%0 Journal Article %~ PubMed %A Bauman, Adrian %A Merom, Dafna %A Rissel, Chris %T "Where have all the bicycles gone?" Are bicycle sales in Australia translated into health-enhancing levels of bicycle usage? %B Preventive Medicine %D 2012 %C United States %I Academic Press %V 54 %N 2 %P 145-147 %@ 0091-7435 %X To explore whether the reported increase in bicycle sales in Australia is corroborated by increases in numbers of cyclists. %Z FOR Codes: 111712 %0 Journal Article %A Crawford, Belinda %A Rissel, Christopher %A Yamazaki, Rowena %A Franke, Elise %A Amanatidis, Sue %A Ravulo, Jioji %A Bindon, Jenni %A Torvaldsen, Siranda %T 'It's good to have wheels!' Perceptions of cycling among homeless young people in Sydney, Australia %B Youth Studies Australia %D 2012 %C Australia %I Australian Clearinghouse for Youth Studies %V 31 %N 4 %P 55-63 %@ 1038-2569 %X %Z FOR Codes: 111704 %0 Journal Article %A Gillham, Chris %A Rissel, Christopher %T Australian per capita cycling participation in 1985/86 and 2011 %B World Transport Policy and Practice %D 2012 %C United Kingdom %I Emerald Group Publishing Limited %V 18 %N 3 %P 8-12 %@ 1352-7614 %X %Z FOR Codes: 111712 %0 Journal Article %~ PubMed %A Rissel, Chris %T Author reply. %B Health Promotion Journal of Australia %D 2012 %C Australia %I Australian Health Promotion Association %V 23 %N 1 %P 77 %@ 1036-1073 %X %Z FOR Codes: 111712 %0 Journal Article %~ PubMed %A Wen, Li Ming %A Simpson, Judy M %A Rissel, Chris %A Baur, Louise A %T Awareness of Breastfeeding Recommendations and Duration of Breastfeeding: Findings from the Healthy Beginnings Trial. %B Breastfeeding Medicine %D 2012 %C United States %I Mary Ann Liebert, Inc. Publishers %V 7 %N 4 %P 223-229 %@ 1556-8342 %X Abstract Background: To date, there are no studies examining the role of awareness of the World Health Organization''s breastfeeding recommendation in determining mothers'' breastfeeding decisions and practice. This study sought to determine whether awareness of the recommendation to breastfeed exclusively to age 6 months and intention to meet this recommendation are translated into breastfeeding practice. Methods: We analyzed longitudinal data from 201 first-time mothers who participated in the Healthy Beginnings Trial as a control group. The mothers'' awareness of the breastfeeding recommendation and their intention to meet the recommendation were assessed at baseline antenatally, and breastfeeding duration was assessed at 6 and 12 months postpartum, through telephone and face-to-face interviews, respectively. Logistic regression and Cox regression analyses were conducted. Results: Mothers who knew the recommendation were 26% more likely to initiate breastfeeding (adjusted risk ratio [ARR] 1.26, 95% confidence interval [CI] 1.14 to 1.37, p=0.001) and 34% less likely to have stopped breastfeeding (adjusted hazard ratio 0.66, 95% CI 0.46 to 0.95, p=0.03) at 12 months than those who did not. Having an intention to meet the recommendation was weakly positively associated with the initiation of breastfeeding only (ARR 1.09, 95% CI 1.03 to 1.20, p=0.07). Conclusions: Awareness of the breastfeeding recommendation to breastfeed exclusively for 6 months is an independent positive predictor of breastfeeding initiation and duration. Improving mothers'' awareness of the recommendation and strengthening their intention to breastfeed could lead to increased breastfeeding initiation and duration. %Z FOR Codes: 111403 111712 111716 %0 Journal Article %~ PubMed %A Wen, Li Ming %A Baur, Louise A %A Simpson, Judy M %A Rissel, Chris %A Wardle, Karen %A Flood, Victoria M %T Effectiveness of home based early intervention on children's BMI at age 2: randomised controlled trial. %B BMJ %D 2012 %C United Kingdom %I BMJ Group %V 344 %N %P e3732 %@ 1756-1833 %X To assess the effectiveness of a home based early intervention on children''s body mass index (BMI) at age 2. %Z FOR Codes: 111403 111712 111716 %0 Journal Article %~ PubMed %A Dean, Catherine M %A Rissel, Chris %A Sherrington, Catherine %A Sharkey, Michelle %A Cumming, Robert G %A Lord, Stephen R %A Barker, Ruth N %A Kirkham, Catherine %A O'Rourke, Sandra %T Exercise to enhance mobility and prevent falls after stroke: the community stroke club randomized trial. %B Neurorehabilitation and Neural Repair %D 2012 %C United States %I Sage Publications, Inc. %V 26 %N 9 %P 1046-1057 %@ 1552-6844 %X %Z FOR Codes: 111712 %0 Journal Article %~ PubMed %A Poulos, Roslyn G %A Hatfield, Julie %A Rissel, Chris %A Grzebieta, Raphael %A McIntosh, Andrew S %T Exposure-based cycling crash, near miss and injury rates: The Safer Cycling Prospective Cohort Study protocol. %B Injury Prevention %D 2012 %C United Kingdom %I BMJ Group %V 18 %N 1 %P e1 %@ 1475-5785 %X IntroductionThere are clear personal, social and environmental benefits of cycling. However, safety concerns are among the frequently cited barriers to cycling. In Australia, there are no exposure-based measures of the rates of crash or ''near miss'' experienced by cyclists.Design and settingA prospective cohort study over 12 months, with all data collected via web-based online data entry.ParticipantsTwo thousand adults aged 18 years and older, living in New South Wales (Australia), who usually bicycle at least once a month, will be recruited from March to November 2011.MethodsIn the 12 months following enrolment, cyclists will be surveyed on six occasions (weeks 8, 16, 24, 32, 40 and 48 from the week of the enrolment survey). In these survey weeks, cyclists will be asked to provide daily reports of distance travelled; time, location and duration of trips; infrastructure used; crashes, near misses and crash-related injuries. Information on crashes and injuries will also be sought for the intervening period between the last and current survey. A subsample of participants will receive bicycle trip computers to provide objective measurement of distance travelled.DiscussionThis study protocol describes the prospective cohort study developed to assess near misses, crashes and injuries among cyclists by time and distance travelled and by type of infrastructure used, with recruited participants entering data remotely using the internet. We expect to be able to calculate event rates according to exposure overall and for different infrastructure types and to report in-depth information about event causation. %Z FOR Codes: 111712 %0 Journal Article %~ PubMed %A Laws, Rachel A %A Vita, Philip %A Venugopal, Kamalesh %A Rissel, Chris %A Davies, Daniel %A Colagiuri, Stephen %T Factors influencing participant enrolment in a diabetes prevention program in general practice: lessons from the Sydney diabetes prevention program. %B BMC Public Health %D 2012 %C United Kingdom %I BioMed Central Ltd. %V 12 %N %P 822 %@ 1471-2458 %X %Z FOR Codes: 111712 %0 Journal Article %~ PubMed %A Wen, Li Ming %A Baur, Louise A %A Rissel, Chris %A Flood, Vicki %A Simpson, Judy M %A Hayes, Alison %A Hardy, Louise L %A Wardle, Karen %T Healthy Beginnings Trial Phase 2 study: Follow-up and cost-effectiveness analysis. %B Contemporary Clinical Trials %D 2012 %C United States %I Elsevier Inc. %V 33 %N 2 %P 396-401 %@ 1559-2030 %X In 2007, we commenced the Healthy Beginnings Trial (HBT) Phase 1 study, which is the first randomised controlled trial (RCT) to test the effectiveness of an early childhood obesity intervention in children aged up to 2years. The results were promising with significant improvements in infant feeding practices and a lower mean body mass index (BMI). The aims of this proposed Phase 2 study are to determine if the early intervention will lead to a lower mean BMI, lower screen time, improved dietary behaviours and demonstrated cost-effectiveness of the intervention, in children aged 3?? and 5years. %Z FOR Codes: 111403 111712 111716 %0 Journal Article %~ PubMed %A Rissel, Chris %A Curac, Nada %A Greenaway, Mark %A Bauman, Adrian %T Physical activity associated with public transport use-a review and modelling of potential benefits. %B International Journal of Environmental Research and Public Health %D 2012 %C Switzerland %I M D P I AG %V 9 %N 7 %P 2454-2478 %@ 1660-4601 %X Active travel, particularly walking and cycling, has been recommended because of the health benefits associated with increased physical activity. Use of public transport generally involves some walking to bus stops or train stations. This paper is a systematic review of how much time is spent in physical activity among adults using public transport. It also explores the potential effect on the population level of physical activity if inactive adults in NSW, Australia, increased their walking through increased use of public transport. Of 1,733 articles, 27 met the search criteria, and nine reported on absolute measures of physical activity associated with public transport. A further 18 papers reported on factors associated with physical activity as part of public transport use. A range of 8-33 additional minutes of walking was identified from this systematic search as being attributable to public transport use. Using "bootstrapping" statistical modelling, if 20% of all inactive adults increased their walking by only 16 minutes a day for five days a week, we predict there would be a substantial 6.97% increase in the proportion of the adult population considered "sufficiently active". More minutes walked per day, or a greater uptake of public transport by inactive adults would likely lead to significantly greater increases in the adult population considered sufficiently active. %Z FOR Codes: 111706 %0 Journal Article %~ PubMed %A Tiedemann, Anne %A Sherrington, Catherine %A Dean, Catherine M %A Rissel, Chris %A Lord, Stephen R %A Kirkham, Catherine %A O'Rourke, Sandra D %T Predictors of adherence to a structured exercise program and physical activity participation in community dwellers after stroke. %B Stroke Research and Treatment %D 2012 %C United States %I Hindawi Publishing Corporation %V 2012 %N %P 136525 %@ 2042-0056 %X Aim. To investigate predictors of adherence to group-based exercise and physical activity participation among stroke survivors. Methods. 76 stroke survivors participated (mean age 66.7 years). Adherence was the percentage of classes attended over one year. Physical activity was the average pedometer steps/day measured over seven days at the end of the trial. Possible predictors included baseline measures of demographics, health, quality of life, falls, fear of falling, cognition, and physical functioning. Results. Mean class attendance was 60% (SD 29%). Only one variable (slow choice stepping reaction time) was an independent predictor of higher class attendance, explaining 5% of the variance. Participants completed an average of 4,365 steps/day (SD 3350). Those with better physical functioning (choice stepping reaction time, postural sway, maximal balance range, 10-m walk, or 6-min walk) or better quality of life (SF-12 score) took more steps. A model including SF-12, maximal balance range, and 6-min walk accounted for 33% of the variance in average steps/day. Conclusions. The results suggest that better physical functioning and health status are predictors of average steps taken per day in stroke survivors and that predicting adherence to group exercise in this group is difficult. %Z FOR Codes: 111703 %0 Journal Article %~ PubMed %A Rissel, Chris %A Laws, Rachel %A St George, Alexis %A Hector, Debra %A Milat, Andrew J %A Baur, Louise A %T Research to practice: application of an evidencebuilding framework to a childhood obesity prevention initiative in New South Wales. %B Health Promotion Journal of Australia %D 2012 %C Australia %I Australian Health Promotion Association %V 23 %N 1 %P 16-24 %@ 1036-1073 %X Issue addressed: Building evidence-based health promotion programs involves a number of steps. This paper aims to develop a set of criteria for assessing the evidence available according to a five-stage evidence-building framework, and apply these criteria to current child obesity prevention programs in NSW to determine the usefulness of the framework in identifying gaps in evidence and opportunities for future research and evaluation. Methods: A set of scoring criteria were developed for application within the five stages of an ''evidence-building'' framework: problem definition, solution generation, intervention testing (efficacy), intervention replication, and dissemination research. The research evidence surrounding the 10 childhood obesity prevention programs planned for state-wide implementation in the New South Wales Healthy Children Initiative (HCI) was identified and examined using these criteria within the framework. Results: The evidence for the component programs of the HCI is at different stages of development. While problem definition and, to a lesser extent, solution generation was thoroughly addressed across all programs, there were a number of evidence gaps, indicating research opportunities for efficacy testing and intervention replication across a variety of settings and populations. Conclusions: The five-stage evidence-building framework helped identify important research and evaluation opportunities that could improve health promotion practice in NSW. More work is needed to determine the validity and reliability of the criteria for rating the extent and quality of the evidence for each stage. %Z FOR Codes: 111712 111708 111704 %0 Journal Article %~ PubMed %A Rissel, Chris E %A Reinten-Reynolds, Tracie A %A Wen, Li M %A Hardy, Louise L %T Soft drink consumption and obesity in NSW school students. %B Medical Journal of Australia %D 2012 %C Australia %I Australasian Medical Publishing Company Pty. Ltd %V 196 %N 3 %P 171-172 %@ 1326-5377 %X %Z FOR Codes: 111712 %0 Journal Article %~ PubMed %A Chau, Josephine Y %A Merom, Dafna %A Grunseit, Anne %A Rissel, Chris %A Bauman, Adrian E %A van der Ploeg, Hidde P %T Temporal trends in non-occupational sedentary behaviours from Australian Time Use Surveys 1992, 1997 and 2006. %B International Journal of Behavioral Nutrition and Physical Activity %D 2012 %C United Kingdom %I BioMed Central Ltd. %V 9 %N 1 %P 76 %@ 1479-5868 %X ABSTRACT: BACKGROUND: Current epidemiological data highlight the potential detrimental associations between sedentary behaviours and health outcomes, yet little is known about temporal trends in adult sedentary time. This study used time use data to examine population trends in sedentary behaviours in non-occupational domains and more specifically during leisure time. METHODS: We conducted secondary analysis of population representative data from the Australian Time Use Surveys 1992, 1997 and 2006 involving respondents aged 20 years and over with completed time use diaries for two days. Weighted samples for each survey year were: n¿=¿5851 (1992), n¿=¿6419 (1997) and n¿=¿5505 (2006). We recoded all primary activities by domain (sleep, occupational, transport, leisure, household, education) and intensity (sedentary, light, moderate). Adjusted multiple linear regressions tested for differences in time spent in non-occupational sedentary behaviours in 1992 and 1997 with 2006 as the reference year. RESULTS: Total non-occupational sedentary time was slightly lower in 1997 than in 2006 (mean¿=¿894 min/2d and 906 min/2d, respectively; B¿=¿¿11.2; 95%CI: -21.5, -0.9). Compared with 2006, less time was spent in 1997 in sedentary transport (B-6.7; 95%CI: -10.4, -3.0) and sedentary education (B¿=¿¿6.3; 95%CI: -10.5, -2.2) while household and leisure sedentary time remained stable. Time engaged in different types of leisure-time sedentary activities changed between 1997 and 2006: leisure-time computer use increased (B¿=¿¿26.7; 95%CI: -29.5, -23.8), while other leisure-time sedentary behaviours (e.g., reading, listening to music, hobbies and crafts) showed small concurrent reductions. In 1992, leisure screen time was lower than in 2006: TV-viewing (B¿=¿¿24.2; 95%CI: -31.2, -17.2), computer use (B¿=¿¿35.3; 95%CI: -37.7, -32.8). In 2006, 90 % of leisure time was spent sedentary, of which 53 % was screen time. CONCLUSIONS: Non-occupational sedentary time has increased slightly from 1997 to 2006 in the Australian adult population. This seems to be the result of small increases in sedentary transport and education time while sedentary household and leisure time were stable over this time period. However, almost all leisure time is spent sedentary and the composition of sedentary leisure time changed between 1992 and 2006 towards a larger proportion being screen-based activities. This could be an important observation for public health, as most of the evidence on the detrimental effects of sedentary behaviour is around watching television and health. %Z FOR Codes: 111705 %0 Journal Article %~ PubMed %A Milat, Andrew J %A King, Lesley %A Rissel, Chris %A Bauman, Adrian %A Redman, Sally %T The case for funding more intervention research in public health - policy maker and researcher perspectives. %B Australian and New Zealand Journal of Public Health %D 2012 %C Australia %I Wiley-Blackwell Publishing Asia %V 36 %N 6 %P 582-583 %@ 1326-0200 %X %Z FOR Codes: 111799 %0 Journal Article %~ PubMed %A Rissel, Chris %T The impact of compulsory cycle helmet legislation on cyclist head injuries in New South Wales, Australia: a rejoinder. %B Accident; Analysis and Prevention %D 2012 %C United Kingdom %I Elsevier Ltd %V 45 %N %P 107-109 %@ 1879-2057 %X This paper challenges the conclusion of a recent paper by Walter et al. (Accident Analysis and Prevention 2011, doi:10.1016/j.aap.2011.05.029) reporting that despite numerous data limitations repealing the helmet legislation in Australia could not be justified. This conclusion is not warranted because of the limited time period used in their analysis and the lack of data beyond a few years before the introduction of legislation, the failure to adequately account for the effect of the phasing in of the legislation, the effect of the marked reduction in child cyclists, and the non-comparability of the pedestrian and cycling injuries and related lack of consideration of the severity of head injuries. The extent to which helmet legislation deters people from cycling is discussed. %Z FOR Codes: 111712 %0 Journal Article %A Kelly, Angela %A Arjunan, Punitha %A Van Der Ploeg, Hidde %A Rissel, Christopher %A Borg, Janella %A Wen, Li Ming %T The implementation of a pilot playground markings project in four Australian primary schools %B Health Promotion Journal of Australia %D 2012 %C Australia %I Australian Health Promotion Association %V 23 %N 3 %P 183-187 %@ 1036-1073 %X %Z FOR Codes: 111712 111403 %0 Journal Article %~ PubMed %A Perez, Donna A %A Grunseit, Anne C %A Rissel, Chris %A Kite, James %A Cotter, Trish %A Dunlop, Sally %A Bauman, Adrian %T Tobacco promotion 'below-the-line': Exposure among adolescents and young adults in NSW, Australia. %B BMC Public Health %D 2012 %C United Kingdom %I BioMed Central Ltd. %V 12 %N 1 %P 429 %@ 1471-2458 %X ABSTRACT: BACKGROUND: Exposure to tobacco advertising and promotion increases the likelihood of smoking amongst young people. While there is a universal ban on traditional or ''above-the-line'' advertising in Australia, the types and extent of exposure of young people to ''below-the-line'' tobacco advertising and promotion is largely unknown. In this study we aim to identify levels of exposure of New South Wales (NSW) adolescents and young adults to tobacco promotion at the point-of-sale (PoS), on the internet, in entertainment media and at venues such as events or festivals and pubs, clubs, nightclubs, or bars; and to identify those most at risk of exposure. METHODS: A telephone survey of 1000 NSW adolescents and young adults aged 12 to 24 years was conducted. Self-reported exposure to tobacco promotions or advertising in the last month were measured in four areas: (1) promotions or advertising at (a) events or festivals and (b) pubs, clubs, nightclubs or bars, (2) on the internet, (3) people smoking cigarettes in (a) movies, (b) TV shows, (c) video games and (d) on the internet, and (4) displays of cigarette packs for sale at (a) large supermarkets, (b) grocery stores or small supermarkets, (c) convenience stores, and (d) service or petrol stations. Smoking status and susceptibility to smoking was also assessed. RESULTS: A substantial proportion of the young people surveyed reported seeing tobacco promotion sometimes or often in the last month over most of the channels studied. The highest levels of exposure were at the PoS (approx. two-thirds) and to people smoking cigarettes in movies (77%). Lower levels of exposure to tobacco promotions and imagery were reported on the internet (20%); at events or festivals (22.5%); in pubs, clubs, nightclubs or bars (31%); and in video games (23%). However, the odds of exposure through video games increased by 8% for every additional hour spent on the internet per day. CONCLUSIONS: This study shows that adolescents and young adults in NSW are exposed to tobacco advertising or promotion at the PoS, on the internet, in entertainment media and at venues such as events or festivals and pubs, clubs, nightclubs or bars, despite the restrictions on the marketing of tobacco in Australia. %Z FOR Codes: 111712 111704 %0 Journal Article %~ PubMed %A Rychetnik, Lucie %A Bauman, Adrian %A Laws, Rachel %A King, Lesley %A Rissel, Chris %A Nutbeam, Don %A Colagiuri, Stephen %A Caterson, Ian %T Translating research for evidence-based public health: key concepts and future directions. %B Journal of Epidemiology & Community Health %D 2012 %C United Kingdom %I BMJ Group %V 66 %N 12 %P 1187-1192 %@ 0143-005X %X Applying research to guide evidence-based practice is an ongoing and significant challenge for public health. Developments in the emerging field of ''translation'' have focused on different aspects of the problem, resulting in competing frameworks and terminology. In this paper the scope of ''translation'' in public health is defined, and four related but conceptually different ''translation processes'' that support evidence-based practice are outlined: (1) reviewing the transferability of evidence to new settings, (2) translation research, (3) knowledge translation, and (4) knowledge translation research. Finally, an integrated framework is presented to illustrate the relationship between these domains, and priority areas for further development and empirical research are identified. %Z FOR Codes: 111712 %0 Book Section %A Phongsavan, Philayrath %A Rissel, Chris %A King, Lesley %A Bauman, Adrian %T Whole society approaches to preventing obesity and diabetes %B A Modern Epidemic %D 2012 %C Australia %I Sydney University Press %V %N %P 245-263 %@ 9781920899851 %E Twigg, Stephen %E Magnusson, Roger S %E Baur, Louise %X %Z FOR Codes: 111716 111104 %0 Journal Article %~ PubMed %A Meron, Dafna %A Rissel, Chris %A Reinten-Reynolds, Tracie %A Hardy, Louise L %T Changes in active travel of school children from 2004 to 2010 in New South Wales, Australia. %B Preventive Medicine %D 2011 %C United States %I Academic Press %V 53 %N 6 %P 408-410 %@ 0091-7435 %X To describe changes in mode of commuting to school among Australia students between 2004 and 2010 and in relation to body mass index (BMI) and cardio respiratory fitness. %Z FOR Codes: 111706 %0 Journal Article %~ PubMed %A Bauman, Adrian %A Titze, Sylvia %A Rissel, Chris %A Oja, Pekka %T Changing gears: bicycling as the panacea for physical inactivity? %B British journal of sports medicine %D 2011 %C United Kingdom %I BMJ Group %V 45 %N 10 %P 761-2 %@ 1473-0480 %X %Z FOR Codes: 111712 %0 Journal Article %A Rissel, Chris %A Piper, Tessa %A Wen, Li Ming %T Do first time mothers need a guideline for maximum periods of sitting or being sedentary? %B Health Promotion Journal of Australia %D 2011 %C Australia %I Australian Health Promotion Association %V 22 %N 3 %P 239 %@ 1036-1073 %X %Z FOR Codes: 111716 %0 Journal Article %~ PubMed %A Wen, Li Ming %A Baur, Louise A %A Simpson, Judy M %A Rissel, Chris %A Flood, Victoria M %T Effectiveness of an early intervention on infant feeding practices and "tummy time": a randomized controlled trial. %B Archives of Pediatrics & Adolescent Medicine %D 2011 %C United States %I American Medical Association %V 165 %N 8 %P 701-707 %@ 1538-3628 %X To assess the effectiveness of a home-based early intervention on infant feeding practices and "tummy time" for infants in the first year of life. %Z FOR Codes: 111499 111712 111716 %0 Journal Article %~ PubMed %A Weber, Danielle %A Janson, Anneka %A Nolan, Michelle %A Wen, Li Ming %A Rissel, Chris %T Female employees' perceptions of organisational support for breastfeeding at work: findings from an Australian health service workplace. %B International Breastfeeding Journal %D 2011 %C United Kingdom %I BioMed Central Ltd. %V 6 %N 1 %P 19 %@ 1746-4358 %X ABSTRACT: BACKGROUND: Women''s return to work can be a significant barrier to continued breastfeeding. Workplace policies and practices to promote and support continued, and longer duration of, breastfeeding are important. In the context of the introduction of a new breastfeeding policy for Area Health Services in New South Wales, Australia, a baseline survey was conducted to describe current practices and examine women''s reports of perceived organisational support on breastfeeding intention and practice. METHODS: A cross sectional survey of female employees of the Sydney South West Area Health Service was conducted in late 2009. A mailed questionnaire was sent to 998 eligible participants who had taken maternity leave over the 20-month period from January 2008 to August 2009. The questionnaire collected items assessing breastfeeding intentions, awareness of workplace policies, and the level of organisational and social support available. For those women who had returned to work, further questions were asked to assess the perceptions and practices of breastfeeding in the work environment, as well as barriers and enabling factors to combining breastfeeding and work. RESULTS: Returning to work was one of the main reasons women ceased breastfeeding, with 60 percent of women intending to breastfeed when they returned to work, but only 40 percent doing so. Support to combine breastfeeding and work came mainly from family and partners (74% and 83% respectively), with little perceived support from the organisation (13%) and human resources (6%). Most women (92%) had received no information from their managers about their breastfeeding options upon their return to work, and few had access to a room specially designated for breastfeeding (19%). Flexible work options and lactation breaks, as well as access to a private room, were identified as the main factors that facilitate breastfeeding at work. CONCLUSIONS: Enabling women to continue breastfeeding at work has benefits for the infant, employee and organisation. However, this baseline study of health employees revealed that women felt largely unsupported by managers and their organisation to continue breastfeeding at work. %Z FOR Codes: 111712 %0 Journal Article %A Devine, Erin %A Handmer, Marcus %A Bedford, Karen %A Rissel, Chris %A Low, Emily %T Lessons learnt from a pilot bicycle program with community mental health service consumers %B Health Promotion Journal of Australia %D 2011 %C Australia %I Australian Health Promotion Association %V 22 %N 3 %P 240 %@ 1036-1073 %X %Z FOR Codes: 111714 %0 Journal Article %~ PubMed %A Wen, Li M %A Rissel, Chris %A Simpson, Judy M %A Lee, Eric %A Baur, Louise A %T Maternal smoking, weight status and dietary behaviours during pregnancy: findings from first-time mothers in south-west Sydney, Australia. %B Australian & New Zealand Journal of Obstetrics & Gynaecology %D 2011 %C Australia %I Wiley-Blackwell Publishing Asia %V 51 %N 1 %P 31-37 %@ 1479-828X %X Few studies have been conducted examining the relationship between maternal smoking, weight status and dietary behaviours during pregnancy. %Z FOR Codes: 111404 111712 111706 %0 Journal Article %A Daley, Michelle %A Rissel, Chris %T Perspectives and images of cycling as a barrier or facilitator of cycling %B Transport Policy %D 2011 %C United Kingdom %I Pergamon %V 18 %N 1 %P 211-216 %@ 0967-070X %X %Z FOR Codes: 111712 %0 Journal Article %~ PubMed %A Voukelatos, Alexander %A Merom, Dafna %A Rissel, Chris %A Sherrington, Cathie %A Watson, Wendy %A Waller, Karen %T The effect of walking on falls in older people: the 'Easy Steps to Health' randomized controlled trial study protocol. %B BMC Public Health %D 2011 %C United Kingdom %I BioMed Central Ltd. %V 11 %N %P 888 %@ 1471-2458 %X ABSTRACT: %Z FOR Codes: 111702 %0 Journal Article %~ PubMed %A Dirkis, H %A Ng, H %A Rissel, C %T The effectiveness of school travel access guides (TAGs). %B Health Promotion Journal of Australia %D 2011 %C Australia %I Australian Health Promotion Association %V 22 %N 1 %P 77 %@ 1036-1073 %X %Z FOR Codes: 111712 %0 Journal Article %A Rissel, Chris %A Wen, Li Ming %T The possible effect on frequency of cycling if mandatory bicycle helmet legislation was repealed in Sydney, Australia: a cross sectional survey %B Health Promotion Journal of Australia %D 2011 %C Australia %I Australian Health Promotion Association %V 22 %N 3 %P 178-183 %@ 1036-1073 %X %Z FOR Codes: 111712 %0 Journal Article %~ PubMed %A Rissel, Chris E %A Martin, Paul %T Trends in head injuries and helmet use in cyclists at an inner-city major trauma centre, 1991-2010. %B The Medical Journal of Australia %D 2011 %C Australia %I Australasian Medical Publishing Company Pty. Ltd. %V 194 %N 4 %P 215-216 %@ 1326-5377 %X %Z FOR Codes: 111716 %0 Journal Article %~ PubMed %A Wen, Li Ming %A Rissel, Chris %A Baur, Louise A %A Lee, Eric %A Simpson, Judy M %T Who is NOT likely to access the Internet for health information? Findings from first-time mothers in southwest Sydney, Australia. %B International journal of medical informatics %D 2011 %C Ireland %I Elsevier Ireland Ltd %V 80 %N 6 %P 406-11 %@ 1872-8243 %X This study aimed to explore inequities in access to online health information and its relation to socioeconomic status, and to inform the development of the use of the Internet for health promotion. %Z FOR Codes: 111404 111712 111709 111404 111712 111706 %0 Journal Article %~ PubMed %A Hess, Isabel %A Borg, Janelle %A Rissel, Chris %T Workplace nutrition and physical activity promotion at Liverpool Hospital. %B Health Promotion Journal of Australia %D 2011 %C Australia %I Australian Health Promotion Association %V 22 %N 1 %P 44-50 %@ 1036-1073 %X The workplace is an effective way of reaching large numbers of adults during working hours, and increasing physical activity, promoting healthy eating or both.This paper evaluates the effectiveness of a workplace intervention in a hospital setting in Australia. %Z FOR Codes: 111712 %0 Journal Article %~ PubMed %A Wen, Li Ming %A Van der Ploeg, Hidde P %A Kite, James %A Cashmore, Aaron %A Rissel, Chris %T A validation study of assessing physical activity and sedentary behavior in children aged 3 to 5 years. %B Pediatric Exercise Science %D 2010 %C United States %I Human Kinetics %V 22 %N 3 %P 408-420 %@ 0899-8493 %X Assessing young children''s physical activity and sedentary behavior can be challenging and costly. This study aimed to assess the validity of a brief survey about activity preferences as a proxy of physical activity and of a 7-day activity diary, both completed by the parents and using accelerometers as a reference measure. Thirty-four parents and their children (aged 3-5 years) who attended childcare centers in Sydney (Australia) were recruited for the study. Parents were asked to complete a 9-item brief survey about activity preferences of their child and a 7-day diary recording the child''s physical activity and sedentary behaviors. Both measures were compared with accelerometer data collected from the child over the same period as the diary survey. The findings suggest that parent completed diaries have acceptable correlation coefficients with accelerometer measures and could be considered in future research assessing physical activity and sedentary behavior of children aged 3-5 years. %Z FOR Codes: 111712 %0 Journal Article %~ PubMed %A Capon, Anthony G %A Rissel, Chris E %T Chronic disease and climate change: understanding co-benefits and their policy implications. %B New South Wales Public Health Bulletin %D 2010 %C Australia %I CSIRO Publishing %V 21 %N 5-6 %P 109-113 %@ 1034-7674 %X Chronic disease and climate change are major public policy challenges facing governments around the world. An improved understanding of the relationship between chronic disease and climate change should enable improved policy formulation to support both human health and the health of the planet. Chronic disease and climate change are both unintended consequences of our way of life, and are attributable in part to the ready availability of inexpensive fossil fuel energy. There are co-benefits for health from actions to address climate change. For example, substituting physical activity and a vegetable-rich diet for motor vehicle transport and a meat-rich diet is both good for health and good for the planet. We should encourage ways of living that use less carbon as these can be healthy ways of living, for both individuals and society. Quantitative modelling of co-benefits should inform policy responses. %Z FOR Codes: 1117 %0 Journal Article %~ PubMed %A Rissel, Chris %A Merom, Dafna %A Bauman, Adrian %A Garrard, Jan %A Wen, Li Ming %A New, Carolyn %T Current cycling, bicycle path use, and willingness to cycle more-findings from a community survey of cycling in southwest sydney, australia. %B Journal of Physical Activity & Health %D 2010 %C United States %I Human Kinetics %V 7 %N 2 %P 267-272 %@ 1543-3080 %X BACKGROUND: Encouraging cycling could increase levels of physical activity and health in the community. A population survey of cycling and physical activity was conducted as part of the baseline evaluation of a new intervention research project (Cycling Connecting Communities). METHODS: A telephone survey of adults (18+) living within 2 kilometers of selected major new bicycle paths in 3 local government areas in south western Sydney, Australia was conducted using a 2-stage sampling method. Multiple logistic regression analyses examined factors associated with riding in the last year, wanting to cycle more, and use of local bicycle paths. RESULTS: With a 65% response rate, 1450 interviews were completed. Having ridden a bicycle in the past year was associated with younger age, being male, having access to a bicycle, and living close to destinations of interest. Two thirds of respondents (65%) wanted to ride more than they currently did. Factors associated with wanting to ride more were having children aged between 5-18 years, having used local bicycle paths, and perceptions of ease of cycling. CONCLUSIONS: The study found that there is a latent desire for more cycling among respondents, prompted to some extent by having children of an age (5-18 years) that like cycling, and having a reasonable opportunity to cycle due to local bicycle paths. Being relatively close to destinations of interest increases the likelihood of recent cycling. %Z FOR Codes: 111716 %0 Journal Article %~ PubMed %A Wen, Li Ming %A Flood, Victoria M %A Simpson, Judy M %A Rissel, Chris %A Baur, Louise A %T Dietary behaviours during pregnancy: findings from first-time mothers in southwest Sydney, Australia. %B The International Journal of Behavioral Nutrition and Physical Activity %D 2010 %C United Kingdom, Unit %I BioMed Central Ltd. %V 7 %N %P 13 %@ 1479-5868 %X ABSTRACT: BACKGROUND: Limited prevalence data are available for nutrition related health behaviours during pregnancy. This study aimed to assess dietary behaviours during pregnancy among first-time mothers, and to investigate the relationships between these behaviours and demographic characteristics, so that appropriate dietary intervention strategies for pregnant women can be developed. METHOD: An analysis of cross-sectional survey was conducted using data from 409 first-time mothers at 26-36 weeks of pregnancy, who participated in the Healthy Beginnings Trial conducted in southwestern Sydney, Australia. Dietary behaviours, including consumption of vegetables, fruit, water, milk, soft drinks, processed meat products, fast foods/take away and chips, were assessed using the New South Wales Health Survey questionnaire through face-to-face interviews. Factors associated with dietary behaviours were determined by logistic regression modeling. Log-binomial regression was used to calculate adjusted risk ratios (ARR). RESULTS: Only 7% of mothers reported meeting the recommended vegetable consumption and 13% reported meeting the recommended fruit consumption. Mean and median intakes per day were 2.3 (SD 1.3) and 2 serves of vegetables, and 2.1 (SD 1.4) and 2 serves of fruit respectively. About one fifth of mothers (21%) reported drinking 2 cups (500 ml) or more of soft drink per day and 12% reported consuming more than 2 meals or snacks from fast-food or takeaway outlets per week. A small percentage of mothers (5%) had experienced food insecurity over the past 12 months. There were significant inverse associations between water and soft drink consumption (Spearman''s rho -0.20, P < 0.001), and between fruit and fast food/takeaway consumption (Spearman''s rho -0.16, P = 0.001). The dietary behaviours were associated with a variety of socio-demographic characteristics, but no single factor was associated with all the dietary behaviours. CONCLUSIONS: There were low reported levels of vegetable and fruit consumption and high reported levels of soft drink and takeaway/fast food consumption among pregnant women. Dietary interventions to prevent adverse health consequences need to be tailored to meet the needs of pregnant women of low socio-economic status in order to improve their own healthy eating behaviors. Increasing water and fruit consumption could lead to reduced consumption of soft drink and takeaway/fast food among pregnant women. TRIAL REGISTRATION: HBT is registered with the Australian Clinical Trial Registry (ACTRNO12607000168459). %Z FOR Codes: 111716 111499 111199 %0 Journal Article %~ PubMed %A Miskell, Sharon %A Xu, Willa %A Rissel, Chris %T Encouraging community cycling and physical activity: a user survey of a community bicycle loan scheme. %B Health Promotion Journal of Australia %D 2010 %C Australia %I Australian Health Promotion Association %V 21 %N 2 %P 153-154 %@ 1036-1073 %X %Z FOR Codes: 1117 %0 Journal Article %~ PubMed %A Perusco, Andrew %A Poder, Natasha %A Mohsin, Mohammed %A Rikard-Bell, Glenys %A Rissel, Chris %A Williams, Mandy %A Hua, Myna %A Millen, Elizabeth %A Sabry, Marial %A Guirguis, Sanaa %T Evaluation of a comprehensive tobacco control project targeting Arabic-speakers residing in south west Sydney, Australia. %B Health promotion international %D 2010 %C United Kingdom, France %I Oxford University Press %V 25 %N 2 %P 153-65 %@ 0957-4824 %X Tobacco control is a health promotion priority, but there is limited evidence on the effectiveness of campaigns targeting culturally and linguistically diverse (CALD) populations. Being the largest population of non-English-speaking smokers residing in New South Wales (NSW), Australia, Arabic-speakers are a priority population for tobacco control. We report findings from baseline and post-intervention cross-sectional telephone surveys evaluating a comprehensive social marketing campaign (SMC) specifically targeting Arabic-speakers residing in south west Sydney, NSW. The project was associated with a decline in self-reported smoking prevalence from 26% at baseline to 20.7% at post (p < 0.05) and an increase in self-reported smoke-free households from 67.1% at baseline to 74.9% at post (p < 0.05). This paper contributes evidence that comprehensive SMCs targeting CALD populations can reduce smoking prevalence and influence smoking norms in CALD populations. %Z FOR Codes: 605 %0 Journal Article %~ PubMed %A Wen, Li Ming %A Simpson, Judy M %A Baur, Louise A %A Rissel, Chris %A Flood, Victoria M %T Family Functioning and Obesity Risk Behaviors: Implications for Early Obesity Intervention. %B Obesity (Silver Spring, Md.) %D 2010 %C United States %I Nature Publishing Group %V 19 %N 0 %P 1252-8 %@ 1930-7381 %X Family functioning is found to be associated with overweight and obesity in childhood, but its association with maternal obesity risk behaviors is not clear. This study aimed to investigate whether family functioning is associated with maternal obesity risk behaviors and to inform the development of early obesity interventions. A total of 408 first-time mothers at 24-34 weeks of pregnancy were included in the study. They participated in the Healthy Beginnings Trial (HBT) conducted in southwest Sydney, Australia in 2008. An analysis of cross-sectional baseline data was conducted using ordinal logistic regression modeling. Key measures were assessed using the McMaster Family Assessment Device, and self-reported obesity risk behaviors including excessive consumption of soft drinks, fast food, and excessive small screen time. The study found that 30% of the study population had a family functioning score ???2, indicating unhealthy family functioning. About one-third (36%) of the mothers had more than one obesity risk behavior. Mothers with a family functioning score ???2 were more likely to have more than one obesity risk behavior (47% vs. 32%, P < 0.05) than mothers with a lower score. The proportion of mothers with a family functioning score ???2 increased from 22% to 29% to 39% as the number of maternal obesity risk behaviors increased from 0 to 1 to 2 or more, giving an adjusted proportional odds ratio (AOR) of 2.0 (95% confidence interval (CI) 1.3-3.0, P = 0.001). Family functioning is independently associated with the number of maternal obesity risk behaviors after allowing for the effects of maternal age and education. Overweight and obesity interventions should consider addressing family functioning. %Z FOR Codes: 111706 111712 %0 Journal Article %~ PubMed %A Fry, Denise %A Gleeson, Suzanne %A Rissel, Chris %T Health promotion and secondary prevention: response to Milat, O'Hara and Develin. %B Health Promotion Journal of Australia %D 2010 %C Australia %I Australian Health Promotion Association %V 21 %N 2 %P 86-91 %@ 1036-1073 %X This paper responds to a recent HPJA article by Milat, O''Hara and Develin, which called for health promotion practitioners to be more closely involved in secondary prevention of Type 2 diabetes. It considers the resources currently available to health promotion in Australia, and examines and critiques the terminology of prevention used by Milat et al. The paper argues that Milat et al. give insufficient attention to the central role of social determinants of health in preventing Type 2 diabetes and in reducing health inequalities in the population. The paper agrees that increased health promotion involvement in Type 2 diabetes prevention programs may be beneficial, but argues that funds for such programs should come from the services that run them, not from the tiny health promotion budget. Given the current and projected scale of Type 2 diabetes in Australia, there is value in applying the concept of ''moving upstream'' to this health issue. The paper concludes that, given current resources, the best use of Australia''s specialist health promotion workforce is in ''upstream'' programs that can benefit the whole population as well as those at risk of Type 2 diabetes. %Z FOR Codes: 2201 %0 Journal Article %~ PubMed %A Wen, Li Ming %A Kite, James %A Rissel, Chris %T Is there a role for workplaces in reducing employees' driving to work? Findings from a cross-sectional survey from inner-west Sydney, Australia. %B BMC Public Health %D 2010 %C United Kingdom %I BioMed Central Ltd. %V 10 %N %P 50 %@ 1471-2458 %X BACKGROUND: The role of workplaces in promoting active travel (walking, cycling or using public transport) is relatively unexplored. This study explores the potential for workplaces to reduce employees'' driving to work in order to inform the development of workplace interventions for promoting active travel. METHODS: An analysis of a cross-sectional survey was conducted using data from parents/guardians whose children participated in the Central Sydney Walk to School Program in inner-west Sydney, Australia. A total of 888 parents/guardians who were employed and worked outside home were included in this analysis. The role of the workplace in regards to active travel was assessed by asking the respondents'' level of agreement to eight statements including workplace encouragement of active travel, flexible working hours, public transport availability, convenient parking, shower and change rooms for employees and whether they lived or worked in a safe place. Self-reported main mode of journey to work and demographic data were collected through a self-administrated survey. Binary logistic regression modelling was used to ascertain independent predictors of driving to work. RESULTS: Sixty nine per cent of respondents travelled to work by car, and 19% agreed with the statement, "My workplace encourages its employees to go to and from work by public transport, cycling and/or walking (active travel)." The survey respondents with a workplace encouraging active travel to work were significantly less likely to drive to work (49%) than those without this encouragement (73%) with an adjusted odds ratio (AOR) of 0.41 (95% CI 0.23-0.73, P = 0.002). Having convenient public transport close to the workplace or home was also an important factor that could discourage employees from driving to work with AOR 0.17 (95% CI 0.09-0.31, P < 0.0001) and AOR 0.50 (95% CI 0.28-0.90, P = 0.02) respectively. In contrast, convenient parking near the workplace significantly increased the likelihood of respondents driving to work (AOR 4.6, 95% CI 2.8-7.4, P < 0.0001). CONCLUSIONS: There is a significant inverse association between the perception of workplace encouragement for active travel and driving to work. Increases in the number of workplaces that encourage their employees to commute to work via active travel could potentially lead to fewer employees driving to work. In order to make active travel more appealing than driving to work, workplace interventions should consider developing supportive workplace policies and environments. %Z FOR Codes: 1108 %0 Journal Article %~ PubMed %A Wen, Li Ming %A Baur, Louise A %A Simpson, Judy M %A Rissel, Chris %T Mothers' awareness of their weight status and concern about their children being overweight: findings from first-time mothers in south-west Sydney. %B Australian and New Zealand Journal of Public Health %D 2010 %C Australia %I Wiley-Blackwell Publishing Asia %V 34 %N 3 %P 293-297 %@ 1326-0200 %X Objective: To assess mothers'' awareness of their weight status and to investigate whether this awareness influences mothers'' concerns about their child being overweight or obese. Design and setting: An analysis of cross-sectional baseline survey data from the Healthy Beginnings Trial conducted in south-west Sydney, NSW. Participants: A total of 667 first-time mothers at 24-36 weeks of pregnancy or within one month after giving birth, who participated in the Healthy Beginnings Trial. Results: Forty per cent of first-time mothers were overweight (24%) or obese (16%). Of these women 49% considered their weight acceptable and 21% had little or no concern about their child being overweight and obese. Concern about her child''s weight was not dependent on the mother''s age, marital status, education, employment, ethnicity or weight status. The only factor associated with concern about children being overweight was the mother''s awareness of her own weight status. Mothers who were unaware of being overweight were twice as likely to be unconcerned about their children being overweight as those who were aware of their weight status (RR 1.98, 95% CI 1.19 to 3.29, p=0.009). Conclusions: There was a low level of awareness of mothers'' own weight status, in particular among mothers who were young and less educated. This could lead to a lack of concern about their child being overweight. Implications: Early interventions to prevent childhood overweight and obesity need to improve mothers'' awareness of their own weight status and appropriate concerns about children being overweight or obese. %Z FOR Codes: 111712 111404 111104 %0 Journal Article %~ PubMed %A Rissel, Chris %A Bonfiglioli, Catriona %A Emilsen, Adrian %A Smith, Ben J %T Representations of cycling in metropolitan newspapers - changes over time and differences between Sydney and Melbourne, Australia. %B BMC Public Health %D 2010 %C United Kingdom %I BioMed Central Ltd. %V 10 %N %P 371 %@ 1471-2458 %X ABSTRACT: BACKGROUND: Cycling is important for health, transport, environmental and economic reasons. Newspaper reporting of cycling reflects and can influence public and policy maker attitudes towards resource allocation for cycling and cycling infrastructure, yet such coverage has not been systematically examined. METHODS: The Factiva electronic news archive was searched for articles referring to cycling published in four major metropolitan newspapers - two in Sydney and two in Melbourne, Australia, in the years from 1998 until 2008. After excluding articles not about cycling, there were 61 articles published in 1998, 45 in 1999, 51 in 2003, 82 in 2007 and 87 in 2008. Each article was coded for positive or negative orientation, and for framing of cyclists and cycling. Inter-rater reliability was calculated on a sample of 30 articles. RESULTS: Over the past decade there has been an increase in the reporting of cycling in the major newspapers in Sydney and Melbourne (from 106 in 1998/99 to 169 stories in 2007/08), with a significant increase in reporting of cycling in Melbourne, from 49 to 103 stories (p = 0.04). Recent reporting of cycling was generally positive (47% of articles, compared with 30% of articles which were negative) and focused on benefits such as health and the environment. Three quarters of negative stories involved injury or death of a cyclist. The Sydney based The Daily Telegraph reported the most negative stories (n = 60). We found positive framing of ''cycling'' was more widespread than negative, whereas framing of ''cyclists'' was more negative than positive. CONCLUSIONS: Quantity of reporting of cycling varies over time and by newspaper, and even between newspapers in different cities owned by the same media company. News coverage appears to reflect developments in the different cities, with increases in positive reporting of cycling in Melbourne following increases in cycling in that city. Negative cycling newspaper stories may deter people from considering cycling as a transport option, but real physical or political improvements to the cycling environment may be necessary before coverage becomes more positive. %Z FOR Codes: 1004 %0 Journal Article %~ PubMed %A Wen, Li Ming %A Rissel, Chris %A Lee, Eric %T Smoke-free home status and parents' smoking status among first-time mothers. %B Australian and New Zealand Journal of Public Health %D 2010 %C Australia %I Wiley-Blackwell Publishing Asia %V 34 %N 5 %P 532-533 %@ 1326-0200 %X %Z FOR Codes: 111712 %0 Journal Article %~ PubMed %A Borg, Janelle %A Merom, Dafna %A Rissel, Chris %T Staff walking program: a quasi-experimental trial of maintenance newsletters to maintain walking following a pedometer program. %B Health Promotion Journal of Australia %D 2010 %C Australia %I Australian Health Promotion Association %V 21 %N 1 %P 26-32 %@ 1036-1073 %X Issue addressed: The Step by Step self-help walking program plus a pedometer previously motivated a community sample of adults to be physically active for up to three months. This study evaluates the effect of enhancement of this program over an additional nine months in a workplace. Methods: A quasi-experimental trial was conducted. Staff defined as inactive received the three month walking program and a pedometer (standard), or the three month program plus four maintenance newsletters over nine months (standard+maintenance). After 12 months a follow-up interview was conducted. Measures included changes in self-reported minutes walking, minutes of moderate-vigorous physical activity (MVPA), total physical activity (PA) in the past week, and the proportion meeting public health recommendations by walking and total PA. Results: Significant increases on all outcome measures were noted for all participants. There were no between group differences in walking minutes. However, the change in MVPA minutes was significantly higher in the standard+maintenance group compared with the standard group (118 min vs 69 min, P=0.029). No significant between group differences were observed for total PA (161 min vs 117 min, P=0.187). Wearing the pedometer at the month of the follow-up interview, and thinking that the pedometer was very useful, increased the likelihood of meeting public health recommendations (AOR=2.7 and 2.5) adjusting for other covariates. Conclusions: Dissemination of the Step by Step guidebook with pedometers in the workplace resulted in a long-term increase in PA of inactive employees with no extra support. Newsletters as a maintenance strategy had no additional benefits. Better outcomes were noted if the pedometer was used and was perceived as being very useful. %Z FOR Codes: 111712 110699 %0 Journal Article %~ PubMed %A Askie, Lisa M %A Baur, Louise A %A Campbell, Karen %A Daniels, Lynne A %A Hesketh, Kylie %A Magarey, Anthea %A Mihrshahi, Seema %A Rissel, Chris %A Simes, John %A Taylor, Barry %A Taylor, Rachael %A Voysey, Merryn %A Wen, Li Ming %A , EPOCH Collaboration %T The Early Prevention of Obesity in CHildren (EPOCH) Collaboration - an Individual Patient Data Prospective Meta-Analysis. %B BMC Public Health %D 2010 %C United Kingdom %I BioMed Central Ltd. %V 10 %N %P 728 %@ 1471-2458 %X Efforts to prevent the development of overweight and obesity have increasingly focused early in the life course as we recognise that both metabolic and behavioural patterns are often established within the first few years of life. Randomised controlled trials (RCTs) of interventions are even more powerful when, with forethought, they are synthesised into an individual patient data (IPD) prospective meta-analysis (PMA). An IPD PMA is a unique research design where several trials are identified for inclusion in an analysis before any of the individual trial results become known and the data are provided for each randomised patient. This methodology minimises the publication and selection bias often associated with a retrospective meta-analysis by allowing hypotheses, analysis methods and selection criteria to be specified a priori. %Z FOR Codes: 111403 111712 111704 %0 Journal Article %~ PubMed %A Rissel, Chris E %A New, Carolyn %A Wen, Li Ming %A Merom, Dafna %A Bauman, Adrian E %A Garrard, Jan %T The effectiveness of community-based cycling promotion: findings from the Cycling Connecting Communities project in Sydney, Australia. %B The international journal of behavioral nutrition and physical activity %D 2010 %C United Kingdom, Uni %I BioMed Central Ltd. %V 7 %N 1 %P 8 %@ 1479-5868 %X ABSTRACT: BACKGROUND: Encouraging cycling is an important way to increase physical activity in the community. The Cycling Connecting Communities (CCC) Project is a community-based cycling promotion program that included a range of community engagement and social marketing activities, such as organised bike rides and events, cycling skills courses, the distribution of cycling maps of the area and coverage in the local press. The aim of the study was to assess the effectiveness of this program designed to encourage the use of newly completed off-road cycle paths through south west Sydney, Australia. METHODS: The evaluation used a quasi-experimental design that consisted of a pre- and post-intervention telephone survey (24 months apart) of a cohort of residents (n = 909) in the intervention area (n = 520) (Fairfield and Liverpool) and a socio-demographically similar comparison area (n = 389) (Bankstown). Both areas had similar bicycle infrastructure. Four bicycle counters were placed on the main bicycle paths in the intervention and comparison areas to monitor daily bicycle use before and after the intervention. RESULTS: The telephone survey results showed significantly greater awareness of the Cycling Connecting Communities project (13.5% vs 8.0%, p < 0.05) in the intervention area, with significantly higher rates of cycling in the intervention area (32.9%) compared with the comparison area (9.7%) amongst those aware of the project. There was a significant increase in use of bicycle paths in the intervention area (28.3% versus 16.2%, p < 0.05). These findings were confirmed by the bike count data. CONCLUSION: Despite relatively modest resources, the Cycling Connecting Communities project achieved significant increases in bicycle path use, and increased cycling in some sub-groups. However, this community based intervention with limited funding had very limited reach into the community and did not increase population cycling levels. %Z FOR Codes: 111712 110699 %0 Journal Article %~ PubMed %A Wen, Li Ming %A Merom, Dafna %A Rissel, Chris %A Simpson, Judy M %T Weight status, modes of travel to school and screen time: a cross-sectional survey of children aged 10-13 years in Sydney. %B Health Promotion Journal of Australia %D 2010 %C Australia %I Australian Health Promotion Association %V 21 %N 1 %P 57-63 %@ 1036-1073 %X Issue addressed: The relationship between weight status and modes of travel to school and screen time of children is not clearly understood. This study aims to explore these relationships of Australian children aged 10-13 years. Method: Weight and height, modes of travel to school and screen time of 1,362 children were reported by their parents. The international standard age adjusted BMI (weight/height2) was used to classify children''s weight status. Factors associated with overweight and obesity were determined by logistic regression modelling. Results: Twenty-one per cent of children were classified as overweight or obese and 36% went to school by car daily. Compared with children who were driven to school daily, children who walked to school daily were significantly less likely to be obese, with an adjusted odds ratio (AOR) of 0.20 (95%CI 0.16 to 0.74; p=0.05). Children whose screen time was more than two hours a day were also more likely to be obese (AOR 3.5, 95%CI 1.13 to 8.26; p=0.03) than those who spent less than one hour a day watching a screen. Conclusions: This study suggests that being driven to school daily and longer screen time are associated with children''s obesity. %Z FOR Codes: 111712 %0 Journal Article %A Wardle, Karen %A Murphy, Dean %A Ireland, Lynne %A Holbeck, Cynthia %A Davidson, Carol %A Wen, Li Ming %A Rissel, Chris %T What we learnt – recruiting prenatal mothers to an RCT addressing the prevention of overweight and early childhood? %B Australian Journal of Advanced Nursing %D 2010 %C Australia %I Australian Nursing Federation %V 28 %N 2 %P 41-45 %@ 1447-4328 %X %Z FOR Codes: 111403 111401 %0 Journal Article %~ PubMed %A Rissel, Chris E %T Active travel: a climate change mitigation strategy with co-benefits for health. %B New South Wales Public Health Bulletin %D 2009 %C Australia %I CSIRO Publishing %V 20 %N 1-2 %P 10-13 %@ 1034-7674 %X Reducing the burning of fossil fuels for transport will help reduce the rate of climate change and the severity of the impact of climate change. The alternatives to private motor vehicles include active travel modes such as walking, cycling and use of public transport. While simultaneously reducing carbon dioxide emissions and traffic congestion, active transport leads to increased levels of physical activity and social interaction. This article summarises a number of NSW active travel initiatives. Despite some positive steps in NSW, other Australian states have invested far more and can demonstrate greater changes in travel behaviour. %Z FOR Codes: 111712 %0 Journal Article %~ PubMed %A Merom, Dafna %A Bauman, Adrian %A Phongsavan, Philayrath %A Cerin, Ester %A Kassis, Mazen %A Brown, Wendy %A Smith, Ben %A Rissel, Chris %T Can a Motivational Intervention Overcome an Unsupportive Environment for Walking-Findings from the Step-by-Step Study. %B Annals of behavioral medicine : a publication of the Society of Behavioral Medicine %D 2009 %C United States %I Springer New York LLC %V 38 %N 2 %P 137-46 %@ 1532-4796 %X Interventions to promote walking have rarely examined how their effects varied by the attributes of the physical environment. %Z FOR Codes: 110699 60699 111712 %0 Journal Article %~ PubMed %A Bauman, Adrian E %A Rissel, Chris %T Cycling and health: an opportunity for positive change? %B The Medical Journal of Australia %D 2009 %C Australia %I Australasian Medical Publishing Company Pty. Ltd. %V 190 %N 7 %P 347-348 %@ 0025-729X %X %Z FOR Codes: 111799 %0 Journal Article %~ PubMed %A Wen, Li Ming %A De Domenico, Maria %A Elliott, Donna %A Bindon, Jeni %A Rissel, Chris %T Evaluation of a feasibility study addressing risk factors for childhood obesity through home visits. %B Journal of Paediatrics and Child Health %D 2009 %C United Kingdom, Australia %I Wiley-Blackwell Publishing Ltd. %V 45 %N 10 %P 577-581 %@ 1034-4810 %X AIM: This pilot study aimed to explore the feasibility of addressing risk factors for childhood obesity through a home-based early intervention program. METHOD: A pilot study was conducted with 56 first-time mothers, recruited through the antenatal and delivery units of an inner western Sydney hospital. The study offered five home visits by a community early childhood health nurse during the child''s first year of life. At each visit, the intervention was tailored to the appropriate developmental stage of the child. One-to-one consultation was provided with a focus on sustained breastfeeding, appropriate introduction of solids, avoiding food rewards and promoting the drinking of water and the use of a cup. Both quantitative and qualitative methods were applied to assess the feasibility and acceptability of the program. RESULTS: The results indicate that the program was very well received by the participating mothers, with a retention rate of 95%. Compared with the state population average, the rate of breastfeeding at 12 months was significantly higher (36% vs. 18%, chi(2)= 8.21, P < 0.01), there was a lower rate of the introduction of solids before 4 months (2% vs. 13%, chi(2)= 8.73, P < 0.01), and there was a high rate of cup usage at 12 months (98%). CONCLUSIONS: The early onset of childhood overweight and obesity requires health promotion intervention programs to commence as early as possible. A home-based intervention through multiple home visits is feasible in addressing the risk factors for childhood obesity. %Z FOR Codes: 111712 %0 Journal Article %~ PubMed %A Dean, Catherine M %A Rissel, Chris %A Sharkey, Michelle %A Sherrington, Catherine %A Cumming, Robert G %A Barker, Ruth N %A Lord, Stephen R %A O'Rourke, Sandra D %A Kirkham, Catherine %T Exercise intervention to prevent falls and enhance mobility in community dwellers after stroke: a protocol for a randomised controlled trial. %B BMC Neurology %D 2009 %C United Kingdom %I BioMed Central Ltd. %V 9 %N 0 %P 38 %@ 1471-2377 %X BACKGROUND: Stroke is the most common disabling neurological condition in adults. Falls and poor mobility are major contributors to stroke-related disability. Falls are more frequent and more likely to result in injury among stroke survivors than among the general older population. Currently there is good evidence that exercise can enhance mobility after stroke, yet ongoing exercise programs for general community-based stroke survivors are not routinely available. This randomised controlled trial will investigate whether exercise can reduce fall rates and increase mobility and physical activity levels in stroke survivors. METHODS AND DESIGN: Three hundred and fifty community dwelling stroke survivors will be recruited. Participants will have no medical contradictions to exercise and be cognitively and physically able to complete the assessments and exercise program. After the completion of the pre-test assessment, participants will be randomly allocated to one of two intervention groups. Both intervention groups will participate in weekly group-based exercises and a home program for twelve months. In the lower limb intervention group, individualised programs of weight-bearing balance and strengthening exercises will be prescribed. The upper limb/cognition group will receive exercises aimed at management and improvement of function of the affected upper limb and cognition carried out in the seated position. The primary outcome measures will be falls (measured with 12 month calendars) and mobility. Secondary outcome measures will be risk of falling, physical activity levels, community participation, quality of life, health service utilisation, upper limb function and cognition. DISCUSSION: This study aims to establish and evaluate community-based sustainable exercise programs for stroke survivors. We will determine the effects of the exercise programs in preventing falls and enhancing mobility among people following stroke. This program, if found to be effective, has the potential to be implemented within existing community services. TRIAL REGISTRATION: The protocol for this study is registered with the Australian New Zealand Clinical Trials Registry (ACTRN12606000479505). %Z FOR Codes: 111714 %0 Book Section %A Hua, Myna %A Rissel, Chris %T Health Promotion and Health Education for a Multicultural Community %B Population Health, Communities and Health Promotion %D 2009 %C Australia %I Oxford University Press %V %N %P 232-250 %@ 9780195560558 %E Jirojwong, Sansnee %E Liamputtong, Pranee %X %Z FOR Codes: 111712 %0 Journal Article %A Bindon, J %A Headley, E J %A Rissel, Chris %A Wade, V %T Improving the health and well-being of an urban Aboriginal men's group through a cycling promotion program %B Aboriginal and Islander Health Worker Journal %D 2009 %C Australia %I Aboriginal and Islander Health Worker Journal %V 33 %N %P 4 %@ 1037-3403 %X %Z FOR Codes: 111701 %0 Journal Article %~ PubMed %A Wen, Li Ming %A Baur, Louise A %A Rissel, Chris %A Alperstein, Garth %A Simpson, Judy M %T Intention to breastfeed and awareness of health recommendations: findings from first-time mothers in southwest Sydney, Australia. %B International Breastfeeding Journal %D 2009 %C United Kingdom %I BioMed Central Ltd. %V 4 %N %P 9 %@ 1746-4358 %X ABSTRACT: BACKGROUND: In 2001, the World Health Organisation (WHO) recommended exclusive breastfeeding for the first six months of life. The objectives of this study are to assess awareness of the WHO recommendation among first-time mothers (women at 24 to 34 weeks of pregnancy) and to explore the relationship between this awareness and mothers'' intention to exclusively breastfeed for six months. METHODS: This study was part of the Healthy Beginnings Trial (HBT) conducted in southwest Sydney, Australia. We analysed cross-sectional baseline data of the trial conducted in 2008, including 409 first-time mothers at 24 to 34 weeks of pregnancy. The mothers'' awareness of the recommended duration of exclusive breastfeeding and their intention to meet the recommendation were assessed through face-to-face interviews. Socio-demographic data were also collected. Factors associated with awareness of the recommendation, or the intention to meet the recommendation, were determined by logistic regression modeling. Log-binomial regression was used to calculate adjusted risk ratios (ARR). RESULTS: Sixty-one per cent of mothers knew the WHO recommendation of exclusive breastfeeding for six months. Only 42% of all mothers intended to meet the recommendation (breastfeed exclusively for six months). Among the mothers who knew the recommendation, 61% intended to meet the recommendation, compared to only 11% among those mothers who were not aware of the recommendation.The only factor associated with awareness of the recommendation was mother''s level of education. Mothers who had a tertiary education were 1.5 times more likely to be aware of the recommendation than those who had school certificate or less (ARR adjusted for age 1.45, 95% CI 1.08, 1.94, p = 0.02). Mothers who were aware of the recommendation were 5.6 times more likely to intend to breastfeed exclusively to six months (ARR adjusted for employment status 5.61, 95% CI 3.53, 8.90, p < 0.001). CONCLUSION: Awareness of the recommendation to breastfeed exclusively for six months is independently associated with the intention to meet this recommendation. A substantial number of mothers were not aware of the recommendation, particularly among those with low levels of education, which is of concern in relation to promoting breastfeeding. Improving mothers'' awareness of the recommendation could lead to increased maternal intention to exclusively breastfeed for six months. However, whether this intention could be transferred into practice remains to be tested. TRIAL REGISTRATION: HBT is registered with the Australian Clinical Trial Registry (ACTRNO12607000168459). %Z FOR Codes: 111712 111104 111403 %0 Journal Article %~ PubMed %A Wen, Li Ming %A Kite, James %A Merom, Dafna %A Rissel, Chris %T Time spent playing outdoors after school and its relationship with independent mobility: a cross-sectional survey of children aged 10-12 years in Sydney, Australia. %B The International Journal of Behavioral Nutrition and Physical Activity %D 2009 %C United Kingdom, Unit %I BioMed Central Ltd. %V 6 %N 0 %P 15 %@ 1479-5868 %X ABSTRACT: BACKGROUND: Time spent outdoors is positively associated with physical activity and has been suggested as a proxy for physical activity of children. The role of children''s independence in physical activity and time spent outdoors is less understood. This study aimed to assess how much time children spent playing outdoors after school, and to explore the relationship between outdoor play and independence among children aged 10-12 years. METHOD: Children recorded how much time they spent playing outdoors or watching TV/videos or playing computer games after school using a five-day diary, and also reported whether they were allowed to walk on their own in their neighbourhood as an indicator of their independent mobility. Parents were surveyed on family demographics and perception of neighbourhood safety. The surveys were conducted in late 2006 as part of the Central Sydney Walk to School program which involved 1975 children and their parents from 24 primary schools. Factors associated with time spent playing outdoors were determined by logistic regression modelling. RESULTS: Thirty-seven per cent of children spent less than half an hour a day playing outdoors after school, and 43% spent more than 2 hours a day watching TV, videos or playing computer games. Forty-eight per cent of children were allowed to walk on their own near where they lived. Children''s independent mobility was significantly associated with outdoor play after adjusting for other confounders. Compared with those who were never allowed to walk on their own near where they lived, students who were allowed to walk on their own were significantly more likely to spend more than half an hour a day playing outdoors after school with an adjusted odds ratio of 2.6, 95% CI 1.84-3.58, P < 0.001. CONCLUSION: The findings that a significant proportion of children spend less than half an hour a day playing outdoors after school and have excessive screen time have important implications for physical activity promotion and obesity prevention. The study also suggests that children''s independent mobility should be considered in research and evaluation into children''s play and physical activity. Environments that promote greater independent mobility in children may increase their physical activity levels and hence reduce their risk of overweight/obesity. %Z FOR Codes: 111712 1106 %0 Journal Article %~ PubMed %A Rissel, Chris %A Bauman, Adrian %A Ritchie, Jan %T A changing of the guard. %B Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals %D 2008 %C Australia %I Australian Health Promotion Association %V 19 %N 1 %P 3 %@ 1036-1073 %X %Z FOR Codes: 111712 %0 Journal Article %~ PubMed %A Richters, Juliet %A de Visser, Richard O %A Rissel, Chris E %A Grulich, Andrew E %A Smith, Anthony M A %T Demographic and Psychosocial Features of Participants in Bondage and Discipline, "Sadomasochism" or Dominance and Submission (BDSM): Data from a National Survey. %B The journal of sexual medicine %D 2008 %C United Kingdom %I Wiley-Blackwell Publishing Ltd. %V 5 %N 7 %P 1660-8 %@ 1743-6109 %X People with sexual interests in bondage and discipline, "sadomasochism" or dominance and submission (BDSM) have been seen by many professionals as damaged or dangerous. %Z FOR Codes: 111712 %0 Book Section %A Hua, Myna %A Rissel, Chris %T Health Promotion and Health Education for a Multicultural Community %B Population Health, Communities and Health Promotion %D 2008 %C Australia %I Oxford University Press %V %N %P 232-250 %@ 9780195560558 %E Jirojwong, Sansnee %E Liamputtong, Pranee %X %Z FOR Codes: 111712 %0 Journal Article %~ PubMed %A Wen, Li Ming %A Fry, Denise %A Merom, Dafna %A Rissel, Chris %A Dirkis, Helen %A Balafas, Angela %T Increasing active travel to school: Are we on the right track? A cluster randomised controlled trial from Sydney, Australia. %B Preventive medicine %D 2008 %C United States %I Academic Press %V 47 %N 6 %P 612-8 %@ 1096-0260 %X To evaluate the effectiveness of a program to increase walking to and from school. %Z FOR Codes: 111712 %0 Journal Article %~ PubMed %A Bedford, Karen %A Wallace, Cate %A Carroll, Therese %A Rissel, Chris %T Pregnant smokers are receptive to smoking cessation advice and use of nicotine replacement therapy. %B The Australian & New Zealand Journal of Obstetrics & Gynaecology %D 2008 %C Australia %I Blackwell Publishing Asia %V 48 %N 4 %P 424-426 %@ 1479-828X %X Pregnant women who identified themselves as smokers were surveyed to ascertain their attitudes towards and likelihood of using nicotine replacement therapy (NRT) if it were to be provided free of charge at antenatal clinics. Smokers were asked to participate in a brief anonymous survey to identify current levels of smoking, nicotine dependence, attitudes towards cessation, use of cessation aids and whether they would use free NRT if it were provided with support at antenatal clinics. The majority of women were supportive of NRT being offered to pregnant smokers (87%), and 64% reported they would be very likely to use NRT if it were offered free from the antenatal clinic. These results provide strong support for a comprehensive cessation strategy implemented in antenatal clinics. %Z FOR Codes: 111712 %0 Journal Article %~ PubMed %A Zehle, Katharina %A Wen, Li Ming %A Orr, Neil %A Rissel, Chris %T "It's not an issue at the moment": a qualitative study of mothers about childhood obesity. %B MCN: The American journal of maternal child nursing %D 2007 %C United States %I Lippincott Williams & Wilkins %V 32 %N 1 %P 36-41 %@ 0361-929X %X PURPOSE: To explore childhood obesity through mothers'' perceptions, attitudes, beliefs, and behaviors. STUDY DESIGN AND METHODS: Descriptive qualitative study using in-depth interviews. Sixteen in-depth interviews were conducted with primiparous mothers of children aged 0-2 years. The questions focused on nutrition, the context of eating in the family, physical activity, television viewing, and the responsibility of parents as role models. Thematic analysis was used to identify regular patterns of meaning regarding the major issues pertaining to childhood obesity, nutrition, and physical activity. RESULTS: Five themes were identified: (1) developing eating habits, (2) developing active and sedentary habits, (3) differences between age groups, (4) sources of information, and (5) response to information. Although awareness about the need to provide a nutritious diet and opportunities for children to be active was high among the mothers, this was not always reflected in their behaviors. For many mothers, obesity became a concern only if excessive weight gain occurred. Prevention through establishing good habits early, although considered, was not always actively pursued. CLINICAL IMPLICATIONS: Interventions to prevent overweight and obesity need to focus on equipping parents with the skills to translate their knowledge into behavior and lay the foundations early for their children to develop healthy habits. %Z FOR Codes: 111712 111712 %0 Journal Article %~ PubMed %A Voukelatos, Alexander %A Cumming, Robert G %A Lord, Stephen R %A Rissel, Chris %T A Randomized, Controlled Trial of tai chi for the Prevention of Falls: The Central Sydney tai chi Trial. %B Journal of the American Geriatrics Society %D 2007 %C United States %I Blackwell Publishing, Inc. %V 55 %N 8 %P 1185-1191 %@ 1532-5415 %X OBJECTIVES: To determine the effectiveness of a 16-week community-based tai chi program in reducing falls and improving balance in people aged 60 and older. DESIGN: Randomized, controlled trial with waiting list control group. SETTING: Community in Sydney, Australia. PARTICIPANTS: Seven hundred two relatively healthy community-dwelling people aged 60 and older (mean age 69). INTERVENTION: Sixteen-week program of community-based tai chi classes of 1 hour duration per week. MEASUREMENTS: Falls during 16 and 24 weeks of follow-up were assessed using a calendar method. Balance was measured at baseline and 16-week follow-up using six balance tests. RESULTS: Falls were less frequent in the tai chi group than in the control group. Using Cox regression and time to first fall, the hazard ratio after 16 weeks was 0.72 (95% confidence interval (CI)=0.51-1.01, P=.06), and after 24 weeks it was 0.67 (95% CI=0.49-0.93, P=.02). There was no difference in the percentage of participants who had one or more falls. There were statistically significant differences in changes in balance favoring the tai chi group on five of six balance tests. CONCLUSION: Participation in once per week tai chi classes for 16 weeks can prevent falls in relatively healthy community-dwelling older people. %Z FOR Codes: 110308 %0 Journal Article %~ PubMed %A Bauman, A %A O'Hara, L %A Signal, L %A Smith, B %A Ritchie, J %A Parker, E %A Rissel, C %T A perspective on changes in values in the profession of health promotion. %B Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals %D 2007 %C Australia %I Australian Health Promotion Association. %V 18 %N 1 %P 3-6 %@ 1036-1073 %X %Z FOR Codes: %0 Journal Article %A Daley, M %A Rissel, Chris %A Lloyd, B %T All dressed up and no-where to go? A qualitative research study of the barriers and enablers to cycling in inner Sydney %B Road and Transport Research %D 2007 %C Australia %I ARRB Group Ltd. %V 16 %N %P 42-52 %@ 1037-5783 %X %Z FOR Codes: 111799 %0 Journal Article %~ Isi %A Rissel, CE %A de Visser, RO %A Smith, AMA %A Richters, J %T Associations between religiosity and sexuality in a representative sample of Australian adults %B ARCHIVES OF SEXUAL BEHAVIOR %D 2007 %C United States %I Springer %V 36 %N 1 %P 33-46 %@ 0004-0002 %X %Z FOR Codes: 111706 %0 Journal Article %~ PubMed %A Booth, Michael L %A Okely, Anthony D %A Denney-Wilson, Elizabeth %A Hardy, Louise L %A Dobbins, Timothy %A Wen, Li-Ming %A Rissel, Christopher %T Characteristics of travel to and from school among adolescents in NSW, Australia. %B Journal of paediatrics and child health %D 2007 %C Via Bradano 3/C, Rom %I Pensiero Scientifico Editor %V 43 %N 11 %P 755-61 %@ 1440-1754 %X Active transport to and from school is frequently identified as an opportunity to increase energy expenditure among young people. The epidemiology of travel behaviours among Grade 6, 8 and 10 students in NSW is reported. %Z FOR Codes: 111706 %0 Journal Article %~ PubMed %A Wen, Li Ming %A Baur, Louise A %A Rissel, Chris %A Wardle, Karen %A Alperstein, Garth %A Simpson, Judy M %T Early intervention of multiple home visits to prevent childhood obesity in a disadvantaged population: a home-based randomised controlled trial (Healthy Beginnings Trial). %B BMC public health %D 2007 %C United Kingdom %I BioMed Central Ltd. %V 7 %N %P 76-76 %@ 1471-2458 %X BACKGROUND: Studies have shown that a proportion of children as young as two years are already overweight. This indicates that obesity prevention programs that commence as early as possible and are family-focused are needed. This Healthy Beginnings Trial aims to determine the efficacy of a community-based randomized controlled trial (RCT) of a home visiting intervention in preventing the early onset of childhood overweight and obesity. The intervention will be conducted over the first two years of life to increase healthy feeding behaviours and physical activity, decrease physical inactivity, enhance parent-child interaction, and hence reduce overweight and obesity among children at 2 and 5 years of age in the most socially and economically disadvantaged areas of Sydney, Australia. METHODS/DESIGN: This RCT will be conducted with a consecutive sample of 782 first time mothers with their newborn children. Pregnant women who are expecting their first child, and who are between weeks 24 and 34 of their pregnancy, will be invited to participate in the trial at the antenatal clinic. Informed consent will be obtained and participants will then be randomly allocated to the intervention or the control group. The allocation will be concealed by sequentially numbered, sealed opaque envelopes containing a computer generated random number. The intervention comprises eight home visits from a specially trained community nurse over two years and pro-active telephone support between the visits. Main outcomes include a) duration of breastfeeding measured at 6 and 12 months, b) introduction of solids measured at 4 and 6 months, c) nutrition, physical activity and television viewing measured at 24 months, and d) overweight/obesity status at age 2 and 5 years. DISCUSSION: The results of this trial will ascertain whether the home based early intervention is effective in preventing the early onset of childhood overweight and obesity. If proved to be effective, it will result in a series of recommendations for policy and practical methods for promoting healthy feeding and physical activity of children in the first two years of life with particular application to families who are socially and economically disadvantaged. %Z FOR Codes: 111704 111716 111101 %0 Journal Article %~ PubMed %A Wen, Li Ming %A Fry, Denise %A Rissel, Chris %A Dirkis, Helen %A Balafas, Angela %A Merom, Dafna %T Factors associated with children being driven to school: implications for walk to school programs. %B Health education research %D 2007 %C United States %I Oxford University Press %V 23 %N 0 %P 325-34 %@ 0268-1153 %X In this study, we examined factors associated with children being driven to school. Participants were 1603 students (aged 9-11 years) and their parents from 24 public primary schools in inner western Sydney, Australia. Students recorded their modes of travel to and from school for 5 days in a student survey. Parents recorded their demographic data, their attitudes to travel, and their modes of travel to work, using a self-administered survey. An analysis of the two linked data sets found that 41% of students travelled by car to or from school for more than 5 trips per week. Almost a third (32%) of students walked all the way. Only 1% of students rode a bike and 22% used more than one mode of travel. Of those who were driven, 29% lived less than 1 km and a further 18% lived between 1 and 1.5 km from school. Factors associated with car travel (after adjusting for other potential confounders) were mode of parents'' travel to work, parent attitudes, number of cars in the household, and distance from home to school. To be effective, walk to school programs need to address the link between parent journey to work and student journey to school. %Z FOR Codes: 111706 %0 Journal Article %~ Isi %A Rissel, C %T Health Promotion - Principles and practice in the Australian context %B AUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH %D 2007 %C Australia %I Public Health Association of Australia %V 31 %N 4 %P 388-389 %@ 1326-0200 %X %Z FOR Codes: 111712 %0 Journal Article %~ PubMed %A Ming Wen, Li %A Rissel, Chris %T Inverse associations between cycling to work, public transport, and overweight and obesity: Findings from a population based study in Australia. %B Preventive medicine %D 2007 %C United States %I Preventative Medicine %V 46 %N 1 %P 29-32 %@ 0091-7435 %X The aim of this study was to investigate the associations between various modes of transport to work and overweight and obesity, in men and women. %Z FOR Codes: %0 Journal Article %~ PubMed %A O'connor, Catherine C %A Wen, Li Ming %A Rissel, Chris %A Shaw, Miranda %A Quine, Susan %T Knowledge of STIs and blood-borne viruses among Vietnamese men in metropolitan Sydney. %B Australian and New Zealand journal of public health %D 2007 %C Australia %I Wiley- Blackwell Publishing Asia %V 31 %N 5 %P 464-467 %@ 1326-0200 %X Objective: To describe the sexual health knowledge of a group of Vietnamese men living in inner urban Sydney in order to assist with future program planning. Method: Data were collected through telephone interviews conducted in Vietnamese using a structured questionnaire. Data were obtained from 499 of 761 eligible men contacted, giving a response rate of 66%. The data were weighted to be consistent with the age distribution of Vietnamese males in the area. A comparison was done with a published national telephone study of sexual behaviour and knowledge. Results: Low knowledge levels about sexually transmitted infections (STIs) and blood-borne viruses were found, compared with data from a published national telephone study. The factors associated with higher mean knowledge scores on multiple regression were: having 10 or more lifetime female sexual partners, being hepatitis B vaccinated, knowing someone with HIV, having received information about HIV in Vietnam in the past 12 months, having received information about HIV or STIs in the past 12 months from a GP. Knowledge about chlamydia was particularly poor. Conclusion: Targeted, community-wide, awareness-raising campaigns and health care worker education is required to improve the Vietnamese community''s knowledge of STIs, with particular emphasis on improving chlamydia knowledge. %Z FOR Codes: %0 Journal Article %~ PubMed %A Merom, Dafna %A Rissel, Chris %A Phongsavan, Philayrath %A Smith, Ben J %A Van Kemenade, Cathelijne %A Brown, Wendy J %A Bauman, Adrian E %T Promoting walking with pedometers in the community: the step-by-step trial. %B American journal of preventive medicine %D 2007 %C United States %I Elsevier Inc. %V 32 %N 4 %P 290-297 %@ 0749-3797 %X BACKGROUND: Pedometers have been identified as a potential motivational aid for increasing physical activity, but their efficacy has not been demonstrated in a community-based, nonclinical sample. DESIGN: A randomized controlled trial was conducted from August to December 2005. Analysis was completed in June 2006. SETTING/PARTICIPANTS: Inactive adults aged 30-65 years (n=369) recruited from the community. INTERVENTION: Comparison of a theoretically based self-help walking program (WP) and weekly diaries (sent by mail); the same walking program with a pedometer (WPP) (also by mail); and a no-treatment control group (C). MEASURES: Change in self-reported leisure time in any sports/recreation in the last 3 months, and all-purpose walking (APW) for exercise, recreation, and travel, and other moderate, vigorous physical activity in the last week. Proportions meeting physical activity recommendations (equal to or greater than 150 minutes and equal to or greater than five sessions/week(-1)) were determined. RESULTS: A 3-month follow-up interview was conducted with 314 (85%) participants. Intention-to-treat analyses indicated significance within-group increases of APW and leisure-time walking (LTW), but mean and median sessions and minutes changes were greatest in the WPP group. There were no significant between-group differences in regular LTW (walked equal to or greater than 5 sessions/week(-1) for at least 30 minutes/session), but the WPP group increased significantly participation in other sports/recreations and was more likely than the control group to meet physical activity recommendations by all leisure-time physical activity (adjusted odds ratio=2.40, 95% CI=1.17-4.93), by APW (adjusted odds ratio=1.75 95% CI=0.92-3.34) and all physical activity (adjusted odds ratio=1.59 95% CI=0.92-2.79) in the last week. CONCLUSIONS: Pedometers enhanced the effects of the self-help walking program. This low-cost intervention should be tested for sustainability. %Z FOR Codes: 111712 %0 Journal Article %~ PubMed %A de Visser, Richard O %A Rissel, Chris E %A Richters, Juliet %A Smith, Anthony M A %T The impact of sexual coercion on psychological, physical, and sexual well-being in a representative sample of Australian women. %B Archives of sexual behavior %D 2007 %C United States %I Springer %V 36 %N 5 %P 676-686 %@ 0004-0002 %X It is well established that, compared to other women, women who have been forced or frightened into unwanted sexual activity have poorer psychological, physical, and sexual health. However, it is not clear whether particular experiences of sexual coercion, such as younger age when coerced or number of times coerced, are more likely to lead to poorer health status. This study of a representative sample of Australian women aged 16-59 years was designed to examine such associations. Of the 9134 women recruited for the study, 885 (21%) had been sexually coerced, which was defined as being forced or frightened into unwanted sexual activity. This study showed that any experience of sexual coercion was associated with poorer psychological, physical, and sexual health. The data revealed no consistent associations between health status and particular characteristics of sexual coercion, such as the age when women were coerced, the number of times they had been coerced, or the time since being coerced. Two of the few significant findings were that women who had been coerced more than once reported significantly greater psychosocial distress, and that women first coerced when aged 13-16 reported poorer physical well-being than women first coerced at younger or older ages. There was no significant association between whether women had consulted a psychologist or other professional counselor and better health status. The absence of consistent associations between health status and particular characteristics of sexual coercion indicates a need for care and support services for all women who have been sexually coerced. %Z FOR Codes: 111799 %0 Journal Article %~ Isi %A Smith, AMA %A Richters, J %A De Visser, RO %A Rissel, CE %T The impact of sexual coercion on psychological, physical, and sexual well-being in a representative sample of australian women %B ARCHIVES OF SEXUAL BEHAVIOR %D 2007 %C United States %I Springer %V 36 %N 5 %P 676-686 %@ 0004-0002 %X %Z FOR Codes: 111706 %0 Journal Article %~ PubMed %A Wen, Li Ming %A Orr, Neil %A Rissel, Chris %T The role of ethnicity in determining access to and acceptability of home visiting for early childhood health and wellbeing. %B Australian health review : a publication of the Australian Hospital Association %D 2007 %C Australia %I Australasian Medical Publishing Company Pty. Ltd %V 31 %N 1 %P 132-139 %@ 0156-5788 %X This paper explores access to and acceptability of home visiting for early childhood health and wellbeing among the New South Wales population. The study examined demographic and social characteristics of children and their families to identify the factors that predicted home visiting by a community health nurse or volunteer, as well as the level of acceptability of home visiting as a strategy for improving child health. The data were extracted from the 2001 NSW Child Health Survey and a total of 3570 respondents who reported having a child aged 4 years or under were included in the study. The results show that culturally and linguistically diverse populations were less likely to be visited by a nurse or volunteer (adjusted odds ratio (OR), 0.78; 95% CI, 0.64-0.97), and when they were visited were more likely to find the visit "uncomfortable" or "very uncomfortable" (adjusted OR, 1.54; 95% CI, 1.19-1.99). Other factors associated with acceptability included the age of both children and mothers, education levels of parents and home smoking status. For home visiting to be effective in promoting child health, these factors must be considered. %Z FOR Codes: 111712 %0 Journal Article %~ PubMed %A Orr, Neil %A Catsi, George %A Guirguis, Nermeen %A Balafas, Angela %A Rissel, Chris %T The use of a closed-circuit hospital television channel to promote health: the reach and appeal of RPAtv to patients and visitors. %B Australian health review : a publication of the Australian Hospital Association %D 2007 %C Australia %I Australasian Medical Publishing Company Pty. Ltd %V 31 %N 4 %P 527-530 %@ 0156-5788 %X Closed-circuit television has the potential to promote health in hospitals, as a significant number of patients watch large amounts of television (TV) during their stays. This project sought to investigate the potential of a dedicated hospital TV channel to communicate health messages in an entertaining way by assessing the reach and appeal of a closed-circuit hospital TV channel - RPAtv. A cross-sectional survey of 162 inpatients and visitors at the Royal Prince Alfred Hospital was conducted. Sixty-four percent of participants were aware of RPAtv, with patients (72%) significantly more likely (P < 0.001) to be aware of RPAtv than visitors (41%). Almost 60% of those who were aware of the channel had viewed it. Of those who had viewed RPAtv, 73.3% rated the programming as "good" or "very good". When asked about programming preferences, 34% suggested that the channel should include health and hospital information. However, 66% said that they would rather watch programming that was entertaining, light-hearted and escapist. The high approval rating of programming by viewers suggests that the channel is improving the experience of patients and visitors during their time in hospital. However, its effectiveness as a vehicle for health promotion could be somewhat limited. Any health education-focused objectives of similar channels need to be realistic about the extent of likely increases in health knowledge. %Z FOR Codes: %0 Journal Article %~ PubMed %A Richters, Juliet %A Smith, Anthony M A %A de Visser, Richard O %A Grulich, Andrew E %A Rissel, Christopher E %T Circumcision in Australia: prevalence and effects on sexual health. %B International journal of STD & AIDS %D 2006 %C Div John Wiley & Sons Inc,605 Third Ave, New York, Ny, 10158-0012 %I Wiley-Liss %V 17 %N 8 %P 547-554 %@ 0956-4624 %X The results from a telephone survey in 2001-02 of a probability sample of Australian households including 10,173 men aged 16-59 (response rate 69.4%) are used to assess the prevalence of circumcision across social groups in Australia and examine lifetime history of sexually transmissible infection (STI), sexual difficulties in the last year, sexual practices including masturbation, and sexual attitudes.More than half (59%) of the men were circumcised. Circumcision was less common among younger men (32% aged <20) and more common among the Australian born (69%). After correction for age, circumcision was unrelated to reporting STI, but appeared to protect against penile candidiasis. Circumcision was unrelated to most sexual difficulties, but circumcised men were less likely to report physical pain during intercourse or trouble keeping an erection; reasons for this are unknown. There were no significant differences in practices at last sexual encounter with a female partner or in masturbation alone. Circumcised men had somewhat more liberal sexual attitudes.Neonatal circumcision was routine in Australia until the 1970s. It appears not to be associated with significant protective or harmful sexual health outcomes. This study provides no evidence about the effects on sexual sensitivity. %Z FOR Codes: 111799 %0 Journal Article %A Rissel, Chris %A Garrard, J %T Cycling for active transport and recreation in Australia: status review and future directions %B World Transport Policy and Practice %D 2006 %C United Kingdom %I Emerald Group Publishing Ltd. %V 13 %N %P 49-63 %@ 1352-7614 %X %Z FOR Codes: 111799 %0 Journal Article %~ PubMed %A Wen, L M %A Orr, N %A Millett, C %A Rissel, C %T Driving to work and overweight and obesity: findings from the 2003 New South Wales Health Survey, Australia. %B International Journal of Obesity %D 2006 %C United Kingdom %I Nature Publishing Group %V 30 %N 5 %P 782-6 %@ 0307-0565 %X OBJECTIVES: To examine possible associations between driving to work, physical activity and overweight and obesity. DESIGN: Secondary analysis of cross-sectional data from a representative sample of the 2003 New South Wales Adult Health Survey, Australia. SUBJECTS: A total of 6810 respondents aged 16 years or over. MEASUREMENTS: Self-reported height and weight, modes of transport to work, level of physical activity, fruit and vegetable intake and social-economic status. RESULTS: Almost half of the respondents (49%) were overweight. The main mode of transport to work was driving a car (69%), 15% used public transport, 7% walked, 2% cycled and 6% worked at home. People who drove to work were less likely to achieve recommended levels of physical activity compared to non-car users (56.3 vs 44.3%, chi2 = 82.5, P<0.0001). Driving to work was associated with being overweight or obese (adjusted odds ratio = 1.13 (95% CI 1.01-1.27), P = 0.047). Inadequate level of physical activity was independently associated with overweight or obesity. Socially and economically disadvantaged people were also more likely to be overweight and obese. In addition, being female or never married or having higher level of education was associated with a significantly reduced odds ratio of being overweight or obese, as was speaking a language other than English at home. No association was found between weight status and recommended vegetable or fruit intake. CONCLUSIONS: Driving to work is the dominant mode of commuting in a modern society and its impact on health requires scrutiny. The association found in this study between driving to work and overweight and obesity warrants further investigation to establish whether this relationship is causal. If proved as such, then promoting active transport modes such as walking, cycling and public transport should form a key component of global obesity prevention efforts. %Z FOR Codes: 111712 %0 Journal Article %~ Isi %A Telfer, B. %A Rissel, C. %A Bindon, J. %A Bosch, T. %T Encouraging cycling through a pilot cycling proficiency training program among adults in central Sydney. %B Journal of Science and Medicine in Sport %D 2006 %C Australia %I Elsevier Australia %V 9 %N 1-2 %P 151-156 %@ 1440-2440 %X %Z FOR Codes: 111712 %0 Journal Article %A Zuo, Y %A Norberg, M %A Wen, L M %A Rissel, Chris %T Estimates of overweight and obesity among samples of preschool aged children in Melbourne and Sydney %B Nutrition & Dietetics %D 2006 %C Australia %I Wiley-Blackwell %V 63 %N %P 179-182 %@ 1446-6368 %X %Z FOR Codes: 111102 111704 %0 Journal Article %~ PubMed %A Bowles, Heather R %A Rissel, Chris %A Bauman, Adrian %T Mass community cycling events: Who participates and is their behaviour influenced by participation? %B The international journal of behavioral nutrition and physical activity [electronic resource] %D 2006 %C UK, US %I BioMed Central Ltd. %V 3 %N %P 39 %@ 1479-5868 %X ABSTRACT: BACKGROUND: Participation in mass physical activity events may be a novel approach for encouraging inactive or low active adults to trial an active behaviour. The public health applicability of this strategy has not been investigated thoroughly. The purpose of this study to was describe participants in a mass cycling event and examine the subsequent effect on cycling behaviour. METHODS: A sample of men and women aged 16 years and older (n = 918) who registered online for a mass cycling event reported cycling ability and number of times they rode a bicycle during the month before the event. One month after the event participants completed an online follow-up questionnaire and reported cycling ability, lifestyle physical activity, and number of times they rode a bicycle during the month after the event. McNemar''s test was used to examine changes in self-rated cycling ability, and repeated measures mixed linear modeling was used to determine whether average number of monthly bicycle rides changed between pre-event and post-event assessment. RESULTS: Participants in the cycling event were predominantly male (72%), 83% rated themselves as competent or regular cyclists, and 68% rated themselves as more active than others of the same sex and age. Half of the survey respondents that rated their cycling ability as low before the event subsequently rated themselves as high one month after the event. Respondents with low pre-event self-rated cycling ability reported an average 4 sessions of bicycle riding the month before the event and an average 6.8 sessions of bicycle riding a month after the event. This increase in average sessions of bicycle riding was significant (p < .0001). Similarly, first-time participants in this particular cycling event significantly increased average sessions of cycling from 7.2 pre-event to 8.9 sessions one month after the event. CONCLUSION: Participants who were novice riders or first time participants significantly increased their number of bicycle rides in the month after the event. Further knowledge about the public health applicability of mass events is needed, and methods for attracting less active and novice individuals to participate remain to be developed. %Z FOR Codes: 111712 %0 Journal Article %~ Isi %A Smith, A. M. A. %A de Visser, R. O. %A Rissel, C. E. %T Optimizing telephone-based population sampling - a reply. %B Annals of Epidemiology %D 2006 %C USA %I Elsevier Inc. %V 16 %N 9 %P 734-735 %@ 1047-2797 %X %Z FOR Codes: 111706 %0 Journal Article %~ Isi %A Wen, L. M. %A Orr, N. %A Bacon, S. %A Rissel, C. %T Sampling from childcare centres and pre-schools: how representative are they? %B Australian and New Zealand Journal of Public Health %D 2006 %C Australia %I Public Health Association of Australia %V 30 %N 5 %P 487-489 %@ 1326-0200 %X %Z FOR Codes: 111706 %0 Journal Article %~ PubMed %A O'connor, Catherine C %A Wen, Li M %A Rissel, Chris E %A Shaw, Miranda %T Sexual Behaviour and Risk in Vietnamese Men Living in Metropolitan Sydney. %B Sexually transmitted infections %D 2006 %C United Kingdom %I BMJ Publishing Group %V 83 %N %P 147-50 %@ 1368-4973 %X To describe sexual risk in Vietnamese men who have sex with female sex workers by describing the prevalence of sexual risk behaviours among Vietnamese men living in inner Sydney and comparing this prevalence with national data. %Z FOR Codes: %0 Journal Article %~ Isi %A Richters, J. %A de Visser, R. %A Rissel, C. %A Smith, A. %T Sexual practices at last heterosexual encounter and occurrence of orgasm in a national survey. %B Journal of Sex Research %D 2006 %C United States %I Lawrence Erlbaum Associates, Inc. %V 43 %N 3 %P 217-226 %@ 0022-4499 %X %Z FOR Codes: 111712 %0 Journal Article %~ PubMed %A Millett, C %A Wen, L M %A Rissel, C %A Smith, A %A Richters, J %A Grulich, A %A de Visser, R %T Smoking and erectile dysfunction: findings from a representative sample of Australian men. %B Tobacco control %D 2006 %C United Kingdom %I BMJ Publishing Group %V 15 %N 2 %P 136-9 %@ 0964-4563 %X OBJECTIVES: To examine whether there is an association between smoking and erectile dysfunction in a representative sample of Australian men. DESIGN: Secondary analysis of cross-sectional survey data from the Australian Study of Health and Relationships. PARTICIPANTS: 8367 Australian men aged 16-59 years. MAIN OUTCOME MEASURES: Erectile dysfunction was identified in men who reported having had trouble keeping an erection when they wanted to, a problem which persisted for at least one month over the previous year. Variables examined in multivariate logistic regression analyses included age, education, presence of cardiovascular disease and diabetes, and current alcohol and tobacco consumption. RESULTS: Almost one in 10 of the respondents (9.1%) reported erectile dysfunction that lasted for at least one month over the previous year. More than a quarter (27.2%) of respondents were current smokers, with 20.9% smoking < or = 20 cigarettes per day, and 6.3% smoking > 20 cigarettes per day. Compared with non-smokers, the adjusted odds ratios for erectile dysfunction were 1.24 (95% confidence interval (CI) 1.01 to 1.52, p = 0.04) for those smoking < or = 20 cigarettes per day and 1.39 (95% CI 1.05 to 1.83, p = 0.02) for those smoking > 20 cigarettes per day, after adjusting for other confounding factors. Older age, low level of education, and taking medications for cardiovascular disease were also independently and positively associated with erectile dysfunction. In contrast, moderate alcohol consumption (1-4 drinks per day) significantly reduced the likelihood of having erectile dysfunction. CONCLUSIONS: Erectile dysfunction is a significant health concern affecting around one in 10 Australian men aged 16-59 years. Current smoking is significantly associated with erectile dysfunction in Australian males. This association was strengthened as the number of cigarettes smoked increased. Health promotion programmes could use the link between smoking and erectile dysfunction to help reduce smoking levels among men. %Z FOR Codes: 111712 %0 Journal Article %~ Isi %A de Visser, R. O. %A Rissel, C. E. %A Smith, A. M. A. %A Richters, J. %T Sociodemographic correlates of selected health risk behaviors in a representative sample of Australian young people. %B International Journal of Behavioral Medicine %D 2006 %C United States %I Lawrence Erlbaum Associates, Inc. %V 13 %N 2 %P 153-162 %@ 1070-5503 %X %Z FOR Codes: 111712 %0 Journal Article %~ PubMed %A Rissel, Chris %T What price petrol? %B Health promotion journal of Australia %D 2006 %C Australia %I Australian Association of Health Promotion Profess %V 17 %N 1 %P 3-4 %@ 1036-1073 %X %Z FOR Codes: 111799