2-fixing populations was primarily due to the physical characteristics of the soil affecting the numbers and activities of diazotrophic microorganisms. In addition some soil environments failed to support specific organisms.

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