ORCID Profile
0000-0002-4738-8781
Current Organisation
University of Melbourne
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Research Topics
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.
Top 5 Research Topics
ANZSRC Field of Research (FoR)
Sociology | Social Change | Sociology Not Elsewhere Classified | Health Promotion | Social Change | Family And Household Studies |
ANZSRC Socio-Economic Objective (SEO)
Specific Population Health (excl. Indigenous Health) not elsewhere classified | Families | Youth/child development and welfare | Health Inequalities
Related Links
Publications
The burden of bacterial vaginosis: Women's experience of the physical, emotional, sexual and social impact of living with recurrent bacterial vaginosis
Publisher: Public Library of Science (PLoS)
Date: 11-09-2013
Comparing knowledge and perceived risk related to the human papilloma virus among Australian women of diverse sexual orientations
Publisher: Elsevier BV
Date: 02-2009
DOI: 10.1111/J.1753-6405.2009.00345.X
Abstract: The study compared levels of awareness of human papilloma virus (HPV) as a sexually transmissible infection (STI) between women of different sexual orientations. It also examined self-reported risk factors for HPV infection, perceived level of personal risk, and willingness to have the HPV vaccine. Recruitment occurred through community s ling and data was collected using a self-completion questionnaire. A convenience s le of 349 women completed the questionnaire in early 2007, 309 were sexually active 47.6% had lifetime sexual partners of both genders, 26.9% had only male partners, and 25.5% had only female partners. Women with partners of both genders were more likely to have ever had a pap test but were also more likely to report an abnormal result (OR 3.19) than women with only male partners. Only 68% of the s le had heard of HPV and women with partners of both genders were significantly more likely to be aware than women with only male partners (OR 2.56). Forty-four per cent did not know how HPV was transmitted and less than half correctly identified HPV-associated clinical problems, with no differences according to gender of partners. The majority of women had risk factors for HPV, however, few felt personally at risk. The very low personal risk perception for HPV, particularly among women who have female and male sexual partners, suggests the need for targeted education for this group regarding HPV transmission and prevention. Health promotion regarding HPV should be broadened to specifically include information about HPV as an STI between women.
Mental health, sexual identity, and interpersonal violence: Findings from the Australian longitudinal Women’s health study
Publisher: Springer Science and Business Media LLC
Date: 30-09-2017
Parent-reported measures of child health and wellbeing in same-sex parent families: a cross-sectional survey
Publisher: Springer Science and Business Media LLC
Date: 21-06-2014
Fractured Identity in the Context of Intimate Partner Violence: Barriers to and Opportunities for Seeking Help in Health Settings
Publisher: SAGE Publications
Date: 02-09-2016
Abstract: Intimate partner violence has profound effects on women’s identities. However, detailed examination of how abuse affects identity is lacking. We interviewed 14 erse women (Australia), applying social identity theory to analyze their experiences of identity and help-seeking in health settings. The destabilizing effect of violence on social identities was strongly supported. Women concealed abuse to preserve a public identity. However, when the violence threatened the most integrated identities, women unveiled an abuse identity, receiving mixed responses from health providers. A healing context where a woman can display an abuse identity safely is crucial to enable her to rebuild an integrated self-concept.
Organising work and home in same-sex parented families: Findings from the work love play study
Publisher: Wiley
Date: 12-2010
The case for educating health care students in professionalism as the core content of interprofessional education
Publisher: Wiley
Date: 04-04-2005
DOI: 10.1111/J.1365-2929.2005.02116.X
Abstract: Professional teams are becoming more central to health care as evidence emerges that effective teamwork enhances the quality of patient care. Currently, health care professionals are poorly prepared by their education for their roles on the team. In parallel, there are increasing demands from consumers for health care professionals to serve the interests of society and patients through engaging in effective professional partnerships. Professionalism for health care providers is now being defined as a commitment to standards of excellence in the practice of the profession that are designed primarily to serve the interests of the patient and to be responsive to the health needs of society. Yet, there are multiple barriers impeding the development of professionalism beyond a uni-professional frame of reference. Incorporating teamwork and professionalism into health care professional curricula at pre-registration level is proving to be challenging. These 2 areas of learning are brought together in this paper through a discussion of the role of interprofessional education in preparing all health care professional students for the workforce. Interprofessionalism is presented as a pre-registration curriculum framework that includes values shared by all health care professionals, which should be learned in order to more adequately prepare students for working in health care teams. It will be argued that interprofessional education provides appropriate methods by which to learn interprofessionalism, and that this will ultimately contribute to overcoming uni-professional exclusivity.
Guidelines for the primary care of lesbian, gay, and bisexual people: A systematic review
Publisher: Annals of Family Medicine
Date: 11-2010
DOI: 10.1370/AFM.1173
Psychological Wellbeing among Same-sex Attracted and Heterosexual Parents: Role of Connectedness to Family and Friendship Networks
Publisher: Wiley
Date: 09-2015
DOI: 10.1002/ANZF.1109
Factors associated with bacterial vaginosis among women who have sex with women: A systematic review
Publisher: Public Library of Science (PLoS)
Date: 16-12-2015
Multiple Identities and Their Intersections with Queer Health and Wellbeing
Publisher: Informa UK Limited
Date: 04-07-2017
Health service use by same-sex attracted Australian women for alcohol and mental health issues: a cross-sectional study.
Publisher: Royal College of General Practitioners
Date: 15-05-2018
DOI: 10.3399/BJGPOPEN18X101565
Abstract: Same-sex attracted women (SSAW) have higher rates of alcohol and mental health problems than heterosexual women, but utilisation of and satisfaction with treatment is limited. This study investigated the influences on health service use for alcohol and mental health problems among SSAW. The Gelberg-Andersen behavioural model of health service utilisation was used to generate outcome variables. A convenience s le of 521 community-connected Australian SSAW completed an online survey. Health service use according to sexual identity was compared using χ 2 analysis. Binary logistic regression examined associations between the independent variables with treatment utilisation. Reports of alcohol treatment were very low. Only 41.1% of participants with service need had utilised mental health and alcohol treatment. Bisexual women (adjusted odds ratio [AOR] = 2.76) and those with ‘other’ identities (AOR = 2.38) were more likely to use services than lesbian women. Enablers to service use were having a regular GP (AOR = 3.02) disclosure of sexuality to the GP (AOR = 2.42) lesbian, gay, bisexual and transgender (LGBT) community-connectedness (AOR = 1.11) and intimate partner violence ([IPV] AOR = 2.51). Social support was associated with a reduction in treatment use (AOR = 0.97). Significant access barriers included not feeling ready for help, and previous negative experiences related to sexual identity. Disclosing sexual identity to a regular, trusted GP correlated with improved utilisation of alcohol and mental health treatment for SSAW. The benefits of seeking help for alcohol use, and of accessing LGBT-inclusive GPs to do so, should be promoted to SSAW.
Women's management of recurrent bacterial vaginosis and experiences of clinical care
Publisher: Public Library of Science (PLoS)
Date: 24-03-2016
From silence to sensitivity: A new Identity Disclosure model to facilitate disclosure for same-sex attracted women in general practice consultations
Publisher: Elsevier BV
Date: 07-2012
DOI: 10.1016/J.SOCSCIMED.2012.02.037
Abstract: Women's same-sex attraction is rarely raised within general practice consultations, despite a common desire for its inclusion. Same-sex attracted women are significantly more likely than heterosexual women to suffer a range of health inequalities, making disclosure of sexual orientation often clinically relevant. This research explored the influences on disclosure from the perspectives of GPs and their regular same-sex attracted female patients. We conducted in-depth semi-structured interviews between mid 2005 and late 2006 with 33 same-sex attracted Australian women, 27 GPs and 1 psychiatrist, including 24 patient-GP pairs. Analysis revealed three disclosure patterns by same-sex attracted women with their preferred GPs, which we labelled open (telling), passive (waiting to be asked) and private (not telling). The three main influences on disclosure patterns were women's sexual identity experience, the risk of disclosure perceived by women and GPs, and the quality of the patient-doctor relationship. We developed the Identity Disclosure model to explain the interactions between these three influences. The more important a woman's sexual identity, the more likely she was to prefer an open disclosure approach, while a lower level of identity importance led to a passive or private approach. Risk and relationship then counterbalanced the disclosure decision. A high level of perceived risk for women or GPs would reduce women's openness, or GPs' willingness to facilitate disclosure. Reciprocal knowing within the relationship would attenuate risk and increase openness. Reciprocity had the capacity to increase GPs' shared responsibility for disclosure, which was desired by many women. We suggest that the Identity Disclosure model will facilitate GPs' understanding of the complex influences on disclosure, and ultimately transform their consultations with same-sex attracted women beyond the habitual silence to a new level of sensitivity.
Women view key sexual behaviours as the trigger for the onset and recurrence of bacterial vaginosis
Publisher: Public Library of Science (PLoS)
Date: 09-03-2017
Improving alcohol and mental health treatment for lesbian, bisexual and queer women: Identity matters
Publisher: Elsevier BV
Date: 02-2018
Abstract: Lesbian, bisexual and queer (LBQ) women experience substantial unmet alcohol and mental health treatment needs. This paper explores the way in which sexual identity shapes experience, and needs, in relation to alcohol and mental health treatment, and presents key messages for improving treatment. Twenty-five in-depth interviews were undertaken with same-sex attracted Australian women, aged 19-71. Interview transcripts were analysed thematically. Key messages offered by participants focused on language, disclosure and practitioner training. Variation in sexual identity did not alter treatment expectations or needs however, we noted an important difference with respect to identity salience, with high LBQ identity salience linked with preference for disclosure and acknowledgement of sexual identity in treatment interactions, and low identity salience linked with a preference not to disclose and for sexual identity not to require acknowledgement in treatment. Treatment providers may find it useful to gather information about the centrality of sexual identity to LBQ women as a means of overcoming treatment barriers related to heteronormative conventions and discrimination, language and disclosure. Implications for public health: Treatment providers should adopt more inclusive language, seek information about identity salience and the importance of sexual identity to the current treatment, and regularly pursue LBQ-related professional development upskilling.
The health perspectives of A ustralian adolescents from same‐sex parent families: a mixed methods study
Publisher: Wiley
Date: 31-07-2014
DOI: 10.1111/CCH.12180
Abstract: Research involving adolescents from same-sex parent families provides an important contribution to the evidence base on their health, well-being and the impact of stigma. To date reports on the perspectives of adolescents with same-sex attracted parents have been limited. This study aimed to describe the multidimensional experiences of physical, mental and social well-being of adolescents living in this context. A mixed methods study of adolescents with same-sex attracted parents comprising of an adolescent-report survey of 10- to 17-year-olds and family interviews with adolescents and their parents. Data were collected in 2012 and 2013 as part of the Australian Study of Child Health in Same-Sex Families. The findings from qualitative interviews with seven adolescents and responses to an open-ended survey question (n = 16) suggest four themes: perceptions of normality, positive concepts of health, spheres of life (including family, friends and community) and avoiding negativity. The quantitative s le of adolescents with same-sex attracted parents (n = 35) reported higher scores than population normative data on the dimensions general health and family activities within the Child Health Questionnaire (CHQ) as well as higher on the peer problems scale on the Strengths and Difficulties Questionnaire (SDQ). Perceived stigma correlates with lower health and well-being overall. Positive health outcomes are informed by the ways adolescents conceptualize health and how they construct their spheres of life. Peer relationships, and community perspectives of same-sex families, inform perceived stigma and its correlation with poorer health and well-being. Although adolescents see their families as essentially normal they are negatively affected by external societal stigma.
Absent sexual scripts: Lesbian and bisexual women's knowledge, attitudes and action regarding safer sex and sexual health information
Publisher: Informa UK Limited
Date: 2009
DOI: 10.1080/13691050802541674
Abstract: Despite recent evidence demonstrating that lesbian and bisexual women are at risk of sexually transmitted infections (STIs), there is a common perception that STIs cannot be transmitted between women. This paper reports on a study in which a self-report questionnaire, completed by over 300 lesbian and bisexual women and a comparison group of heterosexual women, was undertaken to determine lesbian and bisexual women's levels of knowledge about the human papillomavirus (HPV) and their attitudes toward the HPV vaccine and cervical smear testing. Alongside this, a series of in-depth interviews with lesbian and bisexual women explored how they perceive their level of HPV risk, the reasons why they do or do not feel at risk and how they manage their sexual health in relation to their lesbian or bisexual identity. The study concludes that lesbians generally feel at low risk for STIs because they are excluded from dominant sexual scripts that inform the negotiation of safer sex practice. Lesbians are unlikely to engage with sexual health promotion targeted toward gay men or heterosexual women, yet lesbian-specific sexual health promotion does not adequately construct an alternate discourse on safer sex that lesbians can relate to their own sexual practice.
Risk reduction as an accepted framework for safer-sex promotion among women who have sex with women
Publisher: CSIRO Publishing
Date: 2009
DOI: 10.1071/SH08022
Abstract: Background: Safer-sex information for women who have sex with women (WSW) is often very difficult to locate. Girl2girl.info is one of the only websites focussed on safer sex for WSW. The present article describes the predevelopment consultation and evaluation of girl2girl.info. A risk-reduction framework was used to develop the website. Methods: Girl2girl.info was developed in 2004 using questionnaires and focus groups with 36 consumers who were WSW, largely based in Canberra, Australia. In 2006–2007 the site was evaluated using mixed methods of questionnaires with 74 WSW and interviews with 17 health professionals around Australia. Results: This research has identified some key attitudes toward safer sex of WSW participants, in particular a misperception that the majority of WSW are at low risk for sexually transmissible infections and a consistent aversion to using latex for safer sex. Conclusions: The article concludes that the promotion of a risk-reduction approach – including non-latex-based safer-sex practices – for WSW is both a theoretically appropriate and engaging form of health promotion for WSW.
Australian evidence for interprofessional education contributing to effective teamwork preparation and interest in rural practice
Publisher: Informa UK Limited
Date: 2005
DOI: 10.1080/13561820500412452
Abstract: A pilot interprofessional education (IPE) placement for undergraduate health care professional students was undertaken in rural Victoria, Australia from 2001 to 2003. Medical, nursing, physiotherapy and pharmacy students were involved, and the project is ongoing. This paper briefly outlines the educational model, then focuses on the evaluation methods and results obtained from student evaluations. The placement experience improved self-reported teamwork skills and knowledge, and supported participating students' belief in the value of interprofessional practice. Placements strengthened nursing and allied health students' intention to work in rural health settings after graduation. The rural interprofessional educational experience improved interprofessional abilities in a group of students who have the potential to influence change towards collaborative practices in their future workplaces. The results obtained provide sufficiently strong evidence to justify the continuation and expansion of this educational model in the Australian setting. Pedagogical and evaluation modifications are discussed that may benefit future IPE programs.
Medical students developing confidence and patient centredness in diverse clinical settings: a longitudinal survey study
Publisher: Springer Science and Business Media LLC
Date: 15-07-2016
Triumphs and challenges in recruiting same‐sex parent families
Publisher: Elsevier BV
Date: 02-2014
Public international law and the regulation of private spaces: Does the convention on the rights of the child impose an obligation on states to allow gay and lesbian couples to adopt?
Publisher: Oxford University Press (OUP)
Date: 29-01-2008
Health Status, Health Service Use, and Satisfaction According to Sexual Identity of Young Australian Women
Publisher: Elsevier BV
Date: 2011
DOI: 10.1016/J.WHI.2010.08.002
Abstract: we sought to compare physical and mental health status, health service use, and satisfaction among young Australian women of varying sexual identity and to explore associations of all of these variables with satisfaction with their general practitioner (GP). data are from the youngest cohort of women in the Australian Longitudinal Study on Women's Health surveyed in 2003. The s le included women aged 25 to 30 who identified as exclusively heterosexual (n = 8,083 91.3%), mainly heterosexual (n = 568 6.4%), bisexual (n = 100 1.1%), or lesbian (n = 99 1.1%). Univariate analyses compared self-reported mental health, physical health, access to GP services, and satisfaction across the four sexual identity groups. Linear regression, controlling for education, income, and residence, was used to identify factors associated with GP satisfaction. sexual minority women (lesbian, bisexual, and mainly heterosexual) were significantly more likely than were heterosexual women to report poorer mental health and to have more frequently used health services depression was strongly associated with mental health services use. Bisexual and mainly heterosexual women were most likely to report poorer general health, abnormal Pap tests, sexually transmissible infections, urinary tract infections, hepatitis B or C virus infection, and asthma. Lesbians were most likely to have never had a Pap test or be underscreened. All sexual minority women had lower continuity of GP care and lower satisfaction with that care than heterosexual women. underlying social determinants of physical and mental health disparities experienced by sexual minority women require exploration, including the possible effects of discrimination and marginalization on higher levels of risk taking. Lower continuity of care and lower satisfaction with GP services also need further investigation.
Experiences of LGBTIQA+ people with disability in healthcare and community services: Towards embracing multiple identities
Publisher: MDPI AG
Date: 02-11-2020
Abstract: Healthcare and disability support services are increasing their efforts towards inclusion and recognising the needs of different groups. This research project was conducted by academic and peer researchers (LGBTIQA+ people with disability) in Victoria, Australia using four focus groups with LGBTIQA+ people with disability. We report on two overarching themes relating to participants’ experiences of accessing health services as LGBTIQA+ people with disability: difficulties in managing multiple identities and the impacts of community services and supports. Participants described having to repeatedly ‘come out’ in a range of ways and contexts as complex and layered processes in which it was difficult to present their full range of needs and experiences to services. We also found that the role of community in promoting a sense of belonging and resilience increased capacity to manage health service use and advocacy. Services and communities aiming to be inclusive to all have the opportunity to recognise and respond to the issues faced by LGBTIQA+ people with disability as a way to pay attention to how overt and subtle practices of discrimination continue to operate despite repeated attempts at or claims of being ‘inclusive.’ Our research suggests actual inclusive, accessible services can be achieved in part through policy and practice that actively responds to the specific needs of LGBTIQA+ people with disability, in addition to LGBTIQA+ education for disability services and disability and accessibility education for LGBTIQA+ focused services. As we do in this article, we argue that this work must be done by prioritising authentic participation of LGBTIQA+ people with disability in the services and research that is about them.
The Culturally and Linguistically Diverse SPs' Evaluation of Simulation Experience
Publisher: Elsevier BV
Date: 05-2017
What makes a same‐sex parented family?
Publisher: AMPCo
Date: 20-05-2013
DOI: 10.5694/MJA12.11234
The mental health status of young adult and mid-life non-heterosexual Australian women
Publisher: Elsevier BV
Date: 06-2005
DOI: 10.1111/J.1467-842X.2005.TB00766.X
Abstract: To compare the mental health status of early adult and mid-life Australian women according to sexual orientation. Cross-sectional analyses of the Australian Longitudinal Study on Women's Health (ALSWH) surveys for the younger (22-27 years) and mid-age (50-55 years) cohorts. Women were classified into one of four groups: exclusively heterosexual, mainly heterosexual, bisexual and lesbian. Regression analyses were used to examine the effects of sexual orientation on mental health after adjusting for age, region of residence and education and to assess the potential mediating roles of stress, abuse and social support. Younger, mainly heterosexual, bisexual and lesbian women had poorer mental health outcomes than exclusively heterosexual women on all outcome measures except anxiety in lesbian women, even after adjustment for age, region and education. Mid-age mainly heterosexual women had poorer mental health on all outcomes except for medically diagnosed anxiety and bisexual women had significantly higher odds of self-harm than exclusively heterosexual women. All non-heterosexual women in both cohorts reported higher levels of stress and lifetime abuse. Controlling for stress, abuse and social support attenuated the mental health findings. The poorer mental health in young non-heterosexual women and mid-life mainly heterosexual women highlights the need for health care providers to be particularly sensitive to mental health issues in these women. Stress, social support and lifetime abuse may play a role in explaining the poorer mental health and discrimination may also be important.
A tailored compassion-focused therapy program for sexual minority young adults with depressive symotomatology: study protocol for a randomized controlled trial
Publisher: Springer Science and Business Media LLC
Date: 03-2017
ACHESS – The Australian study of child health in same-sex families: background research, design and methodology
Publisher: Springer Science and Business Media LLC
Date: 13-08-2012
Women's views and experiences for the triggers for the onset of bacterial vaginosis and exacerbating factors associated with recurrence
Publisher: Public Library of Science (PLoS)
Date: 03-2016
Impact of family structure and socio-demographic characteristics on child health and wellbeing in same-sex parent families: A cross-sectional survey
Publisher: Wiley
Date: 05-2016
DOI: 10.1111/JPC.13171
Abstract: Children with same-sex attracted parents develop well in terms of their health and wellbeing. There are many recognised factors that have an impact on child health, in general, including in idual, family and wider social mediators. The aim of this study is to determine the impact of family structure and socio-demographic characteristics on child health and wellbeing in Australian same-sex parent families. A cross-sectional survey of self-identified same-sex attracted parents from across Australia was used to collect information on child health and wellbeing between May and December 2012. Mixed-effects multiple linear regression models were used to identify associations between family structure/socio-demographic characteristics and child wellbeing. Child health outcomes were measured using the Child Health Questionnaire and the Strengths and Difficulties Questionnaire. In same-sex parent families, biological relationships, parental gender and parental education were not significantly associated with health and wellbeing. Parental income, rurality and stable parental relationships were associated with health and wellbeing, and living in a single-parent household was associated with poorer wellbeing. Stable dual parent families offer good outcomes for children with same-sex attracted parents. Family processes are most important. This study does not support the assertion that children require both male and female parents, nor that biological relationships are essential to health and wellbeing. This study provides scientific data from a cross-sectional Australian-based study to describe and understand health determinants for children in family contexts that comprise same-sex parent and all family contexts. It recommends equitable, stigma-free family support.
Lesbian, gay and bisexual homelessness in Australia: Risk and resilience factors to consider in policy and practice
Publisher: Hindawi Limited
Date: 26-05-2022
DOI: 10.1111/HSC.13439
Abstract: Lesbian, gay and bisexual (LGB) people are more likely than heterosexual people to experience homelessness. The study aimed to compare risk and resilience factors commonly associated with homelessness according to sexual identity to inform more LGB-inclusive and targeted policy and service provision in this area. The study involved analysis of data from two Australian surveys: the General Social Survey 2014 (n = 17,401) and the Journeys Home study (n = 1,659). Chi-squared analyses of the survey data compared LGB with heterosexual respondents. Bisexual respondents had a significantly earlier average age of first homelessness, and were more likely to have repeated episodes of homelessness than lesbian, gay or heterosexual respondents. Risk factors that were higher among bisexual people included family violence, conflict and rejection and substance use issues. LGB respondents were twice as likely to have experienced discrimination as heterosexual respondents, more likely to have experienced violence and have mental health problems. Conversely, resilience factors for LGB respondents included being more likely to access friends for support in times of crisis, and to be involved in civic or political groups. We suggest that LGB people at risk of homelessness need effective responses based on their risk and resilience factors, including targeted peer support and mainstream services that affirm and acknowledge their erse sexual identities. Australian policies should encourage improved LGB data collection and specific service responses. Primary prevention approaches include educating families of origin about LGB identities and assertive outreach to prevent housing loss.
Abdomen and chest examinations in peer physical examination: Variation in participation by gender
Publisher: University of Otago Library
Date: 09-04-2015
Building healthcare workers' confidence to work with same-sex parented families
Publisher: Oxford University Press (OUP)
Date: 03-03-2016
Abstract: This article reports on a qualitative study of barriers and access to healthcare for same-sex attracted parents and their children. Focus groups were held with same-sex attracted parents to explore their experiences with healthcare providers and identify barriers and facilitators to access. Parents reported experiencing uncomfortable or anxiety-provoking encounters with healthcare workers who struggled to adopt inclusive or appropriate language to engage their family. Parents valued healthcare workers who were able to be open and honest and comfortably ask questions about their relationships and family. A separate set of focus groups were held with mainstream healthcare workers to identity their experiences and concerns about delivering equitable and quality care for same-sex parented families. Healthcare workers reported lacking confidence to actively engage with same-sex attracted parents and their children. This lack of confidence related to workers' unfamiliarity with same-sex parents, or lesbian, gay and bisexual culture, and limited opportunities to gain information or training in this area. Workers were seeking training and resources that offered information about appropriate language and terminology as well as concrete strategies for engaging with same-sex parented families. For instance, workers suggested they would find it useful to have a set of 'door opening' questions they could utilize to ask clients about their sexuality, relationship status or family make-up. This article outlines a set of guidelines for healthcare providers for working with same-sex parented families which was a key outcome of this study.
Effectiveness of a culturally tailored SMS alcohol intervention for same-sex attracted women: Protocol for an RCT
Publisher: Springer Science and Business Media LLC
Date: 06-02-2019
Risks and prevention of sexually transmissible infections among women who have sex with women
Publisher: CSIRO Publishing
Date: 2005
DOI: 10.1071/SH04046
Abstract: Health care providers working with women who have sex with women (WSW) have been ill-informed about a range of sexual health issues for these women. Pertinent issues include sexual behaviours that carry risks of sexually transmissible infection (STI), prevention strategies for safer sex and understanding experiences of abuse. A relative silence continues in all of these areas within the mainstream medical literature, textbooks, research and policy documents, which perpetuates medical ignorance. There is evidence that the prevalence of STIs among WSW is at least as high as among heterosexual women, if not higher among some sub-groups. Risk factors include the sex and number of sexual partners, minimal use of protected sexual behaviours and low levels of knowledge of STI prevention among WSW. Importantly, marginalisation leading to poorer mental health and experiences of abuse can combine to influence risk taking including substance abuse and risky sexual behaviours. Safe-sex guidelines and the need to recognise the impact of sexual abuse are presented.
Parent Perspectives on Child Health and Wellbeing in Same-Sex Families: Heteronormative Conflict and Resilience Building
Publisher: Springer Science and Business Media LLC
Date: 09-01-2017
Debate
Publisher: Springer Science and Business Media LLC
Date: 09-11-2008
Sharing obstetric care: Barriers to integrate systems of care
Publisher: Elsevier BV
Date: 08-2000
DOI: 10.1111/J.1467-842X.2000.TB01602.X
Abstract: To map the provision of shared obstetric care in Victoria, and investigate the views of care providers about the ways in which current practice could be improved. All Victorian public hospitals with > or = 300 births per annum and a purposive s le of hospitals with or = 300 births per annum (16/28) had three or more different models of shared care. Six hospitals (15%) had written guidelines for all models of shared care offered 13 (32%) had written guidelines covering some models. Practice varied considerably in relation to: exclusion criteria, recommended schedule of visits and use of patient-held records. There was little consensus about the content of visits and responsibility for covering particular aspects of care. Few hospitals (6/42) had written information for women about shared care. Care providers expressed ergent views regarding the question of where ultimate responsibility lies for in idual patient care and for the overall management of shared care. Current funding arrangements provide strong incentives to expand enrollment in shared obstetric care. Expansion of shared care has occurred without the development of formal, consultative and agreed arrangements between providers, or adequate provision for monitoring, evaluation and review. The variety, complexity and fluidity of models of shared care and lack of agreed procedures contribute to difficulties experienced by both providers and women participating in shared care. Detailed evidence-based agreed guidelines developed in consultation with hospital and community providers, and provision of improved information to women about what to expect in shared care arrangements are urgently required.
Same-sex attracted parents' emotional transitions to parenthood
Publisher: Springer Singapore
Date: 2018
Gay and bisexual dads and diversity: Fathers in the work, love, play study
Publisher: Informa UK Limited
Date: 12-2012
Using multimedia to assist students with communication skills and biopsychosocial integration: An evaluation
Publisher: Australasian Society for Computers in Learning in Tertiary Education
Date: 02-08-2000
DOI: 10.14742/AJET.1826
Abstract: span This paper reports on the development rationale and evaluation of a computer facilitated learning (CFL) package which aimed to assist medical students with their clinical communication skills and develop an integrated biopsychosocial approach to identifying a patient's problems. Using a formative evaluation framework developed at the University of Melbourne the CFL package, /span em Communicating with the Tired Patient, /em span underwent a three stage review. Initial evaluation consisted of both formal and informal conceptual and technical review by content experts, instructional designers and evaluators. The final stage of the evaluation involved the survey and observation of 110 medical students interacting with the package. Students were very positive about the instructional and interface design of the package and indicated that the package assisted with their understanding of issues associated with clinical communication. Nevertheless, a number of areas were highlighted where either the package or the learning environment could be modified or improved. /span
Coming out: Is the Mardi Gras still needed?
Publisher: AMPCo
Date: 03-2012
DOI: 10.5694/MJA12.10233
Mental health help seeking patterns and associations among Australian same sex attracted women, trans and gender diverse people: a survey-based study
Publisher: Springer Science and Business Media LLC
Date: 04-07-2016
A model for lesbian, bisexual and queer-related influences on alcohol consumption and implications for policy and practice
Publisher: Informa UK Limited
Date: 14-10-2016
DOI: 10.1080/13691058.2015.1089602
Abstract: Research consistently reports higher rates of problematic drinking among lesbian, bisexual and queer women than among heterosexual women, but relatively little research has identified underlying factors. Within this context, the aim of the present study was to qualitatively explore the sociocultural influences on alcohol consumption among lesbian, bisexual and queer women in Australia. An ethnographic study including in-depth interviews and 10 sessions of participant observation was conducted with 25 Australian lesbian, bisexual and queer women. Analysis of transcripts and fieldnotes focused on lesbian, bisexual and queer-related influences on alcohol consumption. Three lesbian, bisexual and queer-related factors were identified that influenced alcohol use: (1) coping, (2) connection and (3) intersections with lesbian, bisexual and queer identity. Most participants reported consuming alcohol to cope with discrimination or to connect with like-minded others. Alcohol use had positive influences for some women through facilitating social connection and wellbeing. Women with a high lesbian, bisexual and queer identity salience were more likely to seek lesbian, bisexual and queer community connection involving alcohol, to publicly identify as lesbian, bisexual and queer and to experience discrimination. National policies need to address underlying causes of discrimination against lesbian, bisexual and queer women. Alcohol policies and clinical interventions should acknowledge the impact of discrimination on higher alcohol consumption amongst lesbian, bisexual and queer women compared with heterosexual women, and should utilise health promotion messages regarding safe drinking that facilitate lesbian, bisexual and queer social connection.
Outing lesbian health in medical education
Publisher: Informa UK Limited
Date: 13-08-2003
Social connectedness among lesbian, gay, bisexual, and transgender parents living in metropolitan and regional and rural areas of Australia and New Zealand
Publisher: Wiley
Date: 11-08-2014
DOI: 10.1002/JCOP.21658
Substance abuse and mental health disparities: Comparisons across sexual identity groups in a national sample of young Australian women
Publisher: Elsevier BV
Date: 08-2010
DOI: 10.1016/J.SOCSCIMED.2010.05.009
Abstract: A growing body of research ly documents health disparities related to substance abuse among sexual minority women. However, relatively little research has examined risk factors or predictors of substance use in this population and even less has explored differences among sexual minority subgroups. Using data from 8850 women aged 25-30 years in the 2003 survey of the Australian Longitudinal Study on Women's Health Survey (ALSWH) we compared rates of substance use (alcohol, marijuana and other illicit drugs) and potential predictors (e.g., depression, anxiety, perceived stress, lower levels of social support) across four sexual identity groups-exclusively heterosexual, mainly heterosexual, bisexual and lesbian. Using statistical weighting of the s le and controlling for demographic characteristics we fitted logistic regression models to estimate adjusted odds ratios for substance use. Compared with exclusively heterosexual women sexual minority women reported significantly higher levels of substance use-but there was notable variation among the three sexual minority subgroups. Women who identified as mainly heterosexual were significantly more likely than exclusively heterosexual women to report at-risk drinking and those who identified as bisexual were more likely to report marijuana use. Mainly heterosexual and bisexual women were also more likely to report binge drinking. Findings implicate stress as an important predictor of substance use and emphasize the need for research that more systematically examines the relationships between minority stress and substance use in sexual minority women. Findings of variations in risk across sexual minority subgroups suggest prevention and intervention strategies aimed at reducing health disparities should be targeted toward specific sexual minority subgroups.
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Discovery Projects - Grant ID: DP0209923
Start Date: 05-2002
End Date: 05-2004
Amount: $70,000.00
Funder: Australian Research Council
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End Date: 08-2025
Amount: $291,517.00
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