Urban area disadvantage and physical activity: a multilevel study in Melbourne, Australia

Objective: To estimate variation between small areas in the levels of walking, cycling, jogging, and swimming and overall physical activity and the importance of area level socioeconomic disadvantage in predicting physical activity participation.

Methods: All census collector districts (CCDs) in the 20 innermost local government areas in metropolitan Melbourne, Australia, were identified and ranked by the percentage of low income households (<$400/week) living in the CCD. Fifty CCDs were randomly selected from the least, middle, and most disadvantaged septiles of the ranked CCDs and 2349 residents (58.7% participation rate) participated in a cross sectional postal survey about physical activity. Multilevel logistic regression (adjusted for extrabinomial variation) was used to estimate area level variation in walking, cycling, jogging, and swimming and in overall physical activity participation, and the importance of area level socioeconomic disadvantage in predicting physical activity participation.

Results: There were significant variations between CCDs in all activities and in overall physical participation in age and sex adjusted models; however, after adjustment for individual SES (income, occupation, education) and area level socioeconomic disadvantage, significant differences remained only for walking (p = 0.004), cycling (p = 0.003), and swimming (p = 0.024). Living in the most socioeconomically disadvantaged areas was associated with a decreased likelihood of jogging and of having overall physical activity levels that were sufficiently active for health; these effects remained after adjustment for individual socioeconomic status (sufficiently active: OR 0.70, 95% CI 0.55 to 0.90 and jogging: OR = 0.69, 95% CI 0.51 to 0.94).

Conclusion: These research findings support the need to focus on improving local environments to increase physical activity participation.

Abbreviations: SES, socioeconomic status; CCD, census collector district

Measuring the impact of intimate partner violence on the health of women in Victoria, Australia

Objective: Using burden of disease methodology, estimate the health risks of intimate partner violence (IPV) among women in Victoria, Australia.

Methods: We calculated population attribute fractions (from survey data on the prevalence of IPV and the relative risks of associated health problems in Australia) and determined health outcomes by applying them to disability-adjusted life year estimates for the relevant disease and injury categories for Victoria, Australia for 2001.

Findings: For women of all ages IPV accounted for 2.9% (95% uncertainty interval 2.4-3.4%)  of the total disease and injury burden.  Among women 18-44 years of age, IPV was associated with 7.9% (95% uncertainty interval 6.4-935%) of the overall disease burden and was a larger risk to health than risk factors traditionally included in burden of disease studies, such as raised blood pressure, tobacco use and increased body weight.  Poor mental health contributed 73% and substance abuse 22% to the disease burden attributed to IPV.

Conclusion: Our findings suggest that IPV constitutes a significant risk to women's health.  Mental health policy-makers and health workers treating common mental health problems need to be aware that IPV is an important factor.  Future research should concentrate on evaluating effective interventions to prevent women being exposed to violence, and identifying the most appropriate mental health care for victims to reduce short- and long-term disability

Prevalence of health promotion policies in sports clubs in Victoria, Australia

In recent years, some health agencies offered sponsorship to sporting associations to promote healthy environments by encouraging clubs to develop health-related policies. However, the extent to which these sponsorship contracts reach their stated aims is of concern. This study aimed to quantify levels of policy development and practice in sports clubs for each of five key health areas, namely smoke-free facilities, sun protection, healthy catering, responsible serving of alcohol and sports injury prevention. Representatives from 932 Victorian sports clubs were contacted by telephone with 640 clubs (69%) participating in the survey. Results suggested that the establishment of written policies on the key health areas by sports clubs varied widely by affiliated sport and health area: 70% of all clubs with bar facilities had written policies on responsible serving of alcohol, ranging from 58% of tennis clubs to 100% of diving and surfing clubs. In contrast, approximately one-third of sports clubs had a smoke-free policy, with 36% of tennis, 28% of country football and 28% of men's cricket clubs having policy. Moreover, 34% of clubs overall had established sun protection policy, whereas clubs competing outside during summer months, [diving (86%) and life-saving (81%)] were most likely to have a written sun protection policy. Injury prevention policies were established in 30% of sports clubs, and were most common among football (56%), diving (43%) and life-saving (41%). This study suggests that policy development for health promotion can be achieved in sports clubs when it is well supported by health agencies and consideration is given to the appropriateness of the specific behaviours to be encouraged for a given sport. Communication between associations and clubs needs to be monitored by health agencies to ensure support and resources for policy development to reach the club level.

Conservation and management of hydromyine rodents in Victoria, Australia

Of the 15 species of native rodents recorded from Victoria, Australia, six became extinct within 70 years of European settlement, and two of the remaining nine are classified as ‘threatened’ and four are classified as ‘near threatened’. Thus, only three species are considered to be adequately conserved. This represents one of the most dramatic mammalian species declines recorded in Australia. All the threatened species belong to the subfamily Hydromyinae, the Australian ‘old endemics’. Of the extinct species, four were recorded only from the semi-arid north-west of the state and two from dry woodlands in the central and southern regions. The two  endangered species are the smoky mouse, which has a disjunct distribution from near-coastal to sub-alpine habitats, and the New Holland mouse, which is the most geographically restricted species. Discovered in Victoria only in 1970, it has become extinct at several locations and is the subject of a major recovery program that includes captive breeding and reintroduction. Conservation protocols and practices for Victoria’s native rodents are implemented under state legislation, but lack of basic ecological information makes their conservation a difficult task.

Reintroduction for recovery of New Holland mouse in Victoria, Australia

The New Holland Mouse (Pseudomys novaehollandiae) has a highly fragmented distribution in SE Australia. The abundance of the species is correlated with habitat succession. Optimal habitat has been identified as 2-3 years after fire, with population densities declining, sometimes to extinction, as vegetation ages. The species has become extinct at many locations in Victoria and, in 1999, was known to be extant at only four localities. When a remnant population at one locality (Anglesea) was considered at high risk of extinction, objectives identified to recover the species included determination of suitable habitat, development of ecological burning regimes, captive breeding and reintroductions. A GIS-based predictive model of habitat capability was consequently produced, areas of potentially suitable habitat for reintroductions identified and ecological burning regimes implemented. Experimental releases began in 2001 when predator-proof acclimatisation enclosures were constructed at two sites, selected on the basis of their habitat suitability. Small groups of animals have been released into, and subsequently out of, these enclosures. Movements and activity have been monitored by live-trapping, fluorescent dye and radio-tracking techniques. The results of trials have been assessed. Un-collared animals dispersed from the enclosures into surrounding areas, and gained weight, while initial releases of collared animals were less successful. Techniques and planning to improve future releases have been formulated. The future of the species in Victoria may be reliant upon the success of captive breeding and reintroductions.

Ecological fire regimes for the recovery and management of threatened small mammals in southern Australia

The application of fire to fauna management, particularly for endangered species, is a significant issue for wildlife managers. Mammals respond to fire regimes including intensity, frequency and season of occurrence, and changes in fire-regimes are implicated in detrimental effects on mammal communities. For many species temporal habitat change is a key factor affecting the persistence of populations. These species require the option of colonising the shifting habitat mosaic. There is substantial evidence that species such as the native rodents New Holland Mouse (Pseudomys novaehollandiae) and Heath Rat (Pseudomys shortridgei) are early successional species dependent on such temporal habitat changes. In conrast species such as the dasyurid marsupial, Swamp Antechinus (Antechinus minimus) are late successional species, which may take up to 20 years to recolonise. In many situations ecological fire regimes need to be implemented to increase areas of suitable habitat for population expansion and reintroductions. This paper assesses research findings and the development of management actions incorporating ecological fire regimes for the recovery of Pseudomyine rodents and the Swamp Antechinus. Spatially explicit models are required to determine changes and patterns at the landscape level. The prospect of global climate change also is of significance and needs to be assessed.