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Williams N, Griffin G, Wall M, Bradfield Z. The sexual and reproductive health knowledge of women in Australia: A scoping review. Health Promot J Austr 2024. [PMID: 39097983 DOI: 10.1002/hpja.908] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2023] [Revised: 05/28/2024] [Accepted: 07/18/2024] [Indexed: 08/06/2024] Open
Abstract
ISSUE ADDRESSED Sexual and reproductive health (SRH) knowledge influences health literacy and promotes positive health behaviours. This scoping review explores the SRH knowledge of women in Australia and reports on knowledge assessment, ways of learning, enablers and barriers, and interventions to improve knowledge. METHODS Seven databases were searched for eligible articles published in English between 2012 and 2022. RESULTS Eighty-five sources were included for analysis. Data were mapped by knowledge topic and population group and charted against four review objectives. Assessment of knowledge was the primary focus in 59% of sources. Two sources used a validated knowledge assessment tool. Knowledge was assessed using self-assessment, a measurement of correctness, or both. Women learnt about SRH through a range of sources, including healthcare providers, peers, family, internet, and school. Enablers and barriers spanned information content, delivery, timing, accessibility, interactions with those providing information, cultural and gendered norms, pre-migration experiences, and functional health literacy. Nine sources reported on interventions to facilitate SRH knowledge. CONCLUSIONS This review identified topics, population groups, and gaps in assessment of SRH knowledge of women in Australia. Overall, the measurement of women's SRH knowledge is largely conducted using unvalidated tools focusing on specific topics. SO WHAT?: It is recommended a validated tool be developed to comprehensively assess the SRH knowledge of women in Australia allowing for intersectional population analysis and exploration of knowledge conceptualisation. This would enable assessment of interventions aiming to improve SRH knowledge thereby facilitating improved health literacy and outcomes.
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Affiliation(s)
- Natalie Williams
- Department of Nursing and Midwifery Education and Research, King Edward Memorial Hospital, Subiaco, Western Australia, Australia
- School of Nursing, Curtin University, Bentley, Western Australia, Australia
| | - Georgia Griffin
- Department of Nursing and Midwifery Education and Research, King Edward Memorial Hospital, Subiaco, Western Australia, Australia
| | - Megan Wall
- Department of Nursing and Midwifery Education and Research, King Edward Memorial Hospital, Subiaco, Western Australia, Australia
| | - Zoe Bradfield
- Department of Nursing and Midwifery Education and Research, King Edward Memorial Hospital, Subiaco, Western Australia, Australia
- School of Nursing, Curtin University, Bentley, Western Australia, Australia
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Bryant J, Bolt R, Martin K, Beadman M, Doyle M, Treloar C, Bell S, Murphy D, Newman C, Browne A, Aggleton P, Beetson K, Brooks M, Wilms J, Leece B, Stanbury L, Botfield J, Davis B, Graham S. Yarning as a method for building sexual wellbeing among urban Aboriginal young people in Australia. CULTURE, HEALTH & SEXUALITY 2024; 26:871-886. [PMID: 37740584 DOI: 10.1080/13691058.2023.2258948] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/22/2023] [Accepted: 09/11/2023] [Indexed: 09/24/2023]
Abstract
This paper describes the strategies used by Aboriginal young people to build positive relationships and sexual wellbeing. It does so to counter the risk-focussed narratives present in much existing research and to showcase the resourcefulness of Aboriginal young people. We used peer-interview methods to collect qualitative data from 52 Aboriginal young people living in western Sydney, Australia. Participants reported a strong desire to stay safe and healthy in their sexual relationships and to achieve this they relied heavily on oral communication and yarning strategies. Participants viewed communication as a way to gain or give advice (about bodies, infections, pregnancy, relationships); to assess the acceptability and safety of potential partners; to negotiate consent with partners; to build positive relationships; and to get themselves out of unhealthy relationships. Participants also discussed 'self-talk' as a strategy for building sexual wellbeing, referring to narratives of self-respect and pride in culture as important in establishing Aboriginal young people's positive views of self and as deserving of respectful and safe sexual relationships. These findings suggest that future programmes and interventions based on yarning could be well-regarded, given it is a cultural form of pedagogy and a strategy Aboriginal young people already use to build positive relationships and identities.
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Affiliation(s)
- Joanne Bryant
- Centre for Social Research in Health, UNSW Sydney, Sydney, Australia
| | - Reuben Bolt
- Charles Darwin University, Casuarina, Australia
| | - Kacey Martin
- Centre for Social Research in Health, UNSW Sydney, Sydney, Australia
| | - Mitchell Beadman
- Centre for Social Research in Health, UNSW Sydney, Sydney, Australia
| | - Michael Doyle
- Centre for Research Excellence in Aboriginal Health and Alcohol, Discipline of Medicine, Central Clinical School, Faculty of Medicine and Health, University of Sydney, Sydney, Australia
| | - Carla Treloar
- Centre for Social Research in Health, UNSW Sydney, Sydney, Australia
| | - Stephen Bell
- Centre for Social Research in Health, UNSW Sydney, Sydney, Australia
| | - Dean Murphy
- The Kirby Institute for Infection and Immunity in Society, UNSW Sydney, Sydney, Australia
| | - Christy Newman
- Centre for Social Research in Health, UNSW Sydney, Sydney, Australia
| | - Annette Browne
- Faculty of Nursing, The University of British Columbia, Vancouver, Canada
| | - Peter Aggleton
- Centre for Social Research in Health, UNSW Sydney, Sydney, Australia
- Centre for Gender, Health and Social Justice, UCL, London, UK
- School of Sociology, The Australian National University, Canberra, Australia
| | - Karen Beetson
- South Western Sydney Local Health District, Liverpool, Australia
| | - Megan Brooks
- South Western Sydney Local Health District, Liverpool, Australia
| | - Jessica Wilms
- Nepean Blue Mountains Local Health District, Penrith, Australia
| | - Bronwyn Leece
- Nepean Blue Mountains Local Health District, Penrith, Australia
| | - Linda Stanbury
- Nepean Blue Mountains Local Health District, Penrith, Australia
| | | | - Ben Davis
- Family Planning NSW, Ashfield, Australia
| | - Simon Graham
- Department of Infectious Diseases, Peter Doherty Institute for Infection and Immunity, University of Melbourne, Melbourne, Australia
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Graham S, Martin K, Gardner K, Beadman M, Doyle MF, Bolt R, Murphy D, Newman CE, Bell S, Treloar C, Browne AJ, Aggleton P, Beetson K, Brooks M, Botfield JR, Davis B, Wilms J, Leece B, Stanbury L, Bryant J. Aboriginal young people's perspectives and experiences of accessing sexual health services and sex education in Australia: A qualitative study. Glob Public Health 2023; 18:2196561. [PMID: 37018760 DOI: 10.1080/17441692.2023.2196561] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/07/2023]
Abstract
Aboriginal and Torres Strait Islander (Aboriginal) young people seek information and access health services for their sexual health needs. This study examined Aboriginal young people's perspectives on sexual health services and sex education in Australia. Overall, 51 Aboriginal people aged 16-26 years were interviewed by peer researchers in Sydney, Australia in 2019-2020. The findings suggest that the internet was used to assess information quickly and confidentially, but Aboriginal young people questioned its reliability and accuracy. Family, Elders and peers were seen as sources of advice because they had real-life experience and highlighted intergenerational learning that occurs in Aboriginal communities. School-based sex education programmes had mixed reviews, with a preference for programmes delivered by external specialists providing anonymity, clear and accurate information about sex and relationships and positive approaches to sex education, including how to gain consent before sex. There was a need identified for school-based programmes to better consider the needs of Aboriginal young people, including those who identified as LGBTQI + . Aboriginal Medical Services were highly valued for providing culturally safe access to services, while sexual health clinics were valued for providing specialised confidential clinical services with low levels of judgement.
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Affiliation(s)
- Simon Graham
- Department of Infectious Diseases, University of Melbourne, at the Peter Doherty Institute for Infection and Immunity, Melbourne, Australia
| | - Kacey Martin
- Centre for Social Research in Health, UNSW Sydney, Sydney, Australia
| | - Kristy Gardner
- Department of Infectious Diseases, University of Melbourne, at the Peter Doherty Institute for Infection and Immunity, Melbourne, Australia
- Centre for Social Research in Health, UNSW Sydney, Sydney, Australia
| | - Mitchell Beadman
- Centre for Social Research in Health, UNSW Sydney, Sydney, Australia
| | - Michael F Doyle
- Centre for Research Excellence in Aboriginal Health and Alcohol, Discipline of Medicine, Central Clinical School, Faculty of Medicine and Health, University of Sydney, Sydney, Australia
| | - Reuben Bolt
- Charles Darwin University, Casuarina, Australia
| | - Dean Murphy
- The Kirby Institute for Infection and Immunity, UNSW Sydney, Sydney, Australia
- Department of Infectious Diseases, The Alfred Hospital and Central Clinical School, Monash University, Melbourne, Australia
| | - Christy E Newman
- Centre for Social Research in Health, UNSW Sydney, Sydney, Australia
| | - Stephen Bell
- UQ Poche Centre for Indigenous Health, The University of Queensland, Brisbane, Australia
- The School of Public Health, The University of Queensland, Brisbane, Australia
| | - Carla Treloar
- Centre for Social Research in Health, UNSW Sydney, Sydney, Australia
| | | | - Peter Aggleton
- Centre for Social Research in Health, UNSW Sydney, Sydney, Australia
- Centre for Gender, Health & Social Justice, University College London, London, UK
- School of Sociology, The Australian National University, Canberra, Australia
| | - Karen Beetson
- South Western Sydney Local Health District, Liverpool, Australia
| | - Megan Brooks
- South Western Sydney Local Health District, Liverpool, Australia
| | | | - Ben Davis
- Family Planning NSW, Sydney, Australia
| | - Jessica Wilms
- Nepean Blue Mountains Local Health District, Penrith, Australia
| | - Bronwyn Leece
- Nepean Blue Mountains Local Health District, Penrith, Australia
| | - Linda Stanbury
- Nepean Blue Mountains Local Health District, Penrith, Australia
| | - Joanne Bryant
- Centre for Social Research in Health, UNSW Sydney, Sydney, Australia
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Biles B, Biles J, Friere K, Deravin L, Lawrence J, Yashadhana A. Appraising community driven health research with Aboriginal and Torres Strait Islander communities: a scoping review using the Aboriginal and Torres Strait Islander Quality Appraisal Tool. Health Promot Int 2022; 37:daac077. [PMID: 36161481 PMCID: PMC9511996 DOI: 10.1093/heapro/daac077] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Most research involving Aboriginal and Torres Strait Islander peoples has been conducted by non-Indigenous people and has not been a positive experience for many Aboriginal and Torres Strait Islander communities. This scoping review maps approaches to health research involving Aboriginal and Torres Strait Islander peoples and communities in Australia from the last two decades. A literature search found 198 papers, of which 34 studies met the inclusion criteria. The Aboriginal and Torres Strait Islander Quality Appraisal Tool was then used to map the quality of the reported community driven research. The Quality Appraisal Tool privileges, Aboriginal and Torres Strait Islander people's epistemologies and ethical research governance. The findings reported on strengths and identified areas for improvement in reporting community driven research.
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Affiliation(s)
- Brett Biles
- Faculty of Medicine and Health, University of New South Wales, Sydney, NSW, Australia
| | - Jessica Biles
- Charles Sturt University, School of Nursing, Paramedicine and Healthcare Sciences, Albury, NSW, Australia
| | - Kate Friere
- Three Rivers UDRH, Charles Sturt University, Faculty of Science and Health, Albury, NSW, Australia
| | - Linda Deravin
- Charles Sturt University, School of Nursing, Paramedicine and Healthcare Sciences, Albury, NSW, Australia
| | - Jayne Lawrence
- Charles Sturt University, School of Nursing, Paramedicine and Healthcare Sciences, Albury, NSW, Australia
| | - Aryati Yashadhana
- Centre for Health Equity Training Research & Evaluation, UNSW, Sydney, NSW, Australia
- Centre for Primary Health Care & Equity, UNSW Medicine & Health, Sydney, NSW, Australia
- School of Social Sciences UNSW, Sydney, NSW, Australia
- Ingham Institute for Applied Medical Research, Liverpool, NSW, Australia
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5
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Hickey S, Roe Y, Harvey C, Kruske S, Clifford-Motopi A, Fisher I, Bernardino B, Kildea S. Community-Based Sexual and Reproductive Health Promotion and Services for First Nations People in Urban Australia. Int J Womens Health 2021; 13:467-478. [PMID: 34040455 PMCID: PMC8140890 DOI: 10.2147/ijwh.s297479] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2021] [Accepted: 03/29/2021] [Indexed: 11/23/2022] Open
Abstract
Context Little is known about sexual and reproductive health (SRH) access and health promotion for First Nations peoples in Australia. This study aimed to better understand community preferences, knowledge and access to contraception and SRH services, and use this understanding to make recommendations which support approaches led by local Aboriginal community-controlled health organisations (ACCHOs). Methods Qualitative First Nations-led yarning circles were conducted with 55 community members and health service providers using and/or working at ACCHOs in urban South East Queensland. Cultural protocols ensured women’s and men’s interviews were separately collected and analysed. Thematic analysis was conducted by multiple coders, privileging interpretations by First Nations researchers. Results Family, kin and friends were described as key knowledge holders and ACCHOs as knowledge spaces for sharing information about maintaining positive SRH and wellbeing for First Nations people. Interviewees wanted accurate and timely information in an accessible, culturally appropriate way. Making informed choices about family planning was described as an important process of agency and self-determination for First Nations people, and contextualized within broader aspirations for growing strong families and healthy relationships. Conclusion Understanding SRH through the concept of “knowledge spaces” and “knowledge holders” highlights the collective importance of community relationality to support individual agency and informed SRH decision-making. ACCHOs appear to be acceptable knowledge spaces for SRH information; and evidence-based recommendations may increase their reach. Health services should consider upskilling community SRH knowledge holders to share consistent, accurate and accessible SRH information.
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Affiliation(s)
- Sophie Hickey
- Molly Wardaguga Research Centre, Charles Darwin University, Brisbane, Queensland, Australia
| | - Yvette Roe
- Molly Wardaguga Research Centre, Charles Darwin University, Brisbane, Queensland, Australia
| | - Caroline Harvey
- Institute for Urban Indigenous Health, Brisbane, Queensland, Australia
| | - Sue Kruske
- Molly Wardaguga Research Centre, Charles Darwin University, Brisbane, Queensland, Australia.,Institute for Urban Indigenous Health, Brisbane, Queensland, Australia
| | | | - Ike Fisher
- Institute for Urban Indigenous Health, Brisbane, Queensland, Australia
| | - Brenna Bernardino
- School of Population Health, University of Queensland, Brisbane, Queensland, Australia.,Poche Centre for Indigenous Health, University of Queensland, Brisbane, Queensland, Australia
| | - Sue Kildea
- Molly Wardaguga Research Centre, Charles Darwin University, Brisbane, Queensland, Australia
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Coombe J, Anderson AE, Townsend N, Rae KM, Gilbert S, Keogh L, Corby C, Loxton D. Factors influencing contraceptive use or non-use among Aboriginal and Torres Strait Islander people: a systematic review and narrative synthesis. Reprod Health 2020; 17:155. [PMID: 33059695 PMCID: PMC7559206 DOI: 10.1186/s12978-020-01004-8] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2019] [Accepted: 10/04/2020] [Indexed: 11/20/2022] Open
Abstract
Background The Australian population has an unmet need for contraception. However, evidence suggests contraceptive patterns of Aboriginal and Torres Strait Islander populations are unique. To tailor contraceptive services and meet the contraceptive needs of Aboriginal and Torres Strait Islander people, it is important to understand the contributing factors to contraceptive use and non-use. Methods This study aimed to systematically review and narratively synthesise the evidence exploring the factors influencing contraceptive use among Aboriginal and Torres Strait Islander people. A systematic literature search was initially run in September 2016 and was updated again in April and August of 2018. A qualitative narrative synthesis was conducted from 2018 to 2019. Factors influencing contraceptive use or non-use were explored using a Social Ecological Model. Results The review identified 17 studies meeting the inclusion criteria published between 1972 and 2018. Most of the included studies were qualitative (n = 11), with the remaining studies being mixed methods (n = 3) or quantitative (n = 3). The majority focused on either a localised geographic area or specific Aboriginal or Torres Strait Islander community (n = 11). One study specifically focused on factors influencing contraceptive use, albeit among postpartum women. The remaining studies discussed factors influencing contraceptive use within the context of risky behaviour, sexual transmitted infections, or contraceptive practices more generally. Factors unique to individual communities included community attitudes (e.g. importance of not being too young to have a baby), specific cultural norms (e.g. subincising the penis as part of transition to manhood), and access to culturally appropriate health services. Other factors, including contraceptive characteristics (e.g. discomfort of condoms) and reproductive coercion (e.g. partner wants a baby), were similar to those found in the broader population of Australia and internationally. Most studies were lacking in quality, warranting more methodologically sound studies in the future to further assess the factors contributing to contraceptive use or non-use among Aboriginal and Torres Strait Islander people. Conclusions Identifying community specific facilitators, as well as understanding the more broadly applicable factors contributing to contraceptive use or non-use, is essential if wanting to offer appropriate contraceptive services within an Aboriginal or Torres Strait Islander community.
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Affiliation(s)
- Jacqueline Coombe
- Melbourne School of Population and Global Health, The University of Melbourne, Level 3, 207 Bouverie Street, Carlton, VIC, 3053, Australia
| | - Amy E Anderson
- Research Centre for Generational Health and Ageing, Hunter Medical Research Institute, The University of Newcastle, Level 4 West, University Drive, Callaghan, NSW, 2308, Australia
| | - Natalie Townsend
- Research Centre for Generational Health and Ageing, Hunter Medical Research Institute, The University of Newcastle, Level 4 West, University Drive, Callaghan, NSW, 2308, Australia
| | - Kym M Rae
- Mater Research Institute, Level 3, Aubigny Place, Raymond Terrace, South Brisbane, Qld, 4101, Australia
| | - Stephanie Gilbert
- Aboriginal and Torres Strait Islander Studies Unit, The University of Queensland, Staffhouse Road, St Lucia Campus, Brisbane, QLD, 4072, Australia
| | - Lyniece Keogh
- Tamworth Local Aboriginal Land Council, 2/1 Hinkler Street, Tamworth, NSW, 2340, Australia
| | - Christine Corby
- Walgett Aboriginal Medical Service, 37 Pitt Street, (PO Box 396), Walgett, NSW, 2832, Australia
| | - Deborah Loxton
- Research Centre for Generational Health and Ageing, Hunter Medical Research Institute, The University of Newcastle, Level 4 West, University Drive, Callaghan, NSW, 2308, Australia.
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7
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Bell S, Ward J, Aggleton P, Murray W, Silver B, Lockyer A, Ferguson T, Fairley CK, Whiley D, Ryder N, Donovan B, Guy R, Kaldor J, Maher L. Young Aboriginal people's sexual health risk reduction strategies: a qualitative study in remote Australia. Sex Health 2020; 17:303-310. [DOI: 10.1071/sh19204] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2019] [Accepted: 02/17/2020] [Indexed: 11/23/2022]
Abstract
Background
Surveillance data indicate that Aboriginal and Torres Strait Islander young people are more likely than their non-Indigenous counterparts to experience sexually transmissible infections (STIs) and teenage pregnancy. Despite increasing emphasis on the need for strengths-based approaches to Aboriginal sexual health, limited published data document how young Aboriginal people reduce sexual health risks encountered in their everyday lives. Methods: In-depth interviews with 35 young Aboriginal women and men aged 16–21 years in two remote Australian settings were conducted; inductive thematic analysis examining sexual health risk reduction practices was also conducted. Results: Participants reported individual and collective STI and pregnancy risk reduction strategies. Individual practices included accessing and carrying condoms; having a regular casual sexual partner; being in a long-term trusting relationship; using long-acting reversible contraception; having fewer sexual partners; abstaining from sex; accessing STI testing. More collective strategies included: refusing sex without a condom; accompanied health clinic visits with a trusted individual; encouraging friends to use condoms and go for STI testing; providing friends with condoms. Conclusion: Findings broaden understanding of young Aboriginal people’s sexual health risk reduction strategies in remote Aboriginal communities. Findings signal the need for multisectoral STI prevention and sexual health programs driven by young people’s existing harm minimisation strategies and cultural models of collective support. Specific strategies to enhance young people’s sexual health include: peer condom distribution; accompanied health service visits; peer-led health promotion; continued community-based condom distribution; enhanced access to a fuller range of available contraception in primary care settings; engaging health service-experienced young people as ‘youth health workers’.
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Levac L, Ronis S, Cowper‐Smith Y, Vaccarino O. A scoping review: The utility of participatory research approaches in psychology. JOURNAL OF COMMUNITY PSYCHOLOGY 2019; 47:1865-1892. [PMID: 31441516 PMCID: PMC6852237 DOI: 10.1002/jcop.22231] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/04/2019] [Revised: 06/11/2019] [Accepted: 07/24/2019] [Indexed: 05/31/2023]
Abstract
Consistent with community psychology's focus on addressing societal problems by accurately and comprehensively capturing individuals' relationships in broader contexts, participatory research approaches aim to incorporate individuals' voices and knowledge into understanding, and responding to challenges and opportunities facing them and their communities. Although investigators in psychology have engaged in participatory research, overall, these approaches have been underutilized. The purpose of this review was to examine areas of research focus that have included participatory research methods and, in turn, highlight the strengths and ways that such methods could be better used by researchers. Nearly 750 articles about research with Indigenous Peoples, children/adolescents, forensic populations, people with HIV/AIDS, older adults, and in the area of industrial-organizational psychology were coded for their use of participatory research principles across all research stages (i.e., research design, participant recruitment and data collection, analysis and interpretation of results, and dissemination). Although we found few examples of studies that were fully committed to participatory approaches to research, and notable challenges with applying and reporting on this type of work, many investigators have developed creative ways to engage respectfully and reciprocally with participants. Based on our findings, recommendations and suggestions for researchers are discussed.
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Affiliation(s)
- Leah Levac
- Department of Political ScienceUniversity of GuelphGuelphONCanada
| | - Scott Ronis
- Department of PsychologyUniversity of New BrunswickFrederictonNBCanada
| | - Yuriko Cowper‐Smith
- Political Science and International DevelopmentUniversity of GuelphGuelphONCanada
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Dadich A, Moore L, Eapen V. What does it mean to conduct participatory research with Indigenous peoples? A lexical review. BMC Public Health 2019; 19:1388. [PMID: 31660911 PMCID: PMC6819462 DOI: 10.1186/s12889-019-7494-6] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2018] [Accepted: 08/14/2019] [Indexed: 01/24/2023] Open
Abstract
BACKGROUND To better understand and promote public health, participatory research with Indigenous peoples represents recommended practice, worldwide. However, due to the different ways such research is referred to, described, and used, it is unclear what might (and might not) warrant the term when collaborating with Indigenous peoples. As such, this article expands conceptual understandings of participatory research with Indigenous peoples, across timelines and regions. METHOD Following a systematic search of 29 academic databases in April 2018, a lexical analysis of the methods sections was conducted, which were sourced from 161 publications across 107 journals. RESULTS The active involvement of Indigenous peoples in research that is expressly participatory is limited across all project phases. This might be because the ways in which Indigenous peoples were involved throughout were not reported - however, it might also be because Indigenous peoples were not involved in all project phases. Furthermore, descriptions differ by study location and publication timeframe - notably, studies in the region of the Americas chiefly refer to pandemics, surveyors, and art; and those published in the last two decades have given primacy to artifacts of interest. CONCLUSIONS Findings from this corpus of data suggest participatory research with Indigenous peoples is not always described across different project phases; furthermore, it differs according to study location and publication timeframe. This offers considerable opportunity to further this important research area via alternative methodologies that award primacy to Indigenous expertise and agency.
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Affiliation(s)
- Ann Dadich
- School of Business, Western Sydney University, 169 Macquarie Street, Parramatta, NSW, 2150, Australia. .,1797 Locked Bag, Western Sydney University, 1797 Locked Bag, Penrith, NSW, 2751, Australia.
| | - Loretta Moore
- Autism Spectrum Australia (Aspect), Building 1, Level 2, 14 Aquatic Drive, Frenchs Forest, NSW, 2086, Australia.,, Forestville, NSW, 2087, Australia
| | - Valsamma Eapen
- Academic Unit of Infant, Child, Adolescent Psychiatry South West Sydney, University of New South Wales, Sydney, Australia.,ICAMHS, L1 MHC, Liverpool Hospital, Elizabeth Street, Liverpool, NSW, 2170, Australia.,University of New South Wales Sydney, Sydney, NSW, 2052, Australia
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10
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MacPhail C, McKay K. Social determinants in the sexual health of adolescent Aboriginal Australians: a systematic review. HEALTH & SOCIAL CARE IN THE COMMUNITY 2018; 26:131-146. [PMID: 27125476 DOI: 10.1111/hsc.12355] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 03/15/2016] [Indexed: 06/05/2023]
Abstract
While research indicates that Aboriginal and Torres Strait Islander adolescents may be at increased risk of some sexually transmitted infections, there is limited information about factors that may place these young people at more risk of adverse sexual health than their non-Indigenous counterparts. Current research has tended to focus on surveillance-type data, but there is an increasing need to understand social determinants of sexual health risk. This systematic review assessed the evidence of social determinants impacting on Aboriginal and Torres Strait Islander adolescents' sexual health in Australia. Published, English-language literature was searched across key databases from 2003 to 2015. Fourteen studies were included in the qualitative synthesis. Findings suggest that social determinants such as access to healthcare, poverty, substance use, educational disadvantage, sociocultural context, gender inequalities, status and identity, and social disadvantage impacted on Indigenous adolescents' sexual behaviours and sexual health risk. Evidence from the literature included in the review suggests that peer education may be an acceptable and appropriate approach for addressing such issues. There remains a need for programmes and services to be community-developed and community-led, thus ensuring cultural appropriateness and relevance. However, there is also a significant need for such programmes to be effectively and rigorously evaluated with data that goes beyond surveillance, and seeks to unpack how sexual norms are experienced by Indigenous adolescents, particularly outside of remote Australia - and how these experiences act as either risk or protective factors to good sexual health and positive social and emotional well-being.
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Affiliation(s)
- Catherine MacPhail
- School of Health, University of New England, Armidale, New South Wales, Australia
| | - Kathy McKay
- School of Health, University of New England, Armidale, New South Wales, Australia
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11
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Ireland S, Narjic CW, Belton S, Saggers S, McGrath A. 'Jumping around': exploring young women's behaviour and knowledge in relation to sexual health in a remote Aboriginal Australian community. CULTURE, HEALTH & SEXUALITY 2014; 17:1-16. [PMID: 25115988 DOI: 10.1080/13691058.2014.937747] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Sexual health indicators for young remote-living Aboriginal women are the worst of all of Australian women. This study aimed to describe and explore young women's behaviour and knowledge in relation to sexual health, as well as to provide health professionals with cross-cultural insights to assist with health practice. A descriptive ethnographic study was conducted, which included: extended ethnographic field work in one remote community over a six-year period; community observation and participation; field notes; semi-structured interviews; group reproductive ethno-physiology drawing and language sessions; focus-group sessions; training and employment of Aboriginal research assistants; and consultation and advice from a local reference group and a Cultural Mentor. Findings reveal that young women in this remote community have a very poor biomedical understanding of sexually transmitted infections and contraception. This is further compounded by not speaking English as a first language, low literacy levels and different beliefs in relation to body functions. In their sexual relationships, young women often report experiences involving multiple casual partners, marijuana use and violence. Together, the findings contribute to a better understanding of the factors underlying sexual health inequity among young Aboriginal women in Australia.
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Affiliation(s)
- Sarah Ireland
- a Menzies School of Health Research , Darwin , Australia
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