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Introduction Young adults (YA) are attempting to quit vaping, with many accessing smoking cessation programs with a lack of reported efficacy, highlighting the need for targeted vaping cessation support. Young people report seeing health professionals (HPs) as potential sources of support in the quitting process. Additionally, the current changing regulatory landscape around vaping in Australia potentially increases the number of those seeking health professional help for cessation. However, limited research exists on HPs' views and preparedness to assist YA with their vaping cessation; thus, this exploratory study aimed to gain insights into their readiness to support YA in quitting vaping. Aims and Methods Data were gathered via eight co-design workshops (two groups each of two hours duration and six semi-structured interviews of 1-hour duration), facilitated online with 12 HPs. Data underwent thematic analysis. Results HPs expressed a need for more information in supporting YA to quit vaping, with them presently relying on informal pathways of support and information for their practice. Participants reported a lack of evidence-based guidelines and a reluctance to prescribe nicotine vapes, expressing conflict with the changing regulatory landscape in Australia. Conclusions Our findings identify a significant gap in health professional preparedness in supporting vaping cessation. HPs are working within a rapidly evolving regulatory environment and are feeling unprepared to address the widely spread issue of vaping, especially among young people. We demonstrate the critical need for guidelines and training of HPs to enable them to better support young people in quitting vaping. Implications This qualitative study offers unique insights into the views and readiness of Australian HPs to support young people to quit vaping, specifically in the context of recent regulatory reforms. The results highlight the need for evidence-based guidance and training for HPs to inform their vaping cessation support practice. [ABSTRACT FROM AUTHOR]

Short-term study abroad (STSA) experiences are an increasingly popular strategy used by universities to develop global citizenship in students. Global citizenship is particularly important for emerging health professionals with many health challenges of the 21st century being of global importance. Yet, evidence on the effectiveness of STSA is inconclusive, predominantly due to methodological issues limiting research to date. This quasi-experimental study draws on a recognized global citizenship framework encompassing dimensions of social responsibility, global competence, and global civic engagement to examine the changes in global citizenship pre- and post-STSA experience in health students. The sample consisted of health students (n = 75) who participated in an STSA experience (study tour or practicum) from 16 to 22 days in a less industrialized country and a control group (n = 66) who did not partake in any intervention. The data analysis found that students in the intervention group had significant improvements in their overall global citizenship score and its dimensions separately, except for social responsibility, while no significant changes were seen in the control group. The findings provide evidence to support STSA experiences as an accessible option for universities to promote global citizenship development among health students. [ABSTRACT FROM AUTHOR]

Background: Demographics and comorbidities associated with coronavirus disease 2019 (COVID‐19) severity differs between subpopulations and should be determined to aid future pandemic planning and preparedness. Aim: To describe the demographics and comorbidities of patients diagnosed with severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) infection in Queensland (QLD), Australia, between January 2020 and May 2021. Also, to determine the relationship between these characteristics and disease severity based on the highest level of care. Methods: A retrospective case series analysis was conducted using data obtained from the Notifiable Conditions System. Data on patients confirmed with SARS‐CoV‐2 infection in QLD were included in this analysis. Descriptive statistics and logistic regression modelling were used to analyse factors that contributed to disease severity. Results: One thousand six hundred twenty‐five patients with SARS‐CoV‐2 infection were diagnosed in the study period and analysed. The median age was 41 years and 54.3% (n = 882) were males. A total of 550 patients were hospitalised and 20 patients were admitted to the intensive care unit (ICU). In those admitted to the ICU, 95% (n = 19) were older than 45 years and 95% (n = 19) were male. Comorbidities significantly associated with hospitalisation were chronic cardiac disease (excluding hypertension) and diabetes, and for ICU admission were morbid obesity, chronic respiratory disease and chronic cardiac disease. No demographic factors were shown to be significantly associated with disease severity. Conclusions: Comorbidities associated with the highest level of COVID‐19 disease severity were morbid obesity, chronic respiratory disease and cardiac disease. These data can assist with identifying high‐risk patients susceptible to severe COVID‐19 and can be used to facilitate preparations for future pandemics. [ABSTRACT FROM AUTHOR]

This study examined how Social Cognitive Theory (SCT) constructs help explain the intention to quit e-cigarettes in young Australian adults aged 18–24 years to inform vaping cessation programs. A cross-sectional survey of young adult vapers (n = 422) between March and the end of May 2023 examined personal, environmental, and behavioural factors of vaping cessation. Hierarchical multiple regression analysis examined the effects of SCT constructs on intention to quit vaping, controlling for covariates. Results found, in our sample consisting of 68% (n = 360) females, 18% (n = 95) males and 14% (n = 77) others, almost two-thirds (59.7%) of participants reported a quit attempt in the last year; with quit attempts being associated with quit intention (p ≤ 0.001). Model 1 (past year quit attempt, gender, educational attainment) accounted for 28.7% of the variance in quit intentions, with the addition of Model 2 SCT constructs adding a further significant 6.3% variance. Self-efficacy (B = 0.164, p ≤ 0.001), benefits (B = −0.106, p = 0.041) and social norms (B = −0.086, p = 0.035) had significant independent associations with quit intention. Findings demonstrate the SCT theoretical framework is suitable for use when developing vaping cessation programs, identifying the SCT constructs as important factors for quit intention. The findings can be used to inform the development of evidence-based vaping cessation programs to encourage vapers to quit and/or better support them in the quitting process. [ABSTRACT FROM AUTHOR]

This article presents findings from a cross-disciplinary, international project that seeks to understand the importance of music-making for young people (aged 18–35 years) as a source of well-being during the COVID-19 crisis. A key objective of the project is to evaluate whether music-making has contributed in palpable ways to young people’s individual well-being and their sense of connection with others. For the purposes of the project, well-being is defined in relation to both physical and mental health but also by having a sense of social belonging. Given the unprecedented circumstances created by the COVID-19 pandemic, its rapid spread and ensuing disruptions to everyday life, the project findings offer a significant opportunity to examine and evaluate the importance of music-making for young people’s well-being in a time of rapidly shifting and increasingly uncertain socio-economic conditions. The article draws on data collected during 77 online interviews with young music-makers based in different locations around Australia, the UK and Portugal. Participants for the project were recruited through calls posted on social media with additional internal recruiting at one of the partner universities through a monthly call out for volunteers for research projects. [ABSTRACT FROM AUTHOR]

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Children in socioeconomically disadvantaged communities often do not access follow-up eye care services when referred from vision screenings; whether this is due to lack of availability is not known. This paper highlights the need for vision and eye care for vulnerable children with practicing clinical optometrists well placed to provide vision care. Vision impairments develop from a young age and may inhibit learning experiences and impact life outcomes. Vision screening to detect and refer vision abnormalities supports children in their education and prevents minor vision impairments from worsening. This research describes outcomes from a vision screening programme for 4– to 5-year-olds delivered in Queensland, Australia. The programme involved all prep children from participating schools in Queensland. Vision screening was conducted with the Parr 4 m Visual Acuity Test and Welch Allyn Spot Vision Screener. A cross-sectional study design was adopted. Descriptive data analyses explored the frequency of vision screening and referral outcomes. Inferential analyses examined associations between vision screening and referral outcomes with socio-economic indexes for areas (SEIFA) scores. Of 71,003 prep students screened, 4,855 (6.8%) received a referral recommendation. A higher proportion of children who received a referral recommendation was from more disadvantaged locations (?2 = 109.16, p < 0.001). Of the students referred, 3,017 were seen by an eye health professional. Further vision assessment of students by an eye health professional revealed that 43.3% of the referred children were diagnosed with a vision abnormality, 18.9% had no vision abnormality and 37.7% had an 'undetermined' diagnosis. A higher proportion of children confirmed with a vision abnormality were from more disadvantaged locations (?2 = 52.27, p < 0.001). It is important that vision screening programmes target disadvantaged populations and support families of children who require further health assessment to access health services. [ABSTRACT FROM AUTHOR]

Cancer is a leading cause of premature death and disability in Samoa. Recognizing the importance of symptom awareness and early detection, the Samoa Cancer Society (SCS) developed the ' Vave' (quickly) campaign as the first multi-media cancer awareness campaign in Samoa. The campaign adopted a three-pronged community engagement approach including mass media; printed resources; and community outreach at culturally appropriate locations including churches, villages and schools. The campaign promoted three key messages: detect signs and symptoms quickly; quickly see a doctor; and quickly call SCS. To measure impact, data were collected using several methods around the outreach education sessions (pre- and post-surveys), campaign recall (survey) and Vave -related enquiries received by SCS. The findings revealed the campaign was effective in increasing awareness of cancer and importance of early detection demonstrated through community recall of campaign messages, increased enquiries to SCS and improved knowledge. However, it is of note that almost 30% of campaign recall respondents stated they were unsure or would not see a doctor if concerned about a sign of cancer. The reasons given being a lack of knowledge, lack of trust in hospitals and preference for traditional healing. This suggests more targeted culturally sensitive strategies are needed including partnering with traditional healers. Further, advocacy efforts are needed to address the structural barriers to cancer detection and treatment together with continuing education around causes and symptoms of cancer targeting the hard-to-reach communities in Samoa. [ABSTRACT FROM AUTHOR]

Increasing numbers of young adults in Australia are choosing to abstain from alcohol. Research demonstrates young adults encounter difficulties when choosing to abstain in settings where alcohol consumption is common or expected. This qualitative study explored the lived experiences of abstainers aged 18–24 years to understand if the acceptance of their non-drinking practices is changing and how they managed their non-drinking practice in social contexts where alcohol consumption is common in Queensland, Australia. Drawing on the theoretical framework of symbolic interactionism, we show how drinking practices are prevalent and powerful, evident through pressure from significant others to drink. Second, we show how young adults enact agency to deal with this pressure and participate as a non-drinker through (a) having a strong sense of being, (b) using an empowered verbal response to deflect pressure and (c) choosing alternative non-alcohol-related activities. The findings offer insight into how young adults wishing to refrain from alcohol may participate openly as abstainers in heterogenous drinking groups. [ABSTRACT FROM AUTHOR]

Many children from culturally and linguistically diverse (CALD) backgrounds may be deprived of play due to histories of conflict, stigma and language barriers. Creative and play-based interventions have the potential to protect against known risk factors through the improvement of critical developmental skills and overall wellbeing. Creative and play-based interventions is an umbrella term used to describe a range of interpretations of activities which involve interactive and voluntary play. Examples include art, music, play therapy, dance, drama or nature. This systematic literature review examined the research on creative and play-based interventions seeking to improve health and wellbeing outcomes in CALD children. Searching seven databases, seventeen studies met the inclusion criteria. Findings highlighted several interventions were effective in improving social competence, prosocial behaviour, academic outcomes, and fine motor skills. Mixed results were found on embracing diversity, post-traumatic stress disorder (PTSD), conduct and hyperactivity, and anxiety. Results showed interventions involving art were more effective in reducing depression than activities involving solely play therapy. Due to the heterogeneity of studies, it was difficult to determine if one creative or play-based was superior. This review has illuminated gaps in the current literature, including methodological issues and a lack of holistic creative and play-based interventions, such as mixed interventions and nature play interventions. [ABSTRACT FROM AUTHOR]

The COVID-19 pandemic has led to increased levels of stress and alcohol consumption. This study examined the effect of resilience on the relationship between stress and changes in alcohol consumption in the context of the COVID-19 pandemic in early 2020. A cross-sectional survey of 502 adults in Queensland, Australia (mean age = 45.68 (16.61)), found 23.9% of individuals had increased their alcohol consumption since the start of the pandemic. Regression modelling demonstrated a significant association between perceived stress and change in alcohol consumption. The study also revealed resilience was a moderating factor, where high levels of resilience buffered against increases in alcohol consumption associated with stress during the COVID-19 pandemic. [ABSTRACT FROM AUTHOR]

Introduction: Australian young adults (YA) report difficulties in quitting vaping. This study sought to understand what a vaping cessation program should look like from the perspective of current and former vapers, and professionals/experts involved in this health space, to inform the development of a conceptual model., Methods: Data collection was informed by Social Cognitive Theory using co-design methodology to explore vaping cessation. Interactive workshops and semi-structured interviews were held online between March 2023-January 2024, with data from participants' narratives and written materials thematically analysed., Results: YAs (18-24 years) identifying as current or former vapers (n=15) and health professionals/experts'(n=13) insights informed the model framework, incorporating three main elements based on environmental, personal and behavioural factors shaping vaping cessation. Four design considerations were identified; the program needs to be affordable, accessible, appropriate and adaptable. YAs expressed a strong preference to share their quitting journey with peers, endorsing a digital forum providing a hybrid framework of support., Conclusions: Vaping cessation is nuanced and complex requiring a multi-faceted approach targeted to the specific needs of the young adult population., Implications: The findings can be used to inform the development of a vaping cessation program tailored to young adults in Australia and other similar contexts. Young adults perceived sharing the quitting journey and being inspired by the lived experience of others as critical components for successful vaping cessation. Social Cognitive Theory is demonstrated to be a valuable behaviour change framework for understanding vaping cessation and should be considered in future research of intervention development., (© The Author(s) 2024. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco.)