Gambling problems amongst the CALD population of Australia: hidden, visible or not a problem?

This study tests the feasibility of using nationally representative General Social Surveys for examining trends and patterns in gambling problems and other life stressors amongst the Australian Culturally and Linguistically Diverse (CALD) population.AbstractThere have been mixed research results when studying gambling problems in Culturally and Linguistically Diverse (CALD) communities in Australia and internationally. This study tests the feasibility of using nationally representative General Social Surveys for examining trends and patterns in gambling problems and other life stressors amongst the Australian CALD population. Two surveys were analysed to determine whether the CALD population experienced gambling problems and other life stressors at different levels to the non-CALD population, and to identify, using multivariable models, whether CALD related variables showed evidence of an association with reported gambling problems after adjustment for other covariates. There was no evidence that 2002 estimates of gambling problems were different in CALD and non-CALD populations. In 2006, there was evidence that gambling problems were lower in the CALD population compared with the non-CALD population (1.3% cf. 3.5%). In 2002 multivariable models there was no evidence of an association between CALD status or related variables with gambling problems, after adjustment for other variables. In 2006 multivariable models, there was evidence of an association between being the CALD population (protective), and being born in Oceania or New Zealand (risk) with gambling problems, after adjustment for other variables

Women surviving violence: cultural competence in critical services

Executive Summary: This paper highlights that, while there is no evidence that family violence is more endemic, or profound in CALD communities, when it does occur, the Australian justice and protection services are not adequately accounting for the additional complexity that can be embedded within CALD women’s experiences of violence. These service gaps have led to lower rates of reporting and disadvantage in access.Responding to this disadvantage will require investment in strategies to expand the options available to CALD women.Strategies highlighted in the paper include:Developing cultural competence within critical services;Supporting community owned prevention programs, acknowledging the expertise of CALD women;Strengthening the capacity of services run through community and migrant resource centres, as a means of ensuring a diversity of services; andInvesting in engagement programs to enhance familiarity between State service providers and CALD communities.For these strategies to succeed, CALD communities will need enhanced support and resources. That is an ideal and sustainable way to expand the options available to women leaving violence, to prevent future violence and to combat disadvantage in access to support servcies

How young people from culturally and linguistically diverse backgrounds experience mental health: some insights for mental health nurses

This article reports on a part of a study which looked at the mental health of culturally and linguistically diverse (CALD) young people. The research sought to learn from CALD young people, carers, and service providers experiences relevant to the mental health of this group of young people. The ultimate goal was to gain insights that would inform government policy, service providers, ethnic communities and most importantly the young people themselves. To this end, qualitative interviews were undertaken with 123 CALD young people, 41 carers and 14 mental health service providers in Queensland, Western Australia and South Australia. Only one aspect of the study will be dealt with here, namely the views of the young CALD participants, which included risk factors, coping strategies and recommendations about how they could be supported in their struggle to maintain mental health. One of the most important findings of the study relates to the resilience of these young people and an insight into the strategies that they used to cope. The efforts of these young people to assist us in our attempts to understand their situation deserve to be rewarded by improvements in the care that we provide. To this end this article sets out to inform mental health nurses of the results of the study so that they will be in a position to better understand the needs and strengths of their CALD clients and be in a better position to work effectively with them

Two sides of the coin:Patient and provider perceptions of health care delivery to patients from culturally and linguistically diverse backgrounds

BACKGROUND: Australia is a culturally diverse nation with one in seven Australians born in a non-English speaking country. Culturally and Linguistically Diverse (CALD) populations are at a high risk of developing preventable chronic diseases such as cardiovascular disease, type 2 diabetes mellitus, renal disease, and chronic respiratory disease, especially communities from the Pacific Islands, the Middle East, North Africa, the Indian subcontinent and China. Previous studies have shown that access to services may be a contributing factor. This study explores the experiences, attitudes and opinions of immigrants from different cultural and linguistic backgrounds and their health care providers with regard to chronic disease care. METHODS: Five focus groups were conducted comprising participants from an Arabic speaking background, or born in Sudan, China, Vietnam or Tonga. A total of 50 members participated. All focus groups were conducted in the participants’ language and facilitated by a trained multicultural health worker. In addition, 14 health care providers were interviewed by telephone. Interviews were digitally recorded and transcribed. All qualitative data were analysed with the assistance of QSR NVivo 8 software. RESULTS: Participants were generally positive about the quality and accessibility of health services, but the costs of health care and waiting times to receive treatment presented significant barriers. They expressed a need for greater access to interpreters and culturally appropriate communication and education. They mentioned experiencing racism and discriminatory practices. Health professionals recommended recruiting health workers from CALD communities to assist them to adequately elicit and address the needs of patients from CALD backgrounds. CONCLUSIONS: CALD patients, carers and community members as well as health professionals all highlighted the need for establishing culturally tailored programs for chronic disease prevention and management in CALD populations. Better health care can be achieved by ensuring that further investment in culturally specific programs and workforce development is in line with the number of CALD communities and their needs

Exploring emotional and social competencies in undergraduate students: Perspectives from CALD and non-CALD students

With the internationalisation of higher education, students from culturally and linguistically diverse (CALD) backgrounds represent a significant proportion of the university student body in Australia. Research literature indicates that the unique cultural and linguistic challenges experienced by these students may adversely impact their academic performance and social integration in university settings. However, less is known about how the socio-emotional competencies of undergraduate CALD and non-CALD domestic English-speaking students compare. This cross-sectional quantitative study compares the emotional and social competencies in a cohort of CALD and non-CALD occupational therapy undergraduates. Data were collected at one Australian university from a group of 360 students enrolled in the Bachelor of Occupational Therapy (Honours) course. Participants completed the Emotional and Social Competency Inventory– University edition (ESCI-U). Multivariate regression analyses were used to compare between CALD and non-CALD students, controlling for students’ year level of study, age, and gender. Key findings from the regression analysis included the observation of indicate that non-CALD students having significant higher scores than CALD students on all the ESCI-U socio-emotional subscales, especially the Emotional Self-control, Achievement Orientation, Empathy and Teamwork from western perspectives. No difference was found between CALD and non-CALD student on two cognitive competencies- systems thinking and pattern recognition. These findings should be interpreted with caution considering CALD students may interpret the questions differently and demonstrate the competencies in different ways. Specific emotional and social competencies that need to be strengthened in students are discussed and recommendations are made to inform the preparation of evidence-based curricula

Enhancing learning for culturally and linguistically diverse (CALD) students

Objectives: Academic staff have noted that culturally and linguistically diverse (CALD) students have faced difficulties during their studies and in adapting to workplace experiential learning.Method: To explore this issue, three focus groups were held to identify the barriers to learning faced by CALD students and to develop strategies for CALD students, academic staff and workplace supervisors to assist in the students\u27 academic progress and skill development. The three focus groups represented academic staff: CALD students and placement supervisors in courses where workplace supervision was a requirement of the course.Results: The barriers to learning were identified as difficulties with English language communication skills, including reading, writing and verbal skills; course content that was too local; extra time not being allocated to academic and placement staff to allow for the greater time commitment required for CALD students; large tutorial groups; social isolation; discriminatory assessment, and lack of awareness of existing support services for academic staff dealing with international students.Conclusions: Strategies suggested to help assist CALD students to learn included conducting introductory sessions on Australian culture for CALD students; having additional and smaller tutorial groups; having academics spend time with individual CALD students; incorporating international issues into the course content and assessment; providing support and assistance for academic staff teaching CALD students, and organising experienced CALD students to mentor their less experienced peers. Implementing the strategies suggested would require greater resources to be committed to CALD students, which may be difficult given competing demands within the university for limited financial resources.<br /

Chemotactic properties of Escherichia coli mutants having abnormal Ca2+ content

The calA, calC, and calD mutants of Escherichia coli are known to be sensitive to Ca2+ (R. N. Brey and B. P. Rosen, J. Bacteriol. 139:824-834, 1979). In the absence of any added stimuli for chemotaxis, both the calC and the calD mutants swam with a tumbly bias. Both the calC and the calD mutants were defective in chemotaxis as measured by computer analysis, use of swarm plates, and capillary assays. The calA mutant was only slightly defective in motility and only slightly impaired in chemotaxis. Chemotactically wild-type cells had an intra-cellular free-Ca2+ level of about 105 nM. The intracellular free-Ca2+ levels of the mutants, as determined by use of the fluorescent Ca2+ indicator dye fura-2 or fluo-3, were about 90, about 1,130, and about 410 nM for calA, calC, and calD, respectively. Lowering the intracellular free-Ca2+ levels in wild-type cells and in the tumbly cal mutants by use of Ca2+ chelators promoted running (smooth swimming). Overexpression of CheZ (which causes dephosphorylation of CheY-phosphate) in the wild type and in the tumbly cal mutants decreased the level of tumbliness (which is caused by CheY-phosphate). The calA mutant was 4- to 10-fold more resistant than the wild type to the inhibitory effect of omega-conotoxin on chemotaxis. omega-Conotoxin had no effect on Ca2+ extrusion by wild-type E. coli; that result suggests that omega-conotoxin affects Ca2+ transport at the point of entry instead of exit

Concurrent axon and myelin destruction differentiates X-linked adrenoleukodystrophy from multiple sclerosis

Cerebral disease manifestation occurs in about two thirds of males with X-linked adrenoleukodystrophy (CALD) and is fatally progressive if left untreated. Early histopathologic studies categorized CALD as an inflammatory demyelinating disease, which led to repeated comparisons to multiple sclerosis (MS). The aim of this study was to revisit the relationship between axonal damage and myelin loss in CALD. We applied novel immunohistochemical tools to investigate axonal damage, myelin loss and myelin repair in autopsy brain tissue of eight CALD and 25 MS patients. We found extensive and severe acute axonal damage in CALD already in prelesional areas defined by microglia loss and relative myelin preservation. In contrast to MS, we did not observe selective phagocytosis of myelin, but a concomitant decay of the entire axon-myelin unit in all CALD lesion stages. Using a novel marker protein for actively remyelinating oligodendrocytes, breast carcinoma-amplified sequence (BCAS) 1, we show that repair pathways are activated in oligodendrocytes in CALD. Regenerating cells, however, were affected by the ongoing disease process. We provide evidence that—in contrast to MS—selective myelin phagocytosis is not characteristic of CALD. On the contrary, our data indicate that acute axonal injury and permanent axonal loss are thus far underestimated features of the disease that must come into focus in our search for biomarkers and novel therapeutic approaches

Culturally & Linguistically Diverse Men’s Experiences of Perinatal Death in Australia

This item is only available electronically.Globally, people from culturally and linguistically diverse (CALD) families are at a higher risk of experiencing perinatal death and associated adverse pregnancy outcomes. However, while there has been some research concerning men’s experiences of grief generally, there has been no Australian research examining CALD men’s grief following perinatal death, nor the support experiences and needs that this cohort of bereaved men have. This qualitative study examines interview accounts from a total of 16 participants, including six healthcare service providers and 10 CALD community members (four of whom were men who had personally experienced perinatal death). Thematic analysis identified four themes related to CALD men’s grief expression (namely, that CALD men’s grief is individual, a changing and enduring process, partner-centred, and expressed through stoic ideals of masculinity), as well as five themes related to support (namely that perinatal death, grief, and following care were found to be associated with stigma, and that CALD men’s support is shaped by; religion and ritual, connection to community and family, inhibited self-advocacy, and woman-centred supports). These findings indicate that CALD men may benefit from targeted and culturally-safe mental health, financial, and emotional support following perinatal death. Future research could usefully focus on the culturally-shaped roles that CALD men have following a perinatal death, including in relation to supporting their families. The research points to the strong need for CALD men’s specific needs to be included in the development of policy and practice surrounding perinatal death.Thesis (B.PsychSc(Hons)) -- University of Adelaide, School of Psychology, 202