{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:22:55Z","timestamp":1785198175369,"version":"3.55.0"},"reference-count":17,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2017,6,15]],"date-time":"2017-06-15T00:00:00Z","timestamp":1497484800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australian J Rural Health"],"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To identify what New South Wales (<jats:styled-content style=\"fixed-case\">NSW<\/jats:styled-content>) farmers know about Q fever to inform preventive approaches.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Thematic analysis of qualitative data gathered through semi\u2010structured individual interviews, focus groups and a community meeting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Rural communities in<jats:styled-content style=\"fixed-case\">NSW<\/jats:styled-content>, Australia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>A total of 25 farmers participated in individual interviews (<jats:italic>n<\/jats:italic>= 4) or three focus groups, each with seven participants (<jats:italic>n<\/jats:italic>= 21). A further 27 persons, were involved in a community meeting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Themes derived from the interviews, focus groups and community meeting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Knowledge variations regarding Q fever risk and transmission highlight a need for improved risk communication. Vaccination was viewed as the preferred prevention approach; barriers were raised including time, costs, access to screening\/vaccination and General Practitioner (<jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content>) knowledge about Q fever. Local vaccination initiatives were supported.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Strengthening existing<jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content>knowledge and services leading to expanded provision of screening\/vaccination could improve the coverage of Q fever vaccine in endemic<jats:styled-content style=\"fixed-case\">NSW<\/jats:styled-content>farming and rural communities.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajr.12346","type":"journal-article","created":{"date-parts":[[2017,7,31]],"date-time":"2017-07-31T20:25:31Z","timestamp":1501532731000},"page":"306-310","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Farmers\u2019 knowledge of Q fever and prevention approaches in New South Wales"],"prefix":"10.1111","volume":"25","author":[{"given":"Tony","family":"Lower","sequence":"first","affiliation":[{"name":"Australian Centre for Agricultural Health &amp; Safety University of Sydney Moree New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Corben","sequence":"additional","affiliation":[{"name":"North Coast Public Health NSW Health Port Macquarie New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Massey","sequence":"additional","affiliation":[{"name":"Hunter New England Population Health NSW Health Newcastle Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Depczynski","sequence":"additional","affiliation":[{"name":"Australian Centre for Agricultural Health &amp; Safety University of Sydney Moree New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tony","family":"Brown","sequence":"additional","affiliation":[{"name":"School of Rural Health Dubbo University of Sydney Dubbo Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priscilla","family":"Stanley","sequence":"additional","affiliation":[{"name":"Population Health Western NSW NSW Health Dubbo Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"Osbourn","sequence":"additional","affiliation":[{"name":"Hunter New England Population Health NSW Health Newcastle Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Durrheim","sequence":"additional","affiliation":[{"name":"Hunter New England Population Health NSW Health Newcastle Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,6,15]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"crossref","first-page":"282","DOI":"10.5694\/j.1326-5377.1937.tb43743.x","article-title":"Q fever new fever entity: clinical features, diagnosis and laboratory investigation","volume":"2","author":"Derrick E","year":"1937","journal-title":"Medical Journal of Australia"},{"key":"e_1_2_8_3_1","doi-asserted-by":"crossref","first-page":"E619","DOI":"10.33321\/cdi.2015.39.59","article-title":"National Notifiable Diseases Surveillance System, 1 July to 30 September 2015","volume":"39","author":"National Notifiable Diseases Surveillance System","year":"2015","journal-title":"Communicable Diseases Intelligence Quarterly Report"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.12.4.518"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1071\/NB07057"},{"key":"e_1_2_8_6_1","first-page":"124","article-title":"Diagnosis and management of zoonoses \u2010 a tool for general practice","volume":"43","author":"Gunaratnam P","year":"2014","journal-title":"Australian Family Physician"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2009.02.007"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja15.00391"},{"key":"e_1_2_8_9_1","doi-asserted-by":"crossref","first-page":"41","DOI":"10.33321\/cdi.2009.33.9","article-title":"Enhanced Q fever risk exposure surveillance may permit better informed vaccination policy","volume":"33","author":"Massey P","year":"2009","journal-title":"Communicable Diseases Intelligence Quarterly Report"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jinf.2015.04.024"},{"key":"e_1_2_8_11_1","first-page":"1763","article-title":"Preventing Q fever endocarditis: a review of cardiac assessment in hospitalised Q fever patients","volume":"11","author":"Hess I","year":"2011","journal-title":"Rural and Remote Health"},{"key":"e_1_2_8_12_1","unstructured":"NSW Ministry of Health.NSW Health Notifiable Conditions Information Management System (NCIMS)(SAPHaRI). 2016. 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