2023 |
Harris ML, Egan N, Forder PM, Bateson D, Loxton D, 'Patterns of contraceptive use through later reproductive years: A cohort study of Australian women with chronic disease.', PLoS One, 18 e0268872 (2023) [C1]
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Nova |
2022 |
Harris ML, Egan N, Forder PM, Bateson D, Sverdlov AL, Murphy VE, Loxton D, 'Patterns of contraceptive use among young Australian women with chronic disease: findings from a prospective cohort study', Reproductive Health, 19 (2022) [C1]
Background: Given chronic disease is increasing among young women and unintended pregnancies among these women are associated with poor maternal and fetal outcomes, these women wo... [more]
Background: Given chronic disease is increasing among young women and unintended pregnancies among these women are associated with poor maternal and fetal outcomes, these women would benefit from effective preconception care. However, there is a lack of understanding of how these women use or don¿t use contraception to inform such interventions. This study examined patterns of contraceptive use among an Australian cohort of young women and investigated the influence of chronic disease on contraceptive use over time. Methods: Using data from 15,244 young women from the Australian Longitudinal Study on Women¿s Health (born 1989¿1995), latent transition analysis was performed to identify distinct contraceptive patterns among women who were at risk of an unintended pregnancy. Multinomial mixed-effect models were used to evaluate the relationship between contraceptive combinations and chronic disease. Results: Contraceptive use for women with cardiac and autoinflammatory diseases differed to women without chronic disease over the observation period. Compared to women without chronic disease using the pill, women with cardiac disease had double the odds of using ¿other¿ contraception and condoms (OR = 2.20, 95% CI 1.34, 3.59) and a modest increase in the odds of using the combined oral contraceptive pill and condoms (OR = 1.39, 95% CI 1.03, 1.89). Compared to women without chronic disease who used the pill, women with autoinflammatory disease had increased odds of using LARC and condoms (OR = 1.58, 95% CI 1.04, 2.41), using ¿other¿ contraception and condoms (OR = 1.69, 95% CI 1.11, 2.57), and using the¿combined oral contraceptive pill and condoms (OR = 1.38, 95% CI 1.09, 1.75). No differences in contraceptive patterns over the observation period were found for women with asthma or diabetes when compared to women without chronic disease. Conclusion: The findings identified a need for effective contraceptive counselling as part of routine chronic disease care and improved communication between health¿care providers and women with chronic disease to improve young women¿s contraceptive knowledge and agency in contraceptive choice, particularly for those with cardiac or autoinflammatory conditions. This may be the key to reducing high-risk unintended pregnancies among this vulnerable population.
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Nova |
2022 |
Thiruchelvam K, Byles J, Hasan SS, Egan N, Kairuz T, 'Impact of medication reviews on potentially inappropriate medications and associated costs among older women in aged care.', Res Social Adm Pharm, 18 3758-3765 (2022) [C1]
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Nova |
2022 |
South M, Cheng D, Andrew L, Egan N, Carlin J, 'Decreased in-hospital mortality rate following implementation of a comprehensive electronic medical record system.', Journal of paediatrics and child health, 58 332-336 (2022) [C1]
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Nova |
2022 |
Reilly N, Egan N, Austin M-P, Forder PM, Loxton D, 'Increases in use of Medicare Benefits Schedule mental health items among women who gave birth in New South Wales, 2009-2015.', Aust N Z J Public Health, 46 75-80 (2022) [C1]
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Nova |
2021 |
Harris ML, Egan N, Forder PM, Loxton D, 'Increased chronic disease prevalence among the younger generation: Findings from a population-based data linkage study to inform chronic disease ascertainment among reproductive-aged Australian women.', PLoS One, 16 e0254668 (2021) [C1]
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Nova |
2021 |
Thiruchelvam K, Byles J, Hasan SS, Egan N, Kairuz T, 'Prevalence and association of continuous polypharmacy and frailty among older women: A longitudinal analysis over 15 years', Maturitas, 146 18-25 (2021) [C1]
Objectives: This study aimed to determine the prevalence of continuous polypharmacy and hyperpolypharmacy, determine medications that contribute to continuous polypharmacy, and ex... [more]
Objectives: This study aimed to determine the prevalence of continuous polypharmacy and hyperpolypharmacy, determine medications that contribute to continuous polypharmacy, and examine the association between frailty and continuous polypharmacy. Study design: A prospective study using data from the Australian Longitudinal Study on Women's Health. Women aged 77¿82 years in 2003, and 91¿96 years in 2017 were analysed, linking the Pharmaceutical Benefits Scheme data to participants¿ survey data. Main outcome measures: The association between frailty and continuous polypharmacy was determined using generalised estimating equations for log binomial regressions, controlling for confounding variables. Descriptive statistics were used to determine the proportion of women with polypharmacy, and medications that contributed to polypharmacy. Results: The proportion of women with continuous polypharmacy increased over time as they aged. Among participants who were frail (n = 833) in 2017, 35.9 % had continuous polypharmacy and 1.32 % had hyperpolypharmacy. Among those who were non-frail (n = 1966), 28.2 % had continuous polypharmacy, and 1.42 % had hyperpolypharmacy. Analgesics (e.g. paracetamol) and cardiovascular medications (e.g. furosemide and statins) commonly contributed to continuous polypharmacy among frail and non-frail women. Accounting for time and other characteristics, frail women had an 8% increased risk of continuous polypharmacy (RR 1.08; 95 % CI 1.05, 1.11) compared to non-frail women. Conclusions: Combined, polypharmacy and frailty are key clinical and public health challenges. Given that one-third of women had continuous polypharmacy, monitoring and review of medication use among older women are important, and particularly among women who are frail.
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Nova |
2021 |
Hassen TA, Chojenta C, Egan N, Loxton D, 'The association between the five-minute apgar score and neurodevelopmental outcomes among children aged 8-66 months in Australia', International Journal of Environmental Research and Public Health, 18 (2021) [C1]
This study aimed to evaluate the association of the five-minute Apgar score and neurodevelopmental outcomes in children by taking the entire range of Apgar scores into account. Da... [more]
This study aimed to evaluate the association of the five-minute Apgar score and neurodevelopmental outcomes in children by taking the entire range of Apgar scores into account. Data from the Australian Longitudinal Study of Women¿s Health (ALSWH) and Mothers and their Children¿s Health (MatCH) study were linked with Australian state-based Perinatal Data Collections (PDCs) for 809 children aged 8-66 months old. Generalized estimating equations were used to model the association between the five-minute Apgar scores and neurodevelopmental outcomes, using STATA software V.15. Of the 809 children, 614 (75.3%) had a five-minute Apgar score of 9, and 130 (16.1%) had an Apgar score of 10. Approximately 1.9% and 6.2% had Apgar scores of 0-6 and 7-8, respectively. Sixty-nine (8.5%) of children had a neurodevelopmental delay. Children with an Apgar score of 0-6 (AOR = 5.7; 95% CI: 1.2, 27.8) and 7-8 (AOR = 4.1; 95% CI: 1.2, 14.1) had greater odds of gross-motor neurodevelopment delay compared to children with an Apgar score of 10. Further, when continuously modelled, the five-minute Apgar score was inversely associated with neurodevelopmental delay (AOR = 0.75; 95% CI: 0.60, 0.93). Five-minute Apgar score was independently and inversely associated with a neurodevelopmental delay, and the risks were higher even within an Apgar score of 7-8. Hence, the Apgar score may need to be taken into account when evaluating neurodevelopmental outcomes in children.
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Nova |
2021 |
Hassen TA, Chojenta C, Egan N, Loxton D, 'Determinants of neonatal near miss in Australia: A multilevel analysis', Early Human Development, 156 (2021) [C1]
Background: Neonatal Near Miss (NNM) is a situation where a newborn narrowly survived the neonatal period. It has been hypothesized that identifying factors that contribute to the... [more]
Background: Neonatal Near Miss (NNM) is a situation where a newborn narrowly survived the neonatal period. It has been hypothesized that identifying factors that contribute to the occurrence of NNM and taking timely interventions could enhance the quality of newborn care. However, there is limited evidence in Australia. This study aimed to identify the determinants of NNM in Australia. Methods: Data from the 1973¿78 cohort of the Australian Longitudinal Study on Women's Health (ALSWH) were linked with state-based Perinatal Data Collections (PDC) for 3655 mothers and 5526 newborns who were born between 01 January 2007 and 31 December 2015. A newborn was considered as a near miss case if presented with any of the pragmatic criteria (gestational age <32 weeks, birth weight <1500 g, five-minute Apgar score <7) and survived the neonatal period. A multilevel multivariable logistic regression model was used to identify the determinants of NNM. Results: Of the total 5526 live births included in this study, 95 live births met the criteria for NNM, corresponding to an incidence of 17.2 per 1000 live births. After controlling for potential confounders, maternal age 31¿34 years (AOR = 2.57; 95% CI: 1.05, 6.30) and 35 years and above (AOR = 4.03; 95% CI: 1.58, 10.31), caesarean section (AOR = 2.24; 95% CI: 1.09, 4.57), and gestational hypertension (AOR = 2.63; 95% CI: 1.21, 5.71) increased the odds of NNM. Conclusion: Inclusion of NNM evaluations into newborn care and early screening and interventions for women who become pregnant at older age and those with pregnancy complications could improve the quality of newborn care and reduce neonatal morbidity.
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Nova |
2021 |
Thiruchelvam K, Byles J, Hasan SS, Egan N, Kairuz T, 'Residential Medication Management Reviews and continuous polypharmacy among older Australian women.', Int J Clin Pharm, 43 1619-1629 (2021) [C1]
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Nova |
2021 |
Thiruchelvam K, Byles J, Hasan SS, Egan N, Kairuz T, 'Home Medicines Review and frailty among community-dwelling older women', International Journal of Pharmacy Practice, 29 548-555 (2021) [C1]
Objectives: Home Medicines Reviews (HMRs) can optimize medications for frail older adults. This study aimed to determine the use of HMRs according to frailty status and the associ... [more]
Objectives: Home Medicines Reviews (HMRs) can optimize medications for frail older adults. This study aimed to determine the use of HMRs according to frailty status and the association between frailty and use of HMRs. Methods: The study included 9139 female participants enrolled in the Australian Longitudinal Study on Women's Health from 2003 (aged 77-82 years) to 2017 (aged 91-96 years). Generalized estimating equations (GEEs) using log-binomial regressions were used to determine associations using repeated measures on individuals over time. Key findings: The majority of participants in the study remained non-frail and did not receive HMRs from 2003 [7116 (77.86%)] to 2017 [1240 (71.31%)]. The use of HMRs was low in both groups with 33 (1.68%; 95% CI, 1.16 to 2.36) frail and 64 (0.89%; 95% CI, 0.69 to 1.14) non-frail participants receiving HMRs in 2003; by 2017, 19 (4.19%; 95% CI, 2.54 to 6.46) frail and 45 (3.50%; 95% CI, 2.57 to 4.66) non-frail participants received HMRs. Frailty was not associated with receiving a HMR (RR 1.06; 95% CI, 0.95 to 1.20), although for every 1-year increase, participants were 10% more likely to receive a HMR (RR 1.10; 95% CI, 1.09 to 1.11). Participants with continuous polypharmacy, =4 chronic diseases, >4 general practitioner visits and Department of Veterans Affairs coverage were more likely to receive a HMR. Conclusions: Despite the proven value of HMRs for frail older people, HMRs were not used for most frail and non-frail community-dwelling women in this study. Reasons for low use of the service should be explored, with interventions to raise awareness of the benefits of the service.
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Nova |
2021 |
Harris ML, Egan N, Forder PM, Coombe J, Loxton D, 'Contraceptive use among women through their later reproductive years: Findings from an Australian prospective cohort study.', PLoS One, 16 e0255913 (2021) [C1]
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Nova |
2021 |
Thiruchelvam K, Byles J, Hasan SS, Egan N, Kairuz T, 'Frailty and potentially inappropriate medications using the 2019 Beers Criteria: findings from the Australian Longitudinal Study on Women's Health (ALSWH).', Aging Clin Exp Res, 33 2499-2509 (2021) [C1]
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Nova |
2021 |
Hassen TA, Chojenta C, Egan N, Loxton D, 'The association between birth weight and proxy-reported health-related quality of life among children aged 5-10 years old: A linked data analysis', BMC PEDIATRICS, 21 (2021) [C1]
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Nova |
2020 |
Thiruchelvam K, Byles J, Hasan SS, Egan N, Cavenagh D, Kairuz T, 'Common combinations of medications used among oldest-old women: a population-based study over 15 years', AGING CLINICAL AND EXPERIMENTAL RESEARCH, 33 1919-1928 (2020) [C1]
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Nova |