Publications by authors named "Rebecca Q Ivers"

Background: The enactment of child restraint systems (CRSs) legislation is highly effective in increasing CRS practices. However, evidence from low- and middle-income countries is still lacking. This study aimed to assess the changes in CRS practices in Shenzhen, China following the implementation of CRS legislation.

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Objective: To assess the distribution of blood pressure levels and the prevalence of hypertension and pre-hypertension in young Indigenous people (10-24 years of age).

Study Design: Prospective cohort survey study (Next Generation: Youth Wellbeing Study); baseline data analysis.

Setting, Participants: Aboriginal and Torres Strait Islander people aged 10-24 years living in regional, remote, and urban communities in Central Australia, Western Australia, and New South Wales; recruitment: March 2018 - March 2020.

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  • The study looks at how risky behaviors in teenagers can affect their education later in life.
  • Researchers analyzed data from a group of young people and their parents over many years to see how things like smoking, drinking, and sex at a young age relate to finishing school.
  • Results showed that teens who waited longer to start smoking, drinking, or having sex tended to do better in school by the time they were 22.
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Background: Despite known inequalities, little is understood about the burden and healthcare experiences of Aboriginal and Torres Strait Islander children who sustain a burn injury and their families.

Methods: The Coolamon Study recruited parents and carers whose children (aged <16 years) were Aboriginal and / or Torres Strait Islander children and had presented to burn units across four Australian states, New South Wales (Sydney), Northern Territory (Darwin), Queensland (Brisbane, Townsville) and South Australia (Adelaide), between 2015 and 2018. Consent was obtained and carers completed baseline and subsequent interviews at 3, 6, 12 and 24 months.

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Unlabelled: Globally, adolescents experience a significant burden of interpersonal violence, impacting their health, well-being and life trajectory. To address this, decision-makers need reliable evidence on effective interventions across various contexts.

Objectives: Synthesise the evidence for interventions addressing interpersonal violence experienced by adolescents aged 10-25 years.

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  • Young drivers who own their vehicle at the time of early licensure face a significantly higher crash risk, almost 30% more in the first year compared to those sharing a family car, with elevated risks persisting for up to seven years.
  • The study, analyzing data from the DRIVE survey in Australia, found that these drivers had an alarming 15 times increased risk for crashes that resulted in hospitalization or death at the beginning of the follow-up period.
  • The findings highlight the need for parents and young drivers to recognize the dangers of car ownership early on, and call for better monitoring and safety management strategies from driving education programs.
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  • Interpersonal violence significantly contributes to adolescent deaths and disabilities, with 24.8% of such deaths occurring in this age group.
  • In 2019, adolescent males experienced nearly six times the rate of deaths from interpersonal violence compared to females, although females faced a much higher burden from sexual violence.
  • The study suggests that gender inequality influences the rates of violence, being more prevalent in less equal societies, highlighting the need for global initiatives to address these intertwined issues.
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Introduction: Road safety has been a long-enduring policy concern in Australia, with significant financial burden of road trauma and evident socioeconomic disparities. Transport injuries disproportionately impact individuals in remote areas, those in lower socioeconomic situations, and Aboriginal and Torres Strait Islander populations. There is a lack of insight into transport injuries in Aboriginal and Torres Strait Islander communities, absence of Indigenous perspective in published research and limited utilisation of linked data assets to address the inequity.

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Background: A hip fracture in an older person is a devastating injury. It impacts functional mobility, independence and survival. Models of care may provide a means for delivering integrated hip fracture care in less well-resourced settings.

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  • The study highlights how Aboriginal and Torres Strait Islander children face significant gaps in quality healthcare, particularly in burn care, necessitating culturally safe care for effective recovery.
  • An Aboriginal Patient Journey Mapping (APJM) tool was modified and tested to assess healthcare quality by following one family's experience in a pediatric burn care setting, using diverse data collection methods.
  • The results revealed critical deficiencies in care quality across individual, service, and system levels, emphasizing the tool's potential for identifying and improving culturally safe care for these communities.
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Blood pressure (BP) rises rapidly at puberty. While this is partly due to normal development, factors like excess adiposity and a high intake of dietary sodium relative to potassium may contribute to a true increase in hypertension risk. This study aimed to assess the relative impact of growth, gonadal hormones, adiposity and the sodium-to-potassium ratio (Na:K) on longitudinal BP measures at puberty.

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  • - The study analyzed crash risk differences between young drivers born in Asia and those born in Australia using data from a large cohort of 20,806 drivers over a 13-year period.
  • - Initially, Asian-born drivers had crash risks that were less than half of their Australian-born peers, but this risk increased steadily over time, eventually becoming similar to that of Australian-born drivers.
  • - The findings suggest that as young Asian-born drivers acculturate and adopt local driving behaviors, their crash risk changes, which should be taken into account for future road safety initiatives.
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Background: Risk-taking behaviours are a major contributor to youth morbidity and mortality. Vulnerability to these negative outcomes is constructed from individual behaviour including risk-taking, and from social context, ecological determinants, early life experience, developmental capacity and mental health, contributing to a state of higher risk. However, although risk-taking is part of normal adolescent development, there is no systematic way to distinguish young people with a high probability of serious adverse outcomes, hindering the capacity to screen and intervene.

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  • Penalties for driving offences may not effectively reduce crashes among offending drivers, as previous studies lacked consideration of important crash risk factors.
  • A study conducted with young drivers in New South Wales analyzed data from 2003-2016, revealing that 37.8% had driving offences and 12% were involved in crashes.
  • Results indicated that drivers with three or more offences had significantly higher crash rates, suggesting that addressing the root causes of both offences and crashes could enhance road safety.
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Background: Clinical guidelines recommend orthogeriatric care to improve older hip fracture patients' outcomes, but few studies have been conducted in China. This study evaluated the effects of an orthogeriatric co-management care model in six Chinese hospitals.

Methods: This non-randomised controlled study was designed as an exploratory trial and was conducted in 3 urban and 3 suburban hospitals.

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Limited access to health care and the lack of robust data systems means non-fatal drownings are largely missed in low-and middle-income countries. We report morbidity among individuals who experienced non-fatal drowning in the Barishal Division, Bangladesh. A representative household survey was conducted in the Barishal Division in southern Bangladesh between September 2016 and February 2017, covering a population of 386,016.

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Background: Living and environmental conditions in rural Bangladesh expose children to drowning. The Anchal programme protects children through crèche-based supervision in an enclosed space run by locally recruited carers. It is unclear under what conditions the programme best operates to maximise protection.

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Introduction: Process evaluations examining programme implementation are often conducted in conjunction with effectiveness studies. Their inclusion in studies with Aboriginal participants can give an understanding of programme delivery in Aboriginal community contexts. The programme was codesigned with Aboriginal communities and includes exercise and facilitated 'yarning' discussion about fall risk and prevention strategies.

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Globally, unintentional injuries contribute significantly to disability and death. Prevention efforts have traditionally focused on individual injury mechanisms and their specific risk factors, which has resulted in slow progress in reducing the burden. The Sustainable Development Goals (SDGs) represent a global agenda for promoting human prosperity while respecting planetary boundaries.

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Background: While there is a long history of measuring death and disability from injuries, modern research methods must account for the wide spectrum of disability that can occur in an injury, and must provide estimates with sufficient demographic, geographical and temporal detail to be useful for policy makers. The Global Burden of Disease (GBD) 2017 study used methods to provide highly detailed estimates of global injury burden that meet these criteria.

Methods: In this study, we report and discuss the methods used in GBD 2017 for injury morbidity and mortality burden estimation.

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Background: Drowning is a leading cause of child death in Bangladesh. The present study investigated the emergence of drowning reduction as a priority within Bangladesh and the position it currently holds on the national policy agenda.

Methods: This case study documents the evolution of policy responses to drowning, reporting on data from semistructured interviews and a document analysis.

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Background: Road traffic collisions contribute a significant burden of mortality and morbidity to children globally. The improper or non-use of child restraints can result in children sustaining significant injuries in the event of a collision. Systematic reviews on the effectiveness of various interventions to increase the use of child restraints already exist but to the best of our knowledge, there has been no qualitative evidence syntheses on the facilitators and barriers to child restraint usage.

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