ORCID Profile
0000-0001-5545-290X
Current Organisations
University of New South Wales
,
King's College London
,
UNSW Sydney
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Publisher: Informa UK Limited
Date: 10-09-2022
DOI: 10.1080/13691058.2021.1952307
Abstract: Trans and gender erse people are globally recognised as being under-served in clinical services, with significant implications for their health. During a national reorientation of the Australian cervical screening programme - from Papanicolaou smears to human papillomavirus screening - we conducted interviews with 12 key informants in cancer policy, sexual and reproductive health and trans health advocacy to understand how trans people's needs and experiences were being accounted for and addressed in health policy and practice. Themes captured the complexities of increasing visibility for trans people, including men and non-binary people with a cervix. These complexities reflect the extensive system and cultural change required in asking policymakers and practitioners to think differently about who is at risk of a disease typically associated with cisgender women. Informants drew on the language of trauma to explain the resistance many trans people feel when engaging with clinical services, particularly relating to sexual and reproductive health. In doing so, they argued for increasing resources and processes to elicit trans people's willingness to put their trust in such services. Thinking critically about the relationship between the politics of trans visibilities, trauma and trust can support effective and inclusive approaches to transgender health.
Publisher: Oxford University Press (OUP)
Date: 22-10-2020
DOI: 10.1093/NDT/GFAA217
Abstract: Acute kidney injury (AKI) in pregnancy (Pr-AKI) is associated with substantial maternal morbidity and mortality. E-alerts are routinely used for detection of AKI in non-pregnant patients but their role in maternity care has not been explored. All pregnant or postpartum women with AKI e-alerts for AKI Stages 1–3 (Kidney Disease Improving Global Outcomes (KDIGO) criteria) were identified at a tertiary centre & years. Two women matched by delivery date for each case were selected as controls. AKI stage, recognition of AKI, pregnancy outcomes, renal recovery, AKI aetiology and risk factors were extracted from electronic patient records. 288 of 11 922 (2.4%) women had AKI e-alerts, of which only 118 (41%) were recognized by the obstetric team. Common Pr-AKI causes included infection (48%), pre-ecl sia (26%) and haemorrhage (25%), but no cause was identified in 15% of women. Renal function recovered in 213 (74%) women, but in 47 (17%) repeat testing was not undertaken and 28 (10%) did not recover function. Hypertensive disorders of pregnancy and Caesarean section were associated with increased incidence of Pr-AKI compared with controls. Pr-AKI e-alerts were identified in ∼1 in 40 pregnancies. However, a cause for Pr-AKI was not identified in many cases and e-alerts may have been triggered by gestational change in serum creatinine. Pregnancy-specific e-alert algorithms may be required. However, 1 in 10 women with Pr-AKI had not recovered kidney function on repeat testing. Better understanding of long-term impacts of Pr-AKI on pregnancy and renal outcomes is needed to inform relevant Pr-AKI e-alert thresholds.
Publisher: Springer Science and Business Media LLC
Date: 07-06-2021
Publisher: Wiley
Date: 23-06-2021
Abstract: Contemporary sociological work has emphasised that family is not static, but actively shaped by ideas of who and what makes family. Disclosure of an illness, including diagnosis of stigmatised infections such as HIV, hepatitis B virus and hepatitis C virus, can change the dynamics of family relationships. This paper draws on 61 qualitative semi‐structured interviews conducted between 2017 and 2019 with people in Australia with one or more of these blood‐borne viruses (BBVs) and their family members, to understand the experiences of serodiscordant (mixed viral status) families. Through a thematic analysis, we explore the family imaginaries that participants evoked when describing their disclosure practices in relation to (self‐defined) family members, revealing how some participants disclosed in ways that enabled them to shape their family, to maintain boundaries between self and family or to protect family from distress. Participants' accounts of disclosure to family revealed imaginaries of family as a precious web of connections to be nurtured or protected, but also as sites of ambivalent belonging and complex history. We conclude that BBV disclosure practices within families reveal important ideas about families that are imagined in response to the threat of loss, change and stigma.
Publisher: Elsevier BV
Date: 07-2021
Publisher: SAGE Publications Ltd
Date: 2019
Publisher: BMJ
Date: 16-06-2023
DOI: 10.1136/MEDHUM-2022-012382
Abstract: A virus has a social history. In the case of the hepatitis C virus (HCV) and HIV, this history is one involving stigma and discrimination, advocacy and activism, and recent dramatic improvements in treatment. These social histories influence the experience of people who live with the viruses, and those who work with them. One aspect of this is the impact of social changes on the biographical disruption and integration brought about by illness. Healthcare practitioners who see significant improvements in the effectiveness of treatment for a condition over the course of their professional life will incorporate those changes into their own history and their relationship to that condition. This article is based on a study of the experiences of serodiscordance, or mixed infection status, in families living with HIV and two types of viral hepatitis, hepatitis B and hepatitis C. The article explores the perspectives of healthcare workers who work with people affected by these viruses, who were asked about their experiences in working with serodiscordance in families. Interviews revealed that changing social meanings given to bloodborne viruses, and changes to treatment over time, held a significant place in the accounts that service providers gave of their work. In asking them to describe their work with HIV and HCV, we were also asking about work that has been shaped by changing patterns and sources of stigma, and recently reshaped by changes in treatment and outcomes. While typically the experiences of patients and their families are used to investigate the social histories of diagnosis and stigma, the professional perspectives and life stories of the service providers who work with them are also revealing. We heard accounts in which histories as well as current regimes were prominent, illuminated further by insights from the sociology of health on narrative and biographical disruption.
Publisher: Elsevier BV
Date: 09-2021
Publisher: Informa UK Limited
Date: 02-09-2023
Publisher: Springer Science and Business Media LLC
Date: 19-11-2020
DOI: 10.1007/S10461-019-02737-9
Abstract: Using repeated, cross-sectional behavioural surveillance data from Australia, we assessed trends in relationship agreements and casual sex among HIV-negative and untested gay and bisexual men who had regular partners during 2013-2018. We conducted three analyses: (i) trends in relationship agreements and casual sex over time (ii) bivariate comparisons of PrEP users and non-PrEP-users to identify factors associated with PrEP use and (iii) multivariate logistic regression to identify factors independently associated with PrEP use. The analysis of trends over time included 21,593 men, from which a sub-s le (n = 3764) was used to compare PrEP users and non-PrEP-users. We found a large increase in agreements that allowed condomless sex with casual partners, particularly by PrEP users in relationships (nearly 40% of whom had such an agreement). A further 34% of PrEP users reported having casual condomless sex without an agreement that permitted that behaviour, while 13% of non-PrEP-users also reported condomless sex with casual partners without an agreement. PrEP use was independently associated with having agreements permitting condomless sex with casual partners, recent condomless sex with casual partners, having greater numbers of male partners, recent post-exposure prophylaxis use, having an HIV-positive regular male partner, and recent condomless sex with regular male partners. Our findings show a shift away from relationship agreements in which condomless sex was only sanctioned between regular partners.
Publisher: Informa UK Limited
Date: 08-08-2015
Publisher: SAGE Publications
Date: 08-06-2023
DOI: 10.1177/00380385221091184
Abstract: The digital age is characterised by unprecedented access to technologies to understand our bodies, genetics and family histories. The last decade has seen a growing uptake of direct-to-consumer DNA testing, which is (re)shaping in iduals’ identity narratives. Drawing on data from a national online survey with Australian donor-conceived people (N = 91) and semi-structured interviews (N = 28), we conceptualise DNA results as a genetic narrative that coexists with other sources of identity information such as familial narratives, medical records and experiential knowledge from peers. Our analysis derived three themes: truth – how DNA results disrupted ontological security and prompted confrontation proof – how DNA testing was valued and legitimised, especially compared with medical records and sleuth – how DNA testing was leveraged in agentive practices. In doing so, we explore how processes of (dis)trust shape the forms of identity information in iduals seek out, believe and rely upon to position themselves within relational and socio-technical webs.
Publisher: Hindawi Limited
Date: 19-10-2022
DOI: 10.1111/HSC.14066
Abstract: Ageing with a chronic hepatitis B (HBV) or hepatitis C (HCV) infection is an emerging public health priority. For people living with chronic viral hepatitis, their disease progression into old age is both underpinned by their existing blood borne virus and the potential emergence of other infectious and non-infectious conditions. These twinned pathways bring additional challenges to the care and support for people as they near end of life. This scoping review sought to examine what is known about the experiences of the end-of-life phase of an increasing population ageing with HBV and HCV in studies conducted in high-income settings and published in peer reviewed literature (2010-2021). In interpreting this literature, we found that challenges in determining the end-of life phase for people with lived experience of HBV or HCV are exacerbated by the conflation of aetiologies into a singular diagnosis of end-stage liver disease. Studies overwhelmingly reported the clinical aspects of end-of-life care (i.e. prognosis assessment and symptom management) with less attention paid to educative aspects (i.e. advance care directives and surrogate decision makers, discussion of treatment options and determining goals of care). Psychosocial interventions (i.e. quality of life beyond symptom management, including emotional/spiritual support and family and bereavement support) received limited attention in the literature, though there was some recognition that psychosocial interventions should be part of end-of-life care provision. Given the focus on the prominent disease presentation of liver cirrhosis and/or end-stage liver disease, the social and cultural dimensions of these infections have received less attention in the literature on end-of-life in the context of chronic viral hepatitis.
Publisher: SAGE Publications
Date: 2022
DOI: 10.1177/20563051211069055
Abstract: Memes are a key feature of participatory digital cultures and have been found to play an important role in collective identity formation. Limited scholarship has explored the role of memes within closed communities, where perceived privacy and trust may impact the ways users demarcate the in-group (us) and out-group (them) through humor. This article draws on analysis of semi-structured interviews with Australian donor-conceived people (people conceived with donor sperm or eggs) and a collection of memes they shared. We take an interdisciplinary approach to analysis, combining reflexive thematic analysis informed by interpretive traditions within sociology with an analysis that applies the iconization framework from social semiotics. Our findings explore how donor-conceived people view memes as: texts that “only we get,” that are “light and fun” and that provide “a way to deal with emotions.” We conceptualize memes as bonding icons: semiotic artifacts which foreground shared feelings and invite alignment around a collective identity. More broadly, we argue that “getting” a meme requires alignment with the values construed, a process which reinforces ties to the community. In doing so, we explore how everyday social and linguistic practices contribute to in iduals’ sense of belonging.
Publisher: Hindawi Limited
Date: 14-12-2021
DOI: 10.1111/HSC.13257
Publisher: SAGE Publications
Date: 25-02-2023
Abstract: The term ‘chemsex’ references an identifiable set of circumstances and behaviours ascribed to gay male culture at the same time as operating as a politically salient category capable of spurring policy and programmatic responses. Increasingly, the word ‘scene’ is used in association with ‘chemsex’ in media reporting, expert commentary and research on the phenomenon. Rather than dismissing the coupling of chemsex and scene as mere vernacular, ‘scene’ offers a fruitful entry point for exploring how the combination of sex and drugs achieves cultural salience over time. In this article, I read chemsex cultures through the material and representational elements characteristic of ‘scene’. By emphasizing scenes’ temporal logics, I speculate on the value of this alternative approach in generating new understandings of chemsex cultures.
Publisher: Informa UK Limited
Date: 14-09-2022
Publisher: Springer International Publishing
Date: 2019
Publisher: Elsevier BV
Date: 03-2022
DOI: 10.1016/J.DRUGPO.2021.103571
Abstract: People who inject drugs (PWID) are overrepresented among prisoner populations worldwide. This qualitative study used the psychological concept of "ego-depletion" as an exploratory framework to better understand the disproportionate rates of reincarceration among people with injecting drug use histories. The aim was to illuminate mechanisms by which prospects for positive post-release outcomes for PWID are enhanced or constricted. Participants were recruited from a longitudinal cohort study, SuperMIX, in Victoria, Australia. Eligible participants were invited to participate in an in-depth interview. Inclusion criteria were: aged 18+ lifetime history of injecting drug use incarcerated for >three months and released from custody <12 months previously. Analysis of 48 interviews examined how concepts relevant to the ego-depletion framework (self-regulation standards consequences and mitigators of ego-depletion) manifested in participants' narratives. Predominantly, participants aimed to avoid a return to problematic drug use and reci ism, and engaged in effortful self-regulation to pursue their post-release goals. Post-release environments were found to diminish self-regulation resources, leading to states of ego-depletion and compromising the capacity to self-regulate according to their ideals. Fatalism, stress, and fatigue associated with the transition period exacerbated ego-depletion. Strategies that mitigated ego-depletion included avoidance of triggering environments reducing stress through opioid agonist therapy and fostering positive affect through supportive relationships. Post-release environments are ego-depleting and inconducive to sustaining behavioural changes for PWID leaving prison. Corrections' behaviourist paradigms take insufficient account of the socio-structural factors impacting on an in idual's self-regulation capacities in the context of drug dependence and desistance processes. Breaking the cycles of reincarceration among PWID requires new approaches that moderate ego-depletion and facilitate long-term goal-pursuit.
Publisher: Elsevier BV
Date: 12-2019
DOI: 10.1016/J.SOCSCIMED.2019.112620
Abstract: This paper argues that blood-borne viruses are relationally embodied, providing an alternative ontology to the in idualising tendencies in medical science, and a more inclusive analysis of serodiscordance (mixed infection status) than the literature's focus on transmission risk in couples. We know little about the wider world of significant relationships in the lives of those with blood-borne viruses. People with HIV and hepatitis C are in a mixed-status relationship not just with intimate partners, but with other family members too. Drawing on qualitative interviews and phenomenological theory, we make the case that families (broadly defined) matter in the context of stigmatised, transmissible infections in ways that extend beyond in idual bodies and beyond the usual preoccupation with risk. Despite recent advances in the treatment of blood-borne viruses, our study shows that these infections continue to be experienced and negotiated through embodied connections to significant others, made meaningful through culturally situated understandings and expectations regarding kinship, affinity, love, shared history and obligations. Our findings encourage broader recognition of these viral infections as intercorporeal phenomena, with families intimately entangled in co-creating the meanings and experiences of disease.
Publisher: Springer Science and Business Media LLC
Date: 08-08-2023
DOI: 10.1007/S10508-022-02382-9
Abstract: Relationship agreements are important for HIV prevention among gay and bisexual men (GBM) in relationships, with research earlier in the HIV epidemic often finding that agreements specified monogamy or condom use with casual partners. There is evidence that HIV pre-exposure prophylaxis (PrEP) has shifted sexual practices among some men in relationships, such as allowing condomless sex with casual partners, but there has been little attention paid to relationship agreements among GBM who use PrEP. In this paper, we analyzed national, Australian, cross-sectional data from an online survey completed by non-HIV-positive GBM in 2021 ( N = 1,185). Using logistic regression, we identified demographic characteristics, sexual practices and the types of relationship agreement that were associated with PrEP use among GBM in relationships. Using Pearson’s chi-squared tests, we explored whether PrEP users in relationships reported similar sexual practices to PrEP users not in relationships. PrEP use among GBM in relationships was independently associated with older age, identifying as gay, being in a non-monogamous relationship, having a spoken (explicit) relationship agreement, having a primary HIV-negative partner taking PrEP or a primary partner living with HIV, reporting recent condomless casual sex, reporting an STI diagnosis in the past year, and knowing at least one other PrEP user. We found that PrEP users in relationships had similar sexual practices to PrEP users not in relationships. GBM in relationships who have casual sex and who meet PrEP suitability criteria may be good candidates for PrEP. Our findings suggest that explicit relationship agreements remain important for HIV prevention, and they support PrEP use among GBM in relationships.
Publisher: Elsevier BV
Date: 05-2018
DOI: 10.1016/J.DRUGPO.2017.12.010
Abstract: Much research concerning drug use in the context of sexual activity among gay and bisexual men derives from public health scholarship. In this paper, we critically examine how the relationship between meth hetamine use and sexual risk practice is treated and understood in this body of research. While public health has made important contributions to establishing the link between meth hetamine use and sexual risk-taking, the precise nature of the relationship is not well defined. This creates space for ungrounded assumptions about meth hetamine use to take hold. We outline what appear to be two dominant interpretations of the meth hetamine/sexual practice relationship: the first proposes that meth hetamine has specific pharmacological properties which lead to sexual disinhibition, risky behaviour and poor health outcomes the second proposes that meth hetamine attracts men who are already inclined toward highly sexualised interactions and risky practice, and that such men are likely to engage in these practices with or without drugs. We suggest that both interpretations are problematic in that they in idualise and cast drug and sex practices as inherently risky and biopsychologically determined. We outline a more historically, socially and politically engaged way to understand meth hetamine use in the context of sexual activity by drawing on the concept of sex-based sociality and the ways in which gay and bisexual men may use meth hetamine and sex as social resources around which to build identities, establish relationships, participate in gay communities, and maximise pleasure while protecting themselves and others from harm.
Publisher: Informa UK Limited
Date: 11-02-2016
Publisher: Elsevier BV
Date: 04-2020
Publisher: UNSW Centre for Social Research in Health, Sydney
Date: 2021
DOI: 10.26190/F13R-7P71
Publisher: Elsevier BV
Date: 08-2021
Publisher: Informa UK Limited
Date: 18-08-2022
Publisher: UNSW Centre for Social Research in Health, Sydney
Date: 2020
Publisher: SAGE Publications
Date: 13-12-2020
Abstract: The “my health, our family” research project was established to document stories of what serodiscordance (mixed infection status) means for Australian families affected by HIV, hepatitis B, and/or hepatitis C. A family mapping exercise was developed for the start of interviews as a way to conceptualize serodiscordance as a movement of “closeness” and “distance” within the relational networks that participants defined as “family,” the outcome of which was originally intended as a guide to explore the contributions of each family member in the in-depth qualitative interviews that followed. Such static representations of family were soon revealed to be inadequate for capturing the contingent, flexible, and multifaceted nature of familial relationality in the management of these infections. In this article, we explore these shifts for the conceptual openness mapping methods facilitate, and the constraints they reveal, for spatializing family relations in ways that heed erse experiences of serodiscordance.
Publisher: Centre for Social Research in Health, UNSW Sydney, Sydney
Date: 2018
Publisher: SAGE Publications
Date: 19-01-2018
Abstract: For over a decade, attending events featuring drag king performances—a subcultural phenomenon where women consciously perform masculinity—proved a popular pastime in Sydney, Australia. Established within a broader tradition of live performance culture but also part of a wider urban night-time economy catering to lesbian patrons, Sydney’s drag king scene sustained a range of activities and interactions that took place in the vicinity of the performances on stage. In this article, I draw on data collated from a series of group discussions with scene participants, alongside my own immersive form of participation over a sustained five-year period, to review the role of affect within the drag king scene. Combining Lauren Berlant’s account of queer intimacies with Kathleen Stewart’s rendering of atmospheric attunement, I consider how the act of being together engenders an intimate attunement of the everyday potentialities of the scene.
Publisher: Elsevier BV
Date: 07-2023
Publisher: Elsevier BV
Date: 2023
Publisher: Informa UK Limited
Date: 07-12-2022
Location: United Kingdom of Great Britain and Northern Ireland
No related grants have been discovered for Kerryn Drysdale.