Objective: The purpose of the present study was to investigate the nutrition information needs of the Pacific Islander and African migrant communities of Logan. Design: The present study was structured as a needs assessment and used qualitative research methods. An integrative review was used to gather and analyse data relating to comparative and normative needs, while semi-structured interviews were undertaken for the felt and expressed needs. Setting: Logan City, Queensland, Australia. Subjects: African and Pacific Islander migrants and health and social service providers within the Logan region. Results: The study identified the need for more accessible means of information delivery such as visual and face-to-face methods or hands-on demonstrations. The study found that information should be delivered in a staged approach on topics including food safety, Australian foods, healthy eating and diet-disease relationships, according to a migrant's length of residence in Australia. Conclusions: The present study contributes to our understanding of the nutrition information needs of African and Pacific Islander migrant communities of Logan. These findings will enable the development of more appropriate nutrition information and health services for these Logan communities and other similar communities across Australia.

Research spanning the past decade consistently reports that people with severe mental illnesses experience lower quality of life than the general population, however, little is known about what "quality of life" means to consumers, or how quality of life can be promoted in mental health care. This study measured the Quality of Life of mental health consumers receiving care from a Mental Health Nurse Incentive Program, and examined consumer perceptions of quality of life. The study used an exploratory design incorporating the WHOQOL-brèf survey and four additional qualitative questions for data collection. Data were analysed using descriptive and correlational statistics. Participants (n = 49) reported lower quality of life scores on all four domains of the WHOQOL-brèf and lower overall ratings for "quality of life" than the general population. Having basic needs met, good relationships with family and friends, regular support, and improved social connectedness were identified by consumers as important to their quality of life.

BackgroundDiabetes in pregnancy, which includes gestational diabetes mellitus (GDM) and type 2 diabetes mellitus (T2DM), is associated with poor outcomes for both mother and infant during pregnancy, at birth and in the longer term. Recent international guidelines recommend changes to the current GDM screening criteria. While some controversy remains, there appears to be consensus that women at high risk of T2DM, including indigenous women, should be offered screening for GDM early in pregnancy, rather than waiting until 24-28 weeks as is current practice. A range of criteria should be considered before changing screening practice in a population sub-group, including: prevalence, current practice, acceptability and whether adequate treatment pathways and follow-up systems are available. There are also specific issues related to screening in pregnancy and indigenous populations. The evidence that these criteria are met for indigenous populations is yet to be reported. A range of study designs can be considered to generate relevant evidence for these issues, including epidemiological, observational, qualitative, and intervention studies, which are not usually included within a single systematic review. The aim of this paper is to describe the methods we used to systematically review studies of different designs and present the evidence in a pragmatic format for policy discussion.Methods/DesignThe inclusion criteria will be broad to ensure inclusion of the critical perspectives of indigenous women. Abstracts of the search results will be reviewed by two persons; the full texts of all potentially eligible papers will be reviewed by one person, and 10% will be checked by a second person for validation. Data extraction will be standardised, using existing tools to identify risks for bias in intervention, measurement, qualitative studies and reviews; and adapting criteria for appraising risk for bias in descriptive studies. External validity (generalisability) will also be appraised. The main findings will be synthesised according to the criteria for population-based screening and summarised in an adapted "GRADE" tool.DiscussionThis will be the first systematic review of all the published literature on diabetes in pregnancy among indigenous women. The method provides a pragmatic approach for synthesizing relevant evidence from a range of study designs to inform the current policy discussion.

Peptic ulceration has always been a clear contraindication to working on an offshore installation, and ready access to H2 antagonists over the counter would have two consequences: firstly, people would treat symptoms without a definitive diagnosis being made, and, secondly, people would not take the drug properly even when the treatment was correct. These facts would increase the risks of employees continuing to work offshore with undiagnosed or masked peptic ulceration. The incidence ofmedical evacuations for gastrointestinal emergencies is not insignificant, and if the patient is in the remoter regions of the North Sea, for example, evacuation may result in considerable danger to the many people involved.

Abstracts A12J Epidemiol Community Health 2012;66(Suppl I):A1-A66 bioimpedance) and provided fasting blood samples for assessment of HbA1c and insulin resistance (Homeostatic model assessmentinsulin resistance; HOMA-IR). Associations between HOMA-IR (log transformed), HbA1c and adiposity markers were estimated using multilevel linear regression. Results All adiposity measures were positively associated with insulin resistance in all ethnic groups. However there were clear ethnic differences in the strength of association (p ethnic difference <0.001). The percentage increase in HOMA-IR for a one SD increase in fat mass index was 36.3% (95% CI 32.1%, 40.5%) for South Asians and 25.1% (95% CI 21.1%, 29.3%) for white Europeans; black African-Caribbeans were similar to white Europeans (26.4%, 95% CI 22.5%, 30.4%). All adiposity markers were positively associated with HbA1c in both South Asians and black African-Caribbeans: the percentage increase in HbA1c for a one SD increase in fat mass index in was 0.04% (95% CI 0.02%, 0.06%) in both ethnic groups. However there was no association among white Europeans (0.01%, 95% CI 0.00%, 0.03%). Conclusion Even in childhood, both insulin resistance and HbA1c levels appear more sensitive to adiposity in South Asians. Among children of black African-Caribbean origin, HbA1c levels but not insulin resistance appear more sensitive to adiposity. The reasons for these differences in sensitivity to adiposity need to be understood. The results imply that early prevention of childhood obesity among South Asians and black African-Caribbeans is a particular priority for future control of type 2 diabetes in these high risk ethnic groups. Background As life expectancy increases, healthy ageing becomes more salient, and therefore it is important to understand how conditions such as disability may affect the later years of our extended lives. Ethnic differences in disability have been observed in some countries, however there is a lack of evidence from British ethnic groups. Methods Follow-up data over 20 years from 1789 White, Indian Asian and African Caribbean men and women were examined from a community-based study in West London. Disability was measured using the performance-based test of locomotor function and selfreported functional limitation, instrumental and basic activities of daily living (IADL/ADL) questionnaires. Logistic regression analyses examined ethnic group differences in disability, adjusting for socioeconomic, behavioural, adiposity and chronic disease risk factors. ETHNIC DIFFERENCES IN THE DEVELOPMENT OF DISABILITY OVER 20 YEARS: RESULTS FROM THE SABRE STUDY OP31Background Compared to UK white European adults, UK black African-Caribbean adults have higher mean systolic (SBP) and diastolic (DBP) blood pressure; UK South Asian adults have higher mean DBP but lower SBP. However, information on blood pressure in UK children from different ethnic groups is limited. The aim of this study was to compare blood pressure levels in UK children of black African-Caribbean, South Asi...