Skip to main content
Top
Published in: BMC Public Health 1/2011

Open Access 01-12-2011 | Research article

Oral health and social and emotional well-being in a birth cohort of Aboriginal Australian young adults

Authors: Lisa M Jamieson, Yin C Paradies, Wendy Gunthorpe, Sheree J Cairney, Susan M Sayers

Published in: BMC Public Health | Issue 1/2011

Login to get access

Abstract

Background

Social and emotional well-being is an important component of overall health. In the Indigenous Australian context, risk indicators of poor social and emotional well-being include social determinants such as poor education, employment, income and housing as well as substance use, racial discrimination and cultural knowledge. This study sought to investigate associations between oral health-related factors and social and emotional well-being in a birth cohort of young Aboriginal adults residing in the northern region of Australia's Northern Territory.

Methods

Data were collected on five validated domains of social and emotional well-being: anxiety, resilience, depression, suicide and overall mental health. Independent variables included socio-demographics, dental health behaviour, dental disease experience, oral health-related quality of life, substance use, racial discrimination and cultural knowledge.

Results

After adjusting for other covariates, poor oral health-related items were associated with each of the social and emotional well-being domains. Specifically, anxiety was associated with being female, having one or more decayed teeth and racial discrimination. Resilience was associated with being male, having a job, owning a toothbrush, having one or more filled teeth and knowing a lot about Indigenous culture; while being female, having experienced dental pain in the past year, use of alcohol, use of marijuana and racial discrimination were associated with depression. Suicide was associated with being female, having experience of untreated dental decay and racial discrimination; while being female, having experience of dental disease in one or more teeth, being dissatisfied about dental appearance and racial discrimination were associated with poor mental health.

Conclusion

The results suggest there may be value in including oral health-related initiatives when exploring the role of physical conditions on Indigenous social and emotional well-being.
Literature
1.
go back to reference Australian Institute of Health and Welfare: Measuring the social and emotional wellbeing of Aboriginal and Torres Strait Islander peoples. 2009, Canberra, AIHW Australian Institute of Health and Welfare: Measuring the social and emotional wellbeing of Aboriginal and Torres Strait Islander peoples. 2009, Canberra, AIHW
2.
go back to reference Altman J: The Economic and Social Context of Indigenous Health. The Health of Indigenous Australians. Edited by: Thomson, N. 2003, Victoria; Oxford University Press, 25-43. Altman J: The Economic and Social Context of Indigenous Health. The Health of Indigenous Australians. Edited by: Thomson, N. 2003, Victoria; Oxford University Press, 25-43.
3.
go back to reference Australian Bureau of Statistics: National Aboriginal and Torres Strait Islander Health Survey 2004-05. 2006, Canberra, ABS Australian Bureau of Statistics: National Aboriginal and Torres Strait Islander Health Survey 2004-05. 2006, Canberra, ABS
4.
go back to reference Prince M, Patel V, Saxena S, Maj M, Maselko J, Phillips MR, Rahman A: No health without mental health. Lancet. 2007, 370: 859-877. 10.1016/S0140-6736(07)61238-0.CrossRefPubMed Prince M, Patel V, Saxena S, Maj M, Maselko J, Phillips MR, Rahman A: No health without mental health. Lancet. 2007, 370: 859-877. 10.1016/S0140-6736(07)61238-0.CrossRefPubMed
5.
go back to reference Selwitz RH, Ismail AI, Pitts NB: Dental caries. Lancet. 2007, 369: 51-59. 10.1016/S0140-6736(07)60031-2.CrossRefPubMed Selwitz RH, Ismail AI, Pitts NB: Dental caries. Lancet. 2007, 369: 51-59. 10.1016/S0140-6736(07)60031-2.CrossRefPubMed
6.
go back to reference Locker D: Oral health and quality of life. Oral Health Prev Dent. 2004, 2: 247-253.PubMed Locker D: Oral health and quality of life. Oral Health Prev Dent. 2004, 2: 247-253.PubMed
7.
go back to reference Slade GD, Strauss RP, Atchison KA, Kressin NR, Locker D, Reisine ST: Conference summary: assessing oral health outcomes--measuring health status and quality of life. Community Dent Health. 1998, 15: 3-7.PubMed Slade GD, Strauss RP, Atchison KA, Kressin NR, Locker D, Reisine ST: Conference summary: assessing oral health outcomes--measuring health status and quality of life. Community Dent Health. 1998, 15: 3-7.PubMed
8.
go back to reference Katz J, Marc H, Porter S, Ruskin J: Inflammation, periodontitis, and coronary heart disease. Lancet. 2001, 358: 1998-CrossRefPubMed Katz J, Marc H, Porter S, Ruskin J: Inflammation, periodontitis, and coronary heart disease. Lancet. 2001, 358: 1998-CrossRefPubMed
9.
go back to reference Thorstensson H, Hugoson A: Periodontal disease experience in adult long-duration insulin-dependent diabetics. J Clin Periodontol. 1993, 20: 352-358. 10.1111/j.1600-051X.1993.tb00372.x.CrossRefPubMed Thorstensson H, Hugoson A: Periodontal disease experience in adult long-duration insulin-dependent diabetics. J Clin Periodontol. 1993, 20: 352-358. 10.1111/j.1600-051X.1993.tb00372.x.CrossRefPubMed
10.
go back to reference Joshipura KJ, Hung HC, Rimm EB, Willett WC, Ascherio A: Periodontal disease, tooth loss, and incidence of ischemic stroke. Stroke. 2003, 34: 47-52. 10.1161/01.STR.0000052974.79428.0C.CrossRefPubMed Joshipura KJ, Hung HC, Rimm EB, Willett WC, Ascherio A: Periodontal disease, tooth loss, and incidence of ischemic stroke. Stroke. 2003, 34: 47-52. 10.1161/01.STR.0000052974.79428.0C.CrossRefPubMed
11.
go back to reference Xiong X, Buekens P, Vastardis S, Yu SM: Periodontal disease and adverse pregnancy outcomes: a systematic review. BJOG. 2006, 113: 135-143. 10.1111/j.1471-0528.2005.00827.x.CrossRefPubMed Xiong X, Buekens P, Vastardis S, Yu SM: Periodontal disease and adverse pregnancy outcomes: a systematic review. BJOG. 2006, 113: 135-143. 10.1111/j.1471-0528.2005.00827.x.CrossRefPubMed
12.
go back to reference United States Department of Health and Human Services: Oral Health in America: A report of the surgeon general. Executive summary. 2000, Rockville, Maryland: United States Department of Health and Human Services, National Institute of Dental and Craniofacial Research, National Institutes of Health United States Department of Health and Human Services: Oral Health in America: A report of the surgeon general. Executive summary. 2000, Rockville, Maryland: United States Department of Health and Human Services, National Institute of Dental and Craniofacial Research, National Institutes of Health
14.
go back to reference Roberts-Thomson KF, Spencer AJ, Jamieson LM: Oral health of Aboriginal and Torres Strait Islander Australians. Med J Aust. 2008, 188: 592-593.PubMed Roberts-Thomson KF, Spencer AJ, Jamieson LM: Oral health of Aboriginal and Torres Strait Islander Australians. Med J Aust. 2008, 188: 592-593.PubMed
15.
go back to reference Slade GD: Derivation and validation of a short-form oral health impact profile. Community Dent Oral Epidemiol. 1997, 25: 284-290. 10.1111/j.1600-0528.1997.tb00941.x.CrossRefPubMed Slade GD: Derivation and validation of a short-form oral health impact profile. Community Dent Oral Epidemiol. 1997, 25: 284-290. 10.1111/j.1600-0528.1997.tb00941.x.CrossRefPubMed
16.
go back to reference Astrøm AN, Haugejorden O, Skaret E, Trovik TA, Klock KS: Oral Impacts on Daily Performance in Norwegian adults: validity, reliability and prevalence estimates. Eur J Oral Sci. 2005, 113: 289-296. 10.1111/j.1600-0722.2005.00225.x.CrossRefPubMed Astrøm AN, Haugejorden O, Skaret E, Trovik TA, Klock KS: Oral Impacts on Daily Performance in Norwegian adults: validity, reliability and prevalence estimates. Eur J Oral Sci. 2005, 113: 289-296. 10.1111/j.1600-0722.2005.00225.x.CrossRefPubMed
17.
go back to reference Freire MC, Sheiham A, Hardy R: Adolescents' sense of coherence, oral health status, and oral health-related behaviours. Community Dent Oral Epidemiol. 2001, 29: 204-212. 10.1034/j.1600-0528.2001.290306.x.CrossRefPubMed Freire MC, Sheiham A, Hardy R: Adolescents' sense of coherence, oral health status, and oral health-related behaviours. Community Dent Oral Epidemiol. 2001, 29: 204-212. 10.1034/j.1600-0528.2001.290306.x.CrossRefPubMed
18.
go back to reference Honkala S, Honkala E, Al-Sahli N: Do life- or school-satisfaction and self-esteem indicators explain the oral hygiene habits of schoolchildren?. Community Dent Oral Epidemiol. 2007, 35: 337-347. 10.1111/j.1600-0528.2006.00326.x.CrossRefPubMed Honkala S, Honkala E, Al-Sahli N: Do life- or school-satisfaction and self-esteem indicators explain the oral hygiene habits of schoolchildren?. Community Dent Oral Epidemiol. 2007, 35: 337-347. 10.1111/j.1600-0528.2006.00326.x.CrossRefPubMed
19.
go back to reference Pattussi MP, Olinto MT, Hardy R, Sheiham A: Clinical, social and psychosocial factors associated with self-rated oral health in Brazilian adolescents. Community Dent Oral Epidemiol. 2007, 35: 377-386. 10.1111/j.1600-0528.2006.00339.x.CrossRefPubMed Pattussi MP, Olinto MT, Hardy R, Sheiham A: Clinical, social and psychosocial factors associated with self-rated oral health in Brazilian adolescents. Community Dent Oral Epidemiol. 2007, 35: 377-386. 10.1111/j.1600-0528.2006.00339.x.CrossRefPubMed
20.
go back to reference Skaret E, Berg E, Kvale G, Raadal M: Psychological characteristics of Norwegian adolescents reporting no likelihood of visiting a dentist in a situation with toothache. Int J Paediatr Dent. 2007, 17: 430-438. 10.1111/j.1365-263X.2007.00869.x.CrossRefPubMed Skaret E, Berg E, Kvale G, Raadal M: Psychological characteristics of Norwegian adolescents reporting no likelihood of visiting a dentist in a situation with toothache. Int J Paediatr Dent. 2007, 17: 430-438. 10.1111/j.1365-263X.2007.00869.x.CrossRefPubMed
21.
go back to reference Inoue S, Tabuchi E, Imamura T, Noguchi M, Furuta I: Influence of malalignment and malocclusion on mental and physical health-consciousness in senior high school students. Nippon Koshu Eisei Zasshi. 2008, 55: 768-776.PubMed Inoue S, Tabuchi E, Imamura T, Noguchi M, Furuta I: Influence of malalignment and malocclusion on mental and physical health-consciousness in senior high school students. Nippon Koshu Eisei Zasshi. 2008, 55: 768-776.PubMed
22.
go back to reference Sayers SM, Mackerras D, Singh G, Bucens I, Flynn K, Reid A: An Australian Aboriginal birth cohort: a unique resource for a life course study of an Indigenous population. A study protocol. BMC Int Health Hum Rights. 2003, 3: 1-10.1186/1472-698X-3-1.CrossRefPubMedPubMedCentral Sayers SM, Mackerras D, Singh G, Bucens I, Flynn K, Reid A: An Australian Aboriginal birth cohort: a unique resource for a life course study of an Indigenous population. A study protocol. BMC Int Health Hum Rights. 2003, 3: 1-10.1186/1472-698X-3-1.CrossRefPubMedPubMedCentral
23.
go back to reference Northern Territory Department of Health and Community Services: Annual Report 1991/1992. 1992, Darwin, Government Printer of the Northern Territory Northern Territory Department of Health and Community Services: Annual Report 1991/1992. 1992, Darwin, Government Printer of the Northern Territory
24.
go back to reference Thomas A, Cairney S, Gunthorpe W, Paradies Y, Sayers S: Strong Souls: the development and validation of a culturally appropriate tool for assessment of social and emotional well-being in Indigenous youth. Aust NZ J Psychiatry. 2010, 44: 40-48. 10.3109/00048670903393589.CrossRef Thomas A, Cairney S, Gunthorpe W, Paradies Y, Sayers S: Strong Souls: the development and validation of a culturally appropriate tool for assessment of social and emotional well-being in Indigenous youth. Aust NZ J Psychiatry. 2010, 44: 40-48. 10.3109/00048670903393589.CrossRef
25.
go back to reference Jamieson LM, Sayers SM: Oral health investigations of indigenous participants in remote settings: a methods paper describing the dental component of wave III of an Australian Aboriginal birth cohort study. BMC Oral Health. 2008, 8: 24-10.1186/1472-6831-8-24.CrossRefPubMedPubMedCentral Jamieson LM, Sayers SM: Oral health investigations of indigenous participants in remote settings: a methods paper describing the dental component of wave III of an Australian Aboriginal birth cohort study. BMC Oral Health. 2008, 8: 24-10.1186/1472-6831-8-24.CrossRefPubMedPubMedCentral
26.
go back to reference Page RC, Eke PI: Case definitions for use in population-based surveillance of periodontal disease. J Periodontol. 2007, 78: 1387-1399. 10.1902/jop.2007.060264.CrossRefPubMed Page RC, Eke PI: Case definitions for use in population-based surveillance of periodontal disease. J Periodontol. 2007, 78: 1387-1399. 10.1902/jop.2007.060264.CrossRefPubMed
27.
go back to reference Hurvich C: Multicollinearity. 2004, New York, New York University Hurvich C: Multicollinearity. 2004, New York, New York University
28.
go back to reference Munro BH: Statistical methods for health care research. 2005, Philadelphia. Lippincott, Williams and Wilkins, 289-290. 5 Munro BH: Statistical methods for health care research. 2005, Philadelphia. Lippincott, Williams and Wilkins, 289-290. 5
29.
go back to reference Fendrich M, Mackesy-Amiti ME, Johnson TP, Hubbell A, Wislar JS: Tobacco-reporting validity in an epidemiological drug-use survey. Addict Behav. 2005, 30: 175-181. 10.1016/j.addbeh.2004.04.009.CrossRefPubMed Fendrich M, Mackesy-Amiti ME, Johnson TP, Hubbell A, Wislar JS: Tobacco-reporting validity in an epidemiological drug-use survey. Addict Behav. 2005, 30: 175-181. 10.1016/j.addbeh.2004.04.009.CrossRefPubMed
30.
go back to reference Commission on Social Determinants of Health: An Overview of Current Knowledge of the Social Determinants of Indigenous Health. 2007, World Health Organisation Commission on Social Determinants of Health: An Overview of Current Knowledge of the Social Determinants of Indigenous Health. 2007, World Health Organisation
31.
go back to reference Commission on Social Determinants of Health: Closing the gap in a generation: Health equity through action on the social determinants of health. 2008, World Health Organisation Commission on Social Determinants of Health: Closing the gap in a generation: Health equity through action on the social determinants of health. 2008, World Health Organisation
32.
go back to reference Hamamci N, Basaran G, Uysal E: Dental Aesthetic Index scores and perception of personal dental appearance among Turkish university students. Eur J Orthod. 2009, 31: 168-173. 10.1093/ejo/cjn083.CrossRefPubMed Hamamci N, Basaran G, Uysal E: Dental Aesthetic Index scores and perception of personal dental appearance among Turkish university students. Eur J Orthod. 2009, 31: 168-173. 10.1093/ejo/cjn083.CrossRefPubMed
33.
go back to reference Oosterhaven SP, Westert GP, Schaub RM: Perception and significance of dental appearance: the case of missing teeth. Community Dent Oral Epidemiol. 1989, 17: 123-126. 10.1111/j.1600-0528.1989.tb00004.x.CrossRefPubMed Oosterhaven SP, Westert GP, Schaub RM: Perception and significance of dental appearance: the case of missing teeth. Community Dent Oral Epidemiol. 1989, 17: 123-126. 10.1111/j.1600-0528.1989.tb00004.x.CrossRefPubMed
34.
go back to reference Eli I, Bar-Tal Y, Kostovetzki I: At first glance: social meanings of dental appearance. J Public Health Dent. 2001, 61: 150-154. 10.1111/j.1752-7325.2001.tb03382.x.CrossRefPubMed Eli I, Bar-Tal Y, Kostovetzki I: At first glance: social meanings of dental appearance. J Public Health Dent. 2001, 61: 150-154. 10.1111/j.1752-7325.2001.tb03382.x.CrossRefPubMed
35.
go back to reference Jamieson LM, Parker EJ, Richards L: Using qualitative methodology to inform an Indigenous-owned oral health promotion initiative in Australia. Health Promot Int. 2008, 23: 52-59. 10.1093/heapro/dam042.CrossRefPubMed Jamieson LM, Parker EJ, Richards L: Using qualitative methodology to inform an Indigenous-owned oral health promotion initiative in Australia. Health Promot Int. 2008, 23: 52-59. 10.1093/heapro/dam042.CrossRefPubMed
36.
go back to reference Korszun A: Facial pain, depression and stress - connections and directions. J Oral Pathol Med. 2002, 31: 615-619. 10.1034/j.1600-0714.2002.00091.x.CrossRefPubMed Korszun A: Facial pain, depression and stress - connections and directions. J Oral Pathol Med. 2002, 31: 615-619. 10.1034/j.1600-0714.2002.00091.x.CrossRefPubMed
37.
go back to reference Feinman C: Psychogenic facial pain: presentation and treatment. J Psychosom Res. 1983, 27: 403-10. 10.1016/0022-3999(83)90076-4.CrossRef Feinman C: Psychogenic facial pain: presentation and treatment. J Psychosom Res. 1983, 27: 403-10. 10.1016/0022-3999(83)90076-4.CrossRef
38.
go back to reference Kessler RC: The effects of stressful life events on depression. Annu Rev Psychol. 1997, 48: 191-214. 10.1146/annurev.psych.48.1.191.CrossRefPubMed Kessler RC: The effects of stressful life events on depression. Annu Rev Psychol. 1997, 48: 191-214. 10.1146/annurev.psych.48.1.191.CrossRefPubMed
39.
go back to reference Feinmann C: The Mouth, the Face and the Mind. 1999, Oxford: Oxford University Press Feinmann C: The Mouth, the Face and the Mind. 1999, Oxford: Oxford University Press
40.
go back to reference Khan M, Fida M: Assessment of psychosocial impact of dental aesthetics. J Coll Physicians Surg Pak. 2008, 18: 559-564.PubMed Khan M, Fida M: Assessment of psychosocial impact of dental aesthetics. J Coll Physicians Surg Pak. 2008, 18: 559-564.PubMed
41.
go back to reference Kinney RK, Gatchel RJ, Ellis E, Holt C: Major psychological disorders in chronic TMD patients: Implications for successful management. J Am Dent Assoc. 1992, 123: 49-54.CrossRefPubMed Kinney RK, Gatchel RJ, Ellis E, Holt C: Major psychological disorders in chronic TMD patients: Implications for successful management. J Am Dent Assoc. 1992, 123: 49-54.CrossRefPubMed
42.
go back to reference Bassett DL, Gerke DC, Goss AN: Psychological factors in temporomandibular joint dysfunction: Depression. Aust Prosthodont J. 1990, 4: 41-45.PubMed Bassett DL, Gerke DC, Goss AN: Psychological factors in temporomandibular joint dysfunction: Depression. Aust Prosthodont J. 1990, 4: 41-45.PubMed
43.
go back to reference Korszun A, Ship JA: Diagnosing depression in patients with chronic facial pain. J Am Dent Assoc. 1997, 128: 1680-1686.CrossRefPubMed Korszun A, Ship JA: Diagnosing depression in patients with chronic facial pain. J Am Dent Assoc. 1997, 128: 1680-1686.CrossRefPubMed
44.
45.
go back to reference Lee KS, Clough AR, Jaragba MJ, Conigrave KM, Patton GC: Heavy cannabis use and depressive symptoms in three Aboriginal communities in Arnhem Land, Northern Territory. Med J Aust. 2008, 188: 605-608.PubMed Lee KS, Clough AR, Jaragba MJ, Conigrave KM, Patton GC: Heavy cannabis use and depressive symptoms in three Aboriginal communities in Arnhem Land, Northern Territory. Med J Aust. 2008, 188: 605-608.PubMed
46.
go back to reference Pedersen W: Does cannabis use lead to depression and suicidal behaviours? A population-based longitudinal study. Acta Psychiatr Scand. 2008, 118: 395-403. 10.1111/j.1600-0447.2008.01259.x.CrossRefPubMed Pedersen W: Does cannabis use lead to depression and suicidal behaviours? A population-based longitudinal study. Acta Psychiatr Scand. 2008, 118: 395-403. 10.1111/j.1600-0447.2008.01259.x.CrossRefPubMed
47.
go back to reference Larson A, Gilles , Howard P, Coffin J: 'It's enough to make you sick: the impact of racism on the health of Aboriginal Australians'. Aust NZ J Pub Health. 2007, 31: 322-329. 10.1111/j.1753-6405.2007.00079.x.CrossRef Larson A, Gilles , Howard P, Coffin J: 'It's enough to make you sick: the impact of racism on the health of Aboriginal Australians'. Aust NZ J Pub Health. 2007, 31: 322-329. 10.1111/j.1753-6405.2007.00079.x.CrossRef
48.
go back to reference Gallaher G, Ziersch A, Baum F, Bentley M, Palmer C, Edmondson W, Winslow L: In our own backyard: urban health inequities and Aboriginal experiences of neighbourhood life, social capital and racism. 2009, Adelaide, Flinders University Gallaher G, Ziersch A, Baum F, Bentley M, Palmer C, Edmondson W, Winslow L: In our own backyard: urban health inequities and Aboriginal experiences of neighbourhood life, social capital and racism. 2009, Adelaide, Flinders University
49.
go back to reference Paradies Y, Cunningham J: The DRUID study: Exploring mediating pathways between racism and depressive symptoms among Indigenous Australians. Soc Psychiatry Psychiatr Epidemiol. Paradies Y, Cunningham J: The DRUID study: Exploring mediating pathways between racism and depressive symptoms among Indigenous Australians. Soc Psychiatry Psychiatr Epidemiol.
50.
go back to reference Priest N, Paradies Y, Gunthorpe W, Cairney S, Sayers S: Racism as a determinant of social and emotional wellbeing for Aboriginal Australian youth. Med J Aust. Priest N, Paradies Y, Gunthorpe W, Cairney S, Sayers S: Racism as a determinant of social and emotional wellbeing for Aboriginal Australian youth. Med J Aust.
51.
go back to reference Priest N, Paradies Y, Steven M, Bailie R: Exploring relationships between racism, housing and child illness in remote Aboriginal communities. J Epidemiol Community Health. Priest N, Paradies Y, Steven M, Bailie R: Exploring relationships between racism, housing and child illness in remote Aboriginal communities. J Epidemiol Community Health.
52.
go back to reference Paradies Y: A systematic review of empirical research on self-reported racism and health. Int J Epidemiol. 2006, 35: 888-901. 10.1093/ije/dyl056.CrossRefPubMed Paradies Y: A systematic review of empirical research on self-reported racism and health. Int J Epidemiol. 2006, 35: 888-901. 10.1093/ije/dyl056.CrossRefPubMed
53.
go back to reference Williams DR, Mohammed SA: Discrimination and racial disparities in health: evidence and needed research. J Behav Med. 2009, 32: 20-47. 10.1007/s10865-008-9185-0.CrossRefPubMed Williams DR, Mohammed SA: Discrimination and racial disparities in health: evidence and needed research. J Behav Med. 2009, 32: 20-47. 10.1007/s10865-008-9185-0.CrossRefPubMed
54.
go back to reference Paradies Y, Harris R, Anderson I: The Impact of Racism on Indigenous Health in Australia and Aotearoa: Towards a Research Agenda. 2008, Cooperative Research Centre for Aboriginal Health, Darwin, Discussion Paper Series No. 4 Paradies Y, Harris R, Anderson I: The Impact of Racism on Indigenous Health in Australia and Aotearoa: Towards a Research Agenda. 2008, Cooperative Research Centre for Aboriginal Health, Darwin, Discussion Paper Series No. 4
55.
go back to reference Roberts-Thomson KF, Spencer AJ, Jamieson LM: Oral health of Aboriginal and Torres Strait Islander Australians. Med J Aust. 2008, 188: 592-593.PubMed Roberts-Thomson KF, Spencer AJ, Jamieson LM: Oral health of Aboriginal and Torres Strait Islander Australians. Med J Aust. 2008, 188: 592-593.PubMed
Metadata
Title
Oral health and social and emotional well-being in a birth cohort of Aboriginal Australian young adults
Authors
Lisa M Jamieson
Yin C Paradies
Wendy Gunthorpe
Sheree J Cairney
Susan M Sayers
Publication date
01-12-2011
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2011
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-11-656

Other articles of this Issue 1/2011

BMC Public Health 1/2011 Go to the issue