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2.
Wellcome Open Res ; 7: 252, 2022.
Article in English | MEDLINE | ID: mdl-37425485

ABSTRACT

This letter explores the societal aspects and healthcare implications that underlie thinking about mpox (formerly known was monkeypox), in the 2022 outbreak, as a sexually transmitted infection (STI). The authors examine what underlies this question, exploring what is an STI, what is sex, and what is the role of stigma in sexual health promotion. The authors argue that, in this specific outbreak, mpox is an STI among men who have sex with men (MSM). The authors highlight the need of critically thinking about how to communicate effectively, the role of homophobia and other inequalities, and the importance of the social sciences.

3.
Aust J Rural Health ; 28(2): 215-217, 2020 Apr.
Article in English | MEDLINE | ID: mdl-31943491

ABSTRACT

OBJECTIVE: We sought to understand and develop the critical elements of a program designed to promote physical health for people living with or experiencing mental illness. DESIGN: The study used a most significant change approach. Participants provided personal accounts of change, and these were analysed in a workshop with a range of stakeholders involved in program design and delivery. Core themes were identified to inform the development of the program. SETTING: The program is delivered by a community managed organisation in the South Eastern Illawarra region of New South Wales and the study took place in this setting. PARTICIPANTS: Participants included people who had accessed the Active8 program, staff who delivered the program, referrers and the funder of the program. MAIN OUTCOME MEASURES: Participants were invited to share stories of how the Active8 program had impacted them or the people they were supporting. RESULTS: Five key themes were identified as being critical to program success and development: (a) the right start at the right time; (b) a program that fits me; (c) health literacy leads to agency, action and change; (d) a chance to explore and establish healthy connections; and (e) change requires time, focus and ongoing support. CONCLUSION: Approaches that steer away from simple advice giving and towards empowering and motivating people in line with their individual needs, aspirations and social context show potential for enhancing health-behaviour change.


Subject(s)
Health Behavior , Health Promotion , Empowerment , Humans , Mental Disorders/prevention & control , Motivation , Program Development
4.
J Genet Couns ; 18(5): 436-46, 2009 Oct.
Article in English | MEDLINE | ID: mdl-19697111

ABSTRACT

This paper explores the perceived challenges facing clinical genetics practitioners in multicultural Australia. Focus groups conducted with 53 practitioners explored: 1) participants' experiences and definitions of cultural diversity; 2) their use of educational resources with clients; 3) their experiences with culturally diverse groups/individuals in practice; 4) their experiences working with interpreters; and 5) the impact culturally specific educational training and/or experiential learning had on their confidence or practice when dealing with culturally diverse clients. Participants viewed culture as extending beyond traditional definitions such as ethnicity, language and religion. Most respondents had experienced positive results working with health care interpreters, although at times, this was a challenge for the family as they preferred privacy and the use of family members as interpreters. Another commonly reported challenge was the limited availability of reliable, culturally appropriate translated resources. Some participants expressed concern that learning theories about specific cultures may lead to stereotypes and that opportunities for formal cultural competence training were limited. Recommendations for practice include the targeting of educational resources to meet the needs of a diverse community and placing cultural competence on the agenda for ongoing training and maintenance of professional standards for clinical genetics practitioners to avoid the current ad hoc approach.


Subject(s)
Cultural Diversity , Genetic Counseling , Language , Focus Groups , Humans , New South Wales , Professional Competence , Victoria
5.
Aust New Zealand Health Policy ; 3: 14, 2006 Dec 13.
Article in English | MEDLINE | ID: mdl-17164009

ABSTRACT

OBJECTIVE: Since the 1960s newborn screening (NBS) for several rare and serious disorders has been in place across Australia. Testing of a simple blood spot now enables the early detection of over 30 conditions. Policies across Australian states have diverged in some aspects of NBS, especially in the retention and further use of dried blood spots collected as part of the screening and attempts are underway to bring some further national consistency. Whilst this has initiated debate amongst health professionals and policy makers there is limited empirical evidence of wider community attitudes to such issues. METHODS: This research has explored the range and depth of views held by the wider community in New South Wales through moderated small group discussions. It has also assessed the range and depth of responses where the groups are reconvened after being given further information. RESULTS: The findings suggest that there is limited community awareness of the public health importance of NBS and especially that resulting biological samples are stored. Members of the wider community presented with opportunities to consider current procedures and policies appear reassured and to have high levels of trust. However there are clearly some groups who have concerns with the storage of dried blood spot specimens and perceive that these may be abused. POLICY IMPLICATIONS AND CONCLUSION: The findings will inform health professionals and policy makers as to the perceived benefits and future challenges NBS raises for the wider community. The findings have implications for improving current communications about NBS, maintaining public confidence and the development of state and national initiatives in genetic health.

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