A5022216009- HIV, Drug Use, Sexual Risk
- Opioid Use Disorder Treatment
- Hepatitis C virus research
- Substance Abuse Treatment and Outcomes
- Homelessness and Social Issues
- Hepatitis B Virus Studies
- HIV/AIDS Research and Interventions
- Alcohol Consumption and Health Effects
- Prenatal Substance Exposure Effects
- Forensic Toxicology and Drug Analysis
- Liver Disease Diagnosis and Treatment
- Maternal Mental Health During Pregnancy and Postpartum
- Mental Health and Patient Involvement
- Health Policy Implementation Science
- Primary Care and Health Outcomes
- Cannabis and Cannabinoid Research
- Reproductive Health and Contraception
- Pharmaceutical Practices and Patient Outcomes
- Healthcare Systems and Reforms
- Public Health Policies and Education
- Mental Health Treatment and Access
- Sex work and related issues
- Diabetes Management and Education
- Decadence, Literature, and Society
- Food Security and Health in Diverse Populations
The University of Sydney
2016-2025
Sydney Local Health District
2019-2025
Royal Prince Alfred Hospital
2010-2024
Cooperative Trials Group for Neuro-Oncology
2024
Australian Federation of Graduate Women New South Wales
2021
Sydney Sexual Health Centre
2020
Florey Institute of Neuroscience and Mental Health
2019
The University of Melbourne
2019
La Trobe University
2019
The University of Queensland
2006-2019
ABSTRACT Aims To estimate the range and severity of heroin overdose related morbidity. Design Cross‐sectional survey. Setting Sydney, Australia. Participants 198 users. Findings Sixty‐nine per cent had experienced a overdose, 28% in preceding 12 months. Of those who overdosed, 79% at least one overdose‐related morbidity symptom. An ambulance attended overdoses for 59% subjects, 33% required hospital treatment 14% complications sufficient to be admitted ward. Indirect included: physical...
Background. Access to hepatitis C virus (HCV) treatment remains extremely limited among people who inject drugs (PWID). HCV assessment and was evaluated through an innovative model for the provision of care PWID with chronic infection.
Chapter 2: Screening and assessment for unhealthy alcohol use appropriate interventions should be implemented in general practice (Level A), hospitals B), emergency departments community health welfare settings C). Quantity-frequency measures can detect consumption that exceeds levels the current Australian guidelines B). The Alcohol Use Disorders Identification Test (AUDIT) is most effective screening tool recommended primary care hospital settings. For community, AUDIT-C a suitable...
ABSTRACT Background In early 2001 in Australia there was a sudden and dramatic decrease heroin availability that occurred throughout the country evidenced by marked increases price decreases its purity. Aim This study examines impact of this change supply on following indicators use: fatal non‐fatal drug overdoses; treatment seeking for dependence; injecting use; drug‐specific offences; general property offences. The conducted using data from three Australian States [New South Wales (NSW),...
Abstract Research with injecting drug users (IDUs) suggests greater willingness to report sensitive and stigmatised behaviour via audio computer-assisted self-interviewing (ACASI) methods than during face-to-face interviews (FFIs); however, previous studies were limited in verifying this within the same individuals at time point. This study examines relative of IDUs information ACASI a clinical assessment administered health services for IDUs. During recruitment randomised controlled trial...
Considerable concern has been expressed about overprescribing of benzodiazepines and related harms. Past analyses have relied on World Health Organization-defined daily doses (DDD) which are sometimes out keeping with clinical usage. This study examines 20-year (1992-2011) trends benzodiazepine dispensing in Australia using both DDD Ashton equivalent dose.Data from the Drug Utilisation Sub-Committee Pharmaceutical Benefits Scheme (PBS) website were analysed. Trends number prescriptions,...
To estimate adherence and response to therapy for chronic hepatitis C virus (HCV) infection among people with a history of injecting drug use. A secondary aim was identify predictors HCV treatment response.Prospective cohort recruited between 2009 2012. Participants were treated peg-interferon alfa-2a/ribavirin 24 (genotypes 2/3, G2/3) or 48 weeks (genotype 1, G1).Six opioid substitution (OST) clinics, two community health centres one Aboriginal community-controlled organization providing...
Intervention time series analysis (ITSA) is an important method for analysing the effect of sudden events on data. ITSA methods are quasi-experimental in nature and validity modelling with these depends upon assumptions about timing intervention response process to it.This paper describes how apply analyse impact unplanned when event not accurately known, so problems magnified by uncertainty point onset intervention.The illustrated using example Australian Heroin Shortage 2001, which...
Injecting drug use is associated with considerable morbidity and mortality. Estimates of the size population people who inject drugs are critical to inform service planning estimate disease burden due injecting use. We aimed in Australia. applied a multiplier method which used benchmark data (number opioid substitution therapy (OST) on snapshot day 2014) multiplied it by factor derived from prevalence current OST among participating Australian Needle Syringe Program Survey 2014. total were...
Abstract The hepatitis C virus (HCV) is a common infection among injecting drug users. There are currently few available data on the extent (or prevalence) of HCV‐related discrimination. This study examined perceived discrimination sample heroin users and sought to determine whether was attributed their user or HCV status. Heroin were recruited through needle syringe programmes methadone clinics in Sydney asked about preceding 12 months. Four hundred one recruited, whom 59% reported being...
This study aimed to examine drug use, treatment history and risk behaviour among a sample of Iranian users seeking through general practice clinic in Iran.Review medical records an intake questionnaire at large Marvdasht, Iran, with special interest dependence treatment. Records from random injecting (IDU), non-injecting (DU) non-drug using patients were examined.292 reviewed (34% IDU, 31% DU 35% users). Eighty-three percent males; all females users. The mean age the was 30 years. Of IDU...
Abstract Introduction and Aim Heroin dependence is a serious health burden in A ustralia. Opioid substitution treatment ( OST ) has been delivered ustralian community pharmacies since 1985. The effectiveness of pharmacy‐based evident the demand increasing; however, participation rate low, with over 60% non‐providers. While previous studies have focused on perspectives pharmacists providing service, views non‐providers not yet explored. This study aimed to further investigate factors...
To examine the veracity of reports a substantial decrease in availability heroin Sydney January 2001.Cross-sectional survey.Sydney, Australia.Forty-one injecting drug users (IDUs) and 10 key informants (KIs).Almost all IDUs (93%) reported that was harder to obtain at time interview (mid-February 2001) than it before Christmas 2000 KIs concurred. (83%) (70%) also price had increased since Christmas, purity decreased (IDUs 73%; 80%). Almost reduction their use subsequent increase other use,...
Abstract Objective: Given the harms associated with injecting drug use to both individuals and community paucity of such data from rural areas, study aimed compare: patterns use, harms, service access utilisation among metropolitan users (IDU). Design: Cross‐sectional survey, using interviewer‐administered structured questionnaire. Participants: One hundred sixty‐four 96 IDU seven different New South Wales Area Health Services, recruited through needle syringe programs (NSPs), snowballing...
Heroin use causes considerable harm to individual users including dependence, fatal and nonfatal overdose, mental health problems, blood borne virus transmission. It also adversely affects the community through drug dealing, property crime reduced public amenity. During mid late 1990s in Australia prevalence of heroin increased as reflected steeply rising overdose deaths. In January 2001, there were reports an unpredicted unprecedented reduction supply with abrupt onset all Australian...
Pegylated interferon (PEG-IFN) treatment for hepatitis C virus (HCV) infection has neuropsychiatric side effects. Data on the effect of HCV mental health among injecting drug users (IDUs) are limited. We assessed during recently acquired HCV, within a predominantly IDU population.