ORCID Profile
0000-0003-0110-5317
Current Organisations
Monash University
,
University of Queensland
,
REMIT Consulting
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Publisher: Informa UK Limited
Date: 19-07-2021
Publisher: CSIRO Publishing
Date: 30-11-2021
DOI: 10.1071/SH21098
Abstract: Background Prevalence of sexually transmissible infections (STIs) has been associated with availability of alcohol. This paper investigates potential associations between prevalent cases of chlamydia in young people in Australia and the availability of alcohol within their local area, defined as postcode of residence. Methods Alcohol availability was determined at the postcode level using liquor licensing data, classified as total number of licences, number of ‘take-away’ licences and number of licenses by population. Participant data were drawn from a survey targeting Australians aged 16–29 years in rural and regional Australia, capturing demographic details including postcode of residence, indicators of sexual behaviour including condom use and chlamydia test results. Mixed-effects logistic regression was used to examine potential associations between first, alcohol availability and chlamydia, and second, between condom use and chlamydia. Results We found little evidence of associations between alcohol availability and chlamydia in either unadjusted or adjusted models. After adjusting for alcohol availability, we observed significant associations between inconsistent condom use and chlamydia prevalence, whether alcohol availability was measured as total number (adjusted odds ratio (AOR) 2.20 95% confidence interval (CI) 1.20, 3.70), number of take-away licenses (AOR 2.19 95% CI 1.30, 3.69) or licenses per 1000 population (AOR 2.19 95% CI 1.30, 3.68). Conclusion Little evidence of association between alcohol availability and chlamydia at the postcode level was found. Further research is required to determine appropriate measures of ‘local area’ and how characteristics thereof may impact on sexual health.
Publisher: Springer Science and Business Media LLC
Date: 12-2008
Publisher: Springer Science and Business Media LLC
Date: 27-11-2018
Publisher: CSIRO Publishing
Date: 2014
DOI: 10.1071/SH13188
Abstract: Background Patterns of population susceptibility to sexually transmissible infections may be influenced by various social determinants of health, however these receive relatively little attention. Income inequality is one such determinant that has been linked to a number of poor health outcomes. The objective of this analysis was to determine whether there is an association between income inequality and Neisseria gonorrhoeae notification rates when measured at the country level. Methods: Gini coefficients, gonorrhoea notification rates among women, per capita gross domestic product and approximate size of female population were obtained for 11 countries of the OECD. Linear regression was used to measure the association between income inequality and gonorrhoea notification rates, using generalised estimation equations (GEE) to control for the non-independence of repeat measures from particular countries. Results: A total of 36 observations from 11 countries were included. Gini coefficients ranged from 0.21 to 0.38 and gonorrhoea notifications from 0.7 to 153 per 100000 females. Significant associations were found between country-level income inequality and gonorrhoea notification rates among women (b = 17.79 (95% CI: 10.64, 24.94, P 0.01). Conclusions: Significant associations were found, highlighting the importance of acknowledging and accounting for social determinants of sexual health and suggesting that further research in this arena may be fruitful.
Publisher: CSIRO Publishing
Date: 2016
DOI: 10.1071/SH15141
Abstract: Background Long-acting reversible contraceptives are an effective means of preventing unwanted pregnancies and associated negative consequences. The Sexual Health and Family Planning Association of Australia has called for efforts to address barriers to the uptake of long-acting reversible contraceptives (LARCs) in Australia, where LARC uptake is thought to be low, though comprehensive data describing use and associated factors is scarce. The aims of this study were to describe patterns of prescriptions for the etonogestrel-releasing subdermal implant (SDI) in Australia, 2008–2012, and associated factors. Methods: Records of prescriptions written through Australia’s Pharmaceutical Benefits Scheme from 2008 to 2012 were obtained, including patient age and geographic location. Direct, age-standardised rates (ASR) of prescriptions were calculated for each year and location, with multivariate analysis used to examine associations between prescription rates and patient age, location and proximity to family planning clinics (FPC) or Aboriginal Medical Services (AMS). Results: ASR of prescriptions rose ~6% per year (OR 1.06, 95%CI: 1.05–1.06) from 13.05 per 1000 (2008) to 15.76 per 1000 (2012 P 0.01). Rates were highest among 15- to 19-year-olds, increasing from 20.81 (2008) to 29.09 per 1000 (2012: P 0.01) and lowest among 45- to 49-year-olds, increasing from 3.37 to 3.73 per 1000 (P 0.01). ASR by location were significantly higher in regional than metropolitan areas. Conclusions:This is the first analysis of SDI prescriptions across all ages and regions of Australia. Uptake of SDI in Australia is increasing but remains low. Significant associations were found between prescription rates and patient age and residence in regional/remote areas.
Publisher: AMPCo
Date: 02-2014
DOI: 10.5694/MJA13.10729
Publisher: Wiley
Date: 2011
DOI: 10.1111/J.1467-9566.2010.01276.X
Abstract: While the stigma surrounding sex work is both well documented and easily recognised, few studies examine stigma in this context from the perspective of the sex workers themselves. In this article we report on a study using a modified grounded theory approach to analyse a series of semi-structured interviews with 49 female sex workers in Hong Kong, in order to examine the ways in which this group experiences and negotiates the stigma which arises from their employment in the sex industry. Sex workers in Hong Kong were subject to various stigmatising forces in their daily lives in their interactions with the public, the police and their families. These processes could have a negative impact on the sex workers' health, both through obvious manifestations such as physical or verbal abuse and through more subtle processes such as those which generated or perpetuated vulnerability and those which compelled the sex workers to conceal their identities and withdraw themselves from social networks. These findings are situated in the context of broader research surrounding sex work, drawing attention to the consequences of stigma on health and their interaction with health-service providers, before briefly discussing possible means of overcoming stigma-related barriers to providing adequate healthcare for this marginalised group.
Publisher: AMPCo
Date: 08-2015
DOI: 10.5694/MJA14.01724
Abstract: To determine actual availability and cost of general practitioner appointments for children with conditions of low acuity and low urgency, from the perspective of the child's family. A "secret shopper" method, whereby research assistants posing as parents seeking appointments for mildly ill children telephoned a random s le of 225 general practice clinics within three Melbourne Medicare Local catchments, which included urban, suburban and regional areas the study was conducted between 1 August and 30 September 2014. Availability of same-day appointments and time until appointment bulk-billing status of the clinic and/or the potential cost of an appointment. High availability of appointments was found in all three catchment areas (range, 72%-81% of clinics contacted). About half (49%) had appointments available within 4 hours. Between 72% and 80% of clinics contacted in the three Medicare Local catchment areas offered bulk-billing for paediatric appointments. There is extensive same-day new-patient GP appointment availability for mildly ill children in the catchment areas of Melbourne studied. Further, as most of the available appointments are in clinics that bulk bill, financial access should not affect this availability. Increased paediatric presentations to emergency departments are not likely to be the result of limited GP availability. These findings provide an important base for developing data-driven policy approaches to the development and use of primary care.
No related grants have been discovered for Amie Bingham.