ORCID Profile
0000-0002-4613-881X
Current Organisations
Queensland University of Technology
,
University of New England
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In Research Link Australia (RLA), "Research Topics" refer to ANZSRC FOR and SEO codes. These topics are either sourced from ANZSRC FOR and SEO codes listed in researchers' related grants or generated by a large language model (LLM) based on their publications.
Public Health and Health Services | Public Health and Health Services not elsewhere classified | Other Behavioural And Cognitive Sciences | Other Psychology and Cognitive Sciences | Social Change | Sociology not elsewhere classified | Population Trends And Policies | Social Policy And Planning | Studies in Human Society not elsewhere classified | Social and Cultural Anthropology | Health Policy | Aged Health Care | Gender Specific Studies | Gender Specific Studies | Urban Sociology and Community Studies | Social Work | Policy and Administration | Counselling, Welfare And Community Services |
Cultural Understanding not elsewhere classified | The aged | Social Structure and Health | Health related to ageing | Health Related to Ageing | Men's Health | Public Health (excl. Specific Population Health) not elsewhere classified | Specific Population Health (excl. Indigenous Health) not elsewhere classified | Men’s health | Health policy economic outcomes | Productivity | Women's Health | Health Inequalities | Infectious Diseases
Publisher: Elsevier BV
Date: 06-2006
DOI: 10.1111/J.1467-842X.2006.TB00862.X
Abstract: To assess willingness of general practitioners (GPs) to offer chlamydia testing to patients, and to identify demographic and practice correlates associated with willingness to offer chlamydia testing. A postal survey of practising GPs in New South Wales was undertaken in 2002 to assess management of STIs in general practice. A 15% (n = 1,020) stratified random s le, based on sex and area of practice, was selected. The overall response rate was 45.4% (n = 409). More than four out of five study participants reported that chlamydia testing should usually be offered to patients who had recently changed sexual partners or inconsistently used barrier methods such as condoms. While 76% of GPs would like to offer testing to young women, 65% were in favour of testing young men. Just over half (56%) felt that chlamydia testing should usually be offered to patients at the time of a Pap smear. Multivariate analyses revealed that female GPs were more likely to offer testing to young patients and to female patients at the time of a Pap smear. GPs who had postgraduate training in STls had double the odds of offering testing to young men and to female patients at the time of a Pap smear. This paper reveals variations in GPs' willingness to offer chlamydia testing to patients. Special education programs highlighting the adverse health effects of chlamydial infection have the potential to improve GP involvement in chlamydia screening.
Publisher: Informa UK Limited
Date: 29-07-2013
DOI: 10.1080/13691058.2013.789128
Abstract: Iranian-American womens' perceptions of their sexual-selves and gender roles are influenced both by the cultural context of their life experience in Iran and their acculturation in the USA. In a qualitative study, using narrative as methodology and a feminist theoretical framework, in idual interviews were conducted with 24 first-generation Iranian-American women in southern California. The narratives revealed that these Iranian-American women felt attached to their home culture while also having a desire to distinguish themselves from it. In so doing, they realised that their in idual sexual-selves and gender roles stemmed from their life experiences, such as home culture memories and new cultural exposures. The degrees of adjustment during the acculturation process provided women with challenges in dealing with the consequences of new experiences and the shame and guilt of shedding old cultural norms. Acculturation offered these Iranian-American women a fuller understanding of their gender role and sexual-self perceptions. An understanding of cultural impact on women's life experiences may assist healthcare professionals in their efforts to assist women in determining innovative intervention where the needs of gender role and sexual-self-concept are concerned.
Publisher: Wiley
Date: 19-02-2009
DOI: 10.1111/J.1741-6612.2008.00336.X
Abstract: To investigate the sexual health and behaviour of older Australians attending a sexual health clinic. A retrospective patient record of people aged 50 years and over attending the clinic. 2438 people aged 50 years and over attending. The main reasons for attending were assessment of genital symptoms (40%), testing for sexually transmitted infections (STIs) (23%), and HIV testing/care (13%) more than 50% of the clients had a previous sexual health problem and more than 50% had not been tested for HIV. Men reported more lifetime sexual partners than women and were significantly more likely to report using condoms (P < 0.05), although condom use was variable. Genital herpes (10% women, 6% men) and non-gonococcal urethritis (9% men) were the most commonly diagnosed STIs. High levels of unsafe sex and many important sexual health problems were identified which provide direction for public health interventions for older sexually active Australians.
Publisher: Wiley
Date: 03-04-2017
DOI: 10.1111/AJAG.12405
Abstract: To examine older Australian's perspectives on how their sexual lives can best be supported and/or improved. Fifty-three, semi-structured interviews were conducted with Australian men (n = 30) and women (n = 23) aged 60 and over. Participants identified a range of key issues and areas where their sexual lives could be further supported or improved upon, including normalising the occurrence of sex and sexual desire in later life increasing and improving on the quality of, cultural representations of older adults introducing policy, educational and practice-based changes in age care facilities to support the consensual sexual expression of residents and ensuring that sexual health c aigns and education are inclusive of older people. Our findings present clear implications for further developing sexuality education and public health c aigns, training and education of health-care professionals, and generating social and cultural change pertaining to the acceptability of the ersity of sexual expression in later life.
Publisher: SAGE Publications
Date: 03-2008
Publisher: Cambridge University Press (CUP)
Date: 03-1998
DOI: 10.1017/S0144686X98006874
Abstract: It is now increasingly recognised that if we are to combat ageism the attitudes and knowledge of young people need to be more positively constructed so that they do not hold stereotypic views of ageing. This study evaluates the impact of an educational intervention programme on the attitudes and knowledge of students aged 17–18 years from six secondary schools in Melbourne, Australia. Using Palmore's Facts on Aging Quiz to assess knowledge about and attitudes towards ageing in a quasi-experimental pre-test and post-test design, the results reveal that, in general, students hold low knowledge about older people and negative attitudes about ageing. However, the pre-test mean knowledge scores differed significantly between male and female students and across the various schools, and students who had greater contact with grandparents possessed slightly more knowledge. The post-test results show that the intervention education programme was not successful in raising the student's level of knowledge. The results also show that, in general, the students hold negative attitudes towards older people and that there was little change in their attitudes following the intervention programme. The paper discusses the implications of these results regarding curriculum development in education programmes on ageing intended for young people.
Publisher: Wiley
Date: 08-1987
Publisher: Elsevier BV
Date: 04-2015
DOI: 10.1016/J.JAGING.2015.02.002
Abstract: This study explored the sexual subjectivities of older Australian women. In this article we present findings from 15 qualitative interviews with Australian women aged 55-81 who were single at the time of interview. The majority of these women were single following orce or separation, with a smaller number of women who were widowed or never in a long-term relationship. We found that these women's sexual desire and sexual activity were fluid and erse across their life course. Although some participants desired a romantic or sexual relationship, they were also protective of their independence and reluctant to re-enter into a relationship in later life. Our findings indicate that these women's sexual subjectivities were shaped by dominant norms of ageing, sex, and gender. At the same time, older women are challenging and resisting these norms, and beginning to renegotiate sexuality in later life.
Publisher: Springer Science and Business Media LLC
Date: 20-01-2011
DOI: 10.1007/S11908-010-0164-6
Abstract: In this article, we review recent evidence indicating that people over the age of 50 years are increasingly at risk of HIV and sexually transmitted infections, and that-thanks to the success of highly active antiretroviral therapies-those infected with HIV are now living into older age. We show that health professionals and society in general have been reluctant to acknowledge sexuality in older adults. Sexuality until recently has been regarded as merely a matter of male potency and sexual function, whereas older women's sexuality and desires have been ignored. Changing patterns of sexual practices, including high rates of orce and partner change in the older age groups, indicate that focus and concern with sex and sexuality in later life will become part of routine prevention and maintenance of sexual health.
Publisher: Wiley
Date: 10-01-2012
DOI: 10.1111/J.1741-2358.2011.00568.X
Abstract: This study explored how elderly Chinese immigrants value and relate to how acculturation influences oral health and subsequent service use. Elders who had immigrated to Melbourne and Vancouver within the previous 15 years were recruited from local community centres and assigned to focus groups of 5-7 participants in Vancouver (4 groups) or Melbourne (5 groups). Following an iterative process of thematic analysis, the discussions revealed that immigrants care about the comfort and appearance of their teeth, and they value Western dentistry as a supplement to traditional remedies, but they have difficulty getting culturally sensitive information about oral health care. Accessing dentistry, they explained, is distressing because of language problems and financial costs that impose on their children. Consequently, many immigrants obtain dental treatment in China when they return for occasional visits. They felt that separation of dentistry from national health care programmes in Canada and Australia disregards natural links between oral health and general health. The similarity of concerns in both cities suggests that dissemination of information and availability of services are the important themes influencing oral health, and that, beliefs developed over a lifetime play an important role in interpreting oral health in the host country.
Publisher: SAGE Publications
Date: 10-2005
Abstract: This qualitative study describes the experience of music and focuses on the emotional, social, intellectual and spiritual well-being roles that music plays in the lives of older people. In-depth interviews were used to explore the meaning, importance and function of music for 52 older Australians living in the community aged 60 years and older. The findings revealed that music provides people with ways of understanding and developing their self-identity connecting with others maintaining well-being and experiencing and expressing spirituality. The results show how music contributes to positive ageing by providing ways for people to maintain positive self-esteem, feel competent, independent, and avoid feelings of isolation or loneliness. The study highlights the need to be better informed about how music can facilitate and sustain older people’s well-being.
Publisher: Informa UK Limited
Date: 26-09-1996
Abstract: Mycosporine-like amino acids (MAAs) are a family of natural products that are produced by a variety of organisms for protection from ultraviolet damage. In this work, we combined different bioinformatic approaches to assess the distribution of the MAA biosynthesis and identified a putative gene cluster from
Publisher: Wiley
Date: 03-06-2010
DOI: 10.1002/HPM.1040
Abstract: In 2001, Thailand adopted the Universal Health Coverage (UHC) policy. This policy focuses on primary health care (PHC), with the aim of reforming the Thai health system to provide health services to all, regardless of a person's ability to pay. The community hospital director (CHD) is the middle manager of the provincial health system and the leader of the district health system of Thailand. In recent reforms the emphasis for improving efficiency lies with changes in the provision of primary health services at the community level and this entails understanding the role of the CHD. A qualitative study, utilizing in idual interviews and a focus group discussion, was undertaken in order to understand the factors affecting the implementation of rural health care in Thailand. Findings identified several barriers that limit the role of the CHD and a major result of the study was recognition of the dual role of the CHD as both clinician and manager. This study concluded that the goal of the UHC policy in providing equity of access to PHC to all citizens may not be achieved unless the role of CHDs is supported with training in health management and PHC and is supported by the government.
Publisher: Informa UK Limited
Date: 1990
Publisher: SAGE Publications
Date: 08-1989
DOI: 10.1177/144078338902500206
Abstract: Few Australian studies have examined the social interaction of older people once they have entered nursing homes. Much of the existing literature reports the frequency of contacts that the elderly in nursing homes have with family and friends rather than explaining the factors that influence which people are more likely to visit regularly and why. This paper examines the interrelationship between frequency of visits and the charac teristics of aged residents, visitors and nursing homes, and the processes which explain these levels of interaction. A question naire was administered to aged residents in nursing homes and data was collected on the resident's network members, fre quency of contact and perceptions of the influence of placement in a nursing home on relationships. The results show that (1) the resident's perceived quality of the relationship and the location of the nursing home are important factors determining frequency of visiting, and (2) the placement in a nursing home does not necessarily weaken family ties.
Publisher: Wiley
Date: 05-1989
Publisher: Informa UK Limited
Date: 19-02-2021
Publisher: SAGE Publications
Date: 07-2008
Abstract: Summary The aims of the present study were to explore aspects of sexually transmissible infections (STI) prevention in general practice and to examine general practitioners' (GPs) perceived barriers to sexual-health promotion. The data from a postal survey of 409 GPs practising in New South Wales, Australia (response rate 45.4%) are analysed to explore the prevention of STI in general practice and to examine practitioners' perceived barriers to sexual-health promotion. About 49% of GPs reported having STI leaflets hlets for patients in their clinic, while 21% had posters on STI displayed in their waiting room. Two-third (67%) of GPs provided STI-specific printed materials/leaflets to patients with STI. Female GPs were more likely to be proactive in STI prevention. Time and funding appear to be the major barriers to sexual-health promotion, followed by inadequate access to counselling. One-fifth (22%) of GPs felt that they had little influence in changing patients' risk behaviour, while about 28% emphasized the need for further preventive care training. The present study identifies inconsistencies in STI-prevention activities in general practice along with barriers to undertake sexual-health promotion. This area warrants further attention if GPs are to contribute fully to the control of STI.
Publisher: Informa UK Limited
Date: 12-2010
Publisher: SAGE Publications
Date: 09-2002
DOI: 10.1258/09564620260216335
Abstract: This paper describes a distinctive approach to the sexually transmissible infections (STI) clinical consultation: 'the guided reflection approach'. The authors coined this term and identified the guided reflection approach through analysis of 22 in-depth interviews with practitioners who provide care for people with STI, and 34 people who had attended a healthcare facility in Australia for screening or treatment of an STI. A grounded theory method was used to collect and analyse this information. The data revealed when the STI consultation is conducted using the principles characterized by the guided reflection approach creates contexts for sexual empowerment that have the potential to effectively assist people to gain autonomy for safe sex. Routinely, most of the practitioners in this study were shown to direct the STI consultation towards risk behaviours and practices and prevention of transmission, with minimal intervention. However, this study shows that if clinical interaction is to make a difference to the patient's autonomy for sexual behaviour, two changes will be required. First, practitioners need to adopt the goal of assisting patients to attain levels of autonomy, and second, practitioners require education to assist them to develop the interactive skills needed to engage patients in dialogue and reflection about sexual behaviour.
Publisher: Informa UK Limited
Date: 21-07-2005
Publisher: Elsevier BV
Date: 06-2017
Abstract: Rates of sexually transmitted infections (STIs) are rising among older Australians. We conducted a large survey of older people's knowledge of STIs and safer sexual practices. A total of 2,137 Australians aged 60 years and older completed the survey, which included 15 questions assessing knowledge of STIs and safer sexual practices. We examined both levels of knowledge and factors associated with an overall knowledge score. In total, 1,652 respondents reported having sex in the past five years and answered all knowledge questions. This group had good general knowledge but poorer knowledge in areas such as the protection offered by condoms and potential transmission modes for specific STIs. Women had better knowledge than men. Men in their 60s, men with higher education levels, and men who thought they were at risk of STIs reported better knowledge than other men. Knowledge was also better among men and women who had been tested for STIs or reported 'other' sources of knowledge on STIs. Many older Australians lack knowledge of STIs and safer sexual practices. Implications for public health: To reverse current trends toward increasing STI diagnoses in this population, policies and education c aigns aimed at improving knowledge levels may need to be considered.
Publisher: Hindawi Limited
Date: 13-09-2020
DOI: 10.1111/HSC.12854
Abstract: Informal care-givers play an important role in society, and many of the people who provide this care are lesbian women and gay men. Being a care-giver is known to be associated with poorer health and well-being, and lesbian and gay care-givers report experiences of stigma and discrimination in the care-giving context. This study involved a survey of 230 lesbian women and 503 gay men aged 60 years and over living in Australia, of which 218 were care-givers. We compared care-givers to non-caregivers on a range of health and well-being measures, including psychological distress, positive mental health, physical health and social support. While we found no significant differences between these two groups, we further compared care-givers who were caring for an LGBTI person to those who were caring for a non-LGBTI person. Among the lesbian women, care-givers of an LGBTI person reported feeling less supported in their carer role and reported lower levels of social support more generally. They were also lower on positive mental health and physical health indicators. Among the gay men, care-givers of an LGBTI person also reported feeling less supported in their carer role, but there were no differences in reported levels of social support more generally or health and well-being compared to those caring for a non-LGBTI person. Overall, results from this study suggest that older lesbian and gay care-givers may be facing some challenges related to their well-being and feeling supported, especially if they are caring for another LGBTI person.
Publisher: Oxford University Press (OUP)
Date: 24-10-2020
DOI: 10.1093/BJSW/BCZ122
Abstract: Many older people in trans communities in Australia and elsewhere have experienced long histories of violence and discrimination in the health and social care sectors, making some of them fearful of interacting with contemporary health and social care providers. This study explored older trans women’s perceptions of these services. It involved a qualitative, thematic analysis of semi-structured, one-on-one audio-recorded interviews with ten trans women aged sixty years and older in Australia. Participants expressed a number of concerns about using residential facilities for older people in Australia, including potential for abuse and discrimination as a result of being trans, and not having access to appropriate treatments. Participants indicated a range of alternatives in using services, such as renovating the home, relocating to areas with greater access to trans-inclusive services and potential euthanasia. Participants perceived that service providers were not adequately trained for trans and gender erse needs, and highlighted a number of ways aged care services could better support the trans and gender erse community. The findings provide important information to assist health and social care professionals, including social workers, as well as residential care service providers, in supporting the health and well-being of older trans women.
Publisher: Springer Science and Business Media LLC
Date: 15-03-2017
DOI: 10.1007/S10508-016-0918-9
Abstract: That many older in iduals continue to engage in various forms of sexual expression well into later life is now well established in the literature. To date, however, only a small body of qualitative research has examined older men's experiences and understandings of sex in later life. Likewise, the ways in which older men's discussions on sex may be used as an avenue for "doing" masculinity remain underexplored. Older men are particularly interesting in this regard, as they inhabit an increasingly subordinated position in relation to hegemonic masculine ideals because of their age. To what extent might this limit or, alternatively, open up the possibilities for sexual expression and subjectivity in later life? Drawing on a subset of findings from Sex, Age, and Me: A National Study with Australian Women and Men Aged 60 and Older, data from qualitative interviews with 27 Australian men were explored in this article. The first Australian study of its kind, we argue that older men who engage in heterosexual relationships draw on a erse and complex array of discursive positions regarding sex, relationships, and masculinity in making sense of their experiences of sex in later life. Older men are a heterogeneous group, and their experiences and understandings of sex do not simplistically follow "decline" or "success" narratives of aging. The findings of this research build upon and extend emerging research illustrating the centrality of intimacy to older men's sexual lives, while simultaneously highlighting the ways in which the body and discursive constructions of sex intersect to shape older men's sexual subjectivities.
Publisher: Cambridge University Press (CUP)
Date: 27-11-2017
DOI: 10.1017/S0144686X17001222
Abstract: Experiences of ageism are associated with poorer health outcomes. Sexual activity and interest are areas in life where the impact of ageism may also be evident as popular culture often depicts the older body as asexual, undesirable or sexually impotent. We explore the possible links between experiences of ageism and sexual activity/interest in later life using data from a study of Australians aged 60+. We explored characteristics of those who were more likely to have experienced ageism (measured using the Ageism Survey) and the relationships between experiences of ageism and measures of sexual interest/activity in later life (N = 1,817). Experiences of ageism were greater among those without a partner, unemployed participants, those with lower incomes and poorer self-rated health. Adjusting for these differences, experiences of ageism were more likely to be reported by those who had not had sex in the past two years and were not sure about their hopes lans for sex in the future. Those who reported their sexual interest had increased or decreased since 60 also reported greater levels of ageism experience, as did those who wanted to have sex more frequently in the future. Ageism appears to impact sexual activity and interest in different ways. It is critical that social policy aims to reverse attitudes that reinforce the view of the ageist asexual and unattractive older body or person.
Publisher: Cambridge University Press (CUP)
Date: 05-2000
DOI: 10.1017/S0144686X99007710
Abstract: This qualitative study examines meanings and experiences of ageism for older Australians. While the concept is widely applied in academic social analysis, the term is not understood or used by many of the informants. They talk freely, however, about negative experiences in ‘being seen as old’ and ‘being treated as old’. Active ageing is viewed as a positive way of presenting and interpreting oneself as separate from the ‘old’ group. Informants recognise that older people as a group experience negative treatment in terms of poor access to transport and housing, low incomes, forced retirement and inadequate nursing home care. While few have experienced overt or brutal ageism, interaction in everyday life involves some negative treatment, occasional positive ‘sageism’, and others ‘keeping watch’ for one's vulnerabilities. Health professionals are a major source of ageist treatment. Some older people limit their lives by accommodating ageism, while others actively negotiate new images of ageing for themselves and those who will be old in the future.
Publisher: Wiley
Date: 09-2007
DOI: 10.1111/J.1834-7819.2007.TB00489.X
Abstract: Over the last 50 years an increasing number of migrants have settled in Australia. These immigrants now constitute a large proportion of the Australian population, and some research suggests that they may be at high-risk for oral diseases. This paper presents data on the oral health status of a convenience s le of 721 ambulant Greek- (n = 367) and Italian-born (n = 354) adults aged 55 years or older. The volunteer participants were recruited through ethnic social clubs located in Melbourne, Australia. The s le was largely a dentate one (83.6 per cent) with a mean DMFS score of 67.5 (s.d. 37.4). Dentate participants had 13 per cent of their restorative care unmet, and 57.3 per cent needed oral hygiene instruction plus removal of stain and hard deposits on their teeth. Almost 8 per cent required complex periodontal therapy and 30 per cent of those fully edentulous were in need of full dentures. Comparing these findings with existing data on oral health of older adults in Australia, the participants in this study appear to have lower DMFS scores and a higher prevalence of gingivitis, but less need for complex periodontal treatment. Inequalities were apparent in the proportion of unmet restorative and prosthetics needs.
Publisher: Informa UK Limited
Date: 1995
Publisher: Informa UK Limited
Date: 17-08-2016
DOI: 10.1080/09540121.2015.1074651
Abstract: With much of the focus on the "risk" groups, families have often been less studied in HIV research. Further, because of a focus on the aetiology and epidemiology of HIV, the social impacts associated with HIV on families and neighbours are sometimes overlooked. This study examined parental experiences of stigma and discrimination while living with HIV within a family context in Bangladesh. A qualitative research design using a grounded theory approach was used for this research. Data was collected through in-depth interviews with 19 HIV-positive parents, recruited with the support of two self-help groups of HIV-positive people, in two settings namely Khulna and Dhaka in Bangladesh. The findings indicate that HIV-positive parents held the view that they continue to experience significant stigma and their narratives clearly show how this affected them and their children. A range of informal practices were enacted in everyday contexts by extended family and community members to identify, demarcate and limit the social interaction of HIV-positive parents. Parents highlighted a number of factors including negative thoughts and behaviours, rejection, isolation and derogatory remarks as manifestations of stigma and discrimination, impacting upon them and their children because of their association with HIV.
Publisher: Wiley
Date: 11-2000
Publisher: Wiley
Date: 12-05-2022
DOI: 10.1111/AJAG.13076
Abstract: This study examined older lesbian and gay adults' experiences regarding informal caregiving, including challenges and positive aspects of caregiving. Interviews were conducted with 16 lesbian women and gay men in Australia, aged 60+, who were engaged in informal caregiving. Analyses involved a qualitative thematic approach. Most participants were caring for a friend or partner and regarded caregiving as a form of love and did not seek external support despite noting several impacts. Some participants found that they too were beginning to require care. For some, formal care was being considered, but with a degree of reluctance. Older lesbian and gay adult caregivers experience a range of challenges and support needs in relation to their experiences with the caregiving role. This research highlights a need for ensuring that caregiving policies and practices be responsive to the experiences and challenges faced by older lesbian and gay people.
Publisher: Informa UK Limited
Date: 05-2000
Publisher: Elsevier BV
Date: 2001
Publisher: Wiley
Date: 09-11-2004
DOI: 10.1111/J.1741-2358.2004.00035.X
Abstract: This study evaluated the impact of a community-based oral health promotion programme on the use of oral health services, oral health knowledge, attitudes, and practices of older Greek and Italian adults attending community clubs and living in Melbourne, Australia. The oral health promotion intervention consisted of three components: a series of oral health seminars, held at the clubs in the participants' native languages, the provision of oral health care products, and the production of oral health information sheets. The intervention programme was known as the Oral Health Information Seminars/Sheets (ORHIS). The content of each session was determined following suggestions and findings from the data collected. A pre-test-post-test non-equivalent control group quasi-experimental design was chosen to evaluate the intervention. A total of 520 independent-living older adults, members of Greek or Italian social clubs participated in this evaluation. Participants who took part in the intervention responded with higher levels of achievement than those in the control groups. After controlling for baseline variables, experimental groups were significantly more likely than the control groups at post-test to have improved oral health attitudes, oral health knowledge, and self-assessed physical health status, as well as, self-reported oral hygiene practices and use of oral health services. The ORHIS approach was successful within the setting of social clubs, and highly acceptable to these communities. As such, it represents a helpful approach for the design of (oral) health interventions in older adults. Further research is required to test the long-tem impact including the economic evaluation of the ORHIS approach.
Publisher: CSIRO Publishing
Date: 2017
DOI: 10.1071/SH17016
Abstract: Background: Although obtaining sexual history from patients is essential, the attitudes of physicians can become a barrier to sexual health care. Iranian–American physicians may face particular challenges because talking about sexuality is considered a taboo within their culture. Our study examined these physicians’ attitudes when taking a sexual history from their patients. Methods: In 2013, a self-administrated questionnaire was sent to 1550 Iranian–American physicians in California, USA. Using factor analysis, the principal components approach with a Varimax rotation was used on a set of 12-item questions (five-point Likert scales) to detect latent factors that explain attitudes affecting sexual history taking. Scores are generated to determine physicians’ attitudes towards sexual history taking. Results: In total, 354 questionnaires were returned (23% response rate). Three factors were identified as internally consistent (Cronbach’s α = 0.84 – 0.94): (1) attitude towards various patients (2) female sexuality and (3) age and marriage. Significant association were found between these three factors and some variables such as physicians’ gender, country of medical graduation, religion, birthplace and age. Conclusions: Results revealed that cultural attitudes are important factors affecting physicians’ involvement in sexual history taking. Additional studies from this population and other subpopulations of US physicians are needed. New strategies that reflect on physicians’ attitude on sexual healthcare delivery is needed. If confirmed in other studies, our findings could have implications for the training of medical graduates globally.
Publisher: Informa UK Limited
Date: 1995
Publisher: Wiley
Date: 03-1994
Publisher: MDPI AG
Date: 05-06-2017
Publisher: Informa UK Limited
Date: 12-09-2015
DOI: 10.1080/13691058.2014.951396
Abstract: Technological change, particularly the growth of the Internet and smart phones, has increased the visibility of male escorts, expanded their client base and ersified the range of venues in which male sex work can take place. Specifically, the Internet has relocated some forms of male sex work away from the street and thereby increased market reach, visibility and access and the scope of sex work advertising. Using the online profiles of 257 male sex workers drawn from six of the largest websites advertising male sexual services in Australia, the role of the Internet in facilitating the normalisation of male sex work is discussed. Specifically we examine how engagement with the sex industry has been reconstituted in term of better informed consumer-seller decisions for both clients and sex workers. Rather than being seen as a 'deviant' activity, understood in terms of pathology or criminal activity, male sex work is increasingly presented as an everyday commodity in the market place. In this context, the management of risks associated with sex work has shifted from formalised social control to more informal practices conducted among online communities of clients and sex workers. We discuss the implications for health, legal and welfare responses within an empowerment paradigm.
Publisher: Springer Science and Business Media LLC
Date: 09-2005
Publisher: Elsevier BV
Date: 07-2004
Publisher: Wiley
Date: 03-2010
DOI: 10.1111/J.1741-6612.2010.00395.X
Abstract: The present study was conducted to explore how older immigrants from Hong Kong or Southern China manage their oral health in Melbourne. We used six focus groups involving 50 Cantonese-speaking immigrants who were 55 years and over and living in Melbourne. Four major themes relevant to oral health care emerged from the discussion: (i) traditional Chinese health beliefs (ii) traditional medicine and oral health (iii) attitudes towards dentists and (iv) access to oral health-care services. Language, communication and cost of dentistry were identified as major barriers to oral health care. Older Chinese immigrants in Melbourne have concerns about oral health care that are similar to other ethnic groups, they want more oral health-related support from government, and many of they return to China or Hong Kong for dental treatment.
Publisher: Wiley
Date: 13-06-2013
DOI: 10.1002/HPM.2118
Abstract: In 2001, the universal health coverage policy was adopted by Thailand with primary healthcare (PHC) as the major focus of the policy. In order to understand the structural and institutional factors affecting the implementation of PHC in rural Thailand, a qualitative study, utilising in idual interviews with national and provincial policy decision makers, community health directors, heads of hospital primary care units, chiefs of district health offices, heads of health centres and community representatives, from one rural province was undertaken. Findings showed that the sustainability of PHC service provision under the administration of community hospitals is problematic as barriers exist at the policy and operational levels and access to PHC for all citizens may not be achieved until these barriers are addressed. Furthermore, although PHC needs to be acknowledged and implemented by all stakeholders within the health industry and government, the roles and responsibilities of the stakeholders in health services management at the district level need to be clarified.
Publisher: Springer Science and Business Media LLC
Date: 04-11-2014
Publisher: SAGE Publications
Date: 03-1997
Abstract: Summary: This study investigates the influences on young women's sexual risk taking of (a) attitudes such as sexual self-efficacy and sexual self-esteem and (b) personal and sexual characteristics, such as age, the age of first sexual experience, the number of sexual partners and reported overall amount of sex. Three hundred and thirty-one young women participated in this study. With respect to regular sexual relationships, the results show that risk taking behaviour is directly and positively associated with sexual self-esteem. The effect of sexual self-efficacy on risk taking in regular relationships, however, is indirect and positive, being mediated by the overall amount of sexual activity. In contrast, with respect to casual sexual relationships, risk taking behaviour is negatively associated with self-esteem and positively associated with sexual self-efficacy. In addition, sexual self-esteem influences casual risk taking indirectly and positively, the effect being mediated by the overall amount of sexual activity. The findings in relation to sexual self-esteem and sexual self-efficacy are contrary to the expectations that these variables would be negatively associated with sexual risk taking behaviours. The implications for safe sex education are discussed.
Publisher: Springer Science and Business Media LLC
Date: 07-1992
DOI: 10.1007/BF01102326
Publisher: Wiley
Date: 05-1988
Publisher: Wiley
Date: 25-06-2007
DOI: 10.1111/J.1600-0528.2007.00378.X
Abstract: This paper reports the impact of oral health on the quality of life (QOL) of Southern European, dentate older adults, living independently in Melbourne, Australia. Participants were recruited through ethnic social clubs and interviewed about oral health, general health, socio-demographics, and QOL using the Medical Outcomes Study Short-Form 12 (SF-12). The SF-12's physical and mental health component summary scores (PCS and MCS, respectively) were computed. The Oral Health Impact Profile (OHIP-14) assessed the specific impact of oral health on QOL. Participants were also given a clinical oral examination. A total of 603 eligible older adults volunteered 308 were from Greek background and 295 were from Italian background. Mean age was 67.7 years (SD 6.2), with 63.7% being female. The PCS score had a mean value of 45.8 (SD 11.8), and MCS had a mean of 47.8 (SD 5.7). PCS was associated with, periodontal status, chronic health condition, self-perceived oral health needs, self-assessed oral health status, oral health impact score and the interaction between gender and level of education [F(11 552) = 10.57 P < 0.0001]. These independent variables accounted for 16% of the variance in PCS. The multivariate model predicting MCS had only one significant variable (self-reported gingival bleeding), explaining 1.5% of the variance. The OHIP-14 ranged from 0 to 48 with a mean score of 5.6 (SD 9.3). The model predicting OHIP-14 contained four significant variables: perceived oral health treatment needs, number of missing natural teeth, reports of having to sip liquid to help swallow food, and gender [F(4576) = 33.39 P < 0.0001], and explained 18% of the variance. The results demonstrated a negative association between oral health indicators and both the oral health-related QOL and the physical component of the SF-12. The present findings support a growing recognition of the importance of oral health as a mediator of QOL. However, the self-selected s le and modest predictive power of the multivariate models suggest that further research is needed to expand this explanatory model.
Publisher: SAGE Publications
Date: 12-2000
DOI: 10.1177/1321103X0001500102
Abstract: This article describes the importance of mentor relationships in the training of musicians. Using in-depth interviews with professional musicians, the study describes the construction and meaning of mentorships in the training of musicians and shows mentorship to be meaningful for both the mentor and the protégé. It identifies key functions relating to both the psychosocial and career development of the protégé. Results highlight the need for music teachers and music administrators to be more aware of the developmental importance of the mentor relationships in their teaching.
Publisher: Wiley
Date: 09-2004
Publisher: Informa UK Limited
Date: 23-02-2017
DOI: 10.1080/00224499.2017.1280121
Abstract: Rates of sexually transmitted infections (STIs) are increasing in older cohorts in Western countries such as Australia, the United Kingdom, and the United States, suggesting a need to examine the safer sex knowledge and practices of older people. This article presents findings from 53 qualitative interviews from the study Sex, Age, and Me: A National Study of Sex and Relationships Among Australians Aged 60+. Participants were recruited through an online national survey. We consider how participants understood "safer sex," the importance of safer sex to them, the safer sex practices they used (and the contexts in which they used them), and the barriers to using safer sex. Older adults had erse understandings, knowledge, and use of safer sex practices, although participants tended to focus most strongly on condom use. Having safer sex was strongly mediated by relationship context, trust, perceived risk of contracting an STI, concern for personal health, and stigma. Common barriers to safer sex included erectile difficulties, embarrassment, stigma, reduced pleasure, and the lack of a safer sex culture among older people. The data presented have important implications for sexual health policy, practice, and education and health promotion c aigns aimed at improving the sexual health and well-being of older cohorts.
Publisher: Wiley
Date: 09-2012
Publisher: Informa UK Limited
Date: 1994
DOI: 10.3109/09638289409166285
Abstract: This review discusses the human immune responses to influenza infection with some insights from studies using animal models, such as experimental infection of mice. Recent technological advances in the study of human immune responses have greatly added to our knowledge of the infection and immune responses, and therefore much of the focus is on recent studies that have moved the field forward. We consider the complexity of the adaptive response generated by many sequential encounters through infection and vaccination.
Publisher: Informa UK Limited
Date: 16-02-1999
Publisher: Informa UK Limited
Date: 21-02-2017
DOI: 10.1080/13691058.2017.1288268
Abstract: Older people are often excluded from large studies of sexual health, as it is assumed that they are not having sex or are reluctant to talk about sensitive topics and are therefore difficult to recruit. We outline the s ling and recruitment strategies from a recent study on sexual health and relationships among older people. Sex, Age and Me was a nationwide Australian study that examined sexual health, relationship patterns, safer-sex practices and STI knowledge of Australians aged 60 years and over. The study used a mixed-methods approach to establish baseline levels of knowledge and to develop deeper insights into older adult's understandings and practices relating to sexual health. Data collection took place in 2015, with 2137 participants completing a quantitative survey and 53 participating in one-on-one semi-structured interviews. As the feasibility of this type of study has been largely untested until now, we provide detailed information on the study's recruitment strategies and methods. We also compare key characteristics of our s le with national estimates to assess its degree of representativeness. This study provides evidence to challenge the assumptions that older people will not take part in sexual health-related research and details a novel and successful way to recruit participants in this area.
Publisher: Informa UK Limited
Date: 06-2001
Publisher: SAGE Publications
Date: 27-03-2015
Abstract: Sexually transmitted infections (STIs) in Vietnam have been increasing. Control of STIs among female sex workers (FSWs) is important in controlling the epidemic. Effective STI control requires that physicians are skilful in taking sexual history for FSW patients. Three hundred and seventy-one physicians responded to a survey conducted in three provinces in Vietnam. The respondents were asked whether they asked FSW patients about their sexual history and information asked during sexual history taking. The respondents were also asked about their barriers for taking sexual history. Over one-fourth (27%) respondents always, over half (54%) respondents sometimes and 19% respondents never obtained a sexual history from FSW patients. Multivariable analysis revealed that factors associated with always taking a sexual history were being doctor, training in STIs and working at provincial level facilities. Physician’s discomfort was found to be inversely associated with training on communication with patients, seeing 15 or fewer patients a week, working at provincial level facilities. Issues in sexual history taking among FSW patients in general practice in Vietnam were identified. These issues can help STI control for FSW patients and need due attention in order to improve STI management in Vietnam.
Publisher: Informa UK Limited
Date: 28-11-2017
DOI: 10.1080/00918369.2016.1265356
Abstract: This article details a preliminary dataset of global male escort sites to give insight into the scale of the online market. We conducted a content analysis of 499 Web sites and also measured traffic to these sites. Our analysis examined the structural characteristics of escort services, geographical and regulatory contexts, and resilience of such services. Results suggest that most sites are independent and not affiliated to escort agencies, and the majority cater to male escorts soliciting male clients, with a number of sites for female clientele and couples. These Web sites are dispersed globally, with Asian, European, and South American countries the major hubs in the market and a small number of large multinational sites based in the United States and Europe figuring as a major presence in markets. Although still subject to high levels of regulation in many parts of the world, the data suggest that male escorting is becoming more visible in erse cultural contexts as measured by the number of Web sites appearing in public spaces.
Publisher: Routledge
Date: 10-09-2012
Publisher: SAGE Publications
Date: 03-2005
Abstract: The article reviews past and recent research on male sex work to offer a context to understand violence in the industry. It provides a critical review of research to show, first, the assumptions made about male sex workers and violence and, second, how such discourses have shaped thinking on the topic. The article presents a case study and original findings from two studies conducted by the authors in Australia and Argentina on violence in the male sex industry. Finally, the article reviews ex les of legislative reforms to show how the sex industry is being regulated.
Publisher: Elsevier BV
Date: 11-1996
DOI: 10.1016/0277-9536(95)00447-5
Abstract: As medical technology prolongs life and facilitates the early diagnosis of terminal illnesses such as AIDS, the concept of anticipatory grief requires further scrutiny. The original concept of anticipatory grief has become widely accepted. This paper, however, argues that the uncritical acceptance of this concept rests primarily on the authority of the biomedical model, which has focused analysis on the predictable symptomatology of the grief process, integrating this understanding into health care. This paper provides a critical review of the concept of anticipatory grief, highlighting conceptual shifts which are required if the concept is to be relevant to the subjective experiences of people who are confronted with life-threatening illness. The paper discusses the relevance of understanding the conceptual confusion which exists in the literature between "anticipatory grief" and "forewarning of loss". It is argued that grief may be the response to a loss of meaning, and that the psychological process of adjustment to loss requires in iduals to engage in the reconstitution of purpose and meaning in their lives. Distinguishing between what is being expressed for past and present losses and what responses occur when in iduals focus on various aspects of their future may shed light on some of the inconsistent and contradictory findings surrounding research on anticipatory grief.
Publisher: Informa UK Limited
Date: 18-12-2005
Publisher: SAGE Publications
Date: 08-2014
DOI: 10.2190/OM.69.1.C
Abstract: The complex family environments in which a suicide death had previously occurred were explored in a qualitative study of narratives of suicide-bereaved participants. The participants searched for reasons why the suicide occurred in their family. Family patterning stories and the context of the environment in which the suicide death occurred provided an additional depth of meaning into the relational aspects of the family. Fractured families emerged as an important theme. Shared in the narratives were stories of conditions within the family that may have contributed to vulnerability towards persistent negative feelings about their lives, their family, and their future. The study also identifies the strengths of family culture that led to resilience in the suicide bereaved. These stories highlight the importance of support for those bereaved by the suicide of a close family member and the issues that places people in vulnerable situations that perhaps may explain the increased risk of suicide for those bereaved family members.
Publisher: BMJ
Date: 23-01-2008
Abstract: Primary care providers are well placed to control the spread of sexually transmitted infections (STI) however, care is likely to be influenced by their attitudes and beliefs. The present study investigates the relationship between general practitioner's (GP) self-reported level of comfort in dealing with patients with STI and the care they deliver. A postal survey was conducted using a stratified random s le of 15% of GPs practising in New South Wales, Australia, to assess practitioners' management of STI. A total of 409 GPs participated in the study yielding a response rate of 45.4%. Although over two-thirds (69-72%) of GPs were comfortable in managing STI in heterosexual or young patients, fewer than half (40-46%) felt comfortable caring for patients who were sex workers, indigenous, people who inject drugs, gay or lesbian. Practitioners who were comfortable were more likely to offer sexual risk assessment, safe-sex counselling, and were less likely to report limited ability to influence patients' risk behaviours. Practitioner discomfort was positively associated with reporting constraints in sexual history-taking and the need for training in sexual health. Practitioners' care and support for patients with STI are influenced by their inexperience, lack of skills and/or attitudes. The reasons for GP discomfort in managing STI patients need further exploration as does its impact on patient care.
Publisher: Hindawi Limited
Date: 05-2007
DOI: 10.1111/J.1365-2834.2007.00681.X
Abstract: The purpose of this study is to develop an understanding of work environments by analysing the perceptions of a s le of Registered Nurses (RNs). Within the context of high staff turnover and a shortage of nurses in the health workforce, it is important that we understand how nurses perceive their work context and view the organisational factors that influence their attitudes towards their workplace. Data was collected using a 160-question survey instrument seeking information from RNs in relation to work and perceptions of the work environment and the organisation. The s le was recruited from a convenience s le of three acute hospitals in Queensland, Australia. A response rate of 41% was achieved (n=343). Respondents across the three survey sites identified a number of variables that had particular impact on their working lives. Team interaction, providing good patient care, communication, and abuse towards RNs elicited strong responses by the study respondents. As well, organisational direction, strategy and management returned strong negative responses. In responding to the questions related to personal and organisational morale it was clear that respondents saw them as two distinct concepts. The results of this study have implications for nurse managers in terms of understanding the nursing workforce as well as key organisational factors that have both positive and negative influences on the perceptions of nurses.
Publisher: SAGE Publications
Date: 08-1996
Abstract: A s le of 630 Victorian university students, aged between 17 and 24, completed a questionnaire on knowledge of sexually transmitted diseases (STDs). Overall students demonstrated moderate levels of knowledge about the names of diseases which are transmitted by sexual contact, symptoms and medical facts and transmission modes of common STDs. However, they had more knowledge about the labels than they did about symptoms and transmission modes and were misinformed about certain clinical aspects of STDs. It was found that the different levels of knowledge varied with the type of STD. Knowledge about symptoms or transmission did not correlate with a disease's incidence or clinical aspects. Sexual experience and having an Australian born mother correlated with higher scores. This study suggests that young people do not have high levels of knowledge about common STDs they may encounter. Identification of a label is of limited personal value if there is no concurrent knowledge about disease transmission and prognosis.
Publisher: CSIRO Publishing
Date: 2007
DOI: 10.1071/SH06012
Abstract: Background: Physicians’ inadequate involvement in sexual risk assessment has the potential to miss many asymptomatic cases. The present study was conducted to explore sexual risk assessment by physicians in clinical practice and to identify barriers in eliciting sexual histories from patients. Methods: A stratified random s le of 15% of general practitioners (GP) from New South Wales was surveyed to assess their management of sexually transmissible infections (STI). In total, 409 GP participated in the survey with a response rate of 45.4%. Results: Although nearly 70% of GP regularly elicited a sexual history from commercial sex workers whose presenting complaint was not an STI, this history taking was much lower ( %) among GP for patients who were young or heterosexual. About 23% never took a sexual history from Indigenous patients and 19% never elicited this history from lesbian patients. Lack of time was the most commonly cited barrier in sexual history taking (55%), followed by a concern that patients might feel uncomfortable if a sexual history was taken (49%). Other constraints were presence of another person (39%) and physician’s embarrassment (15%). About 19% of GP indicated that further training in sexual history taking could improve their practice. Conclusions: The present study identifies inconsistent involvement by GP in taking sexual histories, which can result in missed opportunities for early detection of many STI. Options for overcoming barriers to taking sexual histories by GP are discussed.
Publisher: Informa UK Limited
Date: 04-2013
DOI: 10.1080/00224499.2012.760189
Abstract: Understandings of male sex workers (MSWs) shift with technological, conceptual, and social changes. Research has historically constructed MSWs as psychologically unstable, desperate, or destitute victims and their clients as socially deviant perverts. These perceptions, however, are no longer supported by contemporary research and changing societal perceptions of the sex industry, challenging how we understand and describe "escorts." The changing understandings of sexuality and the increasing power of the Internet are both important forces behind recent changes in the structure and organization of MSWs. The growth in the visibility and reach of escorts has created opportunities to form an occupational account of MSWs that better accounts for the dynamic and erse nature of the MSW experience in the early 21st century. Recent changes in the structure and organization of male sex work have provided visibility to the increasingly erse geographical distribution of MSW, the commodification of race and racialized desire, new populations of heterosexual men and women as clients, and the successful dissemination of safer sexual messages to MSWs through online channels. This article provides a broad overview of the literature on MSWs, concentrating its focus on studies that have emerged over the past 20 years and identifying areas for future research.
Publisher: Routledge
Date: 03-11-2016
Publisher: BMJ
Date: 02-09-2016
DOI: 10.1136/SEXTRANS-2016-052578
Abstract: Although sex work is frequently characterised as a practice with high risk for HIV and other STIs, little is known about the epidemiology of these infections among men who sell sex in Australia. This study reports the prevalence of chlamydia, gonorrhoea, infectious syphilis and HIV among men who have sex with men attending Australian publicly funded sexual health clinics and compares prevalence between sex workers and non-sex workers. From 2011 to 2014, de-identified patient data were extracted from 40 sexual health clinics in four Australian jurisdictions. The χ In total, 27 469 gay, bisexual and other men who have sex with men attended participating clinics 443 (1.6%) reported sex work. At first consultation, 18% of sex workers and 17% of non-sex workers were diagnosed with HIV or an STI (p=0.4): 13% of sex workers were newly diagnosed with chlamydia, 15% with gonorrhoea, 0.5% with infectious syphilis and 0.6% with HIV. After controlling for demographic and behavioural factors, sex work was not independently associated with an HIV or STI diagnosis. These findings provide estimates of HIV and STI prevalence among men who sell sex in Australia and they challenge assumptions of sex work as inherently risky to the sexual health of gay bisexual and other men who have sex with men.
Publisher: SAGE Publications
Date: 04-2004
DOI: 10.1258/095646204773557811
Abstract: This paper provides a profile of clients seen by male sex workers (MSWs) in Córdoba, Argentina. Thirty-two MSWs completed a diary after each paid sexual encounter with a client over a two-week period. The results show that 254 commercial sex encounters were reported. More than half of these encounters were with first time clients. The most common source of recruiting clients was advertisements followed by street contact. The majority of the clients were aged in their 30s or 20s, and identified as 'middle class' and 'bisexual' or 'gay'. In the majority of the encounters, alcohol or drugs were not used by clients, and in about less than half of the cases, the MSWs had some personal tracing information about the client. Most of the clients indicated to the MSW what sexual activity they wanted and unsafe anal sex was requested in a minority (6%) of the encounters. While most workers reported having no or little attraction to the client, most indicated that they would serve the client again. The implications of the results for public health education and further research are discussed.
Publisher: SAGE Publications
Date: 20-05-2009
Abstract: The impact of homophobia on gay men and lesbians has been extensively studied, and shown to have profound, negative impacts on people. The current study examines how fear of being perceived as gay restrains the attitudes and behaviours of heterosexual Australian men. Choices of what subjects to study, sports to play, ways of interacting with other males and displays of emotion are shown to be influenced by homophobia. Homophobia is theorized as a social construct, not a phobia in the psychological sense, and as such is learnt through interaction and observation of which styles of male behaviour are valorized and which are devalued. The period of late childhood through to early adulthood is described as that most influenced by homophobia, and all -male environments during this period — single-sex schools and employment areas, team sports and other mono-gendered environments — are shown to elevate a narrow range of behaviours for boys and men . Participants described a loosening of ideas of what they felt was acceptable behaviour once they moved beyond these environs, allowing them to unlearn homophobia, and they describe impact that this has on how they feel they embodied masculinity.
Publisher: Informa UK Limited
Date: 10-08-2017
DOI: 10.1080/13607863.2017.1364347
Abstract: This article examines relationships between experiences of ageism and four specific mental health outcomes among older Australian adults, including whether these relationships vary depending on age, gender, and sexual orientation. A survey was conducted nationwide involving 2137 participants aged 60 years and older. Mental health variables included depressive symptoms, anxious symptoms, general stress, and positive mental health or flourishing. Recent experiences of ageism were found to be strongly related to poorer mental health on all four mental health variables. However, experiences of ageism appeared to have a greater effect on the mental health of those who were younger in age (specifically depression), of men more so than women (specifically depression), and of those who identified as heterosexual as opposed to other sexual orientations (specifically general stress). These findings suggest that experiences of ageism may be an important factor in the health and well-being of older adults, especially for those who are younger, male, and heterosexual, and may need to be taken into account when devising strategies for supporting healthier and happier ageing.
Publisher: Informa UK Limited
Date: 31-07-2017
Publisher: Informa UK Limited
Date: 08-2003
DOI: 10.1080/0954012031000134782
Abstract: This paper describes the self-reporting patterns of alcohol and drug consumption among male sex workers (MSWs) in three Australian cities during commercial sex encounters, and examines to what extent alcohol and drugs are used and whether this is related to the safe/unsafe outcome of the commercial sex encounter. One hundred and eighty-six MSWs from Brisbane, Sydney and Melbourne completed a diary following each commercial sex encounter over a two-week period. MSWs reported 2,087 commercial sex encounters during the study period. Alcohol or drug consumption was reported in 50.5% of the encounters. There were 488 instances of marijuana use reported before or during a commercial sex encounter, 210 instances of volatile inhalants use, 149 instances of heroine use and 151 of other drug use, including benzodiasepines, ecstasy, speed and cocaine. These substances were consumed either alone or combined. Marijuana consumption was associated with the commercial sex encounter occurring at the MSWs' place of residence and consumption of alcohol, marijuana and nitrites with the client's place. The results also reveal that consumption of drugs and alcohol was statistically related to length of the encounter, and that clients obtained through escort agencies or brothels were significantly associated with marijuana, other drug consumption and heroine use. Interestingly, a multivariate analysis indicated that encounters where the MSW consumed marijuana or did not consume any substance were less likely to have an unsafe outcome. The paper argues that it is necessary to identify and target risk groups and behaviours that are usually not included in broad based health education messages.
Publisher: CSIRO Publishing
Date: 2017
DOI: 10.1071/SH16075
Abstract: Background: Rates of sexually transmissible infections (STIs) are increasing among older adults in many countries. Little is known about the testing and treatment histories of these populations. Correlates of testing in the past 5 years among older adults who may be at risk of a STI were examined. Methods: A cross-sectional survey of 2137 Australians aged 60+ years that involved questions on STIs and STI testing was conducted in 2015. To help inform potential education c aigns, analyses focused on those who may have been at risk of a STI (n = 805, 38%). Results: Less than one in three reported a STI test in the past 5 years (n = 241, 30%) while 6% (n = 51) reported a STI diagnosis. Those diagnosed typically received treatment from a family doctor or general practitioner. Among men, lower testing rates were associated with older age, identifying as heterosexual, lower educational attainment, not using online dating and reporting one partner in the past 5 years. For women, lower rates of testing were found among those who did not use a condom at their most recent sexual encounter and those with one partner in the past 5 years. Conclusions: STI testing rates were low. This study indicates that consideration should be given to the way targeted education c aigns are formulated, such as emphasising the importance of STI testing to older people who are at risk, as well as encouraging healthcare professionals to discuss sexual health with their older patients.
Publisher: Wiley
Date: 04-2007
DOI: 10.1521/SULI.2007.37.2.127
Abstract: Suicide deaths are often viewed as sudden and unexpected. Research examining bereavement responses to suicide are generally set within this conceptual framework. Twenty-two parents were interviewed about their bereavement experience following the suicide death of a young adult son or daughter. Data analyzed using narrative methods revealed the concept of preparedness. Three distinct preparedness narratives were identified, termed turbulent-relief, tragedy, and reflective plots. The data presented here highlights the way in which these different situations influence the resultant grief. Understanding preparedness for suicide assists in explaining the variety of grief responses in parents bereaved in this manner.
Publisher: Springer Science and Business Media LLC
Date: 2000
Abstract: Several studies have related safe sex in the commercial sex encounter to the ability of sex workers to apply specific safer sex strategies. However, no instrument has been previously available to measure these skills. The Safer-Sex Strategy Scale (SSS) was developed for such purposes. The psychometric properties (reliability and validity) were evaluated with a s le of sex workers recruited from Australian cities. A questionnaire was administered to 184 sex workers aged 18-58 years using a convenience s ling method. Results indicated that the SSS can be conceptualized as a four variation construct and can be reliably (all subscales yielded at least a Cronbach's alpha = .60) and validly measured. Additionally, the relationship of the SSS to various sex work experiences was explored. The results show that the length of time working as a sex worker and contact with sex work organizations and sexual health clinics appear to influence the level of agreement of using the safer sex strategies evaluated.
Publisher: SAGE Publications
Date: 23-06-2012
Abstract: This paper reviews the evidence concerning the epidemiology of sexually transmitted infections (STIs) with a particular focus on older people. Evidence from North America, Australia, China and Korea clearly shows increasing rates of many STIs in the population group aged 50 years and older. Similar changes are identified in three studies conducted in sub-Saharan Africa. There is a significant lack of detailed epidemiological data from Asia-Pacific and many African countries. There is also a lack of health education and health programmes directed towards older people. It is likely that sexual ageism is the dynamic that underpins this lack of focus and resources for older people.
Publisher: Informa UK Limited
Date: 07-1994
DOI: 10.1080/09540129408258651
Abstract: HIV research often depicts 'adolescents' and 'youth' as having 'unique' qualities which predispose them to sexual risk. Yet, the evidence points to unsafe sexual behaviour as not being socially uniform. At a time when the idea of 'risk groups' for HIV is being subjected to increasing public scrutiny, researchers also need to question assumptions about youth 'risk'. This study examines whether young gay men are at greater risk for unsafe sexual behaviour than older gay men. A questionnaire was administered to 284 predominately gay identified men in Melbourne, Australia, recruited from gay groups, health clinics, gay pubs and nightclubs, sex on premises venues, and the social networks of these men. The results show that, while there was no difference in the level of recent unprotected anal intercourse between age groups, young men (under 25 years) from gay commercial venues or who did not belong to a gay organization(s) had a significantly higher level of recent unprotected anal sex than other young gay men. These results suggest that sexual safety may be more appropriately explained as a social process, rather than a youthful characteristic, and that researchers should include cohort effects into their analyses.
Publisher: SAGE Publications
Date: 03-1996
DOI: 10.1177/144078339603200108
Abstract: A qualitative approach was used to explore the social and work contexts of the commercial sexual encounter between male sex workers and their clients. Male sex workers aged between 19 and 34 were interviewed in Melbourne. This preliminary, exploratory study suggests that dominant traditional models of male sexuality and masculinity may be reflected in how male sex workers give meaning to commercial sex. The study also reveals that, by using a career orientation towards their work, male sex workers may be able to separate work sex from personal sex, understand their work within the broader social context of work, reject the stigma of commercial sex, use their bodies as a resource that allows them to capitalise on male sexual privilege, and practise safe sex with their clients. Suggestions for further research into safe sex negotiations and practices in male commercial sex encounters are outlined.
Publisher: SAGE Publications
Date: 05-2000
Publisher: Cambridge University Press (CUP)
Date: 24-02-2005
DOI: 10.1017/S0144686X04002946
Abstract: This study examines the personal meaning and importance of music in the lives of older people, paying particular attention to the ways in which music contributes to self-identity and the quality of life. The data derive from qualitative interviews with a s le of older Australians aged 65 years and over who live in rural and urban settings. The findings reveal that music provides people with ways of understanding and developing their self-identity, of connecting with other people, of maintaining wellbeing and of experiencing and expressing spirituality, and that it provides strong associations with and memories of a person's life. Specifically, the results show how music is used as a source of entertainment as well as a forum to share and interact with others. Music was described as a personal experience to which people assigned meaning and emotions. The informants also described how music allowed them to engage in imaginative play and to escape from some of the hardships experienced in later life. The results reveal that music promotes quality of life by contributing to positive self-esteem, by helping people feel competent and independent, and by lessening feelings of isolation and loneliness. The paper argues that music can be used to maintain and promote a better quality of life for older people.
Publisher: Wiley
Date: 12-02-2010
DOI: 10.1111/J.1753-6405.1994.TB00252.X
Abstract: Despite the impact of education programs, the ability of gay men to sustain sexual safety still comes under public scrutiny. A self-administered questionnaire was distributed in 1990 to a convenience s le of 284 gay-identified Melbourne men recruited from gay groups, health clinics, gay pubs and nightclubs, sex-on-premises venues, and the social networks of these men. The questionnaire measured the perceived safety of various sexual practices and the practice of unprotected anal intercourse over the previous three months. These results were compared with results from other Australian studies. Whereas nearly all the men were sexually active, only a small proportion considered activities such as oral sex without ejaculation and anal sex with condoms to be 'totally safe'. The majority considered these activities to be 'more safe than unsafe', suggesting a risk-reduction rather than a 'no-risk' approach to sex. Comparisons with other Australian studies suggest that gay men are becoming more confident in the safety of sexual activities labelled as 'safe' by the AIDS Council. There was no elevated practice of unprotected anal sex at 'sex-on-premises' venues. Most men who had anal sex used condoms all of the time, whether sexual partnerships were 'once only' or were 'ongoing', suggesting that 'condoms always' is still a viable option in various partnerships. There was some evidence that a minority of men abandoned condoms in ongoing partnerships. If specific education c aigns are developed to promote 'negotiated safety' in partnerships, then such c aigns should not contradict the 'condoms always' strategy.
Publisher: Bentham Science Publishers Ltd.
Date: 08-2012
DOI: 10.2174/157016212802429767
Abstract: Injecting drug use plays a critical role in the transmission of HIV in Vietnam. This paper provides a comprehensive review of studies on risks of HIV infection among injecting drug users (IDUs) in Vietnam. Current research evidence shows that the age at which drug initiation starts is becoming younger and the transition time between non-injecting to injecting drug use becoming shorter. The practice of needle sharing and unprotected sex was quite common among the IDUs. Although most of the IDUs generally had good knowledge of HIV transmission routes, most IDUs were not aware of their infection status. Data from a national surveillance programme shows that a third of the IDUs were HIV positive. Amongst all HIV positive cases, almost two-thirds had a history of intravenous drug use. A number of studies have identified a range of risk factors and barriers to minimize the risk of HIV infection in IDUs. This paper discusses these issues and makes recommendations for changes to HIV/AIDS policies, programme interventions as well as future research on the topic.
Publisher: Informa UK Limited
Date: 28-12-2017
Publisher: Springer Science and Business Media LLC
Date: 24-03-2015
Publisher: Elsevier BV
Date: 10-1999
DOI: 10.1111/J.1467-842X.1999.TB01308.X
Abstract: This paper describes the profile of clients as reported by 186 male sex workers in three Australian cities. The data were collected using a diary which was completed after each commercial sexual encounter with a male client over a two-week period. The data reported in this study are based on reports from 2,088 sex encounters and a profile of 1,776 clients. The findings reveal, for ex le, that the most common source used for recruiting clients was advertisements, followed by escort agencies, although there were differences between the three cities the majority of the clients were in their 40s but clients of street workers were younger clients were most often classified as 'middle class', with differences by source of client recruitment less than half the clients were identified as being gay and a significant number were identified as bisexual or straight alcohol and drug use took place in a small percentage of the encounters most workers had some information about their clients, such as occupation and home number violence was infrequent and unsafe sex was requested in a minority of the encounters. Overall, the results reveal that clients of male sex workers are a highly heterogeneous group. The paper highlights a number of issues which can further promote safety and public accountability in male sex work.
Publisher: Hindawi Limited
Date: 09-2009
DOI: 10.1111/J.1365-2524.2009.00886.X
Abstract: The current paper reports findings from a qualitative research project that aimed to explore parents' experiences following the suicide death of their young adult child. Twenty-two Australian parents told of the suicide death of their son or daughter during the data collection period (2003 to late 2004). One narrative theme drawn from the interview data is reported here: the way in which suicide-bereaved parents feel unable to talk about their child's life and death, their experience of suicide and their resultant bereavement. Parents reported being silenced by others and silencing themselves in relation to talking about their bereavement. Parents' private stories are used to explain the difficulties they faced given the contemporary social and cultural context of grief and suicide. Then follows an examination of the impact these difficulties had on their ongoing grief narrative and availability of social support. Implications for health and social care intervention are presented to assist in better preparing support workers in their interactions with parents bereaved in this manner.
Publisher: Hindawi Limited
Date: 04-2007
DOI: 10.1111/J.1365-2834.2007.00680.X
Abstract: This study investigates the determinants of morale among Registered Nurses in Queensland, Australia. In light of the public discussions on the issues facing the future of nursing, it is critical to understand the factors that influence morale. A 160-question instrument sought information from Registered Nurses on their perceptions of 'self', work and morale. A response rate of 41% was achieved (n = 343) from a convenience s le of three acute hospitals. Following binary logistic regression modelling for organizational morale, significant relationships were found with patient care provision and team interaction. Binary logistic regression modelling for personal morale revealed positive relationships with team interaction, consultation, professional recognition and lower levels of patient abuse. The results point to a number of organizational and professional issues that can be considered by health care administrators and policy makers to develop workplaces that have a positive impact on the morale of nurses.
Publisher: Informa UK Limited
Date: 06-2000
Publisher: Wiley
Date: 12-2002
Publisher: Informa UK Limited
Date: 08-2007
Publisher: Informa UK Limited
Date: 02-2013
Publisher: Informa UK Limited
Date: 08-09-2017
Publisher: Informa UK Limited
Date: 06-1996
Publisher: Informa UK Limited
Date: 07-2013
Publisher: Informa UK Limited
Date: 26-03-2002
Abstract: This article describes the socio-demographic and sex work characteristics of sex workers in Sydney, Melbourne, and Brisbane. A total of 185 male sex workers completed the questionnaire component of the study. The results of this study serve to debunk many of the myths surrounding the popular view of the male sex worker (MSW). The respondents in this study were on average 27 years old, and the majority had completed secondary education, with 30% having gained some form of tertiary qualification. Interestingly, those MSWs who had not completed secondary education were mostly street workers and were generally aged under 25 years. The majority of sex workers lived in rented accommodation, with only 6% reporting to be homeless. Half of all respondents identified as being "gay," 31% as "bisexual" and 5.5% as "straight." More than half of the respondents were in a permanent relationship. Only 7.3% of this group reported using heroin daily, although the majority consumed alcohol, tobacco, marijuana, and ecstasy. The majority of sex workers had been in the profession for less than six months, although some had been working in the industry for more than ten years. Most of the sex workers reported having taken an HIV test and a preference to offer safer sex. The article highlights ways in which the work context of MSW can be better understood and supported by education and public policy programs.
Publisher: Hindawi Limited
Date: 22-04-2019
DOI: 10.1111/HSC.12760
Abstract: The needs of older lesbian and gay people regarding access and use of aged-care services remain underresearched. This paper reports the findings of 33 qualitative interviews with older lesbian women and gay men about their perceptions and experiences of residential aged-care and home-based aged-care services in Australia. The focus of this paper is their preparedness for using aged-care services. The results highlight that participants had a number of concerns related to accessing residential-care services in particular, including perceptions of a lack of inclusivity and concerns of potential for discrimination and hostility, loss of access to community and partners, decreased autonomy and concerns relating to quality of care and the potential for elder abuse. Participants noted a number of strategies they employed in avoiding residential-care services, including the use of home-care services, renovating the home for increased mobility, moving to locations with greater access to outside home-care services, a preference for lesbian/gay-specific housing and residential-care options if available, and the option of voluntary euthanasia to ensure dignity and autonomy. Participants, on the whole, were hopeful that they would never require the use of residential-care services, with some believing that having current good health or the support of friends could prevent this from happening. The findings suggest that older lesbian and gay people have a variety of concerns with aged-care and may need additional support and education to improve their perceptions and experiences of services, whether these are needed presently or in the future.
Publisher: Springer Science and Business Media LLC
Date: 15-07-2016
Publisher: SAGE Publications
Date: 29-08-2013
Abstract: Socioeconomic and health disadvantage is widespread within and across indigenous communities in the world, leading to differentials in morbidity and mortality between indigenous and non-indigenous populations. Sexually transmitted infections (STIs), including HIV/AIDS, among indigenous populations are an emerging public health concern. The focus of this paper is on examining the STI epidemiology in indigenous communities in various parts of the world utilizing a range of data sources. Most of the STI research on global indigenous communities has concentrated on developed countries, neglecting more than half the world’s indigenous people in the developing countries. This has resulted in major gaps in data at global level for STIs and HIV/AIDS among indigenous populations. Available data show that the prevalence of STIs is increasing among the indigenous communities and in several instances, the rates of these infections are higher than among non-indigenous populations. However, HIV still remains low when compared with the rates of other STIs. The paper argues that there is an urgent need to collect more comprehensive and reliable data at the global level across various indigenous communities. There is also an opportunity to reverse current trends in STIs through innovative, evidence-based and culturally appropriate targeted sexual health programmes.
Publisher: Informa UK Limited
Date: 28-05-2010
Publisher: Wiley
Date: 22-06-2017
DOI: 10.1111/AJAG.12450
Abstract: Healthcare providers (HCPs) can play an important role in supporting the sexual health of older adults however, we know little about the experiences of older people in talking to HCPs about sex. This article examines older adults' experiences and perceptions of talking to HCPs about sex. Semi-structured interviews were conducted with 30 men and 23 women aged 60 and older recruited from a national, online survey of older Australians. Data were analysed using a thematic approach. Most participants did not discuss sex with their HCP, and their HCP did not raise it. For those who did discuss sex with a HCP, negative and stigmatising responses were common. Positive responses could facilitate access to sexual health care. Older people benefit when HCPs are proactive and ask about sexual health. Education in how to talk about sex with older people would also be beneficial for HCPs.
Publisher: Wiley
Date: 05-1991
Publisher: Oxford University Press (OUP)
Date: 04-2001
DOI: 10.1111/J.1574-6968.2001.TB10599.X
Abstract: Previously-developed PCR protocols specific for the 16S rRNA gene of the intestinal spirochaetes Brachyspira aalborgi and Brachyspira pilosicoli were adapted for the detection of these species in human faeces, following DNA extraction and purification using mini-prep columns. The limits of detection in seeded faeces for B. aalborgi and B. pilosicoli respectively were 2x10(2) and 7x10(3) cells per PCR reaction, equivalent to 5x10(4) and 1x10(5) cells per g of faeces. The PCR techniques were applied to faecal s les from two patients with histological evidence of intestinal spirochaetosis. In the first patient, in whom B. aalborgi had been identified by 16S rDNA PCR from colonic biopsies, a positive lification for B. aalborgi only was obtained from the faeces. The organism could not be isolated from these faeces. In the second patient, both colonic biopsies and faeces were PCR positive for B. pilosicoli only, and B. pilosicoli was isolated from the faeces. These new faecal PCR protocols should be valuable for future studies on the epidemiology of intestinal spirochaete infections in human populations, particularly as it is not currently possible to isolate B. aalborgi from faeces.
Publisher: Wiley
Date: 28-10-2013
Publisher: Springer Science and Business Media LLC
Date: 30-08-2013
Publisher: Informa UK Limited
Date: 29-09-2014
Publisher: Informa UK Limited
Date: 18-07-2014
Start Date: 2007
End Date: 2009
Funder: Canadian Institutes of Health Research
View Funded ActivityStart Date: 2011
End Date: 2013
Funder: Australian Research Council
View Funded ActivityStart Date: 2016
End Date: 2018
Funder: Australian Research Council
View Funded ActivityStart Date: 2017
End Date: 2018
Funder: Australian Research Council
View Funded ActivityStart Date: 2015
End Date: 2017
Funder: Australian Research Council
View Funded ActivityStart Date: 2004
End Date: 2009
Funder: Australian Research Council
View Funded ActivityStart Date: 2003
End Date: 2003
Funder: Australian Research Council
View Funded ActivityStart Date: 02-2011
End Date: 12-2016
Amount: $276,079.00
Funder: Australian Research Council
View Funded ActivityStart Date: 2002
End Date: 03-2006
Amount: $80,000.00
Funder: Australian Research Council
View Funded ActivityStart Date: 2011
End Date: 07-2016
Amount: $280,009.00
Funder: Australian Research Council
View Funded ActivityStart Date: 2017
End Date: 09-2019
Amount: $197,000.00
Funder: Australian Research Council
View Funded ActivityStart Date: 02-2004
End Date: 06-2004
Amount: $30,000.00
Funder: Australian Research Council
View Funded ActivityStart Date: 05-2015
End Date: 12-2018
Amount: $321,950.00
Funder: Australian Research Council
View Funded ActivityStart Date: 12-2004
End Date: 08-2010
Amount: $2,500,000.00
Funder: Australian Research Council
View Funded ActivityStart Date: 03-2017
End Date: 12-2020
Amount: $296,000.00
Funder: Australian Research Council
View Funded Activity