Margaret Hellard
Datos Biográficos
| ID | 175018 |
|---|---|
| NOMBRE | Margaret Hellard |
| NOMBRES | Margaret |
| APELLIDO | Hellard |
| FIRMA | HELLARD M |
| AFILIACIONES | Burnet Institute |
| ORCID | 0000-0002-5055-3266 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 92 |
| TOTAL DE CITAS | 37 |
| TOTAL COMO AUTOR | 92 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2001 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 4 |
Stakeholder perspectives on task shifting to prevent mother-to-child transmission of hepatitis B
In Vanuatu, the management of hepatitis B is limited to hospital settings whilst antenatal care is decentralised to primary care settings, overseen by nurses and midwives. Scale up of interventions during pregnancy to prevent mother-to-child transmission (PMTCT) of hepatitis B in Vanuatu therefore requires task shifting of care for hepatitis B. This study aims to understand stakeholder perspectives on task shifting hepatitis B PMTCT interventions…
It’s Your Right – implementation and outcomes of a co-designed national Australian hepatitis C health promotion campaign
Changing patterns of opioid agonist therapy prescribing in a network of specialised clinics providing care to people with opioid use disorder in Victoria , Australia , 2015 to 2023
Disproportionate, differential and targeted treatment
Utilising integrated bio-behavioural surveillance (IBBS) to investigate declining hepatitis C antibody prevalence among people who inject drugs in the Australian Needle and Syringe Program Survey
The temporal decline in HCV Ab prevalence appears related to reduced sensitivity of DBS HCV Ab detection with viral clearance following treatment. Since 2016, HCV treatment uptake has increased markedly including among people who inject drugs. In this context, continuing to monitor HCV Ab prevalence by DBS testing is problematic, with a shift to surveillance of active infection the most relevant to guide policy and practice in this setting
Covid-19 outbreaks in residential aged care facilities
Introduction: A disproportionate number of COVID-19 deaths occur in Residential Aged Care Facilities (RACFs), where better evidence is needed to target COVID-19 interventions to prevent mortality. This study used an agent-based model to assess the role of community prevalence, vaccination strategies, and non-pharmaceutical interventions (NPIs) on COVID-19 outcomes in RACFs in Victoria, Australia. Methods: The model simulated outbreaks in RACFs ov…
Protektem pikinini blong yu trial
Australian New Zealand Clinical Trials Registry (ANZCTR), ACTRN: ACTRN12623001202651p. Registered 21 November 2023
Predictors of treatment outcomes for Hepatitis C infection in a nationwide elimination program in Iceland
By reengagement in care and prompt retreatment when needed, a cure rate of 95.5 % was achieved. Unstable housing, a potentially actionable factor is associated with poor outcome
All-cause mortality before and after DAA availability among people living with HIV and HCV
Point-of-care HCV RNA testing improves hepatitis C testing rates and allows rapid treatment initiation among people who inject drugs attending a medically supervised injecting facility
Keeping kids in school
Background: In 2021, the Australian Government Department of Health commissioned a consortium of modelling groups to generate evidence assisting the transition from a goal of no community COVID-19 transmission to 'living with COVID-19', with adverse health and social consequences limited by vaccination and other measures. Due to the extended school closures over 2020-21, maximizing face-to-face teaching was a major objective during this transitio…
Patients’ access to and acceptance of community-based hepatitis C testing and treatment in Myanmar
Hepatitis C (HCV) infection elimination in low- and middle-income countries requires decentralised HCV services to increase testing and linkage to care. The CT2 Study investigated patients’ views of access to and acceptance of two community-based HCV care models in Myanmar using a mixed-methods approach. Point-of-care HCV testing and general practitioner-initiated HCV treatment were provided at two community clinics in Yangon, Myanmar–the Burnet …
Inclusion of Cultural and Linguistic Diversity in Covid-19 Public Health Research
Participation of people from culturally and linguistically diverse (CALD) communities in public health research is often limited by challenges with recruitment, retention and second-language data collection. Consequently, people from CALD communities are at risk of their needs being marginalised in public health interventions. This paper presents intrinsic case analyses of two studies which were adapted to increase the cultural competence of rese…
Covid-19 epidemic modelling for policy decision support in Victoria, Australia 2020–2021
Model evidence offered the greatest value when decisions needed to be made pre-emptively, or for questions that could not be answered with empiric data and data analysis alone. Co-designing scenarios with policy-makers ensured relevance and increased policy translation
Evaluation of a person-centred, nurse-led model of care delivering hepatitis C testing and treatment in priority settings
Providing outreach hepatitis C services in community-based services was effective in engaging people living with and at-risk of hepatitis C, in education, testing, and care. Nurse-led, person-centred care was critical to the success of the project. Our evaluation underscores the importance of employing a partnership approach when delivering hepatitis C models of care in community settings, and incorporating workforce education and capacity-buildi…
Recommandations pour la prise en charge de l’infection par le virus de l’hépatite C chez les usagers de drogues par injection
Empfehlungen zur Hepatitis Versorgung bei Drogenkonsumierenden
Recomendaciones para el manejo de la infección por el virus de la hepatitis C entre usuarios de drogas por vía parenteral
Connecting patients notified with hepatitis C to treatment (Connect Study)
This was the first prospective randomised study of the utility of immediate HCV notification follow-up of primary care practitioners to enhance treatment uptake using disease notification surveillance data. We demonstrated improvement in HCV RNA testing and trend toward better engagement in care, but no significant increase in treatment uptake
Socioeconomic consequences of the Covid ‐19 pandemic for people who use drugs
The COVID‐19 pandemic triggered widespread socioeconomic hardship, disproportionately impacting disadvantaged populations. People who use illicit drugs are more likely to experience unemployment, homelessness, criminal justice involvement and poorer health outcomes than the general community, yet little is known about the socioeconomic impacts of the pandemic on their lives. To address this gap in the literature, we conducted in‐depth interviews …
Pre-Empting Stigma and Complicating Trauma
Gay and bisexual men (GBM) report higher rates of sexualised and injecting drug use (IDU) than heterosexual men. Injecting-related stigma is linked to negative health outcomes among people who inject drugs (PWID). This paper describes the ways in which stigmatisation manifests in the narratives of GBM who inject drugs. We conducted in-depth interviews with Australian GBM with IDU histories, exploring drug use, pleasure, risk, and relationality. D…
The Lancet Commission on lessons for the future from the Covid-19 pandemic
Covid-19 vaccine wastage in the midst of vaccine inequity
Evaluating the potential cost-effectiveness of microarray patches to expand access to hepatitis B birth dose vaccination in low-and middle-income countries
Timely birth dose vaccination is key for achieving elimination of hepatitis B, however, programmatic requirements for delivering current vaccine presentations to births outside of health facilities inhibits coverage within many low-and middle-income countries (LMICs). Vaccine technologies in development such as microarray patches (MAPs) could assist in overcoming these barriers, but procurement could incur higher per-dose commodity costs than cur…
You have to drink with a little bit of shame”
Migrant and ethnic minority groups are underrepresented in alcohol and other drug (AOD) research. This qualitative study explored AOD use among young people from migrant and ethnic minority backgrounds in Melbourne, Australia. We conducted one focus group and 16 interviews and thematically analyzed data drawing on the social-ecological model of health. Theme one showed AOD use was considered a "normal" part of youth identity, particularly for par…
What Behaviors Do Young Heterosexual Australians See in Pornography? A Cross-Sectional Study
This study investigated how frequently a group of young heterosexual Australians (ages 15 to 29) saw a range of behaviors represented in pornography over the previous 12 months. Participants were recruited to an anonymous online survey. Those who reported having viewed pornography in the past 12 months (n = 517) indicated how frequently they saw each of a list of 17 behaviors when they watched pornography in the past 12 months. Men's pleasure (83…
Not my child’
Most young people will be exposed to online pornography for the first time during childhood or early adolescence. Despite limited evidence of long term impacts, concerns about the negative influence of pornography on young viewers’ sexual attitudes and practices have led to calls for the development of policy, resources, and guidelines to assist in navigating these experiences in family and community settings. Pornography and sex education are cl…
Addressing alcohol and other drug use among young people from migrant and ethnic minority backgrounds
Young people from migrant and ethnic minority backgrounds are recognised as emerging priority populations for reducing alcohol and other drug (AOD)-related harms in Australia. Limited research has investigated how service providers address AOD challenges in migrant communities. In this qualitative study, we interviewed 15 service providers from AOD, migrant support, community and other health services in a diverse region of Melbourne. Interviews …
Impact of text and email messaging on the sexual health of young people
OBJECTIVE: To carry out a randomised controlled trial on the effect of a new method of health promotion-email and mobile phone text messages (short messaging service (SMS))-on young people's sexual health. METHODS: 994 people aged 16-29 were recruited at a music festival to a non-blinded randomised controlled trial. Participants were randomised to either receive sexual health promotion messages (n=507) or the control group (n=487). The 12-month i…
No increase in HIV or sexually transmissible infection testing following a social marketing campaign among men who have sex with men
BACKGROUND: A social marketing campaign ran in 2004 in the Victoria to increase rates of HIV/sexually transmissible infection (STI) testing among men having sex with men (MSM). METHODS: To evaluate the initiative data from HIV sentinel surveillance, laboratory data on testing for HIV/STIs and STI/HIV testing uptake reported in annual surveys were analysed. RESULTS: The sentinel surveillance network showed no increase in the overall extent of HIV …
The impact of pornography on gender-based violence, sexual health and well-being
As Internet access and literacy increases, pornography has become highly accessible, cheap and diverse. Online pornography use is common in the USA, with nearly 9 out of 10 men and 1 out of 3 women aged 18–26 reporting accessing pornography online.1 In June 2013, legal pornographic websites received more UK-based traffic than social networks, shopping, news and media, email, finance, gaming and travel websites.2 For example, popular pornography w…
Mental Health and Associated Sexual Health Behaviours in a Sample of Young People Attending a Music Festival in Melbourne, Victoria
Socioeconomic consequences of the Covid ‐19 pandemic for people who use drugs
The COVID‐19 pandemic triggered widespread socioeconomic hardship, disproportionately impacting disadvantaged populations. People who use illicit drugs are more likely to experience unemployment, homelessness, criminal justice involvement and poorer health outcomes than the general community, yet little is known about the socioeconomic impacts of the pandemic on their lives. To address this gap in the literature, we conducted in‐depth interviews …
We Might Get Some Free Beers”
No Drama
We qualitatively examined gay men's reactions to the national "Drama Downunder" HIV/STI social marketing campaign targeting gay men in Australia to identify key campaign elements that underpinned the demonstrated effectiveness of the campaign. We present findings from six qualitative focus groups held with 49 participants as part of the evaluation of the sexual-health-promotion campaign over 2008-2009. Participants identified attention-grabbing i…
Methods used to maintain a high level of participant involvement in a clinical trial
OBJECTIVES: To describe the strategies adopted to maintain high level participation throughout a community based clinical trial, and the reasons given by participants for why they participated in the study. DESIGN: Observational study. SETTING: Community based clinical trial in Melbourne, Australia that ran for 68 weeks and involved 2811 community based individuals from 600 families. A high level of commitment was required of the families; each p…
Recruitment and follow-up of injecting drug users in the setting of early hepatitis C treatment
Gender, culture and harm
Previous quantitative cross sectional studies of ethnic Vietnamese drug users in Melbourne have been overwhelmingly drawn from samples of men. In this qualitative investigation, 24 women aged between 18 and 33 years were interviewed. This exploratory study sought: to identify issues surrounding heroin initiation and drug use career; to examine relationships with family and primary sex partners; and to reveal participants' attitudes to drug treatm…
Integrating enhanced hepatitis C testing and counselling in research
The “work” of women when considering and using interventions to reduce mother-to-child transmission (MTCT) of HIV
This paper explores HIV-infected women's experiences of considering and using recommended interventions during pregnancy and postpartum to reduce mother-to-child transmission of HIV. Data were collected from 45 HIV-infected women aged 18-44 years living in Melbourne, Australia. A semi-structured interview was used to collect qualitative information on women's reproductive experience and intentions. The 15 women who had their children after their …
Factors Influencing a Self-Limiting HIV Outbreak Among Ethnic Vietnamese Injecting Drug Users in Melbourne, Australia
Successful HIV prevention programs—such as sterile needle and syringe programs—have ensured that incidence and prevalence of HIV among people who inject drugs remains low in Australia. However, between 1999 and 2006, 20 of the 46 injecting-related HIV notifications in Melbourne (Australia’s second-largest city) were ethnic Vietnamese heroin users. Through in-depth interviews we explored and documented the coping tactics and strategies of 9 ethnic…
Heroin–gel capsule cocktails and groin injecting practices among ethnic Vietnamese in Melbourne, Australia
No increase in HIV or sexually transmissible infection testing following a social marketing campaign among men who have sex with men
BACKGROUND: A social marketing campaign ran in 2004 in the Victoria to increase rates of HIV/sexually transmissible infection (STI) testing among men having sex with men (MSM). METHODS: To evaluate the initiative data from HIV sentinel surveillance, laboratory data on testing for HIV/STIs and STI/HIV testing uptake reported in annual surveys were analysed. RESULTS: The sentinel surveillance network showed no increase in the overall extent of HIV …
What's in a message? Delivering sexual health promotion to young people in Australia via text messaging
Mobile phones, in particular SMS, offer health promoters an exciting opportunity to engage personally with a huge number of individuals for low cost. The key elements emerging from this evaluation, such as message style, language and broadcast schedule are directly relevant to future studies using SMS for health promotion, as well as for future health promotion interventions in other mediums that require short formats, such as social networking s…
Home-based chlamydia testing of young people attending a music festival - who will pee and post
A low proportion of participants returned their chlamydia test, suggesting that this model is not ideal for reaching young people. Home-based chlamydia testing is most attractive to those who report engaging in sexual risk behaviours and are aware of the often asymptomatic nature and potential sequelae of chlamydia infection
Incentive payments to general practitioners aimed at increasing opportunistic testing of young women for chlamydia
Australian New Zealand Clinical Trial Registry ACTRN12608000499381
The Australian national binge drinking campaign
Whilst a high proportion of the target group recognised the campaign, our analysis suggests that participants that reported frequent RSOD - and thus the most important group to target - had statistically significantly lower odds of recognising the campaign message
The Difference in Self-Reported and Biological Measured HIV Prevalence
Behavioural interventions for preventing hepatitis C infection in people who inject drugs
Impact of text and email messaging on the sexual health of young people
OBJECTIVE: To carry out a randomised controlled trial on the effect of a new method of health promotion-email and mobile phone text messages (short messaging service (SMS))-on young people's sexual health. METHODS: 994 people aged 16-29 were recruited at a music festival to a non-blinded randomised controlled trial. Participants were randomised to either receive sexual health promotion messages (n=507) or the control group (n=487). The 12-month i…
Hepatitis C virus treatment for prevention among people who inject drugs
UNLABELLED: Substantial reductions in hepatitis C virus (HCV) prevalence among people who inject drugs (PWID) cannot be achieved by harm reduction interventions such as needle exchange and opiate substitution therapy (OST) alone. Current HCV treatment is arduous and uptake is low, but new highly effective and tolerable interferon-free direct-acting antiviral (DAA) treatments could facilitate increased uptake. We projected the potential impact of …
Modelling a disease-relevant contact network of people who inject drugs
Comparing short versions of the Audit in a community-based survey of young people
Numerous abbreviated variations of the AUDIT may be a suitable alternative to the AUDIT-10 for classifying high-level alcohol problems in a community-based population of young Australians. Four-item AUDIT variations scored more consistently high across all evaluated statistics compared to three-item combinations. Novel AUDIT versions may be more effective than many established shortened versions as an alternative screening tool to the AUDIT-10 to…
Preventing hepatitis C virus transmission among young people in the justice system
Does informing people who inject drugs of their hepatitis C status influence their injecting behaviour? Analysis of the Networks II study
No Drama
We qualitatively examined gay men's reactions to the national "Drama Downunder" HIV/STI social marketing campaign targeting gay men in Australia to identify key campaign elements that underpinned the demonstrated effectiveness of the campaign. We present findings from six qualitative focus groups held with 49 participants as part of the evaluation of the sexual-health-promotion campaign over 2008-2009. Participants identified attention-grabbing i…
Improving the identification of priority populations to increase hepatitis B testing rates, 2012
CHB infection is an important long-term health issue in Australia and strategies to increase appropriate and timely testing are required. The study was effective at identifying whether Asian-born patients and patients of Asian had been tested or vaccinated for HBV; however the intervention was not effective at increasing HBV testing
The use of social networking platforms for sexual health promotion
Online social networking platforms such as Facebook and Twitter have grown rapidly in popularity, with opportunities for interaction enhancing their health promotion potential. Such platforms are being used for sexual health promotion but with varying success in reaching and engaging users. We aimed to identify Facebook and Twitter profiles that were able to engage large numbers of users, and to identify strategies used to successfully attract an…
Injecting risk behaviours following treatment for hepatitis C virus infection among people who inject drugs
Global policy and access to new hepatitis C therapies for people who inject drugs
Medicine (83 obras) · Hepatitis C virus research (43 obras) · HIV, Drug Use, Sexual Risk (39 obras) · Family medicine (36 obras) · Hepatitis C (34 obras) · Environmental health (33 obras) · Hepatitis B Virus Studies (32 obras) · Internal Medicine (30 obras) · Nursing (30 obras) · Public health (29 obras)