James Green
Research interests
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InterestsQuantitative Methods, health decision-making, lay perceptions of medicines
Publications
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Indigenous and Immigrant Populations' Use and Experience of Community Pharmacies in New Zealand.
Journal of immigrant and minority health / Center for Minority Public Health. 01/2012;
We sought to identify what services indigenous (Maori) and immigrant populations use pharmacies for, and how long pharmacy staff spend interacting with them, as longer interactions are associated with better quality care. We review literature on counseling in pharmacy, and interaction length as an i... [more] We sought to identify what services indigenous (Maori) and immigrant populations use pharmacies for, and how long pharmacy staff spend interacting with them, as longer interactions are associated with better quality care. We review literature on counseling in pharmacy, and interaction length as an indicator of counseling quality. 1,086 interactions were discretely observed in 36 pharmacies in 5 cities around New Zealand. Maori or Pacific people, along with men, were more likely to treat pharmacies as prescription 'depots', being less likely to buy over-the-counter or pharmacist only medicines (ORs: 0.25-0.72). However, the influence of demographic factors on interaction length was small (|B|s < 7.7 s). The weak effect of ethnicity on interaction length suggests that pharmacies are providing advice of relatively consistent quality to different population groups. Possible barriers to use of pharmacies for primary healthcare, including over-the-counter medicines in Maori and Pacific people are discussed.
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0.92Impact points
Over-the-counter sales of antibiotics from community pharmacies in Abu Dhabi.
Pharmacy world & science : PWS. 10/2010; 32(5):643-50.
The aim of this study is to investigate over-the-counter sale of antibiotics from community pharmacies in Abu Dhabi city, focusing on the extent, demographic and socioeconomic determinants of this practice. The study was conducted in the capital of the United Arab Emirates, Abu Dhabi, and involved 1... [more] The aim of this study is to investigate over-the-counter sale of antibiotics from community pharmacies in Abu Dhabi city, focusing on the extent, demographic and socioeconomic determinants of this practice. The study was conducted in the capital of the United Arab Emirates, Abu Dhabi, and involved 17 randomly selected private pharmacies. A cross-sectional design using structured observations of 30 clients purchasing antibiotics from a pharmacy staff (either a pharmacist or pharmacy assistant) at each selected pharmacy. A total of 510 interactions were observed. Statistical analysis was performed using SPSS. The extent and types of antibiotics sold over-the-counter in Abu Dhabi city as observed in the selected sample of community pharmacies, and the demographic and socioeconomic factors that contributed to this practice. Sixty eight percent (68.4%) of the observed antibiotic sales were sold over-the-counter without prescriptions. Injection antibiotics constituted 2.2% of the antibiotics sold, 45.5% of which were sold over-the-counter. Combination of penicillins including β-lactamase inhibitors (34.0%), penicillins with extended spectrum (22.3%) and second generation cephalosporins (11.2%) were the mostly commonly sold antibiotic groups. Respiratory conditions (63.1%) were the most frequent reason for purchasing antibiotics. Over-the-counter sales of antibiotics were related to client ethnicity and age, gender of pharmacy staff and health complaint. Our study revealed high sales of over-the-counter antibiotics, despite this being illegal. The ineffectiveness of antibiotics in treating respiratory conditions of viral origin and effects of such practice on the emergence of bacterial resistance necessitates prompt action.
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1.96Impact points
Prevalence of Internet use amongst an elective spinal surgery outpatient population.
European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society. 04/2010; 19(10):1776-9.
Nationally 62% of individuals in Ireland have internet access. Previous published work has suggested that internet use is higher among those with low back pain. We aimed to determine the levels of internet access and use amongst an elective spinal outpatient population and determine what characteris... [more] Nationally 62% of individuals in Ireland have internet access. Previous published work has suggested that internet use is higher among those with low back pain. We aimed to determine the levels of internet access and use amongst an elective spinal outpatient population and determine what characteristics influence these. We distributed a self-designed questionnaire to patients attending elective spinal outpatient clinics. Data including demographics, history of surgery, number of visits, level of satisfaction with previous consultations, access to the internet, possession of health insurance, and details regarding use of the internet to research one's spinal complaint were collected. 213 patients completed the questionnaire. 159 (75%) had access to the internet. Of this group 48 (23%) used the internet to research their spinal condition. Increasing age, higher education level, and possession of health insurance were all significantly associated with access to the internet (p < 0.05). A higher education level predicted greater internet use while possession of insurance weakly predicted non-use (p < 0.05). In our practice, internet access is consistent with national statistics and use is comparable to previous reports. Approximately, one quarter of outpatients will use the internet to research their spinal condition. Should we use this medium to disseminate information we need to be aware some groups may not have access.
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Partying on? Life after BZP-based party pills.
The New Zealand medical journal. 11/2008; 121(1283):35-42.
AIM: This study considered whether the banning of benzylpiperazine (BZP)-based party pills was likely to increase illegal drug use. METHOD: During July and August 2007, students were surveyed about their current recreational BZP and drug use, along with their future intentions to use substances that... [more] AIM: This study considered whether the banning of benzylpiperazine (BZP)-based party pills was likely to increase illegal drug use. METHOD: During July and August 2007, students were surveyed about their current recreational BZP and drug use, along with their future intentions to use substances that might be substituted for BZP once it became illegal. RESULTS: 119 students were surveyed, with 41 indicating that they might use BZP in the future. Of those who indicated that they might use BZP in the future, around half indicated that they would be more likely to use illegal drugs (in particular, ecstasy) after the ban. Around half were also considering stockpiling party pills before the ban took effect, and a similar proportion would consider taking new legal party pills if they became available. CONCLUSIONS: The withdrawal of BZP and any replacement 'party pills' from the recreational drug market may lead to an increase in the use of illegal drugs.
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5.09Impact points
Where is the gender in gendered language?
Psychological science : a journal of the American Psychological Society / APS. 04/2001; 12(2):171-5.
The purpose of these studies was to examine how women and men react and accommodate to gender-preferential language in e-mail messages. In Experiment 1, participants wrote messages to two assigned "netpals." These netpals were actually one of the experimenters. For each participant, one ne... [more] The purpose of these studies was to examine how women and men react and accommodate to gender-preferential language in e-mail messages. In Experiment 1, participants wrote messages to two assigned "netpals." These netpals were actually one of the experimenters. For each participant, one netpal used female-preferential language and the other used male-preferential language. Analyses revealed that the netpals' language style, and not the participants' gender, predicted the language used by participants in their e-mail replies. Female and male participants used the gender-preferential language that matched the language used by their netpals. In Experiment 2, the gender labels and language styles of netpals were independently manipulated. As before, linguistic style had the greatest impact on participants' language use. These results have implications for how people think about gendered behavior, and highlight how gendered language is constructed in social interaction.
