2019 |
Hendryx M, Higginbotham N, Ewald B, Connor LH, 'Air Quality in Association With Rural Coal Mining and Combustion in New South Wales Australia', Journal of Rural Health, 35 518-527 (2019) [C1]
Purpose: Rural areas may face under-recognized threats to air quality. We tested 2 hypotheses that 1) rural areas in New South Wales, Australia, would have better air quality than... [more]
Purpose: Rural areas may face under-recognized threats to air quality. We tested 2 hypotheses that 1) rural areas in New South Wales, Australia, would have better air quality than metropolitan Sydney, and that 2) the rural Upper Hunter region characterized by coal mining and coal combustion would have worse air quality than other rural areas of the state. Methods: We analyzed 2017 daily mean values for New South Wales, Australia, for particulate matter (PM2.5 and PM10), sulfur dioxide (SO2), nitric oxide (NO), nitrogen dioxide (NO2), and NOx (sum of NO and NO2). Forty-six air monitoring stations were grouped into 6 rural and urban regional areas. Linear regression models examined pollution levels in association with rural and urban regions and meteorological covariates. Results: Findings show that daily mean pollutant levels in the rural Upper Hunter were the highest of all regions, and were significantly higher than metropolitan Sydney, with and without control for weather conditions, for every pollutant. For example, daily mean PM2.5 was 8.64 µg/m3 in the rural Upper Hunter, compared to 7.23 µg/m3 in metropolitan Sydney. Conclusions: Results highlight the need to consider both urban and rural sources of pollution in air quality studies, and appropriate policy steps to address likely rural air pollution from coal mining.
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Nova |
2014 |
Higginbotham N, Connor LH, Baker F, 'Subregional differences in Australian climate risk perceptions: coastal versus agricultural areas of the Hunter Valley, NSW', REGIONAL ENVIRONMENTAL CHANGE, 14 699-712 (2014)
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2013 |
Connor LH, Higginbotham N, ' Natural cycles in lay understandings of climate change', Global Environmental Change, 23 1852-1861 (2013) [C1]
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Nova |
2013 |
Bailey K, Higginbotham N, 'How and Why People Change: Foundations of Psychological Therapy', JOURNAL OF PACIFIC RIM PSYCHOLOGY, 7 73-74 (2013) [C3]
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Nova |
2010 |
Higginbotham HN, Freeman SR, Connor L, Albrecht G, 'Environmental injustice and air pollution in coal affected communities, Hunter Valley, Australia', Health and Place, 16 259-266 (2010) [C1]
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Nova |
2009 |
Connor L, Freeman SR, Higginbotham HN, 'Not just a coalmine: Shifting grounds of community opposition to coal mining in Southeastern Australia', Ethnos, 74 490-513 (2009) [C1]
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Nova |
2008 |
Lane P, Stain HJ, Kelly BJ, Lewin TJ, Higginbotham HN, 'Creating a database to facilitate multilevel analyses of mental health determinants and outcomes in rural and remote areas', Australian Journal of Rural Health, 16 207-212 (2008) [C1]
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Nova |
2008 |
Connor LH, Higginbotham HN, Freeman SR, Albrecht GA, 'Watercourses and discourses: Coalmining in the Upper Hunter Valley, New South Wales', Oceania, 78 76-90 (2008) [C1]
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Nova |
2008 |
Sartore GM, Kelly B, Stain H, Albrecht G, Higginbotham N, 'Control, uncertainty, and expectations for the future: a qualitative study of the impact of drought on a rural Australian community.', Rural and remote health, 8 950-. (2008) [C1]
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Nova |
2008 |
Stain HJ, Kelly BJ, Lewin TJ, Higginbotham HN, Beard JR, Hourihan F, 'Social networks and mental health among a farming population', Social Psychiatry and Psychiatric Epidemiology, 43 843-849 (2008) [C1]
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Nova |
2007 |
Albrecht GA, Sartore G-M, Connor LH, Higginbotham HN, Freeman SR, Kelly BJ, et al., 'Solastalgia: The distress caused by environmental change', Australasian Psychiatry, 15 S95-S98 (2007) [C1]
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2007 |
James CL, Mackenzie LA, Higginbotham HN, 'Health professionals' attitudes and practices in relation to functional capacity evaluations', Work, 29 81-87 (2007) [C1] |
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Nova |
2006 |
Higginbotham HN, Connor LH, Albrecht GA, Freeman SR, Agho K, 'Validation of an Environmental Distress Scale', EcoHealth, 3 245-254 (2006) [C1]
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Nova |
2005 |
Higginbotham HN, 'Social marketing principles and practice (book review)', Drug and Alcohol Review, 24 201-202 (2005) [C3] |
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Nova |
2004 |
Byles JE, Tavener MA, O'Connell RL, Nair BR, Higginbotham HN, Jackson CL, et al., 'Randomised controlled trial of health assessments for older Australian veterans and war widows', Medical Journal of Australia, 181 186-190 (2004) [C1]
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Nova |
2004 |
Howteerakul N, Higginbotham HN, Dibley MJ, 'Antimicrobial use in children under five years with diarrhoea in a central region province, Thailand', Southeast Asian Journal of Tropical Medicine and Public Health, 35 181-187 (2004) [C2]
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2004 |
Harris G, Connor LH, Bisits AM, Higginbotham HN, ''Seeing the baby': Pleasures and dilemmas of ultrasound technologies for primiparous Australian women', Medical Anthropology Quarterly: international journal for the cultural and social analysis of health, 18 23-47 (2004) [C1]
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2004 |
Osmotherly PG, Higginbotham HN, 'Assessing patient intention to perform a home based exercise program for back and shoulder pain', Physiotherapy Theory and Practice, 20 57-71 (2004) [C1]
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2004 |
Connor LH, Albrecht GA, Higginbotham HN, Freeman SR, Smith WT, 'Environmental change and Human health in Upper Hunter communities of New South Wales, Australia', EcoHealth, 1 SU47-SU58 (2004) [C1]
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Nova |
2004 |
Albrecht GA, Higginbotham HN, Cashman P, Flint K, 'Evolution of transdisciplinarity and ecosystem health at the University of Newcastle, New South Wales, Australia', EcoHealth, 1 S23-S29 (2004) [C1]
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2003 |
Winzenberg T, Higginbotham HN, 'Factors affecting the intention of providers to deliver more effective continuing medical education to general practitioners: a pilot study', BMC Medical Education, 3 1-12 (2003) [C1]
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2003 |
Winzenberg T, Higginbotham N, 'Factors affecting the intention of providers to deliver more effective continuing medical education to general practitioners: A pilot study', BMC Medical Education, 3 1-6 (2003)
Background: Despite the importance of continuing medical education (CME) for GPs, there has been little research into how providers decide what types of CME to deliver to GPs. Thi... [more]
Background: Despite the importance of continuing medical education (CME) for GPs, there has been little research into how providers decide what types of CME to deliver to GPs. This study aimed to identify factors affecting the intention of providers to provide more effective types of CME; and to design a survey instrument which can be used to test the applicability of Triandis' model of social behaviour to the provision of CME to general practitioners. Methods: This was a cross-sectional study on a convenience sample of 11 Australian providers of CME for interviews and a random sample of 25 providers for the pilot test. Open-ended interviews structured on Triandis' theory were performed with key informants who provide CME to GPs. These were used to develop a pilot survey instrument to measure the factors affecting intention, resulting in a revised instrument for use in further research. Results: There was a broad range of factors affecting providers' intention to deliver more effective forms of CME identified, and these were classifiable in a manner which was consistent with Triandis' model. Key factors affecting providers' intention were the attitude toward CME within organisations and the time and extra work involved. Conclusions: We identified a range of potential factors influencing the intention of providers to provide more effective forms of CME, in all categories of Triandis model. Those interested in increasing the choice of more effective CME activities available to GPs may need to broaden the methods used in working with providers to influence them to use more effective CME techniques. The interview material and questionnaire analysis of the pilot survey support the use of Triandis model. Further research is needed to validate Triandis'model for the intention to deliver more effective forms of CME. Such research will inform future strategies aimed at increasing the amount and choice of effective CME activities available for GPs.
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2003 |
Winzenberg T, Higginbotham N, 'Factors affecting the intention of providers to deliver more effective continuing medical education to general practitioners: a pilot study', BMC medical education, 3 11 (2003)
RESULTS: There was a broad range of factors affecting providers' intention to deliver more effective forms of CME identified, and these were classifiable in a manner which wa... [more]
RESULTS: There was a broad range of factors affecting providers' intention to deliver more effective forms of CME identified, and these were classifiable in a manner which was consistent with Triandis' model. Key factors affecting providers' intention were the attitude toward CME within organisations and the time and extra work involved. CONCLUSIONS: We identified a range of potential factors influencing the intention of providers to provide more effective forms of CME, in all categories of Triandis model. Those interested in increasing the choice of more effective CME activities available to GPs may need to broaden the methods used in working with providers to influence them to use more effective CME techniques. The interview material and questionnaire analysis of the pilot survey support the use of Triandis model. Further research is needed to validate Triandis'model for the intention to deliver more effective forms of CME. Such research will inform future strategies aimed at increasing the amount and choice of effective CME activities available for GPs. BACKGROUND: Despite the importance of continuing medical education (CME) for GPs, there has been little research into how providers decide what types of CME to deliver to GPs. This study aimed to identify factors affecting the intention of providers to provide more effective types of CME; and to design a survey instrument which can be used to test the applicability of Triandis' model of social behaviour to the provision of CME to general practitioners. METHODS: This was a cross-sectional study on a convenience sample of 11 Australian providers of CME for interviews and a random sample of 25 providers for the pilot test. Open-ended interviews structured on Triandis' theory were performed with key informants who provide CME to GPs. These were used to develop a pilot survey instrument to measure the factors affecting intention, resulting in a revised instrument for use in further research.
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2003 |
Howteerakul N, Higginbotham HN, Freeman SR, Dibley MJ, 'ORS is never enough: physician rationales for altering standard threatment guidelines when managing childhood diarrhoea in Thailand', Social Science & Medicine, 1031-1044 (2003) [C1]
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Nova |
2002 |
Plotnikoff R, Higginbotham HN, 'Protection Motivation Theory and exercise behaviour change for the prevention of coronary heart disease in a high-risk, Australian representative community sample of adults', Psychology, Health & Medicine, 7(1) 87-98 (2002) [C1]
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2002 |
McClean W, Higginbotham HN, 'Prevalence of pain among nursing home residents in rural New South Wales', Medical Journal of Australia, 177 17-20 (2002) [C1]
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2002 |
Fletcher R, Higginbotham HN, Dobson A, 'Men's Perceived Health Needs', Journal of Health Psychology: an interdisciplinary, international journal, 7(3) 233-241 (2002) [C1]
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Nova |
2002 |
Mackenzie L, Byles JE, Higginbotham HN, 'Professional Perceptions About Home Safety: Cross-National Validation of the Home Falls and Accidents Screening Tool (HOME FAST)', Journal of Allied Health, 31(1) 22-28 (2002) [C1]
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2002 |
Mackenzie L, Byles JE, Higginbotham HN, 'Reliability of the Home Falls and Accidents Screening Tool (HOME FAST) for identifying older people at increased risk of falls', Disability and Rehabilitation, 24(5) 266-274 (2002) [C1]
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2002 |
Byles JE, Tavener MA, Fitzgerald PE, Nair BR, Higginbotham HN, Jackson C, et al., 'A checklist for comprehensive health assessment for the over 70's', Australasian Journal on Ageing, 21 14-20 (2002) [C1]
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2002 |
Mackenzie L, Byles JE, Higginbotham HN, 'A Prospective Community-Based Study of Falls Among Older People in Australia: Frequency, Circumstances, and Consequences', OTJR: Occupation, Participation and Health, 22(4) 143-152 (2002) [C1]
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2002 |
Byles JE, Tavener MA, Fitzgerald PEB, Nair BR, Higginbotham N, Jackson CL, et al., 'A checklist for comprehensive health assessment for the-over 70's', Australasian Journal on Ageing, 21 14-20 (2002)
Objectives: To describe the development and performance of an instrument for health assessment of older Australian veterans and war widows, including: (a) the underlying dimension... [more]
Objectives: To describe the development and performance of an instrument for health assessment of older Australian veterans and war widows, including: (a) the underlying dimensions of the assessment instrument, (6) problems identified and (c) associations with health related quality of life. Method: Participants were randomly selected veterans and war widows aged 70 years and over, livingindependently in 10 regions of NSW and QLD. The intervention consisted of a series of preventive care home visit health assessments by health professionals using a specially developed I 13-item screening checklist, together with targeted health education materials, telephone follow-up and computer generated reports to the veteran's local medical officer. Main outcome measures were underlying facets of the checklist, and associations with self reported quality of life. Results: 904 home visit assessments were conducted using the checklist. Problems identified included having no recent hearing check, poor rate of vaccination against pneumonia and tetanus vaccination, and problems with feet. Exploratory factor analysis of the checklist reported four main factors, explaining 31 YO of the variance. Three out of four checklist scales were significantly associated with both physical and mental component scores of the SF- 36 quality of life measure. Conclusions: The preventive care checklist proved easy to administer, acceptable to participants, and contained valid items for use with an older veteran population.
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2001 |
Serquina-Ramiro L, Kasniyah N, Inthusoma T, Higginbotham HN, Streiner D, Nichter M, Freeman SR, 'Measles Immunization Acceptance in Southeast Asia: Past patterns and future challenges', Southeast Asian Journal of Tropical Medicine and Public Health, 32 791-804 (2001) [C3]
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2001 |
Fletcher R, Higginbotham HN, 'Men's perceived health needs', NSW Public Health Bulletin, 12 327-329 (2001) [C1]
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2000 |
Treloar CJ, Champness S, Simpson P, Higginbotham HN, 'Critical Appraisal Checklist for Qualitative Research Studies', Indian Journal of Pediatrics, 67 347-351 (2000) [C1]
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2000 |
Mukti A, Treloar CJ, Suprawimbarti, Asdie A, D'Este CA, Higginbotham HN, Heller RF, 'A Universal Precautions Education Intervention for Health Workers in Sradjito and PKU Hospital Indonesia', Southeast Asian Journal of Tropical Medicine and Public Health, 31 1-7 (2000) [C1]
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2000 |
Saradamma R, Higginbotham HN, Nichter M, 'Social factors influencing the acquisition of antibiotics without prescription in Kerala State, south India', Social Science & Medicine, 50 891-903 (2000) [C1]
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2000 |
Mackenzie LA, Byles JE, Higginbotham HN, 'Designing the Home Falls and Accidents Screening Tool (HOME
FAST): Selecting the items', British Journal of Occupational Therapy, 63 (6) 260-269 (2000) [C1]
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2000 |
Mackenzie LA, Byles JE, Higginbotham HN, 'Designing a home safety screening instrument, stage one: Item generation', British Journal of Occupational Therapy, 63 260-269 (2000) [C1]
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2000 |
Mackenzie LA, Byles JE, Higginbotham HN, 'A comparison of self-report and prospective recording using a calendar, to measure falls, trips, accidents and injuries experienced by older people in the community', Australasian Journal on Ageing, 19 No.4 6-7 (2000) [C2]
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2000 |
Byles JE, Higginbotham HN, Goodger BG, Tavener MA, Conrad A, Schofield P, Anthony DM, 'Development of a depression scale for veterans and war widows', International Journal of Behavioral Medicine, 7 256-270 (2000) [C1]
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2000 |
Mukti AG, Treloar C, Suprawimbarti, Asdie AH, D'Este K, Higginbotham N, Heller R, 'A universal precautions education intervention for health workers in Sardjito and PKU Hospital Indonesia', Southeast Asian Journal of Tropical Medicine and Public Health, 31 405-411 (2000)
A non-randomized control trial was conducted to develop and evaluate a culturally appropriate academic detailing intervention on the universal precautions knowledge, attitude and ... [more]
A non-randomized control trial was conducted to develop and evaluate a culturally appropriate academic detailing intervention on the universal precautions knowledge, attitude and behavior of health care workers in hospitals. Fivety-five health care workers (44 nurses and 11 doctors) participated in the study. They were visited individually to discuss principles of universal precautions as well as the effect of automatic pilot on their work practices. Self-reported measures of knowledge and attitudes were collected from each participant before and after the intervention. A nurse observer collected measures of participants' compliance with the universal precautions guidelines according to a pre-determined protocol before and after the intervention. There was a significantly different level of knowledge, attitudes and compliance on universal precautions between the control and intervention hospital with p=0.0007, p=0.038 and p=0.03 respectively following the intervention. It is concluded that an academic detailing approach of education used in this study has significantly improved knowledge, attitudes and compliance scores.
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1999 |
Higginbotham HN, Heading G, McElduff P, Dobson A, Heller RF, 'Reducing Coronary Heart Disease in the Australian Coalfields: Evaluation of a Ten-Year Community Intervention', Social Science and Medicine, 48 683-692 (1999) [C1]
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1999 |
Goodger BG, Byles JE, Higginbotham HN, Mishra G, 'Assessment of a Brief Scale to Measure Social Support Among Older People', Australian and New Zealand Journal of Public Health, 23 260-265 (1999) [C1]
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1998 |
Albrecht GA, Freeman S, Higginbotham N, 'Complexity and human health: the case for a transdisciplinary paradigm', Culture, Medicine and Psychiatry, 22 55-92 (1998) [C1]
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1998 |
Raymond D, Henry R, Higginbotham HN, Coory M, 'Predicting readmission to hospital with asthma', Journal of Paediatric Child Health, 34 534-538 (1998) [C1]
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1998 |
Plotnikoff R, Higginbotham HN, 'Protection motivation theory and the prediction of exercise and low-fat diet behaviours among Australian cardiac patients', Psychology and Health, 13 411-429 (1998) [C1]
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1998 |
Sarwano S, Broto P, Soemitro D, Higginbotham HN, 'A social psychological study of diarrhoeal disease in Jakarta, Indonesia: A test of cognitive dissonance theory', South Pacific Journal of Psychology, 10(2) 68-70 (1998) [C1] |
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1996 |
Dupen F, Higginbotham N, Francis L, Cruickshank D, Gibson P, 'Validation of a new multidimensional health locus of control scale (form C) in asthma research', PSYCHOLOGY & HEALTH, 11 493-504 (1996)
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1995 |
PLOTNIKOFF RC, HIGGINBOTHAM N, 'Predicting low-fat diet intentions and behaviors for the prevention of coronary heart disease: An application of protection motivation theory among an Australian population.', PSYCHOLOGY & HEALTH, 10 397-408 (1995)
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1995 |
Treloar CJ, Higginbotham N, Malcolm JA, Sutherland DC, Berenger S, 'The personal experience of Australian health-care workers accidentally exposed to risk of HIV infection [7]', AIDS, 9 1385-1386 (1995)
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1994 |
Higginbotham N, 'Capacity building for health social science: The International Clinical Epidemiology Network (INCLEN) social science program and the International Forum for Social Science in Health (IFSSH)', Acta Tropica, 57 123-137 (1994)
This paper describes the unfolding of two complementary efforts to build global capacity in health social science. The INCLEN model aims to infuse a genuine transdisciplinary pers... [more]
This paper describes the unfolding of two complementary efforts to build global capacity in health social science. The INCLEN model aims to infuse a genuine transdisciplinary perspective into international health through equipping social scientists to speak a common language with clinical epidemiologists and sensitising clinicians to the ways social sciences contribute to research and policy. Issues are raised pertinent to the model's viability, including recruitment of scholars for fellowships, curriculum substance, and mechanisms for integrating social science fellows when they return home. The future success of the INCLEN program, and comparable donor initiatives, depends upon a wider infrastructure of career supports played out at the international level in which donor and operating agencies nourish the emergence of an expanded body of health social scientists. The International Forum for Social Sciences in Health (IFSSH) has been formed to help build this infrastructure and provide impetus for a viable scientific community of health social scientists. The IFSSH 'global agenda' is portrayed and an illustration is given of how this agenda is being implemented in the Asia and Pacific region. © 1994.
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1994 |
Treloar CJ, Malcolm JA, Sutherland DC, Berenger S, Higginbotham N, 'Hospital administrators' tolerance of staff needlestick injuries', Infection Control & Hospital Epidemiology, 15 307-310 (1994)
OBJECTIVE: Develop national estimates of compliance with infection control guidelines by workers in healthcare facilities to prevent occupational transmission of hepatitis B virus... [more]
OBJECTIVE: Develop national estimates of compliance with infection control guidelines by workers in healthcare facilities to prevent occupational transmission of hepatitis B virus (HBV) and human immunodeficiency virus. DESIGN: A national survey of 3,094 workers in hospitals. SETTINGS: United States ambulatory care hospitals with emergency rooms. RESULTS: While the sampled hospitals had policies that incorporated the Centers for Disease Control and Prevention's (CDC) infection control guidelines, only 55% of patient care staff, 56% of physicians, and 30% of housekeeping staffreported receiving at least one of the shots recommended in the HBV vaccination series. About one half of patient care staff reported that they recapped used needles at least sometimes after giving injections and after drawing blood. Only 43% of patient care staff ¿always¿ wore gloves to draw blood. While most patient care staff ¿always¿ changed gloves between patients, only 61% reported that they ¿always¿ washed their hands after taking off their gloves. One half of patient care staff reported a percutaneous exposure to a patient's blood, and one quarter reported a percutaneous exposure in the past year The most common cause of these exposures was recapping used needles. CONCLUSIONS: Efforts to reduce exposures to bloodborne pathogens will involve compliance with the Occupational Safety and Health Administration bloodborne pathogens standard and the CDC's infection control guidelines, continued education and training, and emphasis on engineering controls where applicable (Infect Control Hosp Epidemiol 1994;15:243-252). © 1994, The Society for Healthcare Epidemiology of America. All rights reserved.
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1993 |
Dobson AJ, Blijlevens R, Alexander HM, Croce N, Heller RF, Higginbotham N, et al., 'Correction: Short fat questionnaire: A self-administered measure of fat-intake behaviour (Australian Journal of Public Health (1993) 17 (144-149))', Australian Journal of Public Health, 17 387 (1993)
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1993 |
LIM LLY, VALENTI LA, KNAPP JC, DOBSON AJ, PLOTNIKOFF R, HIGGINBOTHAM N, HELLER RF, 'A self-administered quality-of-life questionnaire after acute myocardial infarction', JOURNAL OF CLINICAL EPIDEMIOLOGY, 46 1249-1256 (1993)
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1993 |
GIBSON P, HENRY D, FRANCIS L, CRUICKSHANK D, DUPEN F, HIGGINBOTHAM N, et al., 'ASSOCIATION BETWEEN AVAILABILITY OF NONPRESCRIPTION BETA(2) AGONIST INHALERS AND UNDERTREATMENT OF ASTHMA', BRITISH MEDICAL JOURNAL, 306 1514-1518 (1993)
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Nova |
1993 |
DOBSON AJ, BLIJLEVENS R, ALEXANDER HM, CROCE N, HELLER RF, HIGGINBOTHAM N, et al., 'SHORT FAT QUESTIONNAIRE - A SELF-ADMINISTERED MEASURE OF FAT-INTAKE BEHAVIOR', AUSTRALIAN JOURNAL OF PUBLIC HEALTH, 17 144-149 (1993) [C3]
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1993 |
HIGGINBOTHAM N, HEADING G, PONT J, PLOTNIKOFF R, DOBSON AJ, SMITH E, et al., 'COMMUNITY WORRY ABOUT HEART-DISEASE - A NEEDS SURVEY IN THE COALFIELDS AND NEWCASTLE AREAS OF THE HUNTER REGION', AUSTRALIAN JOURNAL OF PUBLIC HEALTH, 17 314-321 (1993) [C1]
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1992 |
Higginbotham N, 'Developing partnerships for health and social science research: The International Clinical Epidemiology Network (INCLEN) social science component', Social Science and Medicine, 35 1325-1327 (1992)
A decade after its inception, the International Clinical Epidemiology Network (INCLEN) adopted a social science component. Health social science concepts were added to a physician... [more]
A decade after its inception, the International Clinical Epidemiology Network (INCLEN) adopted a social science component. Health social science concepts were added to a physician training curriculum encompassing epidemiology, biostatistics and clinical economics, and a position was created for qualified social scientists at 26 clinical epidemiology units in developing country medical schools. This paper describes the INCLEN model for strengthening partnerships among clinical epidemiologists and social scientists. The rationale for interdisciplinary training is presented along with the difficulties inherent in attracting social scientists to a new career path. These include problems of recruitment, training curricula, re-entry, and career sustainability. The need is identified for collaborative international efforts to promote an infrastructure for professional growth and sustainable careers in health social science. © 1992.
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1992 |
HENRY DA, GIBSON P, CRUICKSHANK D, FRANCIS L, DUPEN F, HIGGINBOTHAM N, HENRY RL, 'NONPRESCRIPTION USE OF BRONCHODILATOR AEROSOLS', MEDICAL JOURNAL OF AUSTRALIA, 156 68-68 (1992)
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1991 |
Higginbotham N, Tanaka-Matsumi J, 'Cross-cultural Application of Behaviour Therapy', Behaviour Change, 8 35-42 (1991)
The potential application of behaviour therapy to cross-cultural situations is explored as societies move to recognise their bicultural or multicultural composition. First reviewe... [more]
The potential application of behaviour therapy to cross-cultural situations is explored as societies move to recognise their bicultural or multicultural composition. First reviewed are the moral and epistemological underpinnings of behaviour therapy and questions involving the universality of behaviour principles and technologies. Expected competencies of cross-cultural therapists are next raised. The basic message, told through examples from Australia, North American, and elsewhere, is that cultural norms and values penetrate every facet of client¿therapist interaction and clinical decision-making. Competently performed functional analyses can produce culturally accommodating interventions that respond to culture-specific definitions of deviancy, accepted norms of role behaviour, expectations of change techniques, and approved behaviour change practitioners. © 1991, The Author(s). All rights reserved.
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1991 |
Higginbotham N, Streiner DL, 'The social science contribution to pharmacoepidemiology', Journal of Clinical Epidemiology, 45 73-82 (1991)
An understanding of the inappropriate use of pharmaceuticals (the prescribing of unnecessary or ineffective medications, and non-compliance by consumers) can be furthered by consi... [more]
An understanding of the inappropriate use of pharmaceuticals (the prescribing of unnecessary or ineffective medications, and non-compliance by consumers) can be furthered by considering the psychological, social and cultural contexts in which medicines are used. The consumers are influenced by their beliefs about benefits, safety and cost; opinions of their social group; and emotions associated with taking the medication itself. Similar considerations apply to the prescribers or dispensers of the drugs, who are also influenced by the marketing and regulatory practices of their countries. A model of drug use which takes these factors into account can suggest various strategies to increase optimal pharmaceutical utilization. To date, these efforts have focused almost exclusively on the prescriber or manufacturer, and have had limited success. However, other, more effective techniques exist, which can modify the behavior of both of these groups, and of the consumers. A strategy of research in this area is outlined. © 1991.
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1989 |
Higginbottom N, Connor L, 'Professional ideology and the construction of Western psychiatry in Southeast Asia', International Journal of Health Services, 19 63-79 (1989) [C1]
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1988 |
Higginbotham N, Marsella AJ, 'International consultation and the homogenization of psychiatry in Southeast Asia', Social Science and Medicine, 27 553-561 (1988)
The nature of psychiatric care varies little among the capital cities of Southeast Asia. Differences that may exist are of degrees along a common dimension. Colonial forces from t... [more]
The nature of psychiatric care varies little among the capital cities of Southeast Asia. Differences that may exist are of degrees along a common dimension. Colonial forces from the past and contemporary diffusion of modern psyciatry have produced this remarkably uniform pattern of thought and treatment across divergent national and cultural boundaries. Our paper analyzes the homogenization of psychiatry in Southeast Asia in three ways. First, we examine international mental health education, consultation and collaboration as interlocking mechanisms for the transfer of psychiatric technology. Second, the indirect and undesirable consequences of the diffusion of psychiatric knowledge and practice are analyzed. Third, we pose recommendations for countering these unanticipated consequences through evaluation research, ethical guidelines, and educational and intervention practices that strengthen indigenous healing resources. © 1988.
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1986 |
Connor LH, Higginbotham N, 'An integrated sociocultural curriculum for community medicine in Bali, Indonesia', Social Science and Medicine, 23 673-682 (1986)
Since 1983, social scientists have collaborated with teaching staff at the Faculty of Medicine, Udayana University, Bali, Indonesia, to develop an integrated sociocultural curricu... [more]
Since 1983, social scientists have collaborated with teaching staff at the Faculty of Medicine, Udayana University, Bali, Indonesia, to develop an integrated sociocultural curriculum for undergraduate students in community health. The Udayana curriculum is discussed in the context of an international commitment over the last two decades to appropriate education for primary health care and community health in developing countries. The authors describe their work as consultants with Udayana staff. Participants formulated a five-stage project of curriculum development and community health research that could be continued as part of an ongoing community medicine teaching program. Recommendations for integrating social science perspectives within medical domains are outlined, based on the project experience. The paper also discusses the undertaking as a 'development project' suggesting that many of the issues and problems that arose are common to bureaucratic institutions in Third World countries when development projects are initiated. © 1986.
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