http://hdl.handle.net/2328/25216 Mon, 20 May 2013 21:59:28 GMT 2013-05-20T21:59:28Z http://dspace.flinders.edu.au:80/jspui/retrieve/33969/sachru_250.jpg http://hdl.handle.net/2328/25216 http://hdl.handle.net/2328/26698 Title: 'Faking til you make it': Social capital accumulation of individuals on low incomes living in contrasting socio-economic neighbourhoods and its implications for health and wellbeing Authors: Browne-Yung, Kathryn; Ziersch, Anna Marie; Baum, Frances Elaine Abstract: People on low-income living in low socio-economic neighbourhoods have poorer health in comparison with those living in advantaged neighbourhoods. To explore neighbourhood effects on health and social capital creation, the experiences of low-income people living in contrasting socio-economic neighbourhoods were compared, in order to examine how low-income status and differing levels of neighbourhood resources contributed to perceived health and wellbeing. Quantitative and qualitative data were analysed: survey data from 601 individuals living in contrasting socio-economic areas and in-depth interviews with a new sample of 24 individuals on low-incomes. The study was guided by Bourdieu's theory of practice, which examines how social inequalities are created and reproduced through the relationship between individuals' varying resources of economic, social and cultural capital. This included an examination of individual life histories, cultural distinction and how social positions are reproduced. Participants' accounts of their early life experience showed how parental socio-economic position and socially patterned events taking place across the life course, created different opportunities for social network creation, choice of neighbourhood and levels of resources available throughout life, all of which can influence health and wellbeing. A definition of poverty by whether an individual or household has sufficient income at a particular point in time was an inadequate measure of disadvantage. This static measure of ‘low income’ as a category disguised a number of different ways in which disadvantage was experienced or, conversely, how life course events could mitigate the impact of low-income. This study found that the resources necessary to create social capital such as cultural capital and the ability to socially network, differed according to the socio-economic status of the neighbourhood, and that living in an advantaged area does not automatically guarantee access to potentially beneficial social networks. Wed, 01 May 2013 00:00:00 GMT http://hdl.handle.net/2328/26698 2013-05-01T00:00:00Z http://hdl.handle.net/2328/26692 Title: Active ageing and employment in rural SA: a Health in All Policies project Authors: Osborne, Katy; Newman, Lareen Ann; Ramanathan, Rama; Williams, Carmel; Wildgoose, Deborah; Foote, Amy; Ludford, Isobel Abstract: The South Australian (SA) Health in All Policies (HiAP) initiative provides a framework and mandate for intersectoral policy work on the social determinants of health. Participation in decent and meaningful employment is a key social determinant of health, and is also an important strategy to promote ‘active ageing’ in the population. This paper reports on an intersectoral project undertaken by the Health In All Policies Unit and Country Health SA Local Health Network (CHSA LHN) in collaboration with Flinders University’s SA Community Health Research Unit and Southgate Institute for Health Society & Equity. The project Active Ageing and Employment in Regional South Australia aims to identify policy levers to increase the workforce retention and re-entry for rural people aged 45+. The project is designed to do this by building the capacity of the regional health workforce to address the social determinants of health in collaboration with agencies outside of the health system. The project partners have adopted a ‘learning by doing’ strategy with the focus on employment and ageing. Mon, 15 Apr 2013 00:00:00 GMT http://hdl.handle.net/2328/26692 2013-04-15T00:00:00Z http://hdl.handle.net/2328/26392 Title: Guidelines in disrepute: a case study of influenza vaccination of healthcare workers Authors: Street, Jackie M; Delany, Toni Abstract: Practice guidelines are an important support tool for health behaviour change, but effective implementation of guidelines can be difficult and the gaps between guidelines and practice may be intractable. This paper examines a neglected but important area; namely, the reasons why problems may develop in the implementation and uptake of practice guidelines. We explore the existence of gaps in the translation of evidence into practice-based guidelines for health promotion. Approach: Drawing on relevant literature we examine influenza vaccination, in particular, guidelines that advise influenza vaccination for all healthcare workers. We highlight gaps between the actions advised within these guidelines and the relevant evidence, and explore some of the processes that have amplified and obscured this evidence during the development of guidelines. Implications: The processes that underlie the translation of evidence into practice guidelines risk the loss of the nuanced and rich information needed for individual decision-making. Where evidence is limited, the propagation of evidence guidelines gaps, without transparency as to the basis of decision-making, compromises the credibility of guidelines and puts at risk the benefits that guidelines can provide. Conclusion: We argue that evidence guideline gaps may arise because of a range of problems with the nature of the evidence used to justify the guidelines and the way in which that evidence is applied and interpreted. We suggest that these problems may bring potentially useful guidelines into disrepute. Sun, 01 Jan 2012 00:00:00 GMT http://hdl.handle.net/2328/26392 2012-01-01T00:00:00Z http://hdl.handle.net/2328/25278 Title: Performance indicators in community health: development of a process. Final project report. Authors: Performance Indicators in Community Health Project Working Group Abstract: The South Australian Performance Indicators in Community Health project was a joint initiative between the Department of Human Services and Community Health Services in South Australia. The report describes the findings of the project undertaken in 2000-2001 to develop and trial a process for the identification of meaningful and robust performance indicators. The report outlines the context of the project and some of the challenges for community health as identified in the performance indicator literature. The project activities are described in detail, with appendices containing worksheets and examples of outcomes from the project's work. The findings are discussed in terms of the complexity of community health context, the nature of performance indicators, resources, data collection systems, the potential for transferability of performance indicators across services and language/cultural appropriateness. Reflection by the working group on the project's outcomes led to some recommendations and a refined process for identifying and trialling performance indicators. Description: Working Group members include: Lyndall Fowler, Haeather Gale, Joanne Gell, Peter Higgins, Kate Humphries, Gwyn Jolley, Angela Littleford, Alan Lohf, Penny Markham, Raven North, Pat Pearson, Santi Reeves, Diedre Searcy, Clare Shuttleworth, Chris Stephenson, Rachel Strauss, and Fiona Verity. Tue, 01 Jan 2002 00:00:00 GMT http://hdl.handle.net/2328/25278 2002-01-01T00:00:00Z