Learning from the past: young Indigenous people's accounts of blood-borne viral and sexually transmitted infections as resilience narratives

Mooney-Somers, Julie; Olsen, Anna; Erick, Wani; Scott, Robert; Akee, Angie; Kaldor, John; Maher, Lisa

doi:10.1080/13691058.2010.520742

Cited by 19 publications

(21 citation statements)

References 36 publications

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“…Policy reforms and HIV prevention initiatives that are community-based, culturally safe and address issues of historical trauma are urgently required for Indigenous street-based sex workers to stem epidemics of HIV infection. Policies and services that aim to prevent HIV must also address Aboriginal women’s experiences of violence and promote their independence and focus on strengths and resilience through the use of post-colonial approaches (Varcoe and Dick 2008; Duran and Walters 2004; Mooney-Somers 2011). A multifaceted and comprehensive systems approach to HIV prevention that acknowledges the complex nature of intergenerational trauma resulting from colonisation and the generational nature of Aboriginal women’s involvement in street-based sex work scenes are desperately needed.…”

Section: Discussionmentioning

confidence: 99%

Generational sex work and HIV risk among Indigenous women in a street-based urban Canadian setting

Bingham

Leo

Zhang

et al. 2014

Culture, Health & Sexuality

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In Canada, indigenous women are overrepresented among new HIV infections and street-based sex workers. Scholars suggest that Aboriginal women’s HIV risk stems from intergenerational effects of colonisation and racial policies. This research examined generational sex work involvement among Aboriginal and non-Aboriginal women and the effect on risk for HIV acquisition. The sample included 225 women in street-based sex work and enrolled in a community-based prospective cohort, in partnership with local sex work and Aboriginal community partners. Bivariate and multivariate logistic regression modeled an independent relationship between Aboriginal ancestry and generational sex work; and the impact of generational sex work on HIV infection among Aboriginal sex workers. Aboriginal women (48%) were more likely to be HIV-positive, with 34% living with HIV compared to 24% non-Aboriginal. In multivariate logistic regression model, Aboriginal women remained 3 times more likely to experience generational sex work (aOR:2.97; 95%CI:1.5,5.8). Generational sex work was significantly associated with HIV (aOR=3.01, 95%CI: 1.67–4.58) in a confounder model restricted to Aboriginal women. High prevalence of generational sex work among Aboriginal women and 3-fold increased risk for HIV infection are concerning. Policy reforms and community-based, culturally safe and trauma informed HIV prevention initiatives are required for Indigenous sex workers.

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Section: Discussionmentioning

confidence: 99%

Generational sex work and HIV risk among Indigenous women in a street-based urban Canadian setting

Bingham

Leo

Zhang

et al. 2014

Culture, Health & Sexuality

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“…There were four studies that contributed multiple papers to the review: three of the papers (Mooney‐Somers et al . , , ) are outcomes of a single community‐based participatory research project, The Indigenous Resilience Project (IRP). A further two papers (Senior & Chenhall , ) are part of a single long‐term participatory project in one community, the South East Arnhem Land Collaborative Research Project (SEALCP).…”

Section: Resultsmentioning

confidence: 99%

“…Among the papers using a qualitative design (Mooney‐Somers et al . , , , Senior & Chenhall ), most scored as average to moderate quality according to the CASP qualitative checklist (Critical Appraisal Skills Programme [CASP], ). Specifically, few papers discussed the relationship between the researchers and participants or how this might have impacted on the data collection or findings.…”

Section: Resultsmentioning

confidence: 99%

“…Mooney‐Somers et al . (, p. 174) argue that ‘health promotion has largely failed Indigenous communities by focusing on narrowly defined behaviour change with little attention to upstream factors’. While there is a need to understand and address the precursors of both sexual and non‐sexual risk behaviours in all adolescents (Skinner & Hickey ), this is particularly relevant for Indigenous adolescents among whom sexual health is acutely influenced by social determinants of health (Marmot ).…”

Section: Introductionmentioning

confidence: 99%

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Social determinants in the sexual health of adolescent Aboriginal Australians: a systematic review

MacPhail

McKay

2016

Health Soc Care Community

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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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“…(11) This paper presents findings from work funded via a research grant awarded by National Health and Medical Research Council, through the International Collaborative Indigenous Health Research Partnership (ICIHRP), which had the overall goal of examining the role of resilience in protecting Indigenous populations against sexually transmitted and blood-borne infections. (12,13) METHODS A cross-sectional survey was developed by TAIHS staff in collaboration with researchers based at the Kirby Institute at the University of New South Wales.…”

Section: Introductionmentioning

confidence: 99%

Sexual risk and healthcare seeking behaviour in young Aboriginal and Torres Strait Islander people in North Queensland

et al. 2015

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Background: Compared to non-Indigenous Australians, Aboriginal and Torres Strait Islander people have higher rates of sexually transmitted infections (STI). We sought to identify the sexual risk and health care seeking behaviours service utilisation of young Aboriginal and Torres Strait Islander people in a regional Australian setting. Methods: Cross-sectional survey of 155 young Aboriginal and Torres Strait Islander people (16 to 24 years) in Townsville. Results: Most participants (83%) reported ever having had sex with a median age of 15 years at first sex, ranging from 9 to 22 years. While young men reported more sexual partners in the last 12 months than young women, they were also more likely to report condom use at last casual sex (92% vs. 68%, p=0.006). Young women were significantly more likely than young men to report never carrying condoms (35% vs. 16%) however more likely to have had STI testing (53% vs. 28%, p=0.004). Of those reporting previous STI testing 29% reported ever being diagnosed with an STI. Conclusions: Our sample of young Aboriginal and Torres Strait Islander people reported an early age at first sex, variable condom use, and low uptake of STI testing. The high prevalence of selfreported STI diagnoses indicate a need for opportunistic sexual health education and efforts designed to promote the uptake of STI screening in this group.

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Learning from the past: young Indigenous people's accounts of blood-borne viral and sexually transmitted infections as resilience narratives

Cited by 19 publications

References 36 publications

Generational sex work and HIV risk among Indigenous women in a street-based urban Canadian setting

Generational sex work and HIV risk among Indigenous women in a street-based urban Canadian setting

Social determinants in the sexual health of adolescent Aboriginal Australians: a systematic review

Sexual risk and healthcare seeking behaviour in young Aboriginal and Torres Strait Islander people in North Queensland

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