Richard Franklin

Richard Franklin
James Cook University · College of Public Health, Medical and Veterinary Sciences

PhD; MSocSc; BSc

About

417
Publications
256,036
Reads
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70,401
Citations
Citations since 2016
299 Research Items
63854 Citations
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201620172018201920202021202202,0004,0006,0008,00010,000
201620172018201920202021202202,0004,0006,0008,00010,000
Additional affiliations
July 2021 - present
James Cook University
Position
  • Professor (Full)
May 2015 - June 2021
James Cook University
Position
  • Professor (Associate)
March 2011 - May 2015
James Cook University
Position
  • Professor (Associate)

Publications

Publications (417)
Article
Full-text available
Access full text Open Access article here- http://injuryprevention.bmj.com/content/early/2016/01/04/injuryprev-2015-041750.full Introduction Drowning is a leading cause of unintentional death. Rivers are a common location for drowning. Unlike other location-specific prevention efforts (home swimming pools and beaches), little is known about preve...
Article
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To redress the lack of Queensland population incidence mortality and morbidity data associated with drowning in those aged 0-19yrs, and to understand survival and patient care. Retrospective population-based study used data linkage to capture both fatal and non-fatal drowning cases (N = 1299) among children aged 0-19years in Queensland, from 2002-2...
Article
Context: Quad bikes are the leading cause of death in Australian agriculture, with half of these deaths resulting from rollovers. Between 2001 and 2012, there were more than 160 such deaths in Australia, representing a significant burden. Issues: There is a diversity of public opinions offered about quad bike safety. The Are You Remotely Interes...
Article
This study describes a process to explore factors which contribute to child-drowning deaths and allows the development of appropriate strategies to prevent similar deaths in a selected site in the Northern Philippines. Data collection techniques used in obtaining baseline data include: review of drowning mortality records; key informant interviews;...
Article
This article explored the perceptions of residents of a regional city in North Queensland of how to remain safe during flood events. It also explored reasons for and how to prevent risk-taking behaviour in floodwater using the protection motivation theory (PMT). PMT is a psychological theory which has recently been applied to assess behaviour durin...
Article
Objectives This research evaluated the resilience of 6 tertiary and rural health facilities within a single Australian Health Service, using the World Health Organization (WHO) Hospital Safety Index (HSI). This adaptation of the HSI was compared with existing national accreditation and facility design Standards to assess disaster preparedness and i...
Article
Introduction In Australia, aeromedical retrieval provides a vital link for rural communities with limited health services to definitive care in urban centers. Yet, there are few studies of aeromedical patient experiences and outcomes, or clear measures of the service quality provided to these patients. Study Objective This study explores whether a...
Article
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Background Indigenous peoples in high income countries are disproportionately affected by Type 2 Diabetes. Socioeconomic disadvantages and inadequate access to appropriate healthcare are important contributors. Objectives This systematic review investigates effective designs of primary care management of Type 2 Diabetes for Indigenous adults in Au...
Article
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Introduction: The reduction of road fatalities is a priority established by the WHO and ratified by the UN. Rates of road fatalities are disproportionately high in rural areas in both Australia and Canada, two Commonwealth countries with comparable healthcare systems and rural health challenges. The purpose of this review was to compare and contra...
Article
Objective To identify predictors of longer-term outcomes from adult out-of-hospital cardiac arrest of presumed cardiac aetiology. Methods In this retrospective cohort study, three large routinely collected databases were linked: 1)QAS Out-of-Hospital Cardiac (OHCA) Registry; 2)Queensland Hospital Admitted Patient Data Collection; and 3)Queensland...
Article
Aims: To focus on the needs, challenges and opportunities to improve access to cardiac rehabilitation (CR) (Heart: Road to health [HRH]) for Aboriginal and Torres Strait Islander peoples in rural and remote (R&R) areas of North Queensland. Context: It is known that there is insufficient access to HRH for Aboriginal and Torres Strait Islander peo...
Article
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Snakebite envenoming is an important cause of preventable death. The World Health Organization (WHO) set a goal to halve snakebite mortality by 2030. We used verbal autopsy and vital registration data to model the proportion of venomous animal deaths due to snakes by location, age, year, and sex, and applied these proportions to venomous animal con...
Article
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Rural populations experience injury-related mortality and morbidity rates 1.5 times greater than metropolitan residents. Motivated by a call for stronger epidemiological evidence around rural injuries to inform prevention, a systematic review of peer-reviewed literature published between January 2010 and March 2021 was undertaken to explore the epi...
Article
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Background Onchocerciasis is a disease caused by infection with Onchocerca volvulus, which is transmitted to humans via the bite of several species of black fly, and is responsible for permanent blindness or vision loss, as well as severe skin disease. Predominantly endemic in parts of Africa and Yemen, preventive chemotherapy with mass drug admini...
Article
Background: Staff members' views can have a significant impact on sexuality issues of people with intellectual disabilities. Research on the impact of sociocultural factors in this area in the Chinese context is sparse. Methods: Semi-structured interviews were conducted with seven professionals (social worker, nurse, life skills trainer and mana...
Article
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Background: Globally, transport and unintentional injuries persist as leading preventable causes of mortality and morbidity for adolescents. We sought to report comprehensive trends in injury-related mortality and morbidity for adolescents aged 10-24 years during the past three decades. Methods: Using the Global Burden of Disease, Injuries, and...
Article
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Objectives: Heatwaves have been linked to increased levels of health service demand in Australia. This systematic literature review aimed to explore health service demand during Australian heatwaves for hospital admissions, emergency department presentations, ambulance call-outs, and risk of mortality. Study design: A systematic review to explor...
Article
Introduction: Acute appendicitis is the most common cause of acute abdominal pain presentations to the ED and common air ambulance transfer. Aims: describe how linked data can be used to explore patients' journeys, referral pathways and request-to-activation responsiveness of patients' appendectomy outcomes (minor vs major complexity). Methods:...
Article
Objectives: Wave forced impacts are known to result in cervical spine injuries (CSI) and approximately 20% of drownings in Australia occur at the beach. The most common mechanism of injury in studies examining the frequency of CSI in drowning patients is shallow water diving. The aim of the present study was to determine what proportion of CSIs oc...
Article
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Objective Surf zone injuries include cervical spine injuries (CSI). Risk factors for CSI have not been extensively investigated. The objective was to examine risk factors associated with diagnosed CSI that occurred in a beach setting. Methods This retrospective case series used manually linked data from Sunshine Coast Hospital and Health Service E...
Article
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Medical conditions can increase drowning risk. No prior study has systematically reviewed the published evidence globally regarding medical conditions and drowning risk for adults. MEDLINE (Ovid), PubMed, EMBASE, Scopus, PsycINFO (ProQuest) and SPORTDiscus databases were searched for original research published between 1 January 2005 and 31 October...
Article
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Background The health risks associated with moderate alcohol consumption continue to be debated. Small amounts of alcohol might lower the risk of some health outcomes but increase the risk of others, suggesting that the overall risk depends, in part, on background disease rates, which vary by region, age, sex, and year. Methods For this analysis,...
Article
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People with intellectual disabilities share the same human need for affectionate and intimate relationships as people without a disability. Limited research has investigated sexual issues and concerns among adults with intellectual disabilities, including dating, intimate relationships, and marriage. This study employed Interpretative Phenomenologi...
Article
Background: Drowning is a global public health challenge, with significant burden in low- and middle-income countries. There are few studies exploring nonfatal drowning, including the economic and social impacts. This study aimed to quantify unintentional drowning-related hospitalization in India and associated healthcare expenditure. Method: Un...
Article
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Um trabalho recente reportou as tendências da mortalidade por afogamento em Portugal1 e mostrou que entre 1992 e 2019, se registaram 6057 mortes e que, enquanto as estimativas do Global Burden of Disease (GBD) seguiram uma tendência decrescente, os dados do Instituto Na- cional de Estatística (INE) revelaram um aumento na taxa de mortalidade por af...
Article
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Objectives To use data from the Global Burden of Diseases, Injuries, and Risk Factors Study 2019 (GBD 2019) to estimate mortality and disability trends for the population aged ≥70 and evaluate patterns in causes of death, disability, and risk factors. Design Systematic analysis. Setting Participants were aged ≥70 from 204 countries and terri...
Article
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Objective: To address access to cardiac rehabilitation (CR) for people in R&R areas, this research aimed to investigate: (1) post discharge systems and support for people returning home from hospital following treatment for heart disease (HD). (2) propose changes to improve access to CR in R&R areas of NQ. Setting: Four focus communities in R&R...
Article
Objective: To explore injury deaths in international and domestic interstate travellers, together with those newly arrived to Australia. Methods: A population-based cohort study of all injury-related deaths between 1January 2006 and 31 December 2017 registered with Births Death and Marriages in Australia was conducted using Australian Bureau of...
Article
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Objective: To explore rural motor vehicle collision (MVC) fatalities by trends over time, mode of transport, age, state, sex, and Aboriginal and Torres Strait Islander status. Design: A retrospective total population-based time series was conducted using the Australian Bureau of Statistics (ABS) death registration data. Setting: All statistica...
Article
This qualitative study explored the attitudes and experiences of Hong Kong Chinese parents/carers relating to the sexual needs of their child with intellectual disabilities. Semi‐structured interviews were conducted in Hong Kong with seven parents/carers applying Interpretative Phenomenological Analysis to explore their experiences of and attitudes...
Article
Introduction Retirement, being a major life event and a focus of healthy ageing in society, creates the opportunity for occupational therapists to support people transitioning from work to retirement. Little is known about the scope of practice of occupational therapy in the work-to-retirement transition. The aim of this study was to, in Australia,...
Article
Introduction Imprecise data systems hinder understanding of drowning burden, even in high-income countries like Portugal, that have a well-implemented death certificate system. Consequently, national studies on drowning mortality are scarce. We aimed to explore drowning mortality in Portugal using national data and to compare these to Global Burden...
Article
Objective To assess implementation of in-patient cardiac rehabilitation (Phase-1-cardiac rehabilitation), impact on people in rural and remote areas of Australia and potential methods for addressing identified weaknesses. Design Exploratory case study methodology using qualitative and quantitative methods. Qualitative data collection via semi-stru...
Article
Background/Aims Heart disease is the largest single cause of death and contributes to poor quality of life and high healthcare costs in Australia. There are higher rates of heart disease in rural and remote areas, with the highest rates in Aboriginal and Torres Strait Islander people. Cardiac rehabilitation is known to improve health outcomes for p...
Article
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Background Drowning is a cause of significant global mortality. The mechanism of injury involves inhalation of water, lung injury and hypoxia. This systematic review addressed the following question: In drowning patients with lung injury, what is the evidence from primary studies regarding treatment strategies and subsequent patient outcomes? Meth...
Chapter
Cruise ships were carrying record numbers of passengers each year until COVID-19 struck in early 2020. With COVID-19 vaccination commencing in many major source countries for cruise ship passengers, it is expected that cruise ship travel will start to recover in the latter part of 2021. Cruise ship travel remains a relatively small part of the over...
Chapter
Injury is a leading cause of death for tourists and a common complication of travel. Advice for travellers predominantly focuses on infectious diseases. Injury is contextually specific (e.g., environment, age, gender), and consequently, prevention strategies to reduce injury should also be context-specific. There are few recent global studies on to...
Article
Background: Severe maternal morbidity or maternal near miss (MNM) events can have significant consequences for individuals, their families and society and the study of these events may inform practices to reduce future adverse pregnancy outcomes. Aims: To review the scope of MNM studies undertaken in Australia, New Zealand, South-East Asia and t...
Article
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Injuries sustained while performing electrical work are a significant threat to the health and safety of workers and occur frequently. In some jurisdictions, non-fatal serious incidents have increased in recent years. Although significant work has been carried out on electrical safety from a human factor perspective, reviews of this literature are...
Preprint
Full-text available
Venomous snakebite is an important cause of preventable death. The World Health Organization (WHO) set a goal to halve snakebite mortality by 2030. We used verbal autopsy and vital registration data to model the proportion of venomous animal deaths due to snakes by location, age, year, and sex, and applied these proportions to venomous animal conta...
Article
Full-text available
Anemia is a globally widespread condition in women and is associated with reduced economic productivity and increased mortality worldwide. Here we map annual 2000–2018 geospatial estimates of anemia prevalence in women of reproductive age (15–49 years) across 82 low- and middle-income countries (LMICs), stratify anemia by severity and aggregate res...
Article
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Background Sustainable Development Goal 3.2 has targeted elimination of preventable child mortality, reduction of neonatal death to less than 12 per 1000 livebirths, and reduction of death of children younger than 5 years to less than 25 per 1000 livebirths, for each country by 2030. To understand current rates, recent trends, and potential traject...
Article
Background: The aim of this review was to explore hospital socio-natural disaster resilience by identifying: studies assessing structural and non-structural aspects of building resilience; components required to maintain a safe and functional health facility; and if the checklists used were comprehensive and easily performed. Methods: A review s...
Article
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Background A national accreditation policy for the Australian primary healthcare (PHC) system was initiated in 2008. While certification standards are mandatory, little is known about their effects on the efficiency and sustainability of organisations, particularly in the Aboriginal Community Controlled Health Service (ACCHS) sector. Aim The liter...
Article
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Introduction Drowning is a global public health threat, disproportionately impacting low-income and middle-income countries. In the Philippines, it is estimated that more than 5200 people die from drowning per annum. This number is likely to be higher than currently estimated with the inclusion of disaster-related and transportation-related drownin...
Article
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Background Drowning is a significant public health issue, with females accounting for one third of global drowning deaths. The rate of female drowning has not decreased within high-income countries and presentations to hospital have increased. This scoping review aimed to explore adult female unintentional drowning, including risk factors, clinical...
Article
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People with intellectual disabilities (PID) experience the same range of sexual thoughts, feelings, desires, and activities as anyone else. However, the public’s view, especially about stereotypes, is noticeable to have an impact on sexuality and people with disabilities, thereby influencing the population which includes the families of PID, health...
Article
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Suicide is an increasing global concern with multiple risk factors, yet location-based understanding is limited. In Australia, surf lifesavers (SLS) and lifeguards patrol the coast, performing rescues and assisting injured people, including people who suicide. This study is a descriptive epidemiological analysis of Australian coastal suicide deaths...
Article
Objectives: To explore trends in unintentional fatal drowning among older adults (65 years and older). Methods: Total population retrospective analysis of unintentional fatal drowning among people aged 65 years and older in Australia, Canada and New Zealand (2005–2014) was conducted. Results: 1459 older adults died. Rates ranged from 1.69 (Canada)...
Article
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Objective: This study aimed to describe the epidemiology and risk factors contributing to drowning among migrants in Australia. Methods: A total population retrospective epidemiological study of unintentional drowning deaths in Australia between 1 July 2009 and 30 June 2019 of people born outside Australia (migrants). Cases were extracted from t...
Article
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Background Hearing loss affects access to spoken language, which can affect cognition and development, and can negatively affect social wellbeing. We present updated estimates from the Global Burden of Disease (GBD) study on the prevalence of hearing loss in 2019, as well as the condition's associated disability. Methods We did systematic reviews...
Article
Full-text available
Background Hearing loss affects access to spoken language, which can affect cognition and development, and can negatively affect social wellbeing. We present updated estimates from the Global Burden of Disease (GBD) study on the prevalence of hearing loss in 2019, as well as the condition's associated disability. Methods We did systematic reviews...
Conference Paper
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Background Most drowning deaths occur in low and middle-income countries (LMICs) (91%). However, a limited number of studies investigating unintentional drowning deaths were identified in LMICs, including in Indonesia. Objective To investigate rates of unintentional drowning deaths in Indonesia, and to investigate the availability of downing preve...
Conference Paper
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Background Most deaths by drowning worldwide have occurred in low and middle-income countries (LMICs) (91%), particularly in Southeast Asia (35%) and Africa (20%). Poor data collection in LMICs hinders the planning, implementation, and evaluation of prevention strategies. Objective To review the rates and risk factors of unintentional drowning in...
Conference Paper
Context Drowning is a public health challenge worldwide; however, not everyone has access to prevention programs. In Australia, people from migrant backgrounds have been identified as being at greater risk for drowning with 26% of drowning deaths being people born outside of Australia and 81% male. This study explores adult migrant experiences with...
Conference Paper
Bystanders who drown attempting a rescue are becoming an increasingly important issue within drowning prevention. In Australia, most of these incidents occur in coastal waterways. This study characterises coastal bystander rescuer fatalities collated in the national coastal fatality database (2004–2019) to guide future public safety interventions i...
Conference Paper
Context Rivers are the leading drowning location in Australia yet, until recently, had attracted limited research, attention or funding for preventative efforts Process A description of the research, policy and programmatic changes in the field of river drowning prevention, and the degree to which these outputs were influenced by a mixed methods P...
Conference Paper
Background In Australia, people born overseas are considered at higher-risk of drowning. Common perceptions is that being from overseas (including tourists), with English as another language makes someone more vulnerable to drowning. The aims were to analyse drowning deaths of people born overseas, and to identify specific risk factors to better in...
Conference Paper
It is not often that you get public health academics, urban planners, exercise scientists, health psychologists, educators, sociologists, transport authorities, bicycle-user group members, local council workers and concerned citizens in a room focused on a single topic. Yet the Active Transport in the Tropics Network (ATTN) has succeeded in bringin...
Conference Paper
Background Young people are the leading contributor to the global drowning burden with children under five at highest risk. This study explored temporal trends in fatal child drowning across three high income countries: Australia, Canada and New Zealand. Methods A total population analysis of all unintentional drowning deaths among 0–19 year olds...
Conference Paper
Background Herbicides and pesticides are commonly used in Queensland, with concentrates being severely toxic if ingested. Toxicity can be aggregative with the addition of surfactants (detergents). Methods A systematic search of peer reviewed literature and retrospective review of the Queensland Poisons Information Centre (QPIC) data from 2015 to 2...
Conference Paper
Context Agriculture, forestry and fishing industries are among the most dangerous industries in which to work, in Australia and internationally. Australia and its states & territories have robust work health and safety regulation, enforcement and prosecution systems outlined via Work Health and Safety (WHS) Acts (and Regulations), in Queensland the...
Article
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Injuries, although almost entirely preventable, accounted for more than 4.4 million deaths and resulted in over 520 million cases of nonfatal injury-related harm globally in 2017 [1]. Road traffic injuries, falls and drowning are leading injury mechanisms [2–4]. However, some population groups are more vulnerable to being injured than others. This...
Article
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Agriculture is one of Australia’s largest rural industries. Oversized and slow moving industry equipment and vehicles, hereafter referred to as large agricultural vehicles (LAVs), use public roads. Restrictions exist regarding their on-road operation, but whether this is a function of the risk that their on-road use represents is unknown. A conveni...
Article
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Drowning is a public health issue in the Philippines, with children at significantly increased risk. Determinants of health (DoH) such as education, socio-economic status, ethnicity, and urbanization are factors that impact drowning risk. As drowning is a multisectoral issue, a national drowning prevention plan can drive collaboration with relevant...
Article
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Drowning is described as a public health challenge by the World Health Organization. This challenge faces the Philippines where drowning claims an average of 3276 lives annually (3.50/100,000 population). However, no research comprehensively documents prevention strategies implemented by government and non-government agencies at a national or local...
Article
Background: Opioid replacement therapy (ORT) offers a harm minimization approach and is the mainstay treatment option for opioid dependence in Australia. Recovery is known to be complicated because of service access, cost, workforce availability, privacy, stigma, and discrimination. Rural living is considered to magnify each complication of recove...