Promoting physical activity among children and youth in disadvantaged South Australian CALD communities through alternative community sport opportunities.

Issue addressed: Recently arrived migrants and refugees from a culturally and linguistically diverse background (CALD) may be particularly vulnerable to social exclusion. Participation in sport is endorsed as a vehicle to ease the resettlement process; however, in Australia, this is often thought as a simple matter of integration into existing sport structures (e.g. clubs). This approach fails to place actual community needs at the centre of sport engagement efforts.Methods: A consultation framework was established with South Australian CALD community leaders and organisations to scope needs for community-based alternatives to participation in traditional sport (e.g. clubs), co-design a suitable community sport program and pilot it in five communities. Interviews and questionnaire surveys were conducted with participants, community representatives, stakeholders and volunteers.Results: Regular, free soccer activities engaged 263 young people from a great variety of nationalities, including over 50% refugees, in secondary state school and community-based sites.Conclusion: Alternative community sport programs can provide a basic but valuable forum to promote physical activity and associated well being in CALD and refugee communities.So what?: Alternative approaches can extend the health benefits of sport participation to disadvantaged children and youth who are excluded from traditional sport participation opportunities.

Exploring pregnancy and postpartum experiences among geographically diverse elite athletes: A qualitative study.

OBJECTIVES: Female athletes who experience childbirth during their athletic careers can expect to return to elite sports postpartum and perform at a comparable or improved level. However, mothering athletes often encounter significant barriers when re-entering elite sports. The aim of this study was to explore the experiences of a geographically diverse group of mothering athletes who returned to elite sports after childbirth. DESIGN: Qualitative phenomenological research design using semi-structured interviews. METHODS: In-depth one-on-one interviews were conducted with nineteen mothering elite running athletes hailing from fourteen different countries. Interviews were recorded, transcribed verbatim, and analyzed using thematic analysis. RESULTS: Findings were generated into five main themes: (1) Deciding to become a mother, (2) revealing pregnancy to stakeholders, (3) experience of pregnancy, (4) combining motherhood and elite running, and (5) improvement strategies to support athlete mothers. The findings revealed that participants experienced stress regarding their pregnancy announcements due to concerns about potential repercussions on their careers. These concerns included the impact on sponsorship deals, relationships with governing bodies, and interactions with their coaches. Participants felt their elite coaches and health practitioners had insufficient education to support them throughout their pregnancies and postpartum return to elite running. Finally, athletes express a sense of diminished pressure and increased motivation in races upon resuming their elite careers, attributing their improved athletic performance postpartum to their shift in focus from themselves to their child. CONCLUSIONS: This study illuminates challenges and offers valuable insights to coaches, sponsors, health practitioners, exercise professionals, researchers, race organizers, and governing athletic bodies in better supporting mothering athletes.

A qualitative study of a Sporting Memories program in South Australia: belonging, participation, and social connection.

Background: Older people can experience health and social challenges such as loneliness, depression, and lack of social connectedness. There is need for programs and approaches that address the growing incidence of social isolation and loneliness for older people. One initiative that aims to address these challenges is the Sporting Memories program. This program was developed in the United Kingdom and licensed to South Australia in 2019. The program is currently delivered across six community locations. Methods: The aim of this study was to explore participants perspectives of the Sporting Memories program in South Australia. Underpinned by qualitative research, three focus groups were conducted, led by an experienced interviewer. Focus groups occurred at three of the six locations, including a day respite center, assisted living center and a government community center. The data were analyzed thematically by the research team. Results: There were 16 participants over 65 years old, including four women and 12 men. Three key themes were developed: "free to talk about anything," "not feeling left out" and "a chance to share and learn." Collectively, participants reflected on how they built social connections, felt safe and included and learnt more about each other. Conclusion: The Sporting Memories program provides a group program for older people to come together and develop new friendships. The use of sports as a means of reminiscence was considered relatable for the participants who reported social benefits and plans to keep attending. They valued learning through the program which was enhanced by having a facilitator who was knowledgeable about sport.

Improved Mental Health, Social Connections and Sense of Self: A Mixed Methods Systematic Review Exploring the Impact and Experience of Community Reminiscence Programs.

Older people can experience health and social challenges such as loneliness, depression, and lack of social connectedness. One initiative that has been trialed to address these challenges is reminiscence programs. These programs can include music, art, photographs, sports, and general discussion to stimulate memories. This review aimed to systematically search for literature that explored the impact and experience of reminiscence programs for older people living in the community for the purposes of informing community programming. The PICOS framework was used to develop the review parameters and search strategy. Qualitative and quantitative research focused on community-based reminiscence programs were included. Commercially produced databases and grey literature were searched. The Critical Appraisal Skills Program qualitative critical appraisal tool and McMaster quantitative critical appraisal tool were used to assess the methodological quality of the included studies. Quantitative data were descriptively synthesized, and qualitative data were thematically analyzed, with each reported separately. Twenty-seven studies were included in the review. All quantitative studies (n = 17) provided clear information regarding the purpose, sample size, and justification. The measures adopted were reliable and valid. All studies reported clear data collection/analysis information and statistically significant findings. All qualitative studies (n = 10) clearly articulated a purpose with nine clearly describing recruitment, data collection, and researcher relationship. Synthesis of quantitative data demonstrated positive findings through a reduction in depression, anxiety, and loneliness and improvements in quality of life and mastery. These findings were supported and broadened by qualitative findings with three key themes identified: program processes, program ingredients, and program benefits. Providing opportunities for older adults to come together to tell stories about their past experiences may positively contribute to social outcomes. As reminiscence programs gain popularity, their implementation in practice should be underpinned by clear and reproducible practices.

Sweet tweets! Evaluating a new approach for probability-based sampling of Twitter.

As survey costs continue to rise and response rates decline, researchers are seeking more cost-effective ways to collect, analyze and process social and public opinion data. These issues have created an opportunity and interest in expanding the fit-for-purpose paradigm to include alternate sources such as passively collected sensor data and social media data. However, methods for accessing, sourcing and sampling social media data are just now being developed. In fact, there has been a small but growing body of literature focusing on comparing different Twitter data access methods through either the elaborate firehose or the free Twitter search or streaming APIs. Missing from the literature is a good understanding of how to randomly sample Tweets to produce datasets that are representative of the daily discourse, especially within geographical regions of interest, without requiring a census of all Tweets. This understanding is necessary for producing quality estimates of public opinion from social media sources such as Twitter. To address this gap, we propose and test the Velocity-Based Estimation for Sampling Tweets (VBEST) algorithm for selecting a probability based sample of tweets. We compare the performance of VBEST sample estimates to other methods of accessing Twitter through the Search API on the distribution of total Tweets as well as COVID-19 keyword incidence and frequency and find that the VBEST samples produce consistent and relatively low levels of overall bias compared to common methods of access through the Search API across many experimental conditions.

Exploring discourses of equity, social justice and social determinants in Australian health care policy and planning documents.

The Australian National Health Reform agenda includes aims to reduce health disadvantages and provide equitable access. However, this reform will be implemented through state and territory governments, and as such will be built on existing conceptualisations of health as a social justice concept (core to understandings of social determinants). A selection of state and territory health policy documents were analysed within a critical discourse framework focussing on their use of terms relating to social determinants. Analysis revealed that the understandings of social justice concepts vary across Australia and are generally apolitical, belying core concerns inherent in a social determinants understanding. Such differentiation bears recognition by reformers seeking to implement national consistency. This paper also considers how health professionals might become aware of their own cultural enmeshment in neo-liberal frameworks of understanding, recognising a social determinants framework as counter-cultural and hence requiring radical thinking.

Ecological risk assessment for mink and short-tailed shrew exposed to PCBs, dioxins, and furans in the Housatonic River area.

A probabilistic risk assessment was conducted to characterize risks to a representative piscivorous mammal (mink, Mustela vison) and a representative carnivorous mammal (short-tailed shrew, Blarina brevicauda) exposed to PCBs, dioxins, and furans in the Housatonic River area downstream of the General Electric (GE) facility in Pittsfield, Massachusetts. Contaminant exposure was estimated using a probabilistic total daily intake model and parameterized using life history information of each species and concentrations of PCBs, dioxins, and furans in prey collected in the Housatonic River study area. The effects assessment preferentially relied on dose-response curves but defaulted to benchmarks or other estimates of effect when there were insufficient toxicity data. The risk characterization used a weight of evidence approach. Up to 3 lines of evidence were used to estimate risks to the selected mammal species: 1) probabilistic exposure and effects modeling, 2) field surveys, and 3) species-specific feeding or field studies. The weight of evidence assessment indicated a high risk for mink and an intermediate risk for short-tailed shrew.

Drug injecting in patients in New Zealand Methadone Maintenance Treatment programs: an anonymous survey.

INTRODUCTION AND AIMS: To investigate the prevalence and nature of injecting behaviour among patients on Methadone Maintenance Treatment (MMT) programs. DESIGN AND METHODS: A self-reported questionnaire was handed to 423 patients enrolled in MMT across six clinics in the lower North Island of New Zealand. RESULTS: A total of 151 patients responded, giving a 35.6% response rate. One hundred and twenty (79.5%) respondents reported they had injected methadone while enrolled in MMT, 84 (55.6%) had injected methadone in the last year and of those 43 (35.8%) had injected methadone in the last week. Reasons given for injecting of methadone included: rapid onset of effect, needle fixation and euphoria. Time on the methadone programme was negatively associated with ever injecting methadone [odds ratio (95% CI) 0.92 (0.85-0.99), P = 0.029] and injecting other substances [odds ratio (95% CI) 0.93(0.87-1.0), P = 0.046]. More frequent pharmacy-observed consumption was associated with increased injecting of other substances [odds ratio (95% CI) 1.32 (1.09-1.59), P = 0.005] but not methadone. The time a person had been enrolled on the methadone programme was associated with decreased use of other substances [odds ratio (95% CI) 0.93 (0.87-1.0), P = 0.046]. DISCUSSION AND CONCLUSIONS: Many individuals on MMT continue to inject their methadone. In this sample, the frequency of injection of methadone did not correlate with prescribed dose or takeaway arrangements. The beneficial impact of time on the programme emphasises the importance of retention in treatment. It is suggested that these results also indicate a need for routine education concerning safe injecting.