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Liddelow-Hunt, Shakara, Ashleigh Lin, James Hector Laurent Hill, Kate Daglas, Braden Hill, Yael Perry, Mirella Wilson, and Bep Uink. "Conceptualising Wellbeing for Australian Aboriginal LGBTQA+ Young People." Youth 3, no. 1 (January 12, 2023): 70–92. http://dx.doi.org/10.3390/youth3010005.
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It is likely that young people who are both Aboriginal and Torres Strait Islander and LGBTQA+ would be at increased risk for poor mental health outcomes due to the layered impacts of discrimination they experience; however, there is very little empirical evidence focused on the mental health and wellbeing of Aboriginal and Torres Strait Islander LGBTQA+ young people. The current study represents a qualitative exploration of wellbeing among Aboriginal LGBTQA+ young people. This study consisted of semi-structured interviews and focus groups with Aboriginal LGBTQA+ young people aged 14–25 years old in the Perth metropolitan area of Western Australia. Thematic analysis identified seven major themes that were significant to participants’ wellbeing: identity, family, community, visibility, services, stigma and navigating.
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Garay, Jasper, Anna Williamson, Christian Young, Janice Nixon, Mandy Cutmore, Simone Sherriff, Natalie Smith, Kym Slater, and Michelle Dickson. "Aboriginal Young People’s Experiences of Accessibility in Mental Health Services in Two Regions of New South Wales, Australia." International Journal of Environmental Research and Public Health 20, no. 3 (January 18, 2023): 1730. http://dx.doi.org/10.3390/ijerph20031730.
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This article assesses the accessibility of mainstream mental health services (MMHSs) in two regions of New South Wales (NSW), Australia, based on experiences and perspectives of Aboriginal young people aged 16–25. Semi-structured yarning interviews were conducted with thirteen Aboriginal young people in two regions of NSW. Thematic analysis was undertaken by all research team members to identify major themes from the data and conceptual connections between them. The identified themes from individual analysis and coding were triangulated during several analysis meetings to finalise the key themes and findings. Aboriginal young people had no experience of engaging with early-intervention MMHSs. MMHSs were identified as inaccessible, with most participants unaware that MMHSs existed in each region. Due to MMHSs being inaccessible, many Aboriginal young people presented to emergency departments (EDs) during a crisis. Aboriginal Community Controlled Health Services (ACCHSs) were identified as key providers of accessible, culturally meaningful, and effective social and emotional wellbeing (SEWB) service support for Aboriginal young people in NSW. If health and wellbeing outcomes are to improve for Aboriginal young people in NSW, MMHSs must increase accessibility for Aboriginal young people requiring SEWB support.
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Murrup-Stewart, Cammi, Theoni Whyman, Laura Jobson, and Karen Adams. "“Connection to Culture Is Like a Massive Lifeline”: Yarning With Aboriginal Young People About Culture and Social and Emotional Wellbeing." Qualitative Health Research 31, no. 10 (May 3, 2021): 1833–46. http://dx.doi.org/10.1177/10497323211009475.
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Culture is an important social and emotional wellbeing factor for Aboriginal peoples in Australia, particularly regarding recovery from colonization. However, little is understood about how culture and wellbeing interact for young urban Aboriginal people. This study used Yarning methods to explore experiences and perceptions of culture and wellbeing for young urban Aboriginal people in Narrm, Australia. Findings indicate that culture is experienced as connection, and that perceived connection or disconnection has an essential influence on the wellbeing of young people. Through sharing young people stories, a range of factors, including colonization, relationships, cultural knowledge, community support, and agency, were identified as affecting perceptions of connectedness, and therefore on wellbeing. Youth were able to develop strategies to increase connection and provided illuminating advice and suggestions for improving connection for future generations. This study thus contributes to efforts to improved understanding of Aboriginal perspectives about social and emotional wellbeing and culture.
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Durey, A., D. McAullay, B. Gibson, and L. M. Slack-Smith. "Oral Health in Young Australian Aboriginal Children." JDR Clinical & Translational Research 2, no. 1 (September 27, 2016): 38–47. http://dx.doi.org/10.1177/2380084416667244.
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Despite dedicated government funding, Aboriginal Australians, including children, experience more dental disease than other Australians, despite it being seen as mostly preventable. The ongoing legacy of colonization and discrimination against Aboriginal Australians persists, even in health services. Current neoliberal discourse often holds individuals responsible for the state of their health, rather than the structural factors beyond individual control. While presenting a balanced view of Aboriginal health is important and attests to Indigenous peoples’ resilience when faced with persistent adversity, calling to account those structural factors affecting the ability of Aboriginal people to make favorable oral health choices is also important. A decolonizing approach informed by Indigenous methodologies and whiteness studies guides this article to explore the perceptions and experiences of Aboriginal parents ( N = 52) of young children, mainly mothers, in Perth, Western Australia, as they relate to the oral health. Two researchers, 1 Aboriginal and 1 non-Aboriginal, conducted 9 focus group discussions with 51 Aboriginal participants, as well as 1 interview with the remaining individual, and independently analyzed responses to identify themes underpinning barriers and enablers to oral health. These were compared, discussed, and revised under key themes and interpreted for meanings attributed to participants’ perspectives. Findings indicated that oral health is important yet often compromised by structural factors, including policy and organizational practices that adversely preclude participants from making optimal oral health choices: limited education about prevention, prohibitive cost of services, intensive marketing of sugary products, and discrimination from health providers resulting in reluctance to attend services. Current government intentions center on Aboriginal–non-Aboriginal partnerships, access to flexible services, and health care that is free of racism and proactively seeks and welcomes Aboriginal people. The challenge is whether these good intentions are matched by policies and practices that translate into sustained improvements to oral health for Aboriginal Australians. Knowledge Transfer Statement: Slow progress in reducing persistent oral health disparities between Aboriginal and non-Aboriginal Australians calls for a new approach to this seemingly intractable problem. Findings from our qualitative research identified that structural factors—such as cost of services, little or no education on preventing oral disease, and discrimination by health providers—compromised Aboriginal people’s optimum oral health choices and access to services. The results from this study can be used to recommend changes to policies and practices that promote rather than undermine Aboriginal health and well-being and involve Aboriginal people in decisions about their health care.
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Bell, Stephen, Peter Aggleton, Andrew Lockyer, Tellisa Ferguson, Walbira Murray, Bronwyn Silver, John Kaldor, Lisa Maher, and James Ward. "Working with Aboriginal young people in sexual health research: a peer research methodology in remote Australia." Qualitative Health Research 31, no. 1 (October 3, 2020): 16–28. http://dx.doi.org/10.1177/1049732320961348.
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In a context of ongoing colonization and dispossession in Australia, many Aboriginal people live with experiences of health research that is done “on” rather than “with” or “by” them. Recognizing the agency of young people and contributing to Aboriginal self-determination and community control of research, we used a peer research methodology involving Aboriginal young people as researchers, advisors, and participants in a qualitative sexual health study in one remote setting in the Northern Territory, Australia. We document the methodology, while critically reflecting on its benefits and limitations as a decolonizing method. Findings confirm the importance of enabling Aboriginal young people to play a central role in research with other young people about their own sexual health. Future priorities include developing more enduring forms of coinvestigation with Aboriginal young people beyond data collection during single studies, and support for young researchers to gain formal qualifications to enhance future employability.
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Kalucy, Deanna, Janice Nixon, Michael Parvizian, Peter Fernando, Simone Sherriff, Jennifer McMellon, Catherine D’Este, Sandra J. Eades, and Anna Williamson. "Exploring pathways to mental healthcare for urban Aboriginal young people: a qualitative interview study." BMJ Open 9, no. 7 (July 2019): e025670. http://dx.doi.org/10.1136/bmjopen-2018-025670.
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ObjectivesTo explore the perceptions of Aboriginal Community Controlled Health Service (ACCHS) staff involved in providing mental healthcare to Aboriginal young people of the current and ideal pathways to mental healthcare for urban Aboriginal young people attending ACCHSs, and to identify what additional supports staff may need to provide optimal mental healthcare to Aboriginal young people.DesignQualitative interview study conducted during May 2016–2017.SettingPrimary care, at two ACCHSs participating in the Study of Environment on Aboriginal Resilience and Child Health in New South Wales.ParticipantsPurposive sampling of staff involved in mental healthcare pathways of Aboriginal young people, including general practitioners (GPs), nurses and Aboriginal Health Workers (AHWs).ResultsAll individuals approached for interview (n=21) participated in the study. Four overarching themes and seven sub-themes were identified: availability and use of tools in practice (valuing training and desire for tools and established pathways), targeting the ideal care pathway (initiating care and guiding young people through care), influencing the care pathway (adversities affecting access to care and adapting the care pathway) and assessing future need (appraising service availability).ConclusionsParticipants desired screening tools, flexible guidelines and training for healthcare providers to support pathways to mental healthcare for Aboriginal young people. Both GPs and AHWs were considered key in identifying children at risk and putting young people onto a pathway to receive appropriate mental healthcare. AHWs were deemed important in keeping young people on the care pathway, and participants felt care pathways could be improved with the addition of dedicated child and adolescent AHWs. The ACCHSs were highlighted as essential to providing culturally appropriate care for Aboriginal young people experiencing mental health problems, and funding for mental health specialists to be based at the ACCHSs was considered a priority.
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Cosh, Suzanne, Kimberley Hawkins, Gemma Skaczkowski, David Copley, and Jacqueline Bowden. "Tobacco use among urban Aboriginal Australian young people: a qualitative study of reasons for smoking, barriers to cessation and motivators for smoking cessation." Australian Journal of Primary Health 21, no. 3 (2015): 334. http://dx.doi.org/10.1071/py13157.
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Smoking prevalence among Aboriginal Australian young people greatly exceeds the prevalence in the broader population of Australian young people, yet limited research has explored the social context in which young Aboriginal Australians smoke. Four focus groups were conducted in 2009 with South Australian Aboriginal smokers aged 15–29 years residing in urban areas (n = 32) to examine attitudes and experiences surrounding smoking and quitting. The primary reasons for smoking initiation and maintenance among Aboriginal Australian young people were identified as stress, social influence and boredom. Motivators for quitting were identified as pregnancy and/or children, sporting performance (males only), cost issues and, to a lesser extent, health reasons. The barriers to cessation were identified as social influence, the perception of quitting as a distant event and reluctance to access cessation support. However, it appears that social influences and stress were particularly salient contributors to smoking maintenance among Aboriginal Australian young people. Smoking cessation interventions targeted at young urban Aboriginal Australian smokers should aim to build motivation to quit by utilising the motivators of pregnancy and/or children, sporting performance (males only), cost issues and, to a lesser extent, health reasons, while acknowledging the pertinent role of social influence and stress in the lives of young urban Aboriginal Australian smokers.
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Lobo, Roanna, Belinda D'Costa, Linda Forbes, and James Ward. "Young Deadly Free: impact evaluation of a sexual health youth peer education program in remote Australian communities." Sexual Health 17, no. 5 (2020): 397. http://dx.doi.org/10.1071/sh20069.
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Background Aboriginal and Torres Strait Islander people in remote and very remote communities in Australia experience high rates of sexually transmissible infections (STIs), 4- to 29-fold the rates reported for non-Aboriginal people living in remote areas. Young people aged 16–29 years are particularly vulnerable to STIs. The Young Deadly Free (YDF) sexual health youth peer education program was implemented in 15 remote or very remote communities in four Australian jurisdictions in an effort to address endemic STI rates in these communities. The present study sought to evaluate the effect of YDF for Aboriginal young people. Methods: Young people (n = 128) participated in youth peer educator training to deliver peer education sessions on sexual health topics to other young people in their communities. Pre and post surveys were used to examine changes in STI knowledge, attitudes and behavioural intentions of the young people attending the peer education sessions. GHRANITE software extracted deidentified STI testing data for young people attending 13 community health services. Results: Young people (n = 426) attended peer education sessions delivered by trained youth peer educators. Pre and post surveys were completed by 174 and 172 young people respectively (median age 20 years). Gains were reported in STI knowledge, intentions to test (χ2 = 10.58, d.f. = 4, n = 142, P < 0.001) and number of STI tests (50.8% increase from baseline). Feelings of shame associated with STI testing remained high (39.5% post survey). Conclusions: Peer education can enhance the sexual health literacy of young Aboriginal people residing in remote communities. The extent to which knowledge gains result in behaviours that prevent STI transmission requires further evaluation. Normalising STI testing among Aboriginal young people would help reduce feelings of shame.
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Lobo, Roanna, Belinda D'Costa, Linda Forbes, and James Ward. "Corrigendum to: Young Deadly Free: impact evaluation of a sexual health youth peer education program in remote Australian communities." Sexual Health 17, no. 6 (2020): 547. http://dx.doi.org/10.1071/sh20069_co.
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Background:Aboriginal and Torres Strait Islander people in remote and very remote communities in Australia experience high rates of sexually transmissible infections (STIs), 4- to 29-fold the rates reported for non-Aboriginal people living in remote areas. Young people aged 16–29 years are particularly vulnerable to STIs. The Young Deadly Free (YDF) sexual health youth peer education program was implemented in 15 remote or very remote communities in four Australian jurisdictions in an effort to address endemic STI rates in these communities. The present study sought to evaluate the effect of YDF for Aboriginal young people. Methods: Young people (n = 128) participated in youth peer educator training to deliver peer education sessions on sexual health topics to other young people in their communities. Pre and post surveys were used to examine changes in STI knowledge, attitudes and behavioural intentions of the young people attending the peer education sessions. GHRANITE software extracted deidentified STI testing data for young people attending 13 community health services. Results: Young people (n = 426) attended peer education sessions delivered by trained youth peer educators. Pre and post surveys were completed by 174 and 172 young people respectively (median age 20 years). Gains were reported in STI knowledge, intentions to test (χ2 = 10.58, d.f. = 4, n = 142, P Conclusions: Peer education can enhance the sexual health literacy of young Aboriginal people residing in remote communities. The extent to which knowledge gains result in behaviours that prevent STI transmission requires further evaluation. Normalising STI testing among Aboriginal young people would help reduce feelings of shame.
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Aberdeen, Lucinda, and Julie Mariko Matthews. "Judgements on Justice: young people and Aboriginal reconciliation." Race Ethnicity and Education 2, no. 2 (October 1999): 203–18. http://dx.doi.org/10.1080/1361332990020203.
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Bryant, Joanne, James Ward, Heather Worth, Peter Hull, Sarina Solar, and Sandra Bailey. "Safer sex and condom use: a convenience sample of Aboriginal young people in New South Wales." Sexual Health 8, no. 3 (2011): 378. http://dx.doi.org/10.1071/sh10138.
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Background This paper examines condom use in a sample of Aboriginal young people in New South Wales (NSW) aged 16–30 years. Methods: Cross-sectional data were collected using hand-held computer devices from 293 Aboriginal people attending two Aboriginal events in NSW. Results: Almost two-thirds of respondents reported having had a casual sex partner in the previous 6 months. Of these, 39.2% reported always using a condom with casual partners. Having always used a condom with casual partners varied among respondents, and was more likely among younger respondents (adjusted odds ratio (AOR): 2.7, 95% confidence interval (CI): 1.2–6.1) and less likely among those who used illicit drugs (AOR: 0.2, 95% CI: 0.1–0.7). Conclusions: In comparison to published studies of other Australians, casual sex appears to be more common among this sample of Aboriginal young people; however, the proportion who report having always used condoms with casual partners is very similar. This suggests that although casual sex is more common, Aboriginal young people do not engage in risky behaviour any more often than other young Australians. Further work should be conducted with those who do not always use condoms, such as those who are older and who use illicit drugs, particularly with regards to how abstinence from drug use supports protective behaviours such as condom use among this population of Aboriginal young people.
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Devries, Karen M., and Caroline J. Free. "“It’s Not Something You Have to Be Scared About”: Attitudes towards Pregnancy and Fertility among Canadian Aboriginal Young People." International Journal of Indigenous Health 7, no. 1 (June 7, 2013): 8. http://dx.doi.org/10.18357/ijih71201112349.
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Using data from a qualitative study on sexual health and condom use among Aboriginal young people in British Columbia, we explore young people’s views on pregnancy, fertility, and how these relate to sexually transmitted infection (STI) vulnerability. During 2004–2005, in-depth individual interviews were conducted with 15 young men and 15 young women who self-identified as Aboriginal. A descriptive thematic analysis is presented here. Aboriginal young people reported that there was some stigma attached to adolescent childbearing in their communities, but also acceptance and some positive norms around adolescent pregnancy. Most young people wanted to delay pregnancy until they were ready; for some, a serious relationship was an acceptable context for pregnancy. In this context, young people’s ambivalence toward pregnancy and concerns about hormonal contraception created a situation where unprotected sex was likely to occur. Families of origin played an important but complex role in shaping behaviour. Interventions that focus solely on condom use are unlikely to reduce rates of STIs among Aboriginal young people, especially those who are ambivalent about pregnancy. Efforts must focus on contextual elements that shape desire for pregnancy to maximize success.
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Wright, Michael, Alex Brown, Patricia Dudgeon, Rob McPhee, Juli Coffin, Glenn Pearson, Ashleigh Lin, et al. "Our journey, our story: a study protocol for the evaluation of a co-design framework to improve services for Aboriginal youth mental health and well-being." BMJ Open 11, no. 5 (May 2021): e042981. http://dx.doi.org/10.1136/bmjopen-2020-042981.
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IntroductionMainstream Australian mental health services are failing Aboriginal young people. Despite investing resources, improvements in well-being have not materialised. Culturally and age appropriate ways of working are needed to improve service access and responsiveness. This Aboriginal-led study brings Aboriginal Elders, young people and youth mental health service staff together to build relationships to co-design service models and evaluation tools. Currently, three Western Australian youth mental health services in the Perth metropolitan area and two regional services are working with local Elders and young people to improve their capacity for culturally and age appropriate services. Further Western Australian sites will be engaged as part of research translation.Methods and analysisRelationships ground the study, which utilises Indigenous methodologies and participatory action research. This involves Elders, young people and service staff as co-researchers and the application of a decolonising, strengths-based framework to create the conditions for engagement. It foregrounds experiential learning and Aboriginal ways of working to establish relationships and deepen non-Aboriginal co-researchers’ knowledge and understanding of local, place-based cultural practices. Once relationships are developed, co-design workshops occur at each site directed by local Elders and young people. Co-designed evaluation tools will assess any changes to community perceptions of youth mental health services and the enablers and barriers to service engagement.Ethics and disseminationThe study has approval from the Kimberley Aboriginal Health Planning Forum Kimberley Research Subcommittee, the Western Australian Aboriginal Health Ethics Committee, and the Curtin University Human Research Ethics Committee. Transferability of the outcomes across the youth mental health sector will be directed by the co-researchers and is supported through Aboriginal and non-Aboriginal organisations including youth mental health services, peak mental health bodies and consumer groups. Community reports and events, peer-reviewed journal articles, conference presentations and social and mainstream media will aid dissemination.
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Graham, Simon, Lucy Watchirs Smith, Christopher K. Fairley, and Jane Hocking. "Prevalence of chlamydia, gonorrhoea, syphilis and trichomonas in Aboriginal and Torres Strait Islander Australians: a systematic review and meta-analysis." Sexual Health 13, no. 2 (2016): 99. http://dx.doi.org/10.1071/sh15171.
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Higher notification rates of sexually transmissible infections (STIs) are reported among Aboriginal and Torres Strait Islander (Aboriginal) compared with non-Aboriginal people in Australia. The aim of this study is to estimate the pooled prevalence of chlamydia, gonorrhoea, syphilis and trichomonas among Aboriginal people in Australia by sex, age-group, setting (clinic vs population/community-based) and population group [adults, pregnant females, young people (12–29 years) and prisoners]. The databases Medline, PubMed and Web of Science were searched in May 2015. A meta-analysis was conducted to estimate the pooled prevalence of the four STIs in Aboriginal people and if possible, by gender, age-group, setting and population group. A total of 46 studies were included. The pooled prevalence was 11.2% (95%CI: 9.4–13.0%) for chlamydia (36 studies), 12.5% (95%CI: 10.5–14.6%) for gonorrhoea (28 studies), 16.8% (95%CI: 11.0–22.6%) for syphilis (13 studies) and 22.6% (95%CI: 18.5–26.7%) for trichomonas (11 studies); however, there was significant heterogeneity between studies (I2 <97.5%, P < 0.01). In the subgroup analysis, a higher pooled prevalence occurred in females than males for chlamydia (12.7% vs 7.7%) and gonorrhoea (10.7% vs 8.1%). The prevalence of chlamydia was 12.4% in clinic-based compared with 4.3% in population-based studies. The highest pooled prevalence by population group was among pregnant females (16.8%) and young people (16.2%) for chlamydia, pregnant females (25.2%) for trichomonas; and young people for gonorrhoea (11.9%). This review highlights the need to decrease the prevalence of STIs among Aboriginal people through community-based programs that target asymptomatic young people.
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Balabanski, Anna H., Jonathan Newbury, James M. Leyden, Hisatomi Arima, Craig S. Anderson, Sally Castle, Jennifer Cranefield, et al. "Excess stroke incidence in young Aboriginal people in South Australia: Pooled results from two population-based studies." International Journal of Stroke 13, no. 8 (May 16, 2018): 811–14. http://dx.doi.org/10.1177/1747493018778113.
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Background Retrospective data indicate increased stroke incidence in Aboriginal/Torres Strait Islander (Indigenous) Australians, possibly with poorer outcomes. We present the first prospective population-based stroke incidence study in Indigenous Australians. Methods We pooled data from ASCEND and SEARCH, two prospective “ideal” South Australian stroke incidence studies, ASCEND conducted in urban Northwestern Adelaide (2009–2010) and SEARCH in five South Australian rural centers (2009–2011). We calculated age-standardized incidence for Aboriginal and non-Aboriginal people. Results The study population comprised 261,403 inhabitants. Among 432 first-ever strokes, 13 were in Aboriginal people (median age 51 vs. 78 years for non-Aboriginal people, p < 0.001). Age-standardized stroke incidence per 100,000 in Aboriginal patients (116, 95% CI: 95–137) was nearly two-fold that of non-Aboriginal patients (67, 95% CI: 51–84). Age-stratified excess incidence in Aboriginal people was restricted to those aged < 55 years (incidence rate ratio (IRR) 3.5, 95% CI: 2–7), particularly for intracerebral hemorrhage (IRR: 16, 95% CI: 4–61). Conclusion The excess stroke incidence in Aboriginal South Australians appears substantial, especially in those aged <55 years. Further work is required to delineate and address disparities.
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Bell, Stephen, James Ward, Peter Aggleton, Walbira Murray, Bronwyn Silver, Andrew Lockyer, Tellisa Ferguson, et al. "Young Aboriginal people's sexual health risk reduction strategies: a qualitative study in remote Australia." Sexual Health 17, no. 4 (2020): 303. http://dx.doi.org/10.1071/sh19204.
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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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Scott, Robert, Regina Foster, Lisa N. Oliver, Anna Olsen, Julie Mooney-Somers, Bradley Mathers, Joanne M. Micallef, John Kaldor, and Lisa Maher. "Sexual risk and healthcare seeking behaviour in young Aboriginal and Torres Strait Islander people in North Queensland." Sexual Health 12, no. 3 (2015): 194. http://dx.doi.org/10.1071/sh14092.
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Background Compared with non-Indigenous Australians, Aboriginal and Torres Strait Islander people have higher rates of sexually transmissible infections (STI). The identification of the sexual risk and healthcare seeking behaviours of young Aboriginal and Torres Strait Islander people in a regional Australian setting was sought. Methods: A cross-sectional survey of 155 young Aboriginal and Torres Strait Islander people (16–24 years) in Townsville was conducted. Results: Most participants (83%) reported ever having had sex, with a median age of 15 years at first sex and a range 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 the last casual sex encounter (92% vs 68%, P = 0.006). Young women were significantly more likely than young men to report never carrying condoms (35% vs 16%); however, they were 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: The 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 self-reported 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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Wright, Michael, Nikayla Crisp, Elizabeth Newnham, Helen Flavell, and Ashleigh Lin. "Addressing mental health in Aboriginal young people in Australia." Lancet Psychiatry 7, no. 10 (October 2020): 826–27. http://dx.doi.org/10.1016/s2215-0366(19)30515-2.
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Parkes, Amy, Eva McRae-Williams, and Deirdre Tedmanson. "Dreams and aspirations of mobile young Aboriginal Australian people." Journal of Youth Studies 18, no. 6 (December 24, 2014): 763–76. http://dx.doi.org/10.1080/13676261.2014.992314.
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Zubrick, S. R., F. Mitrou, D. Lawrence, and S. R. Silburn. "Maternal death and the onward psychosocial circumstances of Australian Aboriginal children and young people." Psychological Medicine 41, no. 9 (January 5, 2011): 1971–80. http://dx.doi.org/10.1017/s0033291710002485.
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BackgroundThis study sought to determine the social and emotional impact of maternal loss on Aboriginal children and young people using data from the Western Australian Aboriginal Child Health Survey (WAACHS).MethodData were from a population-based random sample of 5289 Aboriginal children aged under 18 years. Interview data about the children were gathered from primary carers and from their school teachers. Probabilistic record linkage to death registrations was used to ascertain deaths. Association between maternal death and subsequent psychosocial outcomes was assessed using univariate analyses and logistic regression.ResultsOf the 5289 Aboriginal children, 57 had experienced the death of their birth mother prior to the survey. Multi-variable adjustment accounting for age and gender found that, relative to children who were living with their birth mother, children whose birth mother had died were at higher risk for sniffing glue or other substances [odds ratio (OR) 3.4, 95% confidence interval (CI) 1.3–8.7], using other drugs (OR 2.8, 95% CI 1.2–6.8), talking about suicide (OR 2.6, 95% CI 1.2–5.7) and attempting suicide (OR 7.0, 95% CI 1.6–31.1).ConclusionsAlthough the death of a birth mother is relatively rare and the vast majority of Aboriginal children with adverse developmental outcomes live in families and are cared for by their birth mother, the findings here suggest that the loss of a birth mother and the circumstances arising from this impart a level of onward developmental risk for mental health morbidity in Australian Aboriginal children.
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Hillin, Anthony, Rob McAlpine, Bindi Bennett, Tom Brideson, Vanessa Worral, and Ros Montague. "A Model for Consultation with Aboriginal Stakeholders About Young People's Mental Health and Wellbeing: the NSW School-Link Training Program." Australasian Psychiatry 16, no. 5 (January 1, 2008): 326–32. http://dx.doi.org/10.1080/10398560802192296.
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Objective: The aim of this paper is to describe a model for consultation with Aboriginal stakeholders used in the development of a training course, by the NSW Institute of Psychiatry, about young people's mental health and wellbeing. Historical, social and political factors contribute to the elevated rates of mental distress and disorder experienced by many Aboriginal young people. However, these young people often do not receive the help they need. Knowledge, skills and attitudes of clinicians are associated with the uptake of services. Therefore, a training course for clinicians was developed utilizing a detailed consultation process with Aboriginal stakeholders. Conclusions: The course was delivered as part of an ongoing comprehensive interagency training program for 2000 clinicians. The course was positively evaluated by participants and stakeholders, suggesting that the course development, including the consultation process with Aboriginal stakeholders, was effective in meeting participant and stakeholder needs. Agencies may be interested in the application of this model to consultation processes with Aboriginal communities and with other populations.
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Watson, Colin, Kirsty Smith, Ahmed Latif, Wendy Armstrong, James Ward, Rebecca Guy, and Kate Senior. "Contextual and behavioural risk factors for sexually transmissible infections in young Aboriginal people in central Australia: a qualitative study." Sexual Health 17, no. 2 (2020): 198. http://dx.doi.org/10.1071/sh19181.
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Rates of sexually transmissible infections (STIs) in remote central Australian Aboriginal communities have been persistently high for over two decades, yet risk factors for STIs in these communities are not well understood. This qualitative study explored behavioural and contextual risk factors for STIs in young Aboriginal people in central Australia. The study identified that casual relationships between young people are common and that there is a strong association between travel, alcohol and casual sex, highlighting the ongoing need for comprehensive sexual health programs that are tailored to the specific social, cultural and interpersonal circumstances of young people in this setting.
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D’Costa, Belinda, Roanna Lobo, Amanda Sibosado, Justine E. Leavy, Gemma Crawford, and James Ward. "Evaluation of the Young, Deadly, Syphilis Free multi-media campaign in remote Australia." PLOS ONE 17, no. 9 (September 9, 2022): e0273658. http://dx.doi.org/10.1371/journal.pone.0273658.
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Introduction Since 2011, remote Australian Aboriginal and Torres Strait Islander communities have experienced an outbreak of infectious syphilis, with young people aged 15–29 years over-represented in notifications. The Young Deadly Syphilis Free multi-media campaign was implemented in 12 remote regions in four Australian jurisdictions over nine months from 2017–2018. Campaign components included television and radio advertisements, social media posts, and health promotion resources available via a dedicated website. The aim of this research was to evaluate the impacts (proximal, mediator, distal) of the Young Deadly Syphilis Free campaign for young Aboriginal people and health and community workers residing in remote campaign regions. Methods A cross-sectional (post-only) evaluation design was used. Data were collected through online surveys; metrics for social media (Facebook, Instagram) were also collected to determine campaign engagement via social media. A 22-item young people survey assessed campaign awareness, exposure, message recognition and diagnostics (proximal variables); along with intended behaviour and knowledge and attitudes (mediator variables). A 24-item health and community worker survey assessed campaign awareness, exposure, message recognition and diagnostics (proximal variables); and changes in professional practice (distal variable). Descriptive statistics summarised demographic characteristics and univariate analysis examined associations between key variables. Results Just over half (n = 25, 58%) of young people and three quarters (n = 36; 75%) of health and community workers were aware of the campaign. Recognition of key campaign messages was high for both participant groups (>64%), and television, Facebook, and website were the most common campaign exposure routes. Positive impacts on intended behaviour (young people) and professional practice (health and community workers) were also reported. Facebook was effective in engaging some young people in campaign content and was preferred by young people for accessing information. Conclusion The findings point to the value of utilising a multi-media campaign in raising awareness about syphilis among young Aboriginal people and health and community workers in remote Australian regions. A longer-term campaign that accommodates the diverse needs of Aboriginal young people from geographically remote communities would optimise campaign impacts and support behavioural change.
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Butcher, Luke, Andrew Day, Debra Miles, and Garry Kidd. "A Comparative Analysis of the Risk Profiles of Australian Young Offenders From Rural and Urban Communities." International Journal of Offender Therapy and Comparative Criminology 63, no. 14 (June 5, 2019): 2483–500. http://dx.doi.org/10.1177/0306624x19853110.
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Australian young people from rural areas, particularly Aboriginal young people, are overrepresented in the juvenile justice system. Apart from broad evidence regarding the entrenched social disadvantages experienced by young people in rural communities, the literature is limited in describing why this might be case. Due to these social disadvantages, it is hypothesised that young offenders from rural communities will have higher levels of offending risk factors, as measured by the Youth Level of Service/Case Management Inventory—Australian Adaption (YLS/CMI-AA). A total of 6,750 archival records were analysed, showing that significantly more Aboriginal young offenders live in rural areas. Contrary to the hypothesis, urban young offenders had significantly higher risk scores than rural young offenders. These findings suggest that there may be particular ecological factors that are not assessed in the current risk assessment instrument or that rural young people have a range of protective factors that may insulate against the broader context of social disadvantage.
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Doel-Mackaway, Holly. "‘Ask Us … This Is Our Country’: Designing Laws and Policies with Aboriginal Children and Young People." International Journal of Children’s Rights 27, no. 1 (February 16, 2019): 31–65. http://dx.doi.org/10.1163/15718182-02701008.
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If asked, and asked in the appropriate circumstances, Aboriginal children and young people have much to say about governance, law and policy – particularly about matters that are likely to affect their lives. Findings from field research conducted in the Northern Territory of Australia reveal a group of Aboriginal children and young people’s views about why and how they could be involved in designing legislative provisions such as the Australian Government’s “Northern Territory Emergency Response” and Stronger Futures legislation – commonly referred to as the Intervention. These findings support the conclusion that in order to create culturally appropriate, durable and relevant laws and policies, governments must first seek, then incorporate, Aboriginal children and young people’s views when designing measures likely to affect their lives – and do so in a manner that is consistent with article 12 of the Convention on the Rights of the Child (crc).
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Mann, Clare. "Aboriginal Prisoners Design Their Own Curriculum." Aboriginal Child at School 17, no. 3 (July 1989): 24–35. http://dx.doi.org/10.1017/s0310582200006817.
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Aboriginal people in Western Australia experience very high rates of imprisonment. In June 1985 the percentage of Aboriginal people in prisons in Western Australia was 32.7% (Walker and Biles 1986:23) and a large number of these were young men. Aboriginal people constitute 2.5% of the total population of Western Australia which means they are over represented at a rate of 12%(W.A.A.E.C.G. 1987:32). These figures have been extensively researched and documented (Hazlehurst 1987, Eggleston 1976 and Martin and Newby 1986) perhaps to the detriment of Aboriginal people (Parker 1987:140). Parker believes these high rates are due to the socio-economic and political status of Aboriginal people in our society, and suggests education programs about Aboriginal culture should be introduced to judicial agents accompanied by "the promotion of Aboriginal autonomy and independence in the areas of health, housing, education and employment" (Parker 1987:137). Broadhurst (1987:152) reinforces this view, asserting that the over representation of Aboriginal people in the criminal justice system is a result of deprivation and economic dependence and the development of the north-west, rather than an aspect of Aboriginality (Broadhurst 1987:179). He urges that prisons be used as a ’last resort‘.
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Thorpe, Alister, Wendy Anders, and Kevin Rowley. "The community network: an Aboriginal community football club bringing people together." Australian Journal of Primary Health 20, no. 4 (2014): 356. http://dx.doi.org/10.1071/py14051.
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There are few empirical studies about the role of Aboriginal sporting organisations in promoting wellbeing. The aim of the present study was to understand the impact of an Aboriginal community sporting team and its environment on the social, emotional and physical wellbeing of young Aboriginal men, and to identify barriers and motivators for participation. A literature review of the impact of sport on the health and wellbeing of Aboriginal participants was conducted. This informed a qualitative study design with a grounded theory approach. Four semistructured interviews and three focus groups were completed with nine current players and five past players of the Fitzroy Stars Football Club to collect data about the social, emotional and physical wellbeing impact of an Aboriginal football team on its Aboriginal players. Results of the interviews were consistent with the literature, with common concepts emerging around community connection, cultural values and identity, health, values, racism and discrimination. However, the interviews provided further detail around the significance of cultural values and community connection for Aboriginal people. The complex nature of social connections and the strength of Aboriginal community networks in sports settings were also evident. Social reasons were just as important as individual health reasons for participation. Social and community connection is an important mechanism for maintaining and strengthening cultural values and identity. Barriers and motivators for participation in Aboriginal sports teams can be complex and interrelated. Aboriginal sports teams have the potential to have a profound impact on the health of Aboriginal people, especially its players, by fostering a safe and culturally strengthening environment and encompassing a significant positive social hub for the Aboriginal community.
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Bamblett, Muriel, Maureen Long, Margarita Frederico, and Connie Salamone. "Building an Aboriginal Cultural Model of Therapeutic Residential Care: The Experience of the Victorian Aboriginal Child Care Agency." Children Australia 39, no. 4 (December 2014): 206–10. http://dx.doi.org/10.1017/cha.2014.28.
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The provision of therapeutic residential care offers opportunities for traumatised children and young people to build relationships through establishing a safe and nurturing environment that can facilitate healthy recovery. For the Aboriginal child and young person demonstrating symptoms of trauma, cultural connections have been severed, relationships broken and there can be an overwhelming sense of abandonment. Aboriginal children's experiences of trauma go beyond the individualistic or familial and incorporate pervasive intergenerational trauma. This means that healing for Aboriginal children requires a therapeutic response embedded within an Aboriginal cultural framework. This paper presents the approach undertaken by an Aboriginal community organisation in developing a therapeutic residential care programme for Aboriginal children in their care. The model developed has implications for all therapeutic care programmes.
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Saylor, Kent, and Cindy Blackstock. "Many hands, one dream: Healthy Aboriginal children and young people." Paediatrics & Child Health 10, no. 9 (November 2005): 523–24. http://dx.doi.org/10.1093/pch/10.9.523.
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Lee, Grace Yeeun, Julie Robotham, Yun Ju C. Song, Jo-An Occhipinti, Jakelin Troy, Tanja Hirvonen, Dakota Feirer, et al. "Partnering with Aboriginal and Torres Strait Islander Peoples: An Evaluation Study Protocol to Strengthen a Comprehensive Multi-Scale Evaluation Framework for Participatory Systems Modelling through Indigenous Paradigms and Methodologies." International Journal of Environmental Research and Public Health 20, no. 1 (December 21, 2022): 53. http://dx.doi.org/10.3390/ijerph20010053.
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The social and emotional wellbeing of young Aboriginal and Torres Strait Islander peoples should be supported through an Indigenous-led and community empowering approach. Applying systems thinking via participatory approaches is aligned with Aboriginal and Torres Strait Islander research paradigms and can be an effective method to deliver a decision support tool for mental health systems planning for Indigenous communities. Evaluations are necessary to understand the effectiveness and value of such methods, uncover protective and healing factors of social and emotional wellbeing, as well as to promote Aboriginal and Torres Strait Islander self-determination over allocation of funding and resources. This paper presents modifications to a published evaluation protocol for participatory systems modelling to align with critical Aboriginal and Torres Strait Islander guidelines and recommendations to support the social and emotional wellbeing of young people. This paper also presents a culturally relevant participatory systems modelling evaluation framework. Recognizing the reciprocity, strengths, and expertise Aboriginal and Torres Strait Islander methodologies can offer to broader research and evaluation practices, the amended framework presented in this paper facilitates empowering evaluation practices that should be adopted when working with Aboriginal and Torres Strait Islander peoples as well as when working with other diverse, non-Indigenous communities.
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Ward, James, Joanne Bryant, Heather Worth, Peter Hull, Sarina Solar, and Sandra Bailey. "Use of health services for sexually transmitted and blood-borne viral infections by young Aboriginal people in New South Wales." Australian Journal of Primary Health 19, no. 1 (2013): 81. http://dx.doi.org/10.1071/py11032.
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The objective of the present study was to describe use of health services for sexually transmitted infections (STI), blood borne viral infections (BBV) and drug and alcohol issues by young Aboriginal people in New South Wales (NSW). A cross-sectional survey was conducted at two Aboriginal sports and cultural events in NSW, in 2007 and 2008, among Aboriginal people aged 16–30 years to ascertain their knowledge of STI, BBV, associated risk behaviours and health service access in NSW. A total of 293 young Aboriginal people completed the survey; 58% were female, the mean age was 20 years, and almost 70% were single. Just over one-third (34%) of participants had been tested for an STI in the past 12 months, and over half (58%) reported that they had ever had an STI test (including HIV). Of respondents who had had an STI test in the past 12 months, 54.0% had done so at an Aboriginal Community Controlled Health Service (ACCHS) and 29% by a GP. Just over one-third (36%) of participants had ever had a test for hepatitis C, 45% of whom had received their test at an ACCHS. Participants were also asked about the types of services they had used for advice about STI and BBV. Of the 69% who had sought STI advice, ACCHS was the most common clinical location for doing so (36% for STI and 26% for hepatitis C). This study highlights the important role that ACCHS play in the provision of STI and BBV testing care and management for a cohort of young Aboriginal people in NSW.
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Janca, A., and Z. Lyons. "Assessing mental health in Aboriginal youth." European Psychiatry 65, S1 (June 2022): S138. http://dx.doi.org/10.1192/j.eurpsy.2022.375.
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Introduction The assessment of social and emotional wellbeing (SEWB) among Aboriginal people in Australia and elsewhere is complex and challenging task. A culturally appropriate tool for screening SEWB among Aboriginal adults known as the Here and Now Aboriginal Assessment (HANAA) has been developed and evaluated. The HANAA is based on exploring key domains of Aboriginal concept of SEWB and is based on a yarning process aimed to initiate a semi-structured interview that covers each domain. Over the last ten years the HANAA has been widely used by Aboriginal mental health service providers around Australia and elsewhere. Objectives There have been multiple requests by service providers for a similar tool to be developed for young Aboriginal people. The aim of this study was to develop a youth version of the HANAA. Methods A Working Group was established to guide the development of the youth HANAA. This work included discussion of assessment domains, prompt words and other adolescent specific considerations that were needed. The evlauation process was also discussed. Results The adult version of HANAA was well accepted by participants. Reliability was good with kappa agreements between Aboriginal and non-Aboriginal interviewers ranging from 0.5 to 1.0. Agreement between interviewers and treating clinicians on ecommended course of action was good. Conclusions Based on the previous field test results, it is expected that the youth HANAA will also be a culturally appropriate and useful tool which can be used by a range of service providers with differing levels of mental health training to assess SEWB among young Aboriginal people. Disclosure No significant relationships.
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Kerkhove, Ray. "Aboriginal Trade in Fish and Seafoods to Settlers in Nineteenth-Century South-East Queensland: A Vibrant Industry?" Queensland Review 20, no. 2 (October 30, 2013): 144–56. http://dx.doi.org/10.1017/qre.2013.17.
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Aboriginal peoples have been ‘doing business’ with foreigners for centuries (McCarthy 1939; Langton, Mazel and Palmer 2006), yet research to date has focused either on traditional exchange networks (Donovan and Wall 2004) or the impact of Western goods. Thus Harrison (2002) and Jones (2007) plotted Aboriginal exchange values and redistribution systems for iron and cloth. The general impression from such works is that, following European contact, Aboriginal society was radically transformed, while Europeans received curios. For example, Western goods stimulated a ‘glass artefact industry’ (Harrison 2003) and Aboriginal ‘doggers’ controlled dingos (Young 2010), but only officials or anthropologists had use for the resultant spearheads and scalps. At best, Aboriginal–European trade is considered inconsequential — ‘trinkets for trash’ — while Noel Butlin's (1994) analysis of the colonial economy entirely ignores it. Discussion of profitable exchange seems limited to the post-1950s arts trade (Kleinert 2010: 175). The notion that Aboriginal people might ‘flourish’ in trade or labour with Europeans (e.g. Anderson 1983) is discarded as absurd (White 2011: 81). This is perplexing, because colonial expansion saw commercial exchanges with Indigenous peoples all over the globe. Trade between Europeans and native people forms the opening chapter of national histories — for example, those of Canada and New Zealand (Innis 1999; Salmond 1997; McLusker 2006).
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Ubrihien, Ashley, Kylie Gwynne, and David A. Lewis. "Barriers and enablers for young Aboriginal people in accessing public sexual health services: A mixed method systematic review." International Journal of STD & AIDS 33, no. 6 (March 25, 2022): 559–69. http://dx.doi.org/10.1177/09564624221080365.
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Background A mixed method systematic review was undertaken to address the research question, Do young Australian Aboriginal people barriers in accessing public sexual health services? Aboriginal people are disproportionally affected by significantly higher incidence rates of sexually transmissible infections (STIs), compared to the rest of the Australian population. This problem is particularly acute for young people under 30 years of age who suffer from the consequences of STIs due to the number of sexual partners and challenges faced in accessing healthcare. Methods The study inclusion criteria were: papers published between January 1999 and September 2019 inclusive; published in any language, discussed healthcare barriers and facilitators; included people under 30 years of age; contained research with one or more of the following terms; Aboriginal, Health, Access, Barriers and Sexual Health; was published or discussed Australia research. Articles were extracted from MEDLINE, Embase, PsychINFO, Proquest Social Sciences, Open Grey and NLM Bookshelf. An initial search identified 770 articles; 23 duplicate articles were removed. 642 were excluded for not meeting inclusion criteria following a title and abstract review of articles. 60 articles underwent full text review by two reviewers and 15 articles were included in analysis. Results This review found that novel approaches to service delivery such as incorporating STI testing into other targeted initiatives, providing self-testing kits and achieving high levels of cultural competency were key facilitators to access. Whereas location of services, inconsistent service provision, shame and differing levels of knowledge about the effects of STIs were key barriers. Conclusions This systematic review identified barriers and facilitators of access to sexual health services for Aboriginal young people. System level changes are needed to improve physical environments, service integration and consistent provision of culturally competent services. This review highlights the need for further research focussed on assessing the real-world pressures of young Aboriginal people and how healthcare providers can better offer a person-centred service.
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Haysom, Leigh, Devon Indig, Elizabeth Moore, Louise L. Hardy, and Paul A. Van den Dolder. "Prevalence and perceptions of overweight and obesity in Aboriginal and non‐Aboriginal young people in custody." Medical Journal of Australia 199, no. 4 (August 2013): 266–70. http://dx.doi.org/10.5694/mja13.10407.
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O'Brien, David. "Developing Early Reading Skills In Young Aboriginal Children Through Listening Activities." Aboriginal Child at School 22, no. 3 (October 1994): 28–32. http://dx.doi.org/10.1017/s0310582200005307.
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The mastery of beginning reading skills by Aboriginal students is still an area of ongoing concern. The discussion paper released as part of the National Review of Education for Aboriginal and Torres Strait islander people (1994) points to 45% of Aboriginal students having significantly lower levels of achievement in literacy and numeracy than other Australian students despite the intervention programs that have been developed and implemented. The Review also recommends that to improve this situation an emphasis needs to be placed on literacy programs “which identify difficulties as early as possible and which deliver special assistance to improve and maintain literacy achievements at the earliest possible time”(1994). The purpose of this article is to provide an example of one such program that has been developed around new research into the area of early reading development and used successfully with young Aboriginal students.
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Hutt, Samantha, and Annaley Clarke. "Improving Aboriginal and Torres Strait Islander Cultural Support in Out-of-Home Care." Children Australia 37, no. 2 (June 2012): 76–79. http://dx.doi.org/10.1017/cha.2012.16.
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Due to the overrepresentation of Aboriginal and Torres Strait Islander children in the out-of-home care system many children will not always be cared for in a culturally appropriate placement. Therefore, cultural support planning for Aboriginal and Torres Strait Islander children and young people must be a high priority for all staff, carers and volunteers of out-of-home care services. Six themes have been identified as assisting in the provision of cultural support planning within placements. Each theme has a detailed list of resources that can be accessed for children and young people, carers and professionals.
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Miller, Jenna, and Emily Berger. "A review of school trauma-informed practice for Aboriginal and Torres Strait Islander children and youth." Educational and Developmental Psychologist 37, no. 1 (May 11, 2020): 39–46. http://dx.doi.org/10.1017/edp.2020.2.
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AbstractAboriginal and Torres Strait Islander people in Australia are especially vulnerable to traumatic and discriminatory experiences. However, limited literature and research has implemented and evaluated school-based interventions designed to assist Aboriginal and Torres Strait Islander children and young people to overcome their adversity and achieve their potential at school. This article reviews the literature and frameworks on school programs designed for Aboriginal and Torres Strait Islander students who have experienced trauma. The key aspects of trauma-informed programs in schools for Aboriginal and Torres Strait Islander students is explored and recommendations made for further research and greater acknowledgement of cultural and historical issues for Aboriginal and Torres Strait Islander students when implementing culturally informed and trauma-informed practices in schools.
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Devries, Karen M., Caroline J. Free, and Elizabeth Saewyc. "“I Like to Think I’m a Pretty Safe Guy but Sometimes a 40-Pounder* Will Change That”: A Mixed Methods Study of Substance Use and Sexual Risk Among Aboriginal Young People." International Journal of Indigenous Health 9, no. 1 (June 9, 2013): 41. http://dx.doi.org/10.18357/ijih91201212393.
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We conducted a mixed methods study to explore links between substance use and sexual risk among Aboriginal young people in British Columbia, Canada. Individual in-depth interviews were conducted in 2004–2005 with 30 young people ages 15–19; we present a descriptive thematic analysis. Data from a 2003 provincially representative survey that included 2,467 Aboriginal young people attending secondary school were used to model relationships between substance use and sexual behaviour outcomes. Young people perceived that substance use affected community and extended family relationships and could shape behaviour during sexual encounters. Survey data show different age trajectories of risk. For young men, there was a strong and consistent linear relationship between substance use and potentially risky sexual behaviour across all age groups. For women, using more substances at younger but not older ages was a strong marker of sexual initiation. Using more substances in older but not younger age groups was a strong indicator for having more sexual partners. For both young women and young men, lifetime substance use and substance use at last sexual encounter did not predict condom use. Interventions must consider the effects of substance use on community structures and family relationships in addition to individual risk.
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Adams, Karen, Chris Halacas, Marion Cincotta, and Corina Pesich. "Mental health and Victorian Aboriginal people: what can data mining tell us?" Australian Journal of Primary Health 20, no. 4 (2014): 350. http://dx.doi.org/10.1071/py14036.
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Nationally, Aboriginal people experience high levels of psychological distress, primarily due to trauma from colonisation. In Victoria, Aboriginal Community Controlled Health Organisations (ACCHOs) provide many services to support mental health. The aim of the present study was to improve understanding about Victorian Aboriginal people and mental health service patterns. We located four mental health administrative datasets to analyse descriptively, including Practice Health Atlas, Alcohol and Other Drug Treatment Service (AODTS), Kids Helpline and Close The Gap Pharmaceutical Scheme data. A large proportion of the local Aboriginal population (70%) were regular ACCHO clients; of these, 21% had a mental health diagnosis and, of these, 23% had a Medicare Mental Health Care Plan (MHCP). There were higher rates of Medicare MHCP completion rates where general practitioners (GPs) had mental health training and the local Area Mental Health Service had a Koori Mental Health Liaison Officer. There was an over-representation of AODTS episodes, and referrals for these episodes were more likely to come through community, corrections and justice services than for non-Aboriginal people. Aboriginal episodes were less likely to have been referred by a GP or police and less likely to have been referrals to community-based or home-based treatment. There was an over-representation of Victorian Aboriginal calls to Kids Helpline, and these were frequently for suicide and self-harm reasons. We recommend primary care mental health programs include quality audits, GP training, non-pharmaceutical options and partnerships. Access to appropriate AODTS is needed, particularly given links to high incarcerations rates. To ensure access to mental health services, improved understanding of mental health service participation and outcomes, including suicide prevention services for young people, is needed.
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Soldatic, Karen, Linda Briskman, William Trewlynn, John Leha, and Kim Spurway. "Social Exclusion/Inclusion and Australian First Nations LGBTIQ+ Young People’s Wellbeing." Social Inclusion 9, no. 2 (April 15, 2021): 42–51. http://dx.doi.org/10.17645/si.v9i2.3603.
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There is little known about the social, cultural and emotional wellbeing (SCEWB) of Aboriginal and Torres Strait Islander LGBTIQ+ young people in Australia. What research exists does not disaggregate young people’s experiences from those of their adult Aboriginal and Torres Strait Islander LGBTIQ+ peers. The research that forms the basis for this article is one of the first conducted in Australia on this topic. The article uses information from in-depth interviews to inform concepts of social inclusion and exclusion for this population group. The interviews demonstrate the different ways in which social inclusion/exclusion practices, patterns and process within First Nations communities and non-Indigenous LGBTIQ+ communities impact on the SCEWB of these young people. The research demonstrates the importance of acceptance and support from families in particular the centrality of mothers to young people feeling accepted, safe and able to successfully overcome challenges to SCEWB. Non-Indigenous urban LGBTIQ+ communities are at times seen as a “second family” for young people, however, structural racism within these communities is also seen as a problem for young people’s inclusion. This article contributes significant new evidence on the impact of inclusion/exclusion on the SCEWB of Australian First Nations LGBTIQ+ youth.
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Familari, Toni. "Aboriginal Studies Program At Nulungu Catholic College." Aboriginal Child at School 22, no. 3 (October 1994): 13–15. http://dx.doi.org/10.1017/s0310582200005277.
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Nulungu is the name of a water hole (near Broome) where two legendary hero men of Aboriginal culture rested for a while eating and drinking. From Nulungu they went through the North straightening out the Law. Young people come to the College and they too rest a while to share their learning at the water that each gives to and takes from. They return to their people to share what they know.
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McCausland, Ruth, and Leanne Dowse. "The need for a community-led, holistic service response to Aboriginal young people with cognitive disability in remote areas: a case study." Children Australia 45, no. 4 (November 4, 2020): 326–34. http://dx.doi.org/10.1017/cha.2020.49.
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AbstractThere are multiple structural and practical barriers to Aboriginal young people with cognitive disability in remote areas receiving the support and services they need. Multidisciplinary mixed-methods research over the past decade has provided evidence of the ways that many such young people end up with complex support needs and being ‘managed’ by police and justice agencies in the absence of appropriate early intervention, transition support and community-based options. This article presents and synthesises knowledge generated by this body of work and contextualises it within the experiences and trajectory of a young Aboriginal woman with cognitive disability and complex support needs from a remote town. This case study is drawn from a New South Wales linked administrative dataset containing data from health, housing, disability, human services, police, legal, court and justice agencies on a cohort of people who have been incarcerated. The article draws out key principles and strategies to suggest what a community-led, holistic service response could have looked like for Casey.
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Seear, Kimberley H., David N. Atkinson, Matthew P. Lelievre, Lynette M. Henderson-Yates, and Julia V. Marley. "Piloting a culturally appropriate, localised diabetes prevention program for young Aboriginal people in a remote town." Australian Journal of Primary Health 25, no. 5 (2019): 495. http://dx.doi.org/10.1071/py19024.
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Lifestyle changes are central to preventing type 2 diabetes. Embarking upon and sustaining change is challenging, and translation of prevention approaches into a wider range of real-world settings is needed. In this study, a locally adapted community-led diabetes prevention program with local young Aboriginal facilitators was created and trialled through the Derby Aboriginal Health Service (DAHS). The 8-week program highlighted causes and consequences of diabetes, incorporated physical activity and healthy eating topics with a focus on practical activities, and included stress management to support healthy lifestyles. Ten Aboriginal women and men aged 18–38 years participated in the pilot program. The program was found to be acceptable and appropriate, and other community members and organisations expressed interest in future participation. Participants reported that they gained important new knowledge and made changes in behaviours including shopping choices, portioning and soft drink consumption. Limitations included participant recruitment and attendance difficulties, which were attributed to program timing and competing demands. While this program was designed to be sustainable, and there were indications of feasibility, resource constraints impeded its integration into routine primary health care. Prevention of diabetes is a high priority for DAHS, and this program, with appropriate resources, provides a basis for ongoing practical prevention strategies.
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Devries, Karen M., and Caroline J. Free. "Boyfriends and Booty Calls: Sexual Partnership Patterns Among Canadian Aboriginal Young People." Canadian Journal of Public Health 102, no. 1 (January 2011): 13–17. http://dx.doi.org/10.1007/bf03404871.
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Tran, Ngoc Cao Boi. "SOME IMPACTS OF THE AUSTRALIAN MULTICULTURAL POLICY ON THE CURRENT PRESERVATION AND DEVELOPMENT OF THE AUSTRALIAN ABORIGINAL CULTURE." Science and Technology Development Journal 13, no. 1 (March 30, 2010): 56–72. http://dx.doi.org/10.32508/stdj.v13i1.2104.
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Different from their ancestors, most of the Australian Aborigines currently live outside their native land but in a multicultural society under the major influence of Western culture. The assimilation policy, the White Australian policy etc. partly deprived Australian aborigines of their traditional culture. The young generations tend to adopt the western style of living, leaving behind their ancestors’ culture without any heir! However, they now are aware of this loss, and in spite of the modern trend of western culture, they are striving for their traditional preservation. In “Multicultural Australia: United in Diversity” announced on 13 May 2003, Australian government stated guidelines for the 2003-2006 development strategies. The goals are to build a successful Australia of diverse cultures, ready to be tolerant to other cultures; to build a united Australia with a shared future of devoted citizens complying with the law. As for Aboriginal culture, the multicultural policy is a recognition of values and significance of the most original features of the country’s earliest culture. It also shows the government’s great concern for the people, especially for the aborigines. All this displays numerous advantages for the preservation of Australian aboriginal culture.
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Ford, Margot. "Language Nests in New Zealand. Implications for the Australian Aboriginal and Torres Strait Islander Context." Australian Journal of Indigenous Education 24, no. 2 (1996): 15–19. http://dx.doi.org/10.1017/s1326011100002416.
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In the past ten years there has been an increasing interest in early childhood education in Aboriginal communities, particularly for 4-year-olds and under. The reasons for this are varied. One of the main reasons is the existence of the Community Development Employment Project (CDEP) where Aboriginal people in remote communities receive the equivalent of the unemployment benefit in exchange for work and training, usually four hours per day for five days. Other larger communities, for example Yuendemu or Maningrida in the Northern Territory, have considerable numbers of people studying, often at Batchelor College, and therefore some type of support is needed to take care of their young children. Increasingly Aboriginal people are taking on professional jobs in communities — teachers, health care workers and office administrators. All these factors are leading to a need to re-evaluate traditional forms of child care, which in these changing times is putting an unacceptable burden on older women and the extended family generally. Other pertinent reasons are the need for a more cohesive strategy to pass on cultural knowledge, to support language maintenance and language revival and support very young mothers who need the support of older women with more experience.
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Reilly, Rachel, Peter S. Azzopardi, Alex Brown, Jane Fisher, George Patton, Debra J. Rickwood, Choong-Siew Yong, Odette Pearson, and Ngiare Brown. "Strengthening assessment and response to mental health needs for Aboriginal and Torres Strait Islander children and adolescents in primary care settings: study protocol for the Ngalaiya Boorai Gabara Budbut implementation project." BMJ Open 12, no. 9 (September 2022): e063154. http://dx.doi.org/10.1136/bmjopen-2022-063154.
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IntroductionOpportunities for improved mental health and wellbeing of Aboriginal and Torres Strait Islander children and young people lie in improving the capability of primary healthcare services to identify mental healthcare needs and respond in timely and appropriate ways. The development of culturally appropriate mental health assessment tools and clinical pathways have been identified as opportunities for strengthening workforce capacity in this area. The Ngalaiya Boorai Gabara Budbut implementation project seeks to pursue these opportunities by developing and validating a psychosocial assessment tool, understanding what services need to better care for your people and developing resources that address those needs.Methods and analysisThe project will be governed by a research governance group comprising Aboriginal service providers, young people, and researchers. It will be implemented in an urban health service in Canberra, and regional services in Moree, Wollongong, and the Illawarra regions of New South Wales Australia. The validation study will follow an argument-based approach, assessing cultural appropriateness and ease of use; test–retest validity; internal consistency, construct validity and the quality of decisions made based on the assessment. Following piloting with a small group of young people and their caregivers (n=10), participants (n=200) will be young people and/or their caregivers, attending one of the partner services. The needs assessment will involve an in-depth exploration of service via an online survey (n=60) and in-depth interviews with service providers (n=16) and young people (n=16). These activities will run concurrently. Service providers, researchers and the governance group will codesign resources that respond to the needs identified and pilot them through the participating services.Ethics and disseminationThe Aboriginal Health and Medical Research Council of NSW Human Research Ethics committee (#1769/21) has approved this project. Informed consent will be obtained from all participants and/or their caregivers (with assent from those aged <16 years) prior to participating in all aspects of the study. Research dissemination will occur through participating health services, academic journal articles and conference presentations.
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Mackay, Michael. "Aboriginal juveniles and the criminal justice system: The case of Victoria." Children Australia 21, no. 3 (1996): 11–22. http://dx.doi.org/10.1017/s1035077200007161.
Full textAbstract:
In the light of continuing concern about the high level of involvement of Aboriginal people in the criminal justice system, this article examines the 1993/94 police data for Victoria. The focus is on juvenile ‘alleged offenders processed’. The data shows contact commencing early and a continuing high level of contact with the system, especially for young Aboriginal males. Although there has been a reduction in the over-representation ratio of Aboriginal juveniles in juvenile corrective institutions, the difference in rates at all points in the system compared to non-Aboriginal youth is substantial.Longer-term consequences including the likelihood of adult incarceration are serious and the need for more research and action is clearly signalled.
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Atkinson, Lynn. "Aboriginal Youth, Police and the Juvenile Justice System in Western Australia." Children Australia 18, no. 1 (1993): 14–19. http://dx.doi.org/10.1017/s1035077200003278.
Full textAbstract:
The first section of the paper makes some observations about young people, crime and the police, and the particular vulnerability of Aboriginal youth coming to the attention of the police. Two issues, the maintenance of public order and juvenile offending, provide the framework for the discussion here. The second section looks at the nexus between the pre-trial conference - a recent innovation in the Children's Court in Perth - police prosecutors, and Aboriginal youth.