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You searched for +publisher:"University of New South Wales" +contributor:("Jayasuriya, Rohan, Public Health & Community Medicine, Faculty of Medicine, UNSW"). Showing records 1 – 3 of 3 total matches.

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University of New South Wales

1. Shahid, Farhana. Understanding psycho-social factors influencing lifestyle of women with a history of gestational diabetes in Pakistan.

Degree: Community Medicine, 2012, University of New South Wales

Lifestyle interventions are proven to be effective in preventing or delaying type 2 diabetes mellitus (T2DM) in high risk individuals, such as women with a history of gestational diabetes mellitus (GDM) referred to henceforth as GDM women. This thesis was designed to address the lack of understanding of factors that affect lifestyle of GDM women in Pakistan and identify suitable approaches for intervention. A series of studies were conducted to develop valid and reliable measures for constructs in the trans-theoretical model (TTM), family support and diet and to test a model for lifestyle change. The study participants were recruited from a tertiary care hospital in Karachi, Pakistan. The qualitative study used in-depth interviews (n=24) and group discussions (n=17) and was analysed thematically. Measures were developed and tested in a cross sectional survey of post-natal women (n=331). Exploratory factor analysis was used to examine the construct validity of measures and Partial least Square (PLS) to predict diet and physical activity of GDM women in Pakistan. The qualitative findings revealed lack of knowledge, social support, cultural expectations and gender role as influencing lifestyle of GDM women. Variables that included TTM constructs (pros and cons, self efficacy and stages of change), family support and selected demographic factors predicted 44 percent of variance in dietary fat intake and 38 percent of physical activity of GDM women. These models explained much less of the variance in non-GDM women. Self-efficacy, cons for change and positive family support were the most significant predicators of dietary behaviour. Self-efficacy and cons for change were significant predictors of physical activity. This study makes an original contribution to the gap in knowledge of factors that affect lifestyle behaviours of GDM women in a South Asian context, and specifically Pakistan. The findings indicate that interventions for GDM women using strategies to improve self efficacy, addressing perceived cons, and using family support would be effective. Culturally specific messages, delivered by a health care provider targeting weight management would be acceptable for GDM women in Pakistan. The findings inform the design of a lifestyle intervention for this target group. Advisors/Committee Members: Jayasuriya, Rohan, Public Health & Community Medicine, Faculty of Medicine, UNSW, Razee, Husna, Public Health & Community Medicine, Faculty of Medicine, UNSW, Iqbal, Romaina, Department of Community Health Sciences, The Aga Khan University, Karachi, Pakistan.

Subjects/Keywords: Prevention of Type 2 diabetes mellitus; Gestational Diabetes Mellitus; Pakistan; Lifestyle; Psycho-social factors

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APA (6th Edition):

Shahid, F. (2012). Understanding psycho-social factors influencing lifestyle of women with a history of gestational diabetes in Pakistan. (Doctoral Dissertation). University of New South Wales. Retrieved from http://handle.unsw.edu.au/1959.4/52619 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:11292/SOURCE01?view=true

Chicago Manual of Style (16th Edition):

Shahid, Farhana. “Understanding psycho-social factors influencing lifestyle of women with a history of gestational diabetes in Pakistan.” 2012. Doctoral Dissertation, University of New South Wales. Accessed January 18, 2021. http://handle.unsw.edu.au/1959.4/52619 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:11292/SOURCE01?view=true.

MLA Handbook (7th Edition):

Shahid, Farhana. “Understanding psycho-social factors influencing lifestyle of women with a history of gestational diabetes in Pakistan.” 2012. Web. 18 Jan 2021.

Vancouver:

Shahid F. Understanding psycho-social factors influencing lifestyle of women with a history of gestational diabetes in Pakistan. [Internet] [Doctoral dissertation]. University of New South Wales; 2012. [cited 2021 Jan 18]. Available from: http://handle.unsw.edu.au/1959.4/52619 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:11292/SOURCE01?view=true.

Council of Science Editors:

Shahid F. Understanding psycho-social factors influencing lifestyle of women with a history of gestational diabetes in Pakistan. [Doctoral Dissertation]. University of New South Wales; 2012. Available from: http://handle.unsw.edu.au/1959.4/52619 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:11292/SOURCE01?view=true


University of New South Wales

2. Pinidiyapathirage, Mohitha Janani. Sociocognitive determinants of lifestyle behaviours of Sri Lankan women with a recent history of gestational diabetes mellitus.

Degree: Community Medicine, 2015, University of New South Wales

Gestational Diabetes Mellitus (GDM) is a common complication of pregnancy that increases the future risk for type 2 diabetes. Lifestyle changes, comprising regular physical activity and healthy eating have been proven to reduce the risk of developing diabetes in high risk groups. This thesis sought to provide a better understanding of the theoretical and contextual factors that influence physical activity and dietary behaviour of Sri Lankan women with a history of GDM. In the first study, semi-structured interviews were conducted to explore women’s experiences in relation to lifestyle changes following a GDM pregnancy. Thirty women who had GDM 6-36 months previously and received obstetric care from the Gampaha Health Service District participated in the interviews. Excessive family demands, low perceived risk, perception of good health, and social norms were identified as barriers to lifestyle change. In the second study, postal and telephone follow-up surveys were conducted from November 2012 to March 2013 to collect information on sociocognitive measures affecting physical activity and diet based on the Health Action Process Approach (HAPA). Study participants were women diagnosed with GDM 6-36 months previously and attended the Colombo North Teaching Hospital for obstetric care. The research hypotheses were tested using structural equation modelling. The hypothesised models explained 11% and 14% of the variance in physical activity and dietary behaviour, respectively. Action self-efficacy was the most important predictor of behavioural intention. Outcome expectancies were important for dietary intention but not for physical activity. Of the post-intentional variables, action and coping planning were important for both physical activity and diet. Though volitional self-efficacy was not a direct predictor of behaviour, women with high self-efficacy were more likely to execute their behaviours through planning. Higher intentions did not directly predict behaviour but the intention-behaviour relationship was mediated by planning. Of the additional variables tested, spousal support was associated with intention formation for both behaviours of interest but was positively associated only with physical activity. This thesis makes a theoretical contribution in this understudied South Asian population in the use of sociocognitive models to develop behavioural interventions. The use of strategies to improve planning and volitional self-efficacy were identified to be helpful to close the intention-behaviour gap. In addition, the importance of spousal support in both the preliminary qualitative work and HAPA modelling may be used to inform future intervention studies among this group. Advisors/Committee Members: Jayasuriya, Rohan, Public Health & Community Medicine, Faculty of Medicine, UNSW, Rose, Vanessa, Centre for Primary Health Care & Equity, Faculty of Medicine, UNSW, Cheung, Ngai Wah, Westmead Clinical School, University of Sydney.

Subjects/Keywords: Physical activity; Gestational Diabetes Mellitus; Health Action Process Approach; Dietray behaviour; Structural equation modelling

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Pinidiyapathirage, M. J. (2015). Sociocognitive determinants of lifestyle behaviours of Sri Lankan women with a recent history of gestational diabetes mellitus. (Doctoral Dissertation). University of New South Wales. Retrieved from http://handle.unsw.edu.au/1959.4/55394 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:37466/SOURCE02?view=true

Chicago Manual of Style (16th Edition):

Pinidiyapathirage, Mohitha Janani. “Sociocognitive determinants of lifestyle behaviours of Sri Lankan women with a recent history of gestational diabetes mellitus.” 2015. Doctoral Dissertation, University of New South Wales. Accessed January 18, 2021. http://handle.unsw.edu.au/1959.4/55394 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:37466/SOURCE02?view=true.

MLA Handbook (7th Edition):

Pinidiyapathirage, Mohitha Janani. “Sociocognitive determinants of lifestyle behaviours of Sri Lankan women with a recent history of gestational diabetes mellitus.” 2015. Web. 18 Jan 2021.

Vancouver:

Pinidiyapathirage MJ. Sociocognitive determinants of lifestyle behaviours of Sri Lankan women with a recent history of gestational diabetes mellitus. [Internet] [Doctoral dissertation]. University of New South Wales; 2015. [cited 2021 Jan 18]. Available from: http://handle.unsw.edu.au/1959.4/55394 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:37466/SOURCE02?view=true.

Council of Science Editors:

Pinidiyapathirage MJ. Sociocognitive determinants of lifestyle behaviours of Sri Lankan women with a recent history of gestational diabetes mellitus. [Doctoral Dissertation]. University of New South Wales; 2015. Available from: http://handle.unsw.edu.au/1959.4/55394 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:37466/SOURCE02?view=true


University of New South Wales

3. Nguyen, Hoang Giang. Health care seeking behaviour and economic burden of health care expenditure among people with non-communicable diseases in Vietnam.

Degree: Community Medicine, 2017, University of New South Wales

There have been significant shifts in the pattern of disease in Vietnam since 1990, and non-communicable diseases (NCD) have become the leading cause of morbidity and mortality. To fill a gap in the literature, this thesis aims to study health care seeking behaviour (HCSB) and the economic burden of health care expenditure among people with NCD in Vietnam. The first study was based on secondary analysis of the Health Strategy and Policy Institute (HSPI) household survey data comprising a sample of 3,452 households in three provinces. Andersen’s model of health care utilization guided the selection of determinants of three types of health care (no care, informal care, and formal care) among individuals with NCD. Analysis using multinomial logistic regression of the sample showed that perceived illness severity, age, ethnicity, physical inactivity, smoking, health insurance status and geographical location were associated with HCSB. The study estimated economic burden on households with NCD, including catastrophic and impoverishing health expenditure, and financial distress. The results showed that households with NCD are more likely to have higher health expenditure and a higher possibility of financial catastrophe and distress than households without NCD. The association of health insurance with HCSB and the economic burden was examined, and the findings indicated that while health insurance coverage was positively associated with health service utilization among individuals with NCD, there was a lack of evidence of the protective effect of health insurance on the economic burden of health expenditure among households with NCD.A sequential qualitative study explored HCSB and barriers to long-term care among patients with hypertension and diabetes. The findings highlighted a number of barriers at the primary care setting, including unproductive patient-provider interaction, complicated and inflexible service delivery, long waiting times, limited and interrupted provision of medicines, and financial diffculities due to health insurance co-payments. This study suggests that individuals and households with NCD are facing barriers to access health services and long-term care in particular as well as bearing considerable economic burden. There is a need for policy interventions targeting NCD to improve access to long-term care and mitigate its associated financial hardship in Vietnam. Advisors/Committee Members: Jayasuriya, Rohan, Public Health & Community Medicine, Faculty of Medicine, UNSW, Tran, Thi Mai Oanh, Health Strategy and Policy Institute, Vietnam Ministry of Health, Vietnam, Ho, Thi Hien, Hanoi University of Public Health, Vietnam.

Subjects/Keywords: Vietnam; Health insurance; Economic burden; Non-communicable diseases; Health care seeking behavior; Health service utilization; Out-of-pocket; Health expenditure

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Nguyen, H. G. (2017). Health care seeking behaviour and economic burden of health care expenditure among people with non-communicable diseases in Vietnam. (Masters Thesis). University of New South Wales. Retrieved from http://handle.unsw.edu.au/1959.4/60125 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:50969/SOURCE2?view=true

Chicago Manual of Style (16th Edition):

Nguyen, Hoang Giang. “Health care seeking behaviour and economic burden of health care expenditure among people with non-communicable diseases in Vietnam.” 2017. Masters Thesis, University of New South Wales. Accessed January 18, 2021. http://handle.unsw.edu.au/1959.4/60125 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:50969/SOURCE2?view=true.

MLA Handbook (7th Edition):

Nguyen, Hoang Giang. “Health care seeking behaviour and economic burden of health care expenditure among people with non-communicable diseases in Vietnam.” 2017. Web. 18 Jan 2021.

Vancouver:

Nguyen HG. Health care seeking behaviour and economic burden of health care expenditure among people with non-communicable diseases in Vietnam. [Internet] [Masters thesis]. University of New South Wales; 2017. [cited 2021 Jan 18]. Available from: http://handle.unsw.edu.au/1959.4/60125 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:50969/SOURCE2?view=true.

Council of Science Editors:

Nguyen HG. Health care seeking behaviour and economic burden of health care expenditure among people with non-communicable diseases in Vietnam. [Masters Thesis]. University of New South Wales; 2017. Available from: http://handle.unsw.edu.au/1959.4/60125 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:50969/SOURCE2?view=true

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