- LGBTQ Health, Identity, and Policy
- Health disparities and outcomes
- Healthcare Policy and Management
- Global Cancer Incidence and Screening
- Cancer Risks and Factors
- HIV/AIDS Research and Interventions
- Global Maternal and Child Health
- Homelessness and Social Issues
- Racial and Ethnic Identity Research
- Smoking Behavior and Cessation
- Primary Care and Health Outcomes
- Hemoglobinopathies and Related Disorders
- Breast Cancer Treatment Studies
- Retirement, Disability, and Employment
- Iron Metabolism and Disorders
- Blood transfusion and management
- Reproductive Health and Technologies
- Economic and Financial Impacts of Cancer
- Healthcare Systems and Challenges
- Adolescent and Pediatric Healthcare
- demographic modeling and climate adaptation
- Substance Abuse Treatment and Outcomes
- Heat Transfer and Numerical Methods
- Mental Health Treatment and Access
- Proteoglycans and glycosaminoglycans research
The University of Melbourne
2023-2025
Economic and Social Research Institute
2024
Monash University
2018-2023
University of York
2018
Commonwealth Scientific and Industrial Research Organisation
2013
Trans, non-binary and gender-diverse (TGD) people experience poorer mental health relative to cisgender populations. However, we know little on how TGD inequalities are changing over time. With newly available information gender identity within Australia's largest longitudinal household survey, aimed provide the first nationally representative estimates of temporal trends in inequalities. We used 2001-2022 Household, Income Labour Dynamics Australia Survey, a national probability sample...
Abstract The past 40 years of Medicare have seen effective policy for reducing income‐related inequities in healthcare use. In this article, we describe how and current policies shaped, continue to shape, access other priority populations—Aboriginal Torres Strait Islander peoples LGBTIQ+ populations. Drawing on empirical evidence, also document the importance structural‐, place‐ demographic‐specific nuance when designing implementing such policies. We conclude by offering recommendations can...
Herein we report synthesis of complex heparan sulfate oligosaccharide precursors by automated glycan assembly using disaccharide donor building blocks.
Abstract Globally, Indigenous populations experience poorer health but use less primary healthcare than their non‐Indigenous counterparts. In 2010, the Australian government introduced a targeted reform aimed at reducing these disparities. The reduced, or abolished prescription medicine co‐payments and provided financial incentives for GPs to better manage chronic disease care peoples. Exploiting framework of natural experiment, we investigate how affected disparities in specialist...
Carbon monoxide releasing molecules (CORMs) have been suggested as a new synthetic class of antimicrobials to treat bacterial infections. Here we utilised novel EBOR-CORM-1 ([NEt4][MnBr2(CO)4]) capable water-triggered CO-release, and tested its efficacy against collection clinical Pseudomonas aeruginosa strains that differ in infection-related virulence traits. We found while EBOR-CORM-1was effective clearing planktonic biofilm cells P. strain PAO1 concentration dependent manner, this effect...
Discrimination and stigmatization at the institutional sociocultural level (conceptualized as "structural stigma") has been associated with adverse health outcomes among sexual gender minorities. However, few studies explore whether structural stigma is outcomes. Addressing this gap, here, we relationship Australian gay, bisexual, other men who have sex (GBM)-a population disproportionately affected by HIV.Using responses from 2017 Marriage Law Postal Survey, operationalized related to...
Abstract The past decades have seen rapid changes in societal attitudes and policy surrounding members of the LGBTIQ community, however this community continues to experience adverse social economic outcomes relative their cisgendered heterosexual counterparts. Understanding data landscape is essential promote scholarship space highlight avenues for future collection. Here I provide an overview 17 national surveys Australia that capture information on either sexual or gender diversity are...
BackgroundCommunity attitudes influence health outcomes especially for racially diverse and minority groups exposed to the detrimental effects of racism discrimination. Using results from Australia's national referendum establish an Aboriginal Torres Strait Islander Voice Parliament ('the Voice') as a proxy Indigenous Australians, this study examined non-Indigenous Australians according levels opposition Voice.MethodsThe regional share votes against was linked 2021 data Household, Income...
To examine bulk-billing rates and out-of-pocket costs for non-bulk-billed general practitioner services in Australia at the Statistical Area 3 (SA3) level; to assess differences by area-level socio-economic disadvantage remoteness.
BACKGROUND To accurately quantify the costs of care for patients with transfusion‐dependent thalassemia (TDT), and to evaluate cost‐effectiveness new treatments, data are required on regular red blood cell (RBC) transfusions. However, no previous studies have evaluated RBC transfusion specifically in chronically transfused patients. METHODS AND MATERIALS We performed a time‐driven activity‐based costing (TDABC) study using health provider perspective. This was over 1‐month period, capturing...
Objective: The aim of this study was to test the effectiveness a tailored quitline tobacco treatment (‘Quitlink’) among people receiving support for mental health conditions. Methods: We employed prospective, cluster-randomised, open, blinded endpoint design compare control condition our ‘Quitlink’ intervention. Both conditions received brief intervention delivered by peer researcher. Control participants no further Quitlink were referred 8-week dedicated Quitline counsellors plus...
SUMMARY Objectives To describe the methodology to estimate total cost of administration a single unit red blood cells (RBC) in adults with beta thalassaemia major an Australian specialist haemoglobinopathy centre. Background Beta is genetic disorder haemoglobin associated multiple end‐organ complications and typically requiring lifelong RBC transfusion therapy. New therapeutic agents are becoming available based on advances understanding its consequences. Assessment true transfusion,...
Abstract Introduction This study estimates the extent to which individuals’ smoking cessation and relapse patterns are associated with behavior of their household members. Aims Methods Longitudinal data on members’ was sourced from a representative sample 12 723 Australians who ever reported between 2001 2019. Controlling for rich set confounders, multivariate regression analyses were used predict likelihood given other status relationship type. The models then forecast prevalence over 10...
To determine the government and out-of-pocket community costs (out-of-hospital medical services prescription medicines) associated with screen-detected community-detected cancers (i.e. detected outside of Australia's organised screening program [BreastScreen]).We analyse administrative data on government-subsidised medicines for 568 Victorian women diagnosed breast cancer or ductal carcinoma in situ (DCIS). Using multivariable regression analysis, we estimate incurred three years after...
Abstract Despite the high rates of mental disorder in adolescents and young adults, treatment utilisation is low. Using Australian longitudinal administrative survey data, we show an increasing proportion people are accessing nervous system scripts as they age. Younger cohorts have increasingly accessed these earlier; usage generally higher among disadvantaged groups regions with better health service access. Less than half all adults facing very psychological distress 2018 had recently...
Objectives. To explore the extent to which structural stigma (sociocultural and institutional constraining factors) is associated with sexual orientation disparities in long-term health conditions. Methods. We measured using regional percentage of votes against same-sex marriage from Australia’s 2017 Marriage Equality Survey mapped this 2021 Census survey 10 093 399 136 988 individuals different-sex relationships, respectively. Controlling for individual area-level confounders, we used...
(2021). Moving beyond the stage: how characteristics at diagnosis dictate treatment and treatment-related quality of life year losses for women with early stage invasive breast cancer. Expert Review Pharmacoeconomics & Outcomes Research: Vol. 21, No. 4, pp. 847-857.
Abstract Aims To examine the association between household members and their tobacco smoking behaviour on patterns of cessation relapse. Design participants Data was sourced from 19 waves (years 2001 to 2019) nationally representative Household Income Labour Dynamics in Australia (HILDA) survey, with all 15 years or older completing survey annually. The final sample included, average, 3,056 ex-smokers 2,612 smokers per wave. Measurements Self-reported annual status used construct measures...
Employment can improve mental health among people with disability (PWD), however, little is known about how different levels of workforce participation influence healthcare use. The aim this study was to estimate the extent which working hours are associated changes in use PWD.
Abstract Background There is increasing interest in risk-based breast cancer screening, including interventions to improve outcomes for women with mammographically dense breasts. Methods Policy1-Breast a continuous-time, multiple-cohort micro-simulation whole-population model which incorporates risk, life-course density, menopause, hormone therapy use and screening participation. Outcomes include diagnoses characteristics (invasive/DCIS, tumour size, grade), mode of detection...