Alexandra Martiniuk

ORCID: 0000-0003-1368-8206
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About
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Research Areas
  • Global Maternal and Child Health
  • Traffic and Road Safety
  • Injury Epidemiology and Prevention
  • Childhood Cancer Survivors' Quality of Life
  • Global Health Workforce Issues
  • Healthcare Systems and Reforms
  • Global Health and Surgery
  • Indigenous Health, Education, and Rights
  • Qualitative Research Methods and Ethics
  • Healthcare Policy and Management
  • Epilepsy research and treatment
  • Trauma and Emergency Care Studies
  • Global Public Health Policies and Epidemiology
  • Cardiovascular Health and Risk Factors
  • Prenatal Substance Exposure Effects
  • Diet and metabolism studies
  • Urban Transport and Accessibility
  • HIV/AIDS Research and Interventions
  • Acute Lymphoblastic Leukemia research
  • Emergency and Acute Care Studies
  • Adolescent and Pediatric Healthcare
  • Health disparities and outcomes
  • Primary Care and Health Outcomes
  • Indigenous Studies and Ecology
  • Family Support in Illness

University of Toronto
2016-2025

Public Health Ontario
2015-2025

The George Institute for Global Health
2015-2024

The University of Sydney
2015-2024

Cancer Council NSW
2022-2023

Centre for Global Health Research
2023

3M (United States)
2019-2021

Office of the Chief Scientist
2019-2021

Institute for Work & Health
2021

Community Initiatives
2020

Objective About half of the world's burden cardiovascular disease is carried by countries in Asia-Pacific region. This study aimed to quantify contribution hypertension diseases (CVD) at country level, calculating sex-specific, population-attributable fractions (PAFs) for fatal ischaemic heart (IHD) and stroke (haemorrhagic ischaemic) World Health Organization Western Pacific South-east Asian regions. Methods The most recent sex-specific prevalence data on were sought. Age-adjusted hazard...

10.1097/hjh.0b013e328010775f article EN Journal of Hypertension 2006-11-30

Young people are sleeping less. Short sleep duration has a range of negative consequences including hypothesized link with psychological distress, which yet to be studied Prospective cohort study Community-based sample from Australia Twenty thousand (20,822) young adults (aged 17–24) identified through the state vehicle licensing authority. A random (n = 5000) was approached for follow-up 12–18 months later, 2937 providing full data. Psychological determined by Kessler 10 score > 21, at...

10.1093/sleep/33.9.1139 article EN SLEEP 2010-09-01

Objectives: Limited evidence is available on HIV, aging and comorbidities in sub-Saharan Africa. This article describes the prevalence of HIV chronic among those aged 50 years older South Africa using nationally representative data. Design: The WHO's Study global AGEing adult health (SAGE) was conducted 2007–2008. SAGE includes cohorts persons older, with comparison samples 18–49 years, which aims to study its determinants. Methods: Logistic linear regression models were applied data from...

10.1097/qad.0b013e3283558459 article EN AIDS 2012-07-10

As low- and middle-income countries face continued shortages of human resources for health the double burden infectious chronic diseases, there is renewed international interest in potential community workers to assume a growing role strengthening systems. A list tasks, some them complex, being shifted workers' job descriptions. Health Surveillance Assistants (HSAs) - as worker cadre Malawi known play vital providing essential services connecting with formal care sector. The objective this...

10.1186/1478-4491-12-24 article EN cc-by Human Resources for Health 2014-05-02

Although there is evidence that non-government health system actors can individually or collectively develop practical strategies to address primary care (PHC) challenges in the community, existing frameworks for analysing governance largely focus on role of governments, and do not sufficiently account broad range contribution PHC governance. This important because tendency weak governments low- middle-income countries (LMICs). We present a multi-level framework use as thinking guide LMICs....

10.1093/heapol/czu069 article EN cc-by Health Policy and Planning 2014-09-01

Short sleep duration is common in adolescents and young adults, short a risk factor for motor vehicle crash.To assess the association between hours of crash, including time day crash types (single, multiple vehicle, run off road, intersection).Prospective cohort study.New South Wales, Australia.Questionnaire responses were obtained from 20,822 newly licensed drivers aged 17 to 24 years. Participants held first-stage provisional license June 2003 December 2004 prospectively linked licensing...

10.1001/jamapediatrics.2013.1429 article EN JAMA Pediatrics 2013-05-20

Abstract Background Task shifting and sharing (TS/S) involves the redistribution of health tasks within workforces communities. Conceptual frameworks lay out key factors, constructs, variables involved in a given phenomenon, as well relationships between those factors. Though TS/S is leading strategy to address worker shortages improve access services worldwide, conceptual framework for this approach lacking. Methods We used an online Delphi process engage international panel scholars with...

10.1186/s12960-021-00605-z article EN cc-by Human Resources for Health 2021-05-03

Aim Aboriginal leaders concerned about high rates of alcohol use in pregnancy invited researchers to determine the prevalence fetal syndrome ( FAS ) and partial pFAS their communities. Methods Population‐based study using active case ascertainment children born 2002/2003 living F itzroy V alley, W estern A ustralia pril 2010– N ovember 2011) n = 134). Socio‐demographic antenatal data, including pregnancy, were collected by interview with 127/134 (95%) consenting parents/care givers....

10.1111/jpc.12814 article EN Journal of Paediatrics and Child Health 2015-01-15

Women are relatively protected from cardiovascular events; they 3 times as likely men to survive age 90 years. Although clinical trials show an excess of thrombotic events with estrogen/progestin hormone replacement therapy, much experimental and epidemiological evidence suggests that estrogen may have beneficial effects on endothelial function atherosclerosis, raising the possibility sex differences in arterial remodeling. We studied carotid plaque stenosis relation survival free stroke,...

10.1161/01.str.0000110981.96204.64 article EN Stroke 2004-01-27

BackgroundIn Nigeria, the shortage of health workers is worst at primary care (PHC) level, especially in rural communities. And responsibility for PHC – usually only form formal service available communities shared among three tiers government (federal, state, and local governments). In addition, community engagement delegated to committees.ObjectiveThis study examines how decentralisation system governance influences retention Nigeria from perspective managers, workers, people living...

10.3402/gha.v8.26616 article EN cc-by Global Health Action 2015-03-03

Despite being highly prevalent, adolescent mental health problems are undertreated. To better understand the treatment gap, we assessed prevalence and correlates of help-seeking, including perceived need for care access to that care. Data were drawn from Young Minds Matter (YMM) survey-the second Australian child adolescents survey wellbeing. Parent-reported data self-reported combined into one dataset analyse 2464 aged 13-17 years. We employed bivariate multivariate logistic regression...

10.1038/s41598-022-09352-0 article EN cc-by Scientific Reports 2022-03-31

How did the study come about?Although less well recognized than in West, cardiovascular disease (CVD) is leading cause of Asia.This despite known differences distribution risk factors for CVD Asia, compared with Europe and North America, such as lower average total cholesterol body mass index (BMI).The nature also tends to be different where there are more strokes coronary heart (CHD) events, often haemorrhagic ischaemic, West.By 1999 knowledge gap Asia was a clear impediment progress...

10.1093/ije/dyl222 article EN International Journal of Epidemiology 2006-10-22

Approximately 90% of children with cancer reside in low-income and middle-income countries (LMIC) where healthcare resources are scarce allocation decisions difficult. The cost effectiveness treating childhood cancers these settings is unknown. objective the present work was to determine cost-effectiveness thresholds for common paediatric using acute lymphoblastic leukaemia (ALL) Brazil Burkitt lymphoma (BL) Malawi as examples. Disability-adjusted life years (DALYs) prevented by treatment...

10.1136/archdischild-2011-301419 article EN Archives of Disease in Childhood 2012-11-30

It is important that researchers who study health system governance have a set of collective understandings the meanings governance, which can then inform methods used in research. We present an institutional framing and definition governance; is, refers to making, changing, monitoring enforcing rules govern demand supply services. This pervasive, relational view be preferred approaches focus primarily on structures governments care organizations, because involves communities service users,...

10.1093/heapol/czx083 article EN Health Policy and Planning 2017-06-09

Since the mid-1980s, national health policy in Nigeria has sought to inspire community engagement primary care by bringing communities into partnership with service providers through committees. Using a realist approach understand how and under what circumstances committees function, we explored 581 meeting minutes from 129 across four states (Lagos, Benue, Nasarawa Kaduna). We found that provide opportunities for improving demand supply of their community. Committees demonstrate five modes...

10.1093/heapol/czv066 article EN cc-by-nc-nd Health Policy and Planning 2015-07-25
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