Vulnerable People Research Articles

Exploring Domains of Quality-of-Life with Vulnerable Young People in Bogotá: A Capability Approach Perspective

Young adults aged 18–28 represent a pivotal demographic whose experiences of inequality significantly shape their life trajectories in cities. Despite their potential for innovation and social advancement, public agendas often marginalize their needs and aspirations. This paper explores urban inequality among young adults by examining how they define and value different aspects of their daily lives when urban inequality is at play. Drawing on focus group discussions in two socioeconomically segregated urban districts in Bogotá, this paper employs the capability approach to construct a comprehensive list of 15 capability domains that young adults use to define and value their daily experiences. The paper adds to the existing literature a detail a step-by-step process involving the identification, selection, and ranking of relevant capabilities, with young adults actively engaged in value judgements through a deliberative process of public reasoning. Findings reveal that quality-of-life domains for young adults extend beyond traditional youth policy sectors, encompassing political participation, public space and mobility, social norms, and independence. The results not only expand the scope of existing youth agendas but also align with demands expressed during recent social unrest in Colombia and the region, where young adults have played a central and vocal role.

Implications of the Cass Review for health policy governing gender medicine for Australian minors.

To summarize the key recommendations of England's independent inquiry into gender identity services for children and young people (the Cass Review) and to evaluate their relevance to Australian health policy. The Cass Review's findings and recommendations have clear applicability to Australian health policy. As a matter of priority, Australian health authorities need to seriously engage with the Cass Review's findings and recommendations. To not do so will put the health and well-being of vulnerable children and young people at risk.

Determinants of rural households’ food security status in South Africa: lessons from covid-19 social relief grant recipients in NIDS-CRAM wave 5

The world experienced an unprecedented health shock (COVID-19) which caught everyone by surprise, and destabilized many sectors, especially the agri-food sector. This unpleasant situation caused upset in the food production and distribution chain, and continues to threaten the attainment of Sustainable Development Goal 2 which underscores zero hunger in society. Many people in South Africa were disproportionately affected with severe consequences on their livelihood activities, food security status, health status, and general welfare conditions; and as a result, social relief intervention was put in place or expanded. This study examined the factors influencing rural households’ food security status among the recipients of social relief grants in rural areas of South Africa. The study used a secondary dataset from Wave 5 of National Income Dynamics Study - Coronavirus Rapid Mobile Survey (NIDS-CRAM). The research applied descriptive statistics to describe the respondents’ socio-economic characteristics, and pattern of income flow. Food Insecurity Access Scale was employed to investigate the respondents’ food security status, while multinomial logistic regression was used to explore the determinants of food security. The results showed that the majority of the respondents were black (99%), female-headed (54.15%), dwelling in flats (74.01%), with secondary education (88.6%), and heavily dependent on government grants (58.61%). Also, most households were food secure (71.69%) during the pandemic. Moreover, households headed by men were more food secure (62.84%) compared to the ones headed by the female counterparts (37.08). Multinomial regression estimates revealed that formal education (p<0.1), employment status (p<0.05), dwelling type (p<0.01), as well as household size (p<0.01) significantly determined rural households’ food security status. The study concluded that social relief grants significantly reduced the food insecurity situation among the rural households in South Africa, and recommended that the government should ensure the continuation of the social relief of distress grant to the vulnerable people who are mostly domiciled in the rural areas, especially women who are disproportionately affected by these health shocks. Key words: Covid-19, social grant, rural households, food security, South Africa

Responsible reporting on suicide in Slovenia: Are we there yet?

Exposure to media reporting on suicide can be both a risk and a protective factor, as (ir)responsible reporting on suicide can have different effects on vulnerable people. Since online media are increasingly important in everyday life, this study aimed to examine how the three most widely read Slovenian online media report on suicide. 114 online media articles published between 1 January and 31 December 2017 were included in the study and assessed for compliance with recommendations on responsible media reporting on suicide, and inclusion of harmful and protective characteristics. Different articles included or adhered to different recommendations, and harmful and protective characteristics. The correlation between compliance with recommendations, and the inclusion of protective and harmful characteristics suggests that although articles comply with recommendations, they do not necessarily contain enough protective information. The study confirms patterns observed in other studies while providing a first insight into Slovenian online media reporting on suicide. Further research is needed to confirm our findings while considering different online media. Additionally, future studies should focus on other aspects of reporting on suicide, e.g., comments under online media articles, which might also impact readers.

Sexuality in the digital world: Treatment of a case of dating app addiction

This article explores internet addiction, with a focus on digital devices and dating apps. Using the psychoanalytical conceptualization, we present a clinical case study of a young man struggling with both his sexuality and his addiction to online interactions. The addictive nature of internet use, particularly in relation to sexuality and pornography, is explored, highlighting its pervasive characteristics in contemporary society. Drawing on psychoanalytic theories, we explore the concept of “symptom” as the expression of discontents in civilization, from a Freudian approach, and therefore the impact of symbolic and cultural factors on psychopathological phenomena. The study offers insights into the psychodynamics of various forms of addiction, particularly sexual addiction. The treatment of a case of addiction to dating apps will show how this relationship to sexuality is shaped by social practices disseminated through the internet and social networks. Finally, the psychodynamic underpinnings of internet addiction and its impact, particularly on vulnerable young people, underline the importance of recognising the addictive nature of digital devices in contemporary society. In fact, the patient’s addictive style of enjoyment could be considered as typical of a generalised style of enjoyment in contemporary society. Addiction thus becomes a typical symptomatic trait that excludes the existential lack of the subject.

The Interview as a Research Technique in Social Work – Methodological and Practical Challenges

Meeting face-to-face with the beneficiaries of social work services and having a discussion with them, in order to diagnose the beneficiary's problem and identify the context of the case-by-case intervention, is the basic form of performing a social worker’s activity. That is precisely why, although the interview, as a research technique, is a method specific to sociological research, this technique has been taken up on a large scale in social work, not only for case intervention, but also as a research method. In general, the beneficiaries of assistential services, who are most often the subjects of scientific research in this field, are vulnerable people, so the interview poses two main challenges as a research technique. The first is organizing the framework in which the interview is carried out and the manner of conducting it by the researcher, in order to create the psychological context that favors the interviewee's communication with the researcher. The second is the way data is analyzed after collection, in order to minimize the influence of subjective interpretations on the part of the researcher. The purpose of this article is to analyze the way methodological errors can be avoided, in order to achieve a research that draws scientific conclusions with a high degree of validity and credibility.

Achieving social inclusion for vulnerable urban residents through community gardens: a case of Bulawayo city, Zimbabwe

ABSTRACT More than half of the world’s population lives in cities, and this proportion is projected to reach 70% by 2050. This increased urbanisation has fuelled a growing divide among urban dwellers, bringing with it complex exclusions in terms of employment, social and political status within the cities. There is a growing need to transform urban environments into socially inclusive societies that prioritise the needs of the most vulnerable people. Many stakeholder attempts have been made to create more inclusive cities that promote social justice and equity through community gardens in urban areas. This study surveyed community garden farmers to assess the effectiveness of community gardens in addressing social inclusion in Bulawayo city. The results showed that community gardens in urban areas are an important policy tool for achieving social inclusion. The results will be significant to the academia, policymakers, local authorities, and community-based organisations.

‘Bridge-builders’ and ‘boundary spanners’: a qualitative study of youth workers’ perceptions of their roles and practices with vulnerable young people in school-based settings

ABSTRACT This paper presents a qualitative study of 22 youth workers’ perceptions of their roles and practices in seven school-based settings in a large post-industrial city in regional Australia. Youth workers are often engaged in school-based settings working with vulnerable young people, yet knowledge of how workers perceive and conceptualize their role and practice in these settings remains limited. Through focus group interviews, youth workers were asked how they engage, and work with vulnerable students, how they conceptualize their roles and the bodies of knowledge to which those practices and roles pertain. We find that youth work in school-based settings requires the dynamic and non-linear application of the practices of youth accompaniment, family support and youth-centred advocacy, underpinned by respect for the dignity, autonomy and agency of the young person. We argue that the complex application of these practices positions youth workers as ‘bridge-builders’ and ‘boundary-spanners’. Bridge-builders assist young people to connect and engage with support services. Boundary-spanners build relationships across service providers to network different organizations and professionals for better collaboration and support of young people. These findings have implications for youth policy and practice in the area of youth work with vulnerable young people in school-based settings.

The Significance of Food Fortification for Prevention of Major Health Challenges due to Micronutrient Deficiencies (MND) for Under 5 Years Children in Bangladesh

Vitamins and minerals, known as micronutrients, are needed in trace levels for healthy growth and development as well as heightened immunity against illness. They need to come from outside sources because the body isn't able to produce them. Inadequate and inappropriate physical and intellectual development results from malnutrition in vulnerable people, including early childhood, expectant and nursing mothers, and the aged people. Meals fortification is a safe and practical way to boost consumption of macronutrients by providing essential nutrients in meals. Long-term developmental goals are impacted by vitamin deficiencies. In order to raise public awareness of the advantages of food fortification, an educational program is required. An extensive summary of Bangladesh's current women's and children's micronutrient deficient status is provided in this article. This study also covers the effectiveness of current intervention programs as well as their current issues. Almost half of all expectant and nursing mothers suffer from anemia. High levels of deficiencies are associated with several critical factors, including sickness, malabsorption, infestation, inadequate nutrition, and poor cleanliness. There have been several attempts at interventions, and some success has been achieved. Issues with coverage, quality, and compliance still exist. Even though severe deficiencies have been somewhat addressed by current intervention initiatives, micronutrient deficiencies in Bangladesh continue to be a major concern. A more comprehensive strategy is required to enhance the current intervention initiatives. Additionally, fresh approaches of intervention are proposed in order to prevent and treat specific micronutrient deficiencies.

Dynamics of IgM and IgG Antibody Response Profile against Linear B-Cell Epitopes from Exoerythrocytic (CelTOS and TRAP) and Erythrocytic (CyRPA) Phases of Plasmodium vivax: Follow-Up Study.

Malaria is a serious health problem worldwide affecting mainly children and socially vulnerable people. The biological particularities of P. vivax, such as the ability to generate dormant liver stages, the rapid maturation of gametocytes, and the emergence of drug resistance, have contributed to difficulties in disease control. In this context, developing an effective vaccine has been considered a fundamental tool for the efficient control and/or elimination of vivax malaria. Although recombinant proteins have been the main strategy used in designing vaccine prototypes, synthetic immunogenic peptides have emerged as a viable alternative for this purpose. Considering, therefore, that in the Brazilian endemic population, little is known about the profile of the humoral immune response directed to synthetic peptides that represent different P. vivax proteins, the present work aimed to map the epitope-specific antibodies' profiles to synthetic peptides representing the linear portions of the ookinete and sporozoite cell passage protein (CelTOS), thrombospondin-related adhesive protein (TRAP), and cysteine-rich protective antigen (CyRPA) proteins in the acute (AC) and convalescent phases (Conv30 and Conv180 after infection) of vivax malaria. The results showed that the studied subjects responded to all proteins for at least six months following infection. For IgM, a few individuals (3-21%) were positive during the acute phase of the disease; the highest frequencies were observed for IgG (28-57%). Regarding the subclasses, IgG2 and IgG3 stood out as the most prevalent for all peptides. During the follow-up, the stability of IgG was observed for all peptides. Only one significant positive correlation was observed between IgM and exposure time. We conclude that for all the peptides, the immunodominant epitopes are recognized in the exposed population, with similar frequency and magnitude. However, if the antibodies detected in this study are potential protectors, this needs to be investigated.

Evaluation of a specialist nurse-led structured self-management training for peer supporters with type 2 diabetes mellitus with or without comorbid hypertension in Slovenia

BackgroundThe training of peer supporters is critical because the success of the entire peer support intervention depends on the knowledge and experience that peer supporters can share with other patients. The objective of this study was to evaluate the pilot implementation of a specialist nurse-led self-management training programme for peer supporters with type 2 diabetes mellitus (T2DM) with or without comorbid hypertension (HTN) at the primary healthcare level in Slovenia, in terms of feasibility, acceptability, and effectiveness.MethodsA prospective pre-post interventional pilot study was conducted in two Community Health Centres (CHC) in Slovenia from May 2021 to August 2022. Purposive sampling was employed to recruit approximately 40 eligible volunteers to become trained peer supporters. A specialist nurse-led structured training lasting 15 h over a 2-month period was delivered, comprising four group and two individual sessions. The comprehensive curriculum was based on interactive verbal and visual learning experience, utilising the Diabetes Conversation Maps™. Data were collected from medical records, by clinical measurements, and using questionnaires on sociodemographic and clinical data, the Theoretical Framework of Acceptability, knowledge of T2DM and HTN, and the Appraisal of Diabetes Scale, and evaluation forms.ResultsOf the 36 participants, 31 became trained peer supporters (retention rate of 86.1%). Among them, 21 (67.7%) were women, with a mean age of 63.9 years (SD 8.9). The training was evaluated as satisfactory and highly acceptable. There was a significant improvement in knowledge of T2DM (p < 0.001) and HTN (p = 0.024) among peer supporters compared to baseline. Six months post-training, there was no significant improvement in the quality of life (p = 0.066), but there was a significant decrease in body mass index (BMI) (p = 0.020) from 30.4 (SD 6.2) at baseline to 29.8 (SD 6.2).ConclusionThe pilot implementation of a specialist nurse-led self-management training for peer supporters was found to be feasible, acceptable, and effective (in the study group). It led to improvements in knowledge, maintained disease control, and promoted positive self-management behaviours among peer supporters, as evidenced by a decrease in their BMI over six months. The study emphasises the need for effective recruitment, training, and retention strategies.Trial registrationThe research is part of the international research project SCUBY: Scale up diabetes and hypertension care for vulnerable people in Cambodia, Slovenia and Belgium, which is registered in ISRCTN registry (https://www.isrctn.com/ISRCTN41932064).

Options for Intensification of Cropping System in Coastal Saline Ecosystem: Inclusion of Grain Legumes in Rice-Based Cropping System

The coastal saline zone of West Bengal in India is the home to millions of the world’s poorest and most vulnerable people. Due to a gradual increase in salt accumulation on soils of the coastal saline zone of West Bengal in India from winter to summer days, cultivation of the second crop in the winter season becomes possible in a limited area. To address these issues, field experiments was conducted in rainy and winter seasons of 2016–17 and 2017–18 at the farmer’s field of the coastal saline zone (CSZ) of West Bengal, India. The experiment was carried out to study the system productivity, nutrient uptake, and profitability vis-à-vis salinity dynamics of the crops in rice-pulse-based cropping systems under different land elevations (medium upland and medium lowland). The experiment was conducted in a strip-split plot design having horizontal factors namely, Factor A: Six dates of sowing of rice at an interval of one week (2nd week of June to 3rd week of July), Factor B: Two land situations (medium upland and medium lowland) and Two Cropping Systems (Rice-Lathyrus and Rice-Lentil) as vertical factor, replicated four times. The results suggest that irrespective of land situation, early sown rice (15 June to 21 June) produces higher dry matter and grain yield compared to late sown crops. This early sowing of rice also facilitated the better performance of subsequent lathyrus and lentil, by avoiding the worst situation of the salinity build-up and drought stress later in the winter. Moreover, significantly higher productions were obtained from medium-lowland situations for both the cropping systems. Sowing date has also significantly influenced macro-nutrient uptake (NPK) by rice and pulse grains. It may be concluded that early sowing of rice may be a potential option for intensification of rice-pulse-based cropping systems under CSZ of West Bengal, India.

“Jack and Johnny went up the hill”: Emergent homonationalism and the construction of a palatable queer subject in post-Section 377 Bollywood cinema

ABSTRACT This article interrogates an archetype it terms the “palatable queer subject” in post-Section 377 Bollywood cinema. It advances that the production of this subject reflects and reifies India’s emergent homonationalism in the wake of the 2018 decriminalization of homosexual relations. The palatable queer upholds nationalism while enabling India to present itself on the global stage as a progressive nation state. In the Indian context, decriminalization granted this particular subject access to a newly sedimented norm of queerness predicated on the exclusion of more marginalized queer communities. This article strives to excavate this archetype in Hitesh Kewalya’s Shubh Mangal Zyada Saavdhan (Be particularly careful of marriage). It extends Jasbir Puar’s framework of homonationalism in new geographic and conceptual directions, arguing that the palatable queer subject in Bollywood cinema reveals that certain queer people – namely, cisgender upper-caste, upper-class men – have been folded into the nation state, at the expense of more vulnerable queer people.

Determinants of Poverty: Evidence from Morocco through ARDL Approach

Since gaining independence, Morocco has made a commitment to achieving goals aimed at achieving a high rate of economic growth in order to raise the standard of living for its people. As such, this ongoing commitment is based on a strategy that aims to lower the poverty rate and provide a dignified life for those who are vulnerable. However, it is crucial to comprehend the factors that contribute to poverty in order to implement an effective strategy for combating it. In this regard, this article aims to analyze poverty in Morocco through an economic study of the effects of economic growth, education, inflation, and unemployment on the evolution of poverty in Morocco. This study examined the intricate connections between economic growth, inflation, unemployment, and poverty in the Moroccan environment using the ARDL method. Poverty and education are related, both immediately and over time. Initially, the dependent variable and the independent variables do not have a long-term relationship. On the other hand, economic expansion has a statistically significant short-term effect on reducing poverty. however, after making changes to the analysis model, the dependent and independent variables have a significant long-term association. These findings can concentrate efforts on the areas that are most crucial for lowering poverty and improving the standard of living for vulnerable people by identifying the factors that have a substantial impact on poverty. This study contributes to the scientific understanding of the factors influencing poverty in Morocco by using an economic approach.

Examining Energy Poverty among Vulnerable Women-Led Households in Urban Housing before and after COVID-19 Lockdown: A Case Study from a Neighbourhood in Madrid, Spain

People with lower incomes often live in homes with poor thermal properties, making it difficult for them to maintain a comfortable indoor temperature. This vulnerability is closely related to the quality and maintenance of housing, which negatively affects indoor environmental comfort, especially in terms of energy usage, having an impact on health and well-being. Studying energy poverty from a qualitative perspective allows us to delve deeper into the experience of these people. A qualitative study was carried out through a case study of women in a situation of household vulnerability and energy poverty. Semi-structured interviews were conducted with five women-led households and two key informants before and after the COVID-19 confinement, in one of the most vulnerable neighbourhoods of Madrid. Unveiling the complexity of this topic, three categories were identified: household composition and economic resources, perception and proposals for household improvements, and household health and well-being. Furthermore, the results suggest that reliance on inefficient solutions such as electric radiators or butane-cylinder heaters for space heating in winter (more affordable in the short term, but unsustainable in the long one) shows evidence of energy precariousness, which, together with other poor housing conditions and users’ behaviours, impact clearly on health, generating or worsening chronic diseases. Research in vulnerable populations requires interventions beyond visibility, supported by key informants. Social workers and educators are essential to improving the living conditions of the most vulnerable people; however, they need social policies and adequate intervention plans and strategies to support and make their efforts effective.

Deterioration of people with Parkinson’s symptoms during COVID-19 lockdown: results of a web-based survey in Northwestern Italy

Objectives COVID-19 lockdowns were introduced to control the pandemic, however, they resulted in a global disruption of daily life and of individual and global health. Reduced accessibility of health services, unavailability of food and drugs, and mental health challenges had a huge impact on older people and on people living with disabling conditions such as Parkinson’s disease (PD). We assessed whether and to what extent the more disabled and vulnerable people with Parkinson’s (PwP) were affected by lockdowns. Method We analysed responses collected through a web-based survey of PwP according to their self-sufficiency [self-sufficient (SS); nearly self-sufficient (nSS); non-self-sufficient, cared for by family (NSS/F); non-self-sufficient, needs professional care (NSS/PC)]. Results Fears due to COVID-19 and difficulties with food supply were highest in NSS/F PwP. Difficulties with the supply of Parkinson’s medication or other drugs were apparently not an issue, while problems accessing primary care physicians and neurologists were similar across all patient groups. On the contrary, difficulties with daily and motor activities were higher in NSS/F and NSS/PC PwP. PwP symptoms worsened in all groups, with NSS/F and NSS/PC participants experiencing the worst deterioration. Notably, the deterioration of PwP symptoms was specifically related to changes in daily and motor activities, with participants who reported less engagement in daily and motor activities experiencing the worst deterioration. Conclusion Findings strongly support the need for decision-makers and healthcare providers to carefully re-evaluate the risk–benefit ratio of limiting healthcare accessibility for PwP, since evidence shows that lockdown measures primarily impact the groups who are most fragile and vulnerable.

Protection of vulnerable people in need of care

Comment from Hedwig François-Kettner, Former Care manager and consultant, Former Chairwoman of the Patient Safety Action Alliance

Evaluation of Geohazards Research in the World and Pacific Region: A Comparative Bibliometric Study

Geohazards are natural phenomena that endanger infrastructure, the environment, and human activity. Understanding and mitigating them is crucial for public safety, disaster preparedness, and sustainable land and resource management. This research objective is to analyze geohazard research trends globally and then compare them with countries around the Pacific Ring. Ninety-six geohazard publications were analyzed using bibliometric analysis and the VOSviewer application. The general trend of geohazard research increased slightly. It is critical in dealing with the expanding threats posed by geohazards, adapting to changing conditions, protecting vulnerable people, and leveraging technological improvements for more effective hazard management and disaster risk reduction. The Annual Offshore Technology Conference Proceedings and Engineering Geology are the most popular scholarly journals for authors to publish research on geohazard. The most popular topic area for geohazard papers is Earth and Planetary Sciences, followed by engineering, environmental science, and computer science. It is consistent with the growing use of technology in geohazard research. This study also includes an authorship profile. This research implies enhancing disaster risk reduction strategies and contributing to global efforts to address the challenges posed by geohazards.

Disaster preparedness for people with kidney disease and kidney healthcare providers.

Man-made and natural disasters become more frequent and provoke significant morbidity and mortality, particularly among vulnerable people such as patients with underlying kidney diseases. This review summarizes strategies to minimize the risks associated with mass disasters among kidney healthcare providers and patients affected by kidney disease. Considering patients, in advance displacement or evacuation are the only options to avoid harmful consequences of predictable disasters such as hurricanes. Following unpredictable catastrophes, one can only rely upon educational initiatives for disaster risk mitigation. Preparatory initiatives before disasters such as training courses should target minimizing hazards in order to decrease morbidity and mortality by effective interventions during and early after disasters. Retrospective evaluation of previous interventions is essential to identify adverse consequences of disaster-related health risks and to assess the efficacy of the medical response. However, preparations and subsequent responses are always open for ameliorations, even in well developed countries that are aware of disaster risks, and even after predictable disasters. Adverse consequences of disasters in patients with kidney diseases and kidney healthcare providers can be mitigated by predisaster preparedness and by applying action plans and pragmatic interventions during and after disasters. Preparing clear, practical and concise recommendations and algorithms in various languages is mandatory.

Demographic, health and socioeconomic characteristics related to lung cancer diagnosis: a population analysis in New South Wales, Australia

BackgroundLung cancer is a major cause of health loss internationally, and in Australia. Most of that loss is inequitably concentrated among vulnerable or disadvantaged people and amenable to prevention and earlier detection. In response, best practice lung cancer care considers peoples’ background, circumstances and care needs. Comprehensive, person level descriptions of demographic, health and discrete socio-economic disadvantage related factors are therefore required to inform best practice. We examine population wide correlations of demographic, health and socioeconomic characteristics with lung cancer diagnosis for use in cancer control programs, including screening.MethodsA study of 5,504,777 (89.9%) adults living in New South Wales and participating in Australia’s Census in August 2016 with subsequent follow-up to the end of 2018. The Australian Bureau of Statistics’ (ABS) person-level integrated data asset linked census records with the NSW population cancer registry which includes primary site. Our study compared census participants who did not experience cancer in the follow-up period with those diagnosed with lung cancer, (n = 6160 and ICD10 C33-34). Outcomes are expressed as the adjusted relative odds (aOR) of incident lung cancer among adults in the community and measured using multi-variable logistic regression models. Validated ABS methods informed categorisation of social and economic variables.ResultsMultivariable comparison of those with lung cancer and those without a first cancer diagnosis (3276 lung cancers among 2,484,145 males; 2884 lung cancers among 2,944,148 females) showed associations with increasing age, varying ancestry, living alone (aOR = 1.30 95% CI 1.19–1.42 males; 1.24 95% CI 1.14–1.35 females), number of health conditions medicated, less than Year 12 education (aOR = 1.40 95% CI 1.30–1.51 males; 1.37 95% CI 1.27–1.48 females) and housing authority rental (aOR = 1.69 95% CI 1.48–1.94 males; 1.85 95% CI 1.63–2.11 females). Additional associations occurred among males with low income, disabilities before age 70, those unemployed and labouring occupations. As numbers of characteristics increased, so did the likelihood of lung cancer.ConclusionWe provided a population wide description of characteristics relevant to lung cancer diagnosis. Deeper knowledge of these characteristics inform continuing development of lung cancer programs in prevention (e.g. tobacco control) and detection (e.g. lung cancer screening), then help prioritise targeted delivery of those programs.