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Search Results: 1 - 10 of 7469 matches for " Dr. Tanya Chikritzhs "
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Family History of Cancer and Smoking Cessation, Is There a Role for Physicians?  [PDF]
Wenbin Liang, Tanya Chikritzhs
International Journal of Clinical Medicine (IJCM) , 2012, DOI: 10.4236/ijcm.2012.31002
Abstract: Aim: This study aims to investigate the relationships among family history of cancer, physician’s advice on quitting, and motivation to quit among smokers in the United State. Method: This study using data collected by the 2010 National Health Interview Survey. Five separate sets of multivariate logistic regression models were used to investigate the three-direction relationships among: 1) effect of family cancer history on medical doctors’ advice on quitting, 2) effect of family cancer history on motivation to quit smoking, 3) effect of doctor’s advice on smokers’ motivation to quit. Results: Smoking cessation advice given by physicians has a significant effect on both smoker’s motivation and action taken to quit smoking, but a large proportion of the smokers with family cancer history did not receive doctor’s advice on quitting. Conclusion: Family history of lung cancer or other cancer types was not found to be associated with increased motivation to quit smoking. This is at least partly due to poor collection of family cancer history by physicians. This may be ameliorated by promoting the use of a recently developed self-administered tool for the collection of patient data on family cancer history in primary care settings.
Pattern of mental health service use and risk of injury: A longitudinal study  [PDF]
Wenbin Liang, Tanya Chikritzhs
Open Journal of Preventive Medicine (OJPM) , 2012, DOI: 10.4236/ojpm.2012.21014
Abstract: Objective: The aim of this study is to investigate the association between mental health treatment patterns and risk of injuries among a Western Australian male birth cohort. Method: A population-based birth-cohort of males born between 1980 and 1984 in Western Australia was followed up using linked health data. Results: Participants with mental health conditions were at an increased risk of injury. Those with a continuous mental health treatment pattern without interruption or window periods had lower risk of injury compared to those with treatment interruption or window periods. The adjusted incidence rate ratios (95% confidence interval) for injury among participants: 1) without a mental condition, 2) with a previous mental condition, 3) with a mental condition in the last four years and without interruption in their mental health treatment, and 4) with a mental condition in the last four years with interruptions in mental health service, were 0.38 (0.35 - 0.40), 0.77 (0.71 - 083), 1.0 (reference group) and 2.06 (1.72 - 2.47) respectively. Conclusion: Increasing resources for mental health services and enabling sufficient continuous mental health services and follow-up may reduce the risk of injury among populations with mental health conditions.
Asthma and Injury Risk: A Large Scale Population-Based Study  [PDF]
Wenbin Liang, Tanya Chikritzhs
International Journal of Clinical Medicine (IJCM) , 2012, DOI: 10.4236/ijcm.2012.35074
Abstract: Purpose: Clinical data suggest that asthma impairs sleep quality and further impairs cognitive performance during the daytime, while there is a causal relationship between impaired sleep quality and injuries. Therefore asthma patients may have increased risk of injury, and this is supported by our recent population-based studies conducted in Australia. This study is to investigate the effect of asthma on the risk of injury at the population level using data from the U.S. National Health Interview Survey collected in 2008, 2009, and 2010. Method: Data from the 2008, 2009 and 2010 National Health Interview Surveys were combined and analyzed together. Results: U.S. adults with current or previous asthma had significantly greater risk of injury compared to those without asthma. The risk of injury was also significantly higher among children with current asthma. Conclusion: This population-based study provided further evidence on the positive association between asthma and risk of injury among both adults and children. The increased risk of injury among asthma patients is at least partly due to impaired sleep quality and quantity caused by asthma symptoms and asthma medications.
Asthma history predicts the risk of affective disorders and anxiety disorders  [PDF]
Wenbin Liang, Tanya Chikritzhs
Health (Health) , 2013, DOI: 10.4236/health.2013.52A042

Background: Positive associations between asthma and a range of mental disorders have been increasingly reported in cross-sectional studies. It is important to determine whether the association between asthma and mental disorders may be causal. Objectives: We conducted a retrospective cohort study using data collected from the 2007 Australia Mental Health and Wellbeing survey (MHW) to examine whether preexisting asthma may predict the likelihood of various types of anxiety disorders and affective disorders. Design, Settings and Subjects: The 2007 MHW survey was a nationally representative household survey. Its data included 8841 Australian adults aged 18 - 85 yrs. Age at first onset of asthma and mental disorders were used to reveal the order of occurrence of asthma and mental disorders, and to define time at risk and asthma exposure. Kaplan-Meier failure function and multivariate Poisson regression models were employed in analysis. Results: Participants who had a history of asthma that lasted six months or more were at higher risk of panic disorder, obsessive compulsive disorder, posttraumatic stress disorder, bipolar disorder, mania and hypomania. The association between asthma history and risk of mental disorder subtypes differed by gender. Conclusion: The findings of this study support the hypothesis that pre-existing asthma increases the risk of a number of anxiety disorders and affective disorders. Predisposition to carbon dioxide hypersensitivity and corticosteroid therapy may partly explain the observed associations.

Sleep Duration and Its Links to Psychological Distress, Health Status, Physical Activity and Body Mass Index among a Large Representative General Population Sample  [PDF]
Wenbin Liang, Tanya Chikritzhs
International Journal of Clinical Medicine (IJCM) , 2013, DOI: 10.4236/ijcm.2013.41010
Abstract: This study aimed to investigate associations between: (a) psychological distress, self-perceived health status and sleep duration among a large representative general population sample; and (b) patterns of sleep duration, physical activity and Body Mass Index among a subgroup of participants who self-reported as being in good health with low psychological distress. Data collected from six waves of the Nation Health Interview Surveys (NHISs) was employed. The results indicated that both psychological distress and self-perceived health status were strong predictors of sleep duration. Participants with high serious psychological distress scores reported sleeping 7 - 8 hours less often than those in low or moderate psychological distress and were also most likely to sleep for less than 6 hours or 9 or more hours. Similar patterns were observed for sleep duration by self-reported health status. Subgroup analysis including only participants in self-reported excellent or very good physical health with low mental distress scores showed that participants who engaged in higher frequencies of vigorous and strengthening exercises were more likely to sleep less than six hours, and participants with a BMI of 25 or higher were also more likely to sleep less than six hours.
Motives for romantic relationships and the risk of heavy alcohol use, regular smoking and cannabis use during adolescence and early adulthood: A longitudinal study  [PDF]
Wenbin Liang, Tanya Chikritzhs
Open Journal of Internal Medicine (OJIM) , 2013, DOI: 10.4236/ojim.2013.32006

Background: Engaging in sexual activities at a younger age is associated with higher risk of substance misuse among adolescents. It could be hypothesized that substance misuse and certain romantic relationship related behaviors may be influenced by similar hormone and other inner physiological factors that are affected by related motives. This study investigated the association between motives for romantic relationships and the risk of heavy alcohol use, regular smoking and cannabis use from adolescence through to early adulthood. Method: A population-based longitudinal study using data collected from Wave I and Wave III of the National Longitudinal Study of Adolescent Health. Characteristics of romantic relationship ideals (as the proxy of motives) measured in Wave I (mean age: 16 yrs) were applied to predict substance use indicated at Wave III (mean age: 22 yrs) using multivariate analyses. Results: Adolescents who included sexual activities as part of their romantic relationship ideals were at significantly higher risk of cannabis use among males and heavy alcohol use among females. Romantic ideals that included, gift giving (female) or receiving (male), declaration of love (male), marriage (male) and becoming pregnant (female) were associated with reduced risk of one or more types of substance use. Conclusion: In adolescence, sexual motives for romantic relationships were associated with higher risk of substance use and misuse, while motives related to intimacy and commitment in romantic relationships were associated with lower risk.

Access to Confidential Alcohol Industry Documents: From ‘Big Tobacco’ to ‘Big Booze’
Ms Laura Bond,Prof. Mike Daube,Dr. Tanya Chikritzhs
Australasian Medical Journal , 2009,
Abstract: BACKGROUND:Internal tobacco industry document searches have led to the discovery of hitherto unpublisheddocuments that provide insights into the drinks industry. The documents uncover key concerns andstrategies for the drinks industry with focus on the Miller Brewing Company and the Beer Institute.METHODS:The identification of the Philip Morris 1996 CEO Issues Book from the tobacco document archives led to asystematic search for alcohol-related documents. The search was conducted by entering alcohol-relatedterms into search fields of tobacco document archive sites available on the World Wide WebRESULTS:Key areas of concern for the Miller Brewing Company, the Beer Institute, and more broadly, the alcoholindustry include developments of legislative and regulatory controls such as tax increases, advertisingrestrictions and blood alcohol content lowering and public perceptions of harms relating to drunk driving,binge drinking and underage alcohol consumption. Strategies proposed by the Miller Brewing Companyand the Beer Institute to combat these concerns include ally development and maintenance and thepromotion of personal responsibility.CONCLUSIONS:These once confidential internal documents provide new evidence on the drinks industry’s concernsabout possible alcohol control measures and the strategies used to help overcome these concerns. The document findings justify the public health community’s cynicism about the alcohol industry whileproviding a new source of information to assist development in the regulation and control of the drinksindustry.
Errors in Recall of Age at First Sex
Wenbin Liang, Tanya Chikritzhs
PLOS ONE , 2013, DOI: 10.1371/journal.pone.0072947
Abstract: Aims To measure the degree and direction of errors in recall of age at first sex. Method Participants were initially recruited in 1994–1995 (Wave I) with 3 subsequent follow-ups in: 1996 (Wave II); 2001– 2002 (Wave III); and 2007–2008 (Wave IV). Participants' individual errors in recall of their age at first sex at Wave IV were estimated by the paired difference between responses given for age at first sex in Wave I and Wave IV (recalled age at first sex obtained at Wave IV minus the age at first sex obtained at Wave I). Results The mean of the recall-estimation of age at first sex at Wave IV was found to be slightly increased comparing to the age at first sex at Wave I (less than 1 year). The errors in the recalled age at first sex tended to increase in participants who had their first sex younger or older than the average, and the recalled age at first sex tended to bias towards the mean (i.e. participants who had first sex younger than the average were more likely to recall an age at first sex that was older than the age, and vice versa). Conclusions In this U.S. population-based sample, the average recall error for age at first sex was small. However, the accuracy of recalled information varied significantly among subgroup populations.
The Association between Alcohol Exposure and Self-Reported Health Status: The Effect of Separating Former and Current Drinkers
Wenbin Liang, Tanya Chikritzhs
PLOS ONE , 2013, DOI: 10.1371/journal.pone.0055881
Abstract: Aims To investigate the direction and degree of potential bias introducedto analyses of drinking and health status which exclude former drinkers from exposure groups. Design: Pooled analysis of 14 waves (1997–2010) of the U.S. National Health Interview Survey (NHIS). Setting General population-based study. Participants 404,462 participants, from 14 waves of the NHIS, who had knownself-reported health status and alcohol consumption status. Measurements Self-reported health status was used as the indicatorof health. Two approaches were used to classify alcohol consumption: (i)separation of former drinkers and current drinkers, and (ii) combined former and current drinkers. The prevalence of fair/ poor health by alcohol use, gender and age with 95% confidence intervals was estimated. The difference in prevalence of fair/ poor health status for lifetime abstainers, former drinkers, current drinkers and drinkers (former drinkers and current drinkers combined) were compared using Poisson regression with robust estimations of variance. Findings Excluding former drinkers from drinker groups exaggerates the difference in health status between abstainers and drinkers, especially for males. Conclusions In cohort study analyses, former drinkers should be assigned to a drinking category based on their previous alcohol consumption patterns and not treated as a discrete exposure group.
Income inequality and alcohol attributable harm in Australia
Paul M Dietze, Damien J Jolley, Tanya N Chikritzhs, Susan Clemens, Paul Catalano, Tim Stockwell
BMC Public Health , 2009, DOI: 10.1186/1471-2458-9-70
Abstract: We conducted a cross sectional ecological analysis at a Local Government Area (LGA) level of associations between data on alcohol caused harms and income inequality data after adjusting for socioeconomic disadvantage and remoteness of LGAs.The main outcome measures used were matched rate ratios for four measures of alcohol caused harm; acute (primarily related to the short term consequences of drinking) and chronic (primarily related to the long term consequences of drinking) alcohol-attributable hospitalisation and acute and chronic alcohol-attributable death. Matching was undertaken using control conditions (non-alcohol-attributable) at an LGA level.A total of 885 alcohol-attributable deaths and 19467 alcohol-attributable hospitalisations across all LGAs were available for analysis. After weighting by the total number of cases in each LGA, the matched rate ratios of acute and chronic alcohol-attributable hospitalisation and chronic alcohol-attributable death were associated with the squared centred Gini coefficients of LGAs. This relationship was evident after adjusting for socioeconomic disadvantage and remoteness of LGAs. For both measures of hospitalisation the relationship was curvilinear; increases in income inequality were initially associated with declining rates of hospitalisation followed by large increases as the Gini coefficient increased beyond 0.15. The pattern for chronic alcohol-attributable death was similar, but without the initial decrease. There was no association between income inequality and acute alcohol-attributable death, probably due to the relatively small number of these types of death.We found a curvilinear relationship between income inequality and the rates of some types of alcohol-attributable hospitalisation and death at a local area level in Australia. While alcohol-attributable harms generally increased with increasing income inequality, alcohol-attributable hospitalisations actually showed the reverse relationship at low levels o
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