ARCSHS Annual Report 2006
Transcription
ARCSHS Annual Report 2006
Australian Research Centre in sex, health society Annual Report 2006 Australian Research Centre in Sex, Health and Society and Australian Research Centre in sex, health society and Australian Research Centre in Sex, Health and Society The Australian Research Centre in Sex, Health and Society is a multi-disciplinary social research centre within La Trobe University’s Faculty of Health Sciences, Melbourne. Established in February 1993, the Centre is funded by La Trobe University and research project grants from external agencies, including the Commonwealth Department of Health and Ageing, the National Health and Medical Research Council, the Australian Research Council, the Victorian Health Promotion Foundation, and the Department of Human Services. The aims of the centre are to: • undertake research into social, psychological and cultural aspects of human sexuality and sexual health; • provide research leadership at state, national and international levels; • provide knowledge, skills and resources to assist other organisations in health promotion, service delivery and the formulation of public policy. GAY AND LESBIAN HEALTH VICTORIA Within ARCSHS, Gay and Lesbian Health Victoria is run in association with Women’s Health Victoria (WHV) and the Victorian AIDS Council/Gay Men’s Health Centre (VAC). Established in 2004, the role of the Unit is to enhance and promote the health and wellbeing of gay, lesbian, bisexual, transgender and intersex (GLBTI) people in Victoria by: • establishing and implementing best practice standards of care. • training healthcare providers and health organisations about GLBTI health needs and appropriate service delivery. • developing health resources for GLBTI communities, in conjunction with mainstream services. • establishing a research and information clearinghouse as a resource for healthcare providers, • researchers and individuals to use in researching health issues. providing advice to government on the planning and development of future GLBTI programs. COMMUNITY LIAISON AND EDUCATION UNIT ARCSHS’ Community Liaison and Education Unit links researchers, practitioners and communities to ensure strong partnerships and effective research process. It empowers communities to answer their own research questions and actively disseminates results to participants, key interest groups and the broader community. Its education and training programs help people translate outcomes into action. It promotes public awareness and discussion of research findings. Contents The Year at a Glance 2 Director’s Report 4 International Activities 6 Gay and Lesbian Health Victoria 8 Community Liaison and Education Unit 10 Talking Sexual Health: Chlamydia 12 Developing a Short Course in Advanced Sexuality Theory and Methodology in Developing Countries 14 Private Lives 16 Hepatitis Social Research 18 Joining the Dots: Social Network Research at ARCSHS 20 2006 Projects and Funding 22 Scientific Advisory Committee 24 ARCSHS Staff 26 Educational Activities 29 Other Staff Activities 31 Collaborations 34 Publications 35 Glossary inside back cover Below: Increased understanding of issues relating to sexual health is vital to the health, economic and social wellbeing of the general population. AUSTRALIAN RESEARCH CENTRE IN SEX, HEALTH & SOCIETY ANNUAL REPORT 2006 1 The Year At A Glance • Private Lives report launched by Victorian Health Minister, Bronwyn Pike. This is the largest study undertaken in Australia of the gay, lesbian, bisexual, transgender and intersex (GLBTI) population. More on pages 16 and 17. • More than 1,000 Victorian women surveyed by ARCSHS to assess their knowledge of and attitudes towards the Human Papilloma Virus (HPV), and the acceptability of the vaccine for young women. The findings from this study have been presented at international conferences and to those concerned with the prevention of cervical cancer. The scale of this research will be extended in 2007. • Grant secured from the Department of Health and Ageing to fund the development of school-based resources for Chlamydia education. More on page 12. • The Australian Longitudinal Study of Health and Relationships continued with early analysis of first and second wave of interviews. Commenced in 2003, this is a five-year study of the sexual health and wellbeing of Australians aged between 16 to 65 years. Third wave interviews are about to begin. • Recurrent funding for the work of ARCSHS’ Gay and Lesbian Health Victoria unit announced by Victorian Health Minister, Bronwyn Pike. “ARCSHS surveyed more than 1,000 women to assess their knowledge of and attitudes towards the Human Papilloma Virus (HPV).” 2 AUSTRALIAN RESEARCH CENTRE IN SEX, HEALTH & SOCIETY ANNUAL REPORT 2006 • Government funding of the Secondary Students and Sexual Health Survey discontinued. The only evidence base of young people’s sexual health and risk behaviours in Australia, this study has been of immense value to health policy-makers. • People Living with HIV/AIDS Victoria (PLWHA) presented Professor Marian Pitts and Dr Sean Slavin with the Research Progress Award for research on newly-positive people and issues around new HIV infections. • • • The report HIV Futures 5: Life as we know it was published. Based on questionnaires completed by 982 HIVpositive Australians, this study has added significantly to the discourse on living with HIV – both nationally and internationally, amongst academia and in the broader community. Publication of the report Access to HIV prevention information among selected culturally and linguistically diverse (CALD) communities in Victoria. The focus of this year-long study was particularly on people from nations with high levels of migration to Australia since the 1990s, such as the Horn of Africa, Arabic-speaking communities, and Vietnamese and Thai communities. The book Researching the Margins submitted for publication. Edited by Professors Marian Pitts and Anthony Smith, the book identifies issues associated with researching with what have traditionally been recognised as ‘hard to reach’ communities, and offers conceptual analyses and practical suggestions. Researching the Margins reflects ARCSHS’ work with marginalised communities and emphasises the experience and contribution of those with whom the research is undertaken. • Funding from the US-based Ford Foundation enabled the development of an advanced training course: AIDS, Families and Human Relations: an advanced course in sexuality theory and research methodology. More on pages 14 and 15. • Gay and Lesbian Health Victoria (GLHV) clearinghouse launched by Victorian Health Minister, Bronwyn Pike. More on page 8. • Hepatitis C research focused on improving access to treatment services, discrimination in the healthcare setting, the experiences of an ethno-specific community liver clinic, hepatitis C in Victorian Indigenous communities, regulating hepatitis C, and issues affecting the uptake of health guidelines for personal care and body art industries. In 2007, ARCSHS’ Hepatitis Social Research Program will undertake a National Hepatitis B Needs Assessment. More on pages 18 and 19. • A new HIV-related project focused on the dynamics of gay men’s sexual activities at Sex on Premises Venues (SOPVs). Titled Pivotal, Peripheral or Positional: Understanding SOPVs for Intervention, this research was funded by the Department of Human Services and will be used in the development of education programs and interventions targeting patrons of these venues. • The Department of Human Services agreed to fund ARCSHS to investigate Crystal Methamphetamine use among gay men in Melbourne, with a focus on identifying key interventions. Currently there is anecdotal evidence about the use of crystal meth by gay men in Victoria, but little in the way of hard evidence to support any health interventions. • Professor Marian Pitts appointed to the Australian Research Council College of Experts. • Deborah Dempsey and Angela Kelly were awarded their PhDs, and two postgraduate students submitted their theses. • Postgraduate student Maria Platt was awarded an Endeavour Research Fellowship towards her field work in Indonesia. Below (back row L–R): Associate Professor Anne Mitchell; Professor Anthony Smith; Sunil Patel; (front row L–R): Victorian Health Minister, Bronwyn Pike; Professor Marian Pitts; Dr Craig White, Executive Director Clinical Services, Southern Health at the launch of the Private Lives report. AUSTRALIAN RESEARCH CENTRE IN SEX, HEALTH & SOCIETY ANNUAL REPORT 2006 3 Director’s Report ARCSHS continues to develop and consolidate research initiatives in many areas of sexual and reproductive health. It is very rewarding to see our expertise recognised – through involvement in national research initiatives, through research awards and most importantly, through the provision of funding that is so necessary to achieve health outcomes. CONTRIBUTING TO NATIONAL HEALTH PRIORITIES A key focus is our work to address the increasing prevalence of sexually transmissible infections (STIs), which is considered a major public health issue in Australia and internationally. Whilst the nature of some of our work may be confronting, increased understanding of issues relating to sexual health is nonetheless vital to the health, economic and social wellbeing of the general population. For example, ARCSHS has been following the development of vaccines against the Human Papilloma Virus (HPV) with great interest. Together with colleagues from the Royal Women’s Hospital and the University of Melbourne, ARCSHS carried out a survey of more than 1,000 Victorian women to assess their knowledge of and attitudes towards HPV, and the acceptability of the vaccine for young women. The findings from this study have been presented at international conferences and to those concerned with the prevention of cervical cancer. We will be extending the scale of this research in 2007. I was pleased to accept an appointment to the Australian Research Council College of Experts in November, and look forward to contributing to national research priorities through this role. OUR GREATEST CHALLENGE Whilst our expertise contributes a great deal to the development and achievement of national strategies and to the body of knowledge leading to improved health outcomes globally, securing the necessary research funding continues to be our greatest challenge. The announcement in 2006 by Victorian Health Minister, Bronwyn Pike, of recurrent funding through the Department of Human Services for the work of our Gay and Lesbian Health Victoria unit was welcome news. A grant from the Department of Health and Ageing to fund the project Talking Sexual Health: Chlamydia was also welcome news, which will enable ARCSHS to create school-based resources for Chlamydia education. However, the core grant for ARCSHS’ work from the Department of Health and “Increased understanding of issues relating to sexual health is vital to the health, economic and social wellbeing of the general population.” 4 AUSTRALIAN RESEARCH CENTRE IN SEX, HEALTH & SOCIETY ANNUAL REPORT 2006 Ageing has remained unchanged for six years, which has had the effect of progressively reducing our work from this grant. The Department of Health and Ageing (DHA) also discontinued its funding of the Secondary Students and Sexual Health Survey, which was a significant blow. This study provides the only evidence base of young people’s sexual health and risk behaviours in Australia and as such, is of immense value to health policy-makers. The data have formed the basis of the funded materials for health education in secondary schools, widely used in all states and territories across Australia. Student welfare services have been reliant on these data, and the findings have been published in the top ranked international academic journals in the field. The study was previously conducted in five-year intervals – in 1992, 1997 and 2002 – and surveyed Australian students in years 10 and 12 from a nationally representative sample of Australian schools. To allow for scientifically valid and rigorous comparisons, it is essential that the data be collected on schedule and using the survey items that have formed the basis for the earlier surveys. Without the 2007 survey, the value of the investment in fifteen years of surveillance in this population will be lost. ARCSHS continues to explore ways of supporting this essential research. Key ARCSHS researchers rely upon fellowships from external organisations to fund their salaries – most particularly from VicHealth, which has been immensely supportive of ARCSHS research since the centre’s inception as a VicHealth centre of excellence. As fellowships expire, key staff may be lost to other institutions. VITAL COLLABORATIONS In addition to our partnerships with funding bodies, collaborations with colleagues from other institutions, research centres and with community agencies are fundamental to the research undertaken at ARCSHS. We are proud of the inclusive style of our research and acknowledge our collaborations throughout this report. The coming year will bring new challenges, in addition to the harsh economic environment in which we now work. Nonetheless, I am confident that in 2007 – the 15th year of ARCSHS’ work, we will continue to undertake research and publish work that is vital to Australia’s strategic responses to HIV, STIs, blood borne viruses, and sexual and reproductive health and wellbeing. Professor Marian Pitts Director ENTERING OUR 15TH YEAR I have made many presentations this year, including invited presentations to state and federal ministerial advisory committees, highlighting our research and the role research plays in shaping policy, practice and service provision. Among the most valued interactions and discussions are those with our colleagues in the communities with whom we research. The Year At A Glance on pages 2 and 3 provides a broad overview of our progress during the last year, and a number of projects are featured in greater detail throughout this report. Professor Marian Pitts and Samantha Croy, reviewing survey responses. AUSTRALIAN RESEARCH CENTRE IN SEX, HEALTH & SOCIETY ANNUAL REPORT 2006 5 International Activities ARCSHS is increasingly working beyond our national boundaries. Among the recent projects with an international focus, ARCSHS has undertaken a project commissioned by Family Health International, researching male to male sexual practices in Thailand and Indonesia as they relate to HIV risk. Titled Dynamics and contexts of male to male sexual practices in South-East Asia, the report describes and analyses experiences of male to male sexual practices in five sites in Indonesia and Thailand and the meanings attached to experiences of male to male sexual practices. HIV Futures Tamil Nadu is a pilot study that took the HIV Futures model to the state of Tamil Nadu, South India. The HIV Futures questionnaire was adapted to reflect local concerns, translated into Tamil, and administered to people living with HIV/AIDS by professional staff of support organisations in the districts of Namakkal and Thiruvallur. This was a collaborative project between the Indian Network for People Living with HIV/AIDS (INP+), HIV Ullor Nala Sangam (HUNS) and ARCSHS. The results will be of great value to policy-makers, service providers and community groups in Tamil Nadu in improving education and support services. In a collaborative project funded by the New Zealand Ministry of Health, HIV Futures New Zealand 2 involved ARCSHS “ARCSHS is increasingly working beyond our national boundaries.” 6 AUSTRALIAN RESEARCH CENTRE IN SEX, HEALTH & SOCIETY ANNUAL REPORT 2006 and our colleagues at the New Zealand AIDS Foundation conducting a crosssectional survey of New Zealand people living with HIV/AIDS (PLWHA). The first HIV Futures New Zealand survey was undertaken in 2001, achieving a sample that represented 25% of the estimated population of PLWHA in the country. It provided core analyses that have informed New Zealand HIV services within the community, service, professional and government sectors. This latest survey will provide valuable insights into the place of the new therapies in the lives of PLWHA and the social and personal impact of HIV on their lives. The new data are anticipated to have significant policy and service implications. Ambivalent Adolescence in Indonesia is a four-year collaborative project between researchers from four Australian universities, funded by the Australian Research Council. This project explores adolescent experiences of education; religious, cultural and national identity; the body and sexuality; parents and family; social life; popular culture and work. ARCSHS’ research will focus on the eastern Indonesian islands of Lombok and Flores. The project will cover up to 10 field sites and include 10 different adolescent populations within the archipelago. is undertaking the project, Young women, health and gender: The role of Islamic Women’s Organisations in Mataram, Indonesia. Maria’s study focuses on reproductive health and gender awareness programs run by Islamic Women’s Organisations (IWOs) in the city of Mataram, eastern Indonesia. In particular, she is interested in the nexus between the content and philosophy of the programs delivered and the experiences of young women who participate in these programs. Maria will investigate how young women perceive education and training provided by IWOs and its relevance to their everyday lives. Her study will use a range of qualitative methods focusing both on young women’s experiences and the content of the education and training provided by IWOs. 2007 will see ARCSHS involved in new projects beginning in South Africa, New Zealand and elsewhere in the region. In a project supported by a $25,000 Commonwealth Government Endeavour Australia Research Fellowship, Maria Platt AUSTRALIAN RESEARCH CENTRE IN SEX, HEALTH & SOCIETY ANNUAL REPORT 2006 7 Gay and Lesbian Health Victoria Highlights within the Gay and Lesbian Health Victoria unit this year included the launch of the Private Lives report and the GLHV clearinghouse by Victorian Health Minister, Bronwyn Pike in March 2006. Private Lives documents health and wellbeing issues of gay, lesbian, bisexual, transgender and intersex (GLBTI) Australians. With 5,476 participants completing the survey, it is the largest study of this population ever undertaken in Australia. The project explored the impact of factors such as homophobia, discrimination, family and community connection on health and wellbeing, and investigated aspects of healthcare use. Funded by La Trobe University, it will be an important guide for GLHV’s future work. Refer to pages 16 and 17 for further information. Also launched at this time was the GLHV clearinghouse, a web-based library resource providing up-to-date health information and resources, based on the social model of health as outlined in the Victorian GLBTI Health and Wellbeing Action Plan. The development of the clearinghouse has been greatly assisted by our consortium partner Women’s Health Victoria and our consumer reference group. This user-friendly community resource is already being utilised by 120 unique users daily. In partnership with Northern Melbourne Institute of TAFE and the Council for “A competency-based accredited training package has now been developed for housing workers in meeting the needs of GLBTI people.” 8 AUSTRALIAN RESEARCH CENTRE IN SEX, HEALTH & SOCIETY ANNUAL REPORT 2006 Homeless Persons, a competency-based accredited training package has now been developed for housing workers in meeting the needs of GLBTI people. Known as Inside and Out, the Certificate III and IV training package was recognised this year with a Community Services and Health Industry Training Board Award for Innovation, and is currently being rolledout throughout the state. GLHV continues to work closely with the Ministerial Advisory Committee on Gay and Lesbian Health, providing advice to a number of service areas within the Department of Human Services and the Department of Education and Training. The unit’s participation in the Sense and Sexuality conference for schools was a particular highlight of 2006. The needs of GLBTI people were also the focus of training provided for the staff of a number of health services, local councils and hospitals to improve understanding within the health and welfare sector. Thanks to the support of the Victorian Law Foundation, a poster has been produced to inform health professionals working in the aged care and hospitals sector about “next of kin” changes to legislation for gay and lesbian couples. Another resource developed, this time in collaboration with the Trans Melbourne Gender Project (TMGP), was a booklet for young people who are questioning their gender. This booklet, GQ, has been very well received in the youth field and has enabled staff at GLHV to learn more about transgender issues. A highlight at the end of the year was an award from our collaborators for this work. TMGP has also assisted in developing an online survey for trans people, known as Tranznation. AUSTRALIAN RESEARCH CENTRE IN SEX, HEALTH & SOCIETY ANNUAL REPORT 2006 9 Community Liaison and Education Unit The Community Liaison and Education Unit (CLEU) is central to ARCSHS’ work. Its’ role is to: • build links between research and practice to ensure that research informs, and is informed by, policy and practice; • develop and maintain research relationships with organisations and individuals; • disseminate research outcomes in ways that are accessible and comprehensible to the community; • promote the work of the Centre in the community. This is achieved through projects, community involvement, the provision of training and production of training materials, reports and newsletters. Over the last four years, the CLEU has developed an approach to communitybased evaluation which involves collaboration between the project workers and the evaluators. Termed consultative evaluation, this model uses the skills and knowledge of the project workers, together with the expertise and rigour of the ARCSHS researchers. Unlike traditional evaluation models, the project workers and the evaluation team work together to develop the evaluation measures and tools, and much of the data collection is carried out by the project workers. The data are passed on to the evaluator for analysis and the evaluation “The CLEU has developed an approach to communitybased evaluation which involves collaboration between the project workers and the evaluators.” 10 AUSTRALIAN RESEARCH CENTRE IN SEX, HEALTH & SOCIETY ANNUAL REPORT 2006 report is then usually incorporated into the larger report of the project. In 2006, evaluation projects have included: • SHine S.A. Sexual Health and Relationships Education (SHARE) project; • The Whole School Sexuality Education Project for the Victorian Department of Education and Training; • The AFL Respectful Behaviours in Sport training. This year, the CLEU facilitated four highly acclaimed Counsellor’s Accreditation Program (CAP) training programs. Each program runs over six days. In addition four Sexually Transmitted Infections/Blood Borne Viruses (STI/BBV) updates were provided. These updates are open to all interested workers and individuals, and showcase the diversity of ways of delivering STI/BBV services in the field. A new initiative was the formation of the Educational Development Strategies Group, comprising educators and other interested persons, to promote awareness and increase contact with affected communities. short course for teachers new to sex education was developed in collaboration with La Trobe University’s Bendigo campus. This will be piloted in 2007. Parents’ nights and staff development sessions on same sex attracted students in schools were also a feature of this work in 2006. A review was undertaken for the Victorian Department of Human Services of hepatitis C post-graduate education for doctors and nurses. A specific focus was the amount of blood borne virus information within various pre-service courses. Important networking with the Indigenous community continued. This included a role in planning the Indigenous stream of the XVI International AIDS Conference and a project with the Victorian Aboriginal Community-Controlled Health Organisation on the health of Indigenous men in Victorian prisons. Also of note was Associate Professor Anne Mitchell’s involvement on the VicHealth Research Review Project Advisory Committee, which oversaw a project looking at best practice models of putting research into practice. More of this work, promoting the ARCSHS model, is planned for 2007. Training for teachers in the sexual health area was another aspect of the Centre’s work. Four one-day Catching On workshops were provided, and a five-day AUSTRALIAN RESEARCH CENTRE IN SEX, HEALTH & SOCIETY ANNUAL REPORT 2006 11 Talking Sexual Health: Chlamydia In 2006 ARCSHS’ Community Liaison and Education Unit received funding from the Commonwealth Department of Health and Ageing to undertake a national project to prepare materials to educate young people about Chlamydia. This project will use the widely accepted Talking Sexual Health (TSH) framework to produce a specific educational resource for the use of secondary school teachers, school health nurses, student health services and teachers in VET settings. The project will produce an educational kit, comprising: • a brief resource for teachers with information on Chlamydia and fertility protection and three session plans, incorporating a GP component. Alternative session plans will be provided for contexts in which only “one off” sessions are feasible; • a hand-out for GPs undertaking programs in educational settings, which will outline a session plan and appropriate pedagogical approaches; • a parents’ information sheet on Chlamydia, testing and its role in fertility protection; • a short video to clearly illustrate in a positive way exactly what is involved in going for a Chlamydia test and subsequently being treated, as well as issues about confidentiality and costs; • some generic guidelines about adapting the materials to be culturally sensitive for specific audiences. “The prevalence and effects of Chlamydia make it a serious sexually transmissible infection (STI), particularly among the 15–29 age group.” 12 AUSTRALIAN RESEARCH CENTRE IN SEX, HEALTH & SOCIETY ANNUAL REPORT 2006 Overall the project aims to: • increase the capacity of educators to deliver a Chlamydia awareness program to young people between 18 and 25 in formal education settings (schools and VET); • develop education materials which fit within a currently widely accepted STI prevention education framework; • develop a fertility protection framework as a positive motivation for young people to test for Chlamydia; • increase awareness of Chlamydia infection and its consequences in the target group; • demystify the process of testing and treatment; • facilitate the introduction of local health care providers and services to the target The materials will be developed following a review of the latest research evidence and in consultation with the National Schools Network. This work will be locally overseen by a practitioner reference group. An additional consultation will take place in the early stages of the project and consist of a brief telephone consultation with student health services and other VET personnel responsible for student welfare and young people. The materials will be trialled in both urban and rural areas in several different educational settings, and modified accordingly before final production and distribution. About Chlamydia The prevalence and effects of Chlamydia make it a serious sexually transmissible infection (STI), particularly among the 15–29 age group. It is Australia’s most frequently reported STI, with an annual notification rate that has increased more than threefold in the last decade, to about 41,000 notifications in 20051. People with Chlamydia may not experience symptoms and therefore not be aware they have it – making safe sex practices all the more important to prevent its spread. When symptoms do occur, they usually include abnormal discharge from the vagina or penis and pain during urination – for both men and women. If left untreated, Chlamydia can cause Pelvic Inflammatory Disease in women and ultimately, infertility. ARCSHS’ Chlamydia educational resource project, “Talking Sexual Health: Chlamydia”, forms part of the Commonwealth Government’s national Chlamydia pilot testing program – part of the Government’s $3.5 million allocation to Chlamydia prevention, announced in 2006. 1. Commonwealth of Australia 2007, Minister for Health and Ageing, Canberra, viewed 10 April 2007, <http:/www.health.gov.au/internet/ministers/publishing.nsf> AUSTRALIAN RESEARCH CENTRE IN SEX, HEALTH & SOCIETY ANNUAL REPORT 2006 13 Developing a Short Course in Advanced Sexuality Theory and Methodology in Developing Countries In collaboration with the International Association for the Study of Sexuality, Culture and Society (ISSACS), ARCSHS has been funded by the US-based Ford Foundation to develop an advanced training course, entitled “AIDS, Families and Human Relations: an advanced course in sexuality theory and research methodology”. In the twentieth century, human sexuality has come to occupy a central place in our endless fascination with ourselves as a species, and provided some of the most vexed questions facing modern societies. The HIV pandemic dominated the last twenty years of the century and forced a significant rethinking of human sexuality and the cultures in which it is embedded. Moreover, HIV/AIDS has mainly affected developing countries, with complex sexual cultures hitherto regarded merely as diverse sexual behaviors, and this has added to the level of debate. Undoubtedly, the HIV/AIDS pandemic has demanded not only that we reconsider all we know about human sexual activity, but also requires innovative research methodologies to investigate it, as the complexities of HIV transmission have revealed very diverse sexual practices, and wide-ranging meanings and values about sex. The training of sex researchers has yet to keep pace with this remarkable shift in knowledge and research. “The project seeks to fill a significant gap in sexuality education offered at an advanced level in the developing world.” 14 AUSTRALIAN RESEARCH CENTRE IN SEX, HEALTH & SOCIETY ANNUAL REPORT 2006 Building that advanced capacity locally will take some time. In the meantime, this project to develop a short, intensive, advanced, training program in sexuality theory and research methodology seeks to remedy that deficit in a timely, costeffective and strategic manner. In targeting mid-career, middle level or senior academics, researchers, and research policy managers working in HIV/AIDS and related sexual and reproductive fields, the proposed short course aims to stimulate key players in various countries to ‘shift gears’ in relation to their countries’ understandings of their sexual cultures, sexuality issues, and research responses. The initial phase of the project is to complete a desktop overview of existing advanced training in sexuality theory and research methodology internationally. This overview will ensure the new curriculum is relevant and up-to-date with latest developments. The completed audit will provide the necessary information for a resource in the form of an international clearing house (possibly online) for interested people. The information collected is classified according to location, institution, academic level, pedagogical approach, delivery mode and theoretical orientation. In addition to the audit, a full literature review is in progress and the results are being compiled in an endnote library. This will form a major reference to sexuality research methods that are currently being employed globally and be made available to interested parties. Key research areas are being identified and classified according to epistemological underpinnings, theoretical orientation, sampling techniques, analytic techniques and target audience. We are planning subsequent phases of the project, which include curriculum development, piloting and evaluation. The project consists of four phases, which will roll out over approximately four years: stage 1 is a scoping and feasibility study; stage 2 will entail development of the curriculum and resources; stage 3 will be the piloting and evaluation stage; and stage 4 will involve the roll-out of final course. It is envisaged that stages 2 and 3 will be undertaken concurrently. The project seeks to fill a significant gap in sexuality education offered at an advanced level in the developing world. Eventually it is hoped that such training will make a significant impact on sexuality research and policy globally. Research Assistant, Maureen Lockhart. AUSTRALIAN RESEARCH CENTRE IN SEX, HEALTH & SOCIETY ANNUAL REPORT 2006 15 Private Lives The Private Lives study, carried out in early 2005, and launched by the Victorian Minister for Health, Bronwyn Pike, in March 2006, is one of the largest surveys of gay, lesbian, bisexual, transgender and intersex (GLBTI) people ever conducted. It aimed to document aspects of the health and wellbeing of a large sample of GLBTI people in Australia, explore the impact of factors such as homophobia, discrimination, family and community connection on health and wellbeing and to investigate aspects of health service use. In all, 5,476 people between 16 and 92 years of age (mean age 34) completed the online survey. This sample provided a detailed picture of the lives of GLBTI in Australia in all their diversity and complexity. Of the sample, 63% were male and 35% female, and just over half (52%) identified as “gay man”, 17.8% as “lesbian” and 10% as “bisexual”. There were 100 transgender and 18 intersex participants. It was a national survey with participants from all states and territories, and with both rural and urban representation. Private Lives differed from other surveys in that it aimed to access the broadest possible sample of people who selfidentified as GLBTI, including rural and remote participants and those who do not identify with GLBTI communities. Recruitment was through internet sites, “This is one of the largest surveys of gay, lesbian, bisexual, transgender and intersex (GLBTI) people ever conducted.” 16 AUSTRALIAN RESEARCH CENTRE IN SEX, HEALTH & SOCIETY ANNUAL REPORT 2006 personal email networks, media publicity, press advertisements and wide distribution of promotional cards. The survey found that the relationship between sexual attraction and sexual experience was not straightforward but there was an association between people’s stated sexual attraction and their reported sexual experience. Nearly all the men (91%) reported on sexual experience that was either predominantly or exclusively with other men. The pattern with women is less clear, in that a higher proportion reported sexual experience equally with men and women (15%) or mainly with men (16%). The self reported health status of Private Lives participants was somewhat worse than the ABS records for all men and women in the younger age groups. These differences however diminished with age, so that by 45 years the differences between Private Lives participants and the ABS respondents were minimal or non-existent. Mental health problems were the most common health concerns. Nearly three quarters of the sample reported some experience of depression. The prevalence of depressive disorders was high, with 49% of men and 44% of women scoring on at least one of the two criteria for a major depressive episode. It was of particular concern that 16% of all respondents indicated suicidal ideation (thoughts) in the two weeks prior to completing the survey. It was encouraging to see there was a significant negative correlation with age – the older the respondent the less likely they were to be depressed. Half of all participants had seen a counsellor or psychiatrist in the past five years for such issues as depression and anxiety, relationship problems and family problems. Participants in this survey used a range of health services and the majority had had a general health check up in the past year. Of those participants with a regular GP (around 75%), only two thirds believed their GP knew of their sexuality/gender identity. Almost all of the transgender and inter-sex respondents had told their GP about their identity, perhaps because they were more likely to need to discuss issues of medical intervention. Conversely, one in five of male and female respondents indicated their regular GP did not know about their sexuality. Discrimination and violence were both widely experienced by participants. Overall, 67% of participants indicated that fear of prejudice or discrimination caused them at least sometimes to modify their daily activities in particular environments. This was more common for younger participants and in rural areas. The vast majority (90%) had at some time avoided expressions of affection in public and disclosure of their gender identity or sexuality. Significant numbers of participants (14%), particularly gay men (10%), always avoided disclosing their sexual identity for fear of discrimination. Personal insults or verbal abuse were more common in major cities than in rural, regional or remote areas but the reverse was true of the experience of threats of violence or physical attack. A disturbingly high percentage (33%) of respondents in this sample reported having been in a relationship where the partner was either verbally or physically abusive. Abuse was reported more frequently by women than men (41% vs 28%), and was highest for transgender males, but the rates for all groups are unacceptably high. Despite health inequalities, it is clear that most GLBTI people live happy and fulfilled lives. The final question of the survey asked what are the three best things about your life right now? The largest category of responses to this question was friends and work/study, followed by relationships. In all, there was a remarkable accord amongst GLBTI people about the sustaining and positive areas of their lives. These answers also provide a snapshot of the resilience and optimism present in the daily lives of the participants in this study. AUSTRALIAN RESEARCH CENTRE IN SEX, HEALTH & SOCIETY ANNUAL REPORT 2006 17 Hepatitis Social Research ARCSHS’ Hepatitis Social Research Program promotes a collaborative, public health approach to hepatitis research, education and training, and policy development. HEPATITIS B The World Health Organisation identifies hepatitis B as a major global public health challenge, with the majority of the 400 million people with chronic hepatitis B living in the Asia-Pacific region. Despite recent improvements in antiviral therapy, the number of deaths among people with chronic hepatitis B and the number of cases of hepatitis B–related liver cancer continues to rise. The hepatitis B virus is difficult to eliminate. Available treatments are increasingly able to reduce liver disease progression; however, only a small proportion of people with chronic hepatitis B receive specific treatment. Whilst it is estimated that up to 160,000 people with chronic hepatitis B live in Australia, an effective and coordinated national response to hepatitis B does not exist. In 2007 ARCSHS’ Hepatitis Social Research Program will undertake a National Hepatitis B Needs Assessment. This project, funded through the Australia and New Zealand Local Chapter of Advancing the Clinical Treatment of Hepatitis B Virus (ACT-HBV), will identify: • needs and gaps in service provision for people with chronic hepatitis B • informational/educational programs and policies targeting service providers and people with chronic hepatitis B • priorities for a nationally-coordinated response to hepatitis B. HEPATITIS C Hepatitis C is the leading cause of liver transplant in Australia. With 9,000 new infections occurring each year, the Australian Government’s National Hepatitis C Strategy acknowledges hepatitis C as an epidemic. While Australia led internationally in developing coordinated strategic responses to hepatitis C, funding for social research to investigate behavioural aspects of hepatitis C transmission and the impact of infection has been sporadic. A fundamental challenge in undertaking social research and developing effective public health responses is the social context in which people with chronic hepatitis C live – particularly their marginalisation from a range of community services, including health services, because of the association between hepatitis C and illicit drug use. Within this environment, ARCSHS has successfully undertaken a number of “Over 400,000 Australians are estimated to be infected with chronic hepatitis, and the social, public health and economic costs of hepatitis are significant.” 18 AUSTRALIAN RESEARCH CENTRE IN SEX, HEALTH & SOCIETY ANNUAL REPORT 2006 projects. It has also developed the National Hepatitis C Manual, which provides nationally standardised, accurate and current information about hepatitis C and associated issues for a wide range of healthcare providers. Regulating Hepatitis C: Rights and Duties The Australian Health Ministers Advisory Council has funded ARCSHS to undertake a five-year project to document and examine the range of regulations that exist to limit the transmission of hepatitis C. To date the study has established an Australia-wide audit of all regulations, guidelines and codes of practice which govern harm reduction strategies and risk practices associated with hepatitis C transmission. During 2006 and continuing through to 2009, the study will identify gaps in regulations and where conflicts and inconsistencies exist between different regulations. An important outcome of the project will be documenting how effectively these regulations are implemented within different risk settings across all Australian jurisdictions. Improving Access to Hepatitis C Treatment Services: Lessons from a Ethno-specific Community Liver Clinic In a new study, ARCSHS researchers are investigating appropriate hepatitis C treatment models for people from culturally and linguistically diverse (CALD) communities, with a specific focus on Vietnamese and Cambodian communities. People with hepatitis C from CALD backgrounds often encounter problems such as communication barriers, isolation and lack of understanding of, and from, the medical system. The effect of these barriers is increased with poor access to or lack of information in their own language, little knowledge of the Australian healthcare system, and poor awareness of their rights. Improving Access to Hepatitis C Treatment Services: Recognising and Responding to Hepatitis C in Indigenous Communities in Victoria Another project in its early stages will help improve access to treatment for Indigenous people with hepatitis C. Hepatitis C prevalence is higher among Indigenous Australian communities than non-Indigenous Australians, with some Victorian Koori communities showing hepatitis C prevalence of 13%. Hepatitis C remains a controversial topic within Indigenous communities because of its association with injecting drug use, and few people with hepatitis C access treatment. This research, focusing on those living in regional and rural Victoria and in Melbourne, will identify the barriers for Indigenous people regarding treatment and provide evidence for the most culturally appropriate way to provide treatment. Safety First: Issues affecting the uptake of the Health Guidelines for Personal Care and Body Art Industries Concern has been expressed nationally about the paucity of infection control safeguards in the body art industry. In 2004, the Department of Human Services (Victoria) produced Health Guidelines for Personal Care and Body Art Industries to assist the personal care and body art industries to comply with the Health (Infectious Diseases) Regulations (2001). This project is assessing how local councils distribute and regulate the health guidelines and will make recommendations relating to the future distribution of information and the monitoring of practices which demonstrate adherence to health regulations by personal care and body art practitioners. Below: Concern has been expressed nationally about the paucity of infection control safeguards in the body art industry. AUSTRALIAN RESEARCH CENTRE IN SEX, HEALTH & SOCIETY ANNUAL REPORT 2006 19 Joining the Dots: Social Network Research at ARCSHS An emerging area of interest at ARCSHS is that of social network research. This is an approach that complements and builds on the large body of social research in the area of sexual health that now exists in Australia. It is a perspective that differs from more familiar individual and population research by the inclusion of the structural and relational aspects of social behaviour as the object of analysis. Using this approach, we are able to examine the characteristics of individuals (their background, social practices, attitudes, etc.) in the context of their relationship to other individuals. In this way, the subject of the research becomes the interdependence of individuals – the ways in which the structure and meaning of their relationship to each other is related to social practices. This represents a good fit with health promotion practice in the sexual health field as the subject of the research, peer relationships, is often the focus of health promotion activity. Social networks are the structures of social relationships between individuals. Typically, social network studies examine a group of social actors (individuals, organisations, etc.) and the ties between them (friendships, sexual relationships, communication, collaboration, etc.) The analysis of social networks involves examining the types of structures that “Our interest in this area is as a way of understanding the broad social context in which individuals live their social and sexual lives.” 20 AUSTRALIAN RESEARCH CENTRE IN SEX, HEALTH & SOCIETY ANNUAL REPORT 2006 emerge from the combination of these two components. This can include the extent to which particular types of social actors cluster together, the paths that information or social influence travel along, the importance of brokerage or bridging in the networks, or the opportunities to access diverse opinions. Our interest in this area is as a way of understanding the broad social context in which individuals live their social and sexual lives. Specifically, in relation to sexual health, understanding the processes and structures of social relationships allows us to consider where social interventions, such as peer education or health promotion may work most effectively. Our research effort in this field includes studies of social and sexual networks, organisational research and longitudinal projects. The Victorian Networks Study (VINES) was the first large-scale social network study of homosexually active men in Australia. Funded by the Victorian Department of Human Services, the project has provided us with a novel perspective on gay men’s sexual culture in Melbourne. Analyses emerging from this project have examined the structural correlates of communication around unprotected sex, the relationship between network characteristics and sexual history, the role of structural versus individual characteristics in predicting protected and unprotected sex, and the meta-structures of organisation affiliation and media consumption among gay men. A qualitative follow up to VINES has also examined the role of social sanction and social selection in peer influence among gay men. A new initiative in 2007 is the Positive Networks Study, a collaboration with the National Association of People Living with HIV/AIDS (NAPWA). This project is an organisational communications study using social network techniques and analyses. The project will be mapping the communication patterns among the NAPWA Board of Directors, National Portfolio Convenors and secretariat. The study will provide NAPWA with opportunities to enhance the effectiveness of the organisation in both communication and constituency representation. campus of the University of KwaZulu Natal (UKZN) in South Africa. Initially we will be working with researchers in UKZN to understand the size, structure and make-up of social networks among university students. This will take the form of a campus-wide survey that will examine particular characteristics of student social networks, including age, race, residence, economic situation and area of study. We will also be looking at the use of health services and access to health information. This will begin to give us some understanding of the socialstructural characteristics that might be important in improving the health status of the student population. Following this initial study, we will be developing a large, longitudinal social network project that will examine the evolution of these networks over the students’ time at university. In collaboration with the Victorian AIDS Council/Gay Men’s Health Centre, we will also be examining the emergence and structure of social networks within peer education programs. This project looks at the ways in which social networks develop and change over time, within a small group context. Here the emphasis is on some of the dynamic factors that may contribute to the success or failure of group-based peer education. Also in development is a suite of social network studies in collaboration with researchers at the Pietermaritzburg ARCSHS’ Jason Ferris and Robert Myall at the 2006 Pride March. AUSTRALIAN RESEARCH CENTRE IN SEX, HEALTH & SOCIETY ANNUAL REPORT 2006 21 2006 Projects and Funding ARCSHS’ income increased in 2006 over the previous year, which has enabled ARCSHS to undertake a greater number of projects. However, the core grant for ARCSHS’ work from the Department of Health and Ageing has remained unchanged for six years, which has had the effect of progressively reducing our work from this grant. The number of staff at ARCSHS remained consistent in 2006. Key ARCSHS researchers rely upon Fellowships from external organisations to fund their salaries – most particularly from VicHealth, which has been immensely supportive of ARCSHS research since the Centre’s inception as a VicHealth centre of excellence. 2006 FUNDING NHMRC 15% DHA 22% ARC 2% DHS 15% La Trobe University 13% Other 12% Consultancies 8% VicHealth 13% ARC – Australian Research Council DHA – Australian Government Department of Health and Ageing DHS – Victorian Government Department of Human Services NHMRC – National Health and Medical Research Council 22 CIA Application Title Funding Body Bennett, L. Muslim youth, social connectedness, health and education in Victoria VicHealth $80,000 Bennett, L. Ambivalent adolescents in Indonesia Australian Research Council $18,998 Dowsett, G. Men and relationality: a pilot exploration of men’s understanding of current and emerging changes in sexual/emotional relational forms in contemporary Australia La Trobe University Dowsett, G. Men, sexuality and health: new issues, new directions VicHealth $165,000 Dowsett, G. Development of a short course in advanced sexuality theory and methodology in developing countries: Phase one – scoping and feasibility study Ford Foundation USA $396,301 Dyson, S. HPV, gender and knowledge production: a review of health promotion materials La Trobe University Dyson, S. Tender – sexual assault – respectful behaviours in sport Australian Football League $18,182 Flood, M. Young heterosexual men’s sexual relations: Contributions to sexual and reproductive health Australian Research Council $87,972 Grierson, J. Pivotal, peripheral or positional: Understanding SOPVs for intervention Department of Human Services $99,750 AUSTRALIAN RESEARCH CENTRE IN SEX, HEALTH & SOCIETY ANNUAL REPORT 2006 2006 Revenue $8,911 $4,560 CIA Application Title Funding Body 2006 Revenue Grierson, J. A sexual health promotion and testing campaign for men who have sex with men: Process evaluation with pre and post health promotion impact analysis Victorian AIDS Council Hillier, L. Surviving (and Thriving On) the road less travelled: A longitudinal study of young people, sexual diversity, resilience and social networks VicHealth Hillier, L. Evaluation of YGLAM theatre and arts project YGLAM, Moreland Community Health Services Hillier, L. VAC sex positive web site evaluation Victorian AIDS Council $10,000 Jones, J. BBV/STI program Department of Human Services $95,585 McCoy, B. Developing, sustaining and evaluating health programs for Aboriginal men National Health and Medical Research Council $67,250 McNally, S. Improving access to hepatitis C treatment services for disadvantaged groups: A two study project: lessons from a ethno-specific community liver clinic and recognising and responding to hepatitis C in Indigenous communities in Victoria Department of Human Services $98,649 Mitchell, A. Domestic partners’ hospital poster – SG 127 Victoria Law Foundation Mitchell, A. Talking sexual health: Chlamydia Department of Health and Ageing Mitchell, A. Professional development workshop series for the HIV sector in Victoria Metropolitan Health and Aged Care Services $25,000 Mitchell, A. Evaluation of pilot sex education project conducted by SHINE SA Department of Human Services South Australia $16,000 Mitchell, A. Establishment of a gay and lesbian health resource unit Department of Human Services $259,773 Mitchell, A. Consultation report: Identifying health and wellbeing issues in GLBTI communities Department of Human Services $16,771 Mitchell, A. Catching on short courses Department of Education and Training $20,000 Mitchell, A. Whole school sexuality education project Department of Education and Training $72,000 Pitts, M. Commonwealth AIDS research grants to centres in HIV research Department of Health and Ageing $20,803 $105,000 $3,000 $2,723 $149,421 $779,936 Pitts, M. Understanding the experience of health services of transgender people La Trobe University $9,070 Pitts, M. Regulating hepatitis C: rights and duties – AHMAC PDR 2005/09 Australian Health Ministers’ Advisory Council Pitts, M. Conduct and evaluation of an intervention to improve the management of chlamydia by Western Australian GPs Health Department of Western Australia Pitts, M. Dynamics and contexts of male-to-male sex in Indonesia and Thailand Family Health International Slavin, S. Meanings of fatherhood: A study of fathers who are primary caregivers for their children La Trobe University Smith, A. The social determinants of sexual and reproductive health VicHealth $125,000 Smith, A. The Australian longitudinal study of health and relationships National Health and Medical Research Council $447,625 TempleSmith, M. Safety first: Issues affecting uptake of the health guidelines for personal care and body art industries Department of Human Services $78,915 TempleSmith, M. Evaluation of the national donovanosis eradication project 2001–2004 Department of Health and Ageing $30,369 $102,500 $9,605 $42,944 $9,982 AUSTRALIAN RESEARCH CENTRE IN SEX, HEALTH & SOCIETY ANNUAL REPORT 2006 23 Scientific Advisory Committee TERMS OF REFERENCE The Terms of Reference for the Scientific Advisory Committee are: (a) To provide a forum for raising and discussing issues which may influence the direction of the study of sexually transmissible diseases, both in the Centre and elsewhere. (b) To provide advice to the Director, on request, regarding directions in research, education and professional development, and ways of establishing and maintaining closer links with the community. MEMBERS 2006 Professor Hal Swerissen [Chair]; Dean, Faculty of Health Sciences, La Trobe University Ms Jane Bell; Commonwealth Department of Health and Ageing [part year] Mr John Biviano; Director, Research Workforce and Tobacco Control, Victorian Health Promotion Foundation Dr John Carnie; Department of Human Services Mr Simon Donohoe; Representing the Australian Federation of AIDS Organisations 24 AUSTRALIAN RESEARCH CENTRE IN SEX, HEALTH & SOCIETY ANNUAL REPORT 2006 Professor Christopher Fairley; Professor of Sexual Health, School of Population Health, The University of Melbourne; Director, Melbourne Sexual Health Centre Mr Glenn Flanagan; People Living With HIV/AIDS (NSW), representing the National Association of People Living with HIV/AIDS Professor Susan Kippax; Director, National Centre in HIV Social Research Professor Vivian Lin; Head, School of Public Health, La Trobe University Professor Lenore Manderson; ARC Federation Fellow; Professor, Faculty of Medicine, Nursing and Health Sciences, Monash University Sharyn McGregor, Commonwealth Department of Health and Ageing [part year] Dr Cathy Mead; Executive Officer, Victorian Public Health Research and Education Council Mr Steven O’Connor; Department of Education and Training Victoria Ms Julianne Quaine; HIV/AIDS and Hepatitis C Section, Commonwealth Department of Health and Ageing [part year] AUSTRALIAN RESEARCH CENTRE IN SEX, HEALTH & SOCIETY ANNUAL REPORT 2006 25 ARCSHS Staff SENIOR STAFF Professor Marian Pitts, BA(Hons), PhD, AFBPS, MAPS Director Professor Marian Pitts has researched extensively in the broad area of health psychology. Professor Pitts’ research focuses on aspects of men’s and women’s health, health service provision, reasons for delay in treatment seeking and routes out of treatment. This work has informed clinical practice by identifying the psychosocial needs of women undergoing gynaecological procedures and by outlining the barriers that deter people from seeking appropriate medical consultation. Professor Pitts’ work includes research with a number of stigmatised and marginalised groups. She has international experience in research and teaching and has made a major contribution to the development of health psychology in the UK and internationally. Professor Anthony Smith, BSc(Hons), PhD Deputy Director Professor Smith is one of Australia’s leading researchers in sexual and reproductive health and behaviour. His work on adolescent sexual behaviour forms the basis of the national secondary school curriculum for sexual health (Talking Sexual Health), used across Australia. His work in leading the Australian Study of Health and Relationships markedly changed the evidence base for sexual and reproductive health in Australia. The initial collection of papers published in 2003 has been described as “essential reading for health professionals, epidemiologists and educators involved in sexual health”. More recently, with SV Subramanian, Professor Smith pioneered the application of multilevel modelling to understanding the influence of the demographic context on individual behaviour. “The centre has a multidisciplinary team with a diversity of qualifications and experience.” 26 AUSTRALIAN RESEARCH CENTRE IN SEX, HEALTH & SOCIETY ANNUAL REPORT 2006 Professor Gary W. Dowsett, BA, DipEd, PhD Deputy Director Professor Gary Dowsett is a sociologist who has long been interested in sexuality research, particularly in relation to the rise of modern gay communities. He has worked on many international HIV/AIDS and sexual health projects since the late 1980s, including as a consultant to WHO’s then Global Program on AIDS in Geneva, to the United Nations Development Program and the Joint United Nations Program on AIDS (UNAIDS). He has recently developed training programs in community-based research and qualitative research design, and has taught research design in Australia, Fiji and New York. Associate Professor Anne Mitchell, BA, GradDipEd, MA Director Gay and Lesbian Health Victoria Associate Professor Anne Mitchell is the founding director of ARCSHS’ Gay and Lesbian Health Victoria (GLVH) and manager of the Community Liaison and Education Unit (CLEU). Mark Handley, BBus Administration Manager Mark is responsible for ensuring effective academic support, specifically the financial, computing, physical and human resource management of the Centre. She is also deputy chair of the Victorian Ministerial Advisory Committee on Gay and Lesbian Health. This includes policy development, review and implementation, preparing and managing the Centre’s $6 million budget, and contributing strategic advice within the Executive group. Associate Professor Mitchell has acted as consultant to federal and state government departments, and to community groups, to develop training and health promotion resources relevant to the health and wellbeing of gay, lesbian, bisexual, transgender and intersex (GLBTI) Victorians. Mark’s qualifications and initial roles in industrial relations and human resource management have broadened over the last 20 years to include the management of human, financial and physical resources, and administrative functions in both the public and private sector. She has also effectively devised a range of professional development programs to ensure health care professionals have access to the latest research findings in the area. Leadership and development of staff, the provision of quality, cost effective service, and the development of a continuous improvement culture have been strong areas of focus throughout his career. AUSTRALIAN RESEARCH CENTRE IN SEX, HEALTH & SOCIETY ANNUAL REPORT 2006 27 The Centre has a multidisciplinary team of researchers with qualifications and expertise in psychology, anthropology, sociology, public health, health promotion, methodology, epidemiology, education, women’s health, gender studies, sexualities, cultural studies, consumer advocacy and health policy. Principal Research Fellow Julia Shelley, BA(Hons), MPH, PhD *† Senior Research Fellows Murray Couch, BA(Hons) * Jeffrey Grierson, BPsych(Hons), PhD Lynne Hillier, TPTC, TLTC, BBSc(Hons), PhD * Michael Hurley, BA(Hons), GradDipEd, MLitt Meredith Temple-Smith, BSc, GradDipAppChildPsych, GradDipMovtDance, MPH, DHSc †* Jon Willis, BA(Hons), MLitt, PhD Research Fellow Linda Bennett, BA(Hons), PhD Stephen McNally, BA, MA, PhD Sean Slavin, BA(Hons), PhD Research Staff Sophie Dutertre, LLB, GradDipJourn * Jason Ferris, BPsych (Hons), GradCertBiostatistics Francine Hanley, BA(Hons), PhD *† Karl Jenkinson, BSc(Hons), PhD * Penny Johnson, BPsych, Grad Dip, MA, PhD 28 Robyne Latham, Grad Dip Education Karalyn McDonald, BA, MA * Jacqueline Richmond, RN, MPH, PhD Rachel Thorpe, BSc(Hons), BHlthSci Henry von Doussa, BA(Hons), MA Gay and Lesbian Health Victoria Felicity Martin Anne Mitchell, BA, GradDipEd, MA Sunil Patel, BA(Hons), GradDipInfoMgmnt * Nikos Thomacos, BBus, BA(Hons) * Post Doctoral Fellows Michael Flood, BA(Hons), PhD Brian McCoy, BA, BTh, Dip Crim, Grad Cert Health, PhD Administrative Officers Emma Ashmere, BA, MA *† Georgi Cahill, BA † Megan Clement † Melanie Hales † Robert Myall, BA Janet So, BBus * Alina Turner, BCA *† Research Assistants Samantha Croy, BA(Hons) Christopher Fox, B.Psych, BA(Hons) † Andrew Lavin, BSocSc *† Maureen Lockhart, BA(Hons) Hunter Mulcare, BSc(Hons) * Kirk Peterson, BA, MA * Jack Wallace, MSocSci (IntDev) Jan Watson, BA, DipEd, GradDipLib † Community Liaison Officers Anne Mitchell, BA, GradDipEd, MA Sue Dyson, GradDipWomSt Judith Jones, BSc(Hons), MA, GradDipWomSt, MPH Philomena Horsley, BA, GradDipWomSt, GradDipEd, GradCertWrtg&Edtg, MMedAnth * Mark Saunders Jenny Walsh, DipTeach(Prim), DipAdultEdTraning, Med * Editor of Positive Living Paul Kidd AUSTRALIAN RESEARCH CENTRE IN SEX, HEALTH & SOCIETY ANNUAL REPORT 2006 IT Support Officer Maria Micalizzi * Seminar Series Coordinator Philomena Horsley Postgraduate Coordinators Michael Hurley/Lynne Hillier * part-time † part-year Educational Activities 2006 was a very productive year for postgraduate students at ARCSHS. Maria Platt was awarded a $25,000 Commonwealth Government Endeavour Australia Research Fellowship to carry out fieldwork for her PhD thesis in Mataram, Indonesia. Deborah Dempsey and Angela Kelly had their PhDs conferred at a La Trobe graduation ceremony in October and three candidates: Rebecca Bentley, Nicola Bruce and Sue Dyson submitted their PhD theses for examination. POST GRADUATE STUDENTS PhD students Maria Platt Young women, health and gender: The role of Islamic women’s organisations in Mataram, Indonesia. (Supervisors: Linda Bennett and Jon Willis) Natalie Rhinehart Psychological and sociological predictors of help-seeking for heroin users: Comparison of the Theory of Planned Behaviour and a Skills and Resources Model. (Supervisor: Marian Pitts) Postgraduate Coordinators, Dr Lynne Hillier and Dr Michael Hurley with international PhD student, Deepa Dhital. Rebecca Bentley (thesis submitted for examination) The sociocultural determinants of contraception use (Supervisors: Anthony Smith and Marian Pitts) AUSTRALIAN RESEARCH CENTRE IN SEX, HEALTH & SOCIETY ANNUAL REPORT 2006 29 Nicola Bruce (thesis submitted for examination) Women’s perceptions and interpretation of public health information related to breast health knowledge (Supervisors: Marian Pitts and Sean Slavin) Jan Cregan Sexuality and health in prison populations (Supervisors: Gary Dowsett and Doreen Rosenthal, University of Melbourne) Deborah Dempsey (PhD conferred in 2006) Queer family values in Australia (Supervisors: Gary Dowsett and Shelley Mallett, University of Melbourne) Sue Dyson (thesis submitted for examination) Lesbians, invisibility and health (Supervisors: Lynne Hillier and Michael Hurley) Gillian Fletcher Objectivity, transgression, education and power: The adoption of reflective learning in peer education (Supervisors: Gary Dowsett, Stephen McNally and Dr Howard Nicholas from the School of Education Studies) Christopher Fox Sizing up the man: The relationship between perceived penis size and body image (Supervisors: Marian Pitts and Jon Willis) 30 Angela Kelly (PhD conferred in 2006) Psychosocial aspects of AIDS dementia complex and the circle of care (Supervisors: Michael Hurley and Jeffrey Grierson) Karalyn McDonald HIV positive women, pregnancy and motherhood (Supervisors: Jon Willis, Doreen Rosenthal, University of Melbourne and Maggie Kirkman, University of Melbourne) Debbie Ollis Affirming diversity in health and sexuality education from research to policy to practice (Supervisors: Lynne Hillier and Doreen Rosenthal, University of Melbourne) Anna Olsen – on placement from ANU Choice or chance: The social context of contraceptive use by women with hepatitis C (Supervisors: Cathy Banwell, National Centre for Epidemiology and Population Health, Australian National University; Phyll Dance, National Centre for Epidemiology and Population Health, Australian National University; Dorothy Broom and Meredith Temple-Smith) INTERNSHIPS AT ARCSHS Jays Janney, doctoral candidate in sociology from Indiana University. was awarded a Summer Fellowship 2006 by the Australian Academy of Science and the U.S. National Science Foundation. Jays’ work documented gay community activism prior to 1980. Sonia Caruana from the Victorian Public Health Trainee Scheme worked on disseminating the research outcomes from the Access to HIV information among immigrant communities report and produced six guides for use by mainstream health workers when working with people from the Horn of Africa and Sudan and with people from Arabic speaking background. Moira Callan from the Doctor of Health Psychology programme at La Trobe University worked on a fact sheet and health promotion poster based on research relating to gay and lesbian older people and health care and published her work in the Australian Nurses’ Journal. Rebecca Harris, Swinburne Institute produced a review of health promotion materials about HPV, gender and knowledge production. Deborah Osborne Workplace bullying and harassment (Supervisors: Marian Pitts and Lynne Hillier) Andrew Lavin from the Catholic University worked on developing materials for a booklet for same sex attracted youth, titled Outsmarting Homophobia. Kirk Peterson Sex, money and power: Deconstructing moral panic around street prostitution in St Kilda (Supervisors: Jon Willis and Lynne Hillier) Nicole Besley from the Doctor of Psychology clinical program at Melbourne University worked on the development of content for the Outsmarting Homophobia booklet. AUSTRALIAN RESEARCH CENTRE IN SEX, HEALTH & SOCIETY ANNUAL REPORT 2006 Other Staff Activities COMMITTEE MEMBERSHIP Commonwealth/National ACT-HBV (Advancing the Clinical Treatment of Hepatitis B Virus) (JW) Andrology Australia Board of Management (MP) Advisory Board, Centre for Cultural Research into Risk, Charles Sturt University (AS) Australasian Epidemiological Association (JS) Australian Federation of AIDS Organisations, Positive Education Implementation Group (MH) Australian Psychological Society (NT) Australian Society for Medical Research (NT) Australian Women’s Studies Association (MF) Drafting Advisory Group, National STIs Strategy (AM) Economics Society of Australia (NT) Ministerial Advisory Committee on AIDS, Sexual Health and Hepatitis, HIV/AIDS STI Sub-Committee (MP) ARCSHS Alumnus, Dr Richard de Visser, delivering a seminar at the Centre. Indigenous Australian Sexual Health Committee, a subcommittee of the Commonwealth Ministerial Advisory Committee on AIDS, Sexual Health and Hepatitis (JW – Deputy Chair) Institute of Public Administration Australia (NT) Market Research Society of Australia (NT) ARCSHS staff at the seminar featuring Dr Richard de Visser. Member of the Australian Psychological Society (LH) AUSTRALIAN RESEARCH CENTRE IN SEX, HEALTH & SOCIETY ANNUAL REPORT 2006 31 National Association of People Living with HIV/AIDS portfolio convenor (SS) National Health and Medical Research Council Health Advisory Committee – Public Health Discipline Panel (MP) National Health and Medical Research Council Working Party on hormone replacement therapy (JS) Hepatitis C (MP) Ministerial Advisory Committee on Bloodborne and Sexually Transmissible Infections (JW) Ministerial Advisory Committee on Gay and Lesbian Health (AM [Deputy Chair]) YGLAM Video and Theatre Group, Steering Committee (LH) La Trobe University PLWHA Vic Board of Directors (JW) Human Ethics Committee (AS) National Indigenous, Sistergirl or Transgender Committee to AFAO (MS) STI management Guidelines Subcommittee, Sexual Health Society of Victoria (MTS) LTU Faculty of Health Sciences Royal Australian and New Zealand College of Obstetrics and Gynaecology; Working Party on Termination of Pregnancy (JS) Victorian Aboriginal Community Controlled Health Organisation, Sexual Health Program Steering Committee (JW) Scientific Advisory Committee, National Centre for HIV Social Research, University of New South Wales (MP) Victorian AIDS Council/ Gay Men’s Health Centre Board (JW [Vice President]) The Australian Sociology Association (GD) Victorian AIDS Council/ Gay Men's Health Centre Research Promotion and Ethics Committee (JG [Chair], AM) Working Party on hormone replacement therapy (JS) Victorian Cervical Cytology Registry Management Committee (JS [Chair]) National Centre for HIV Epidemiology and Clinical Research, Viral Hepatitis Working Group (JW) Victorian Cytology Service; Board of Management (JS [Deputy Chair]) Other State Assessment Panel, Registration for Organisations and Higher Education Courses under the New South Wales Higher Education Act. (LH) BreastScreen Victoria Board of Management (MP) 32 Xinjiang HIV/AIDS Prevention and Care Project, AusAID-People's Republic of China, Technical Advisory Board (MP) Health Works, Western Region Health Centre, Advisory Group (JJ) Monash Institute for Reproduction and Development, Longitudinal Study on the Reproductive Health of Middle Aged and Ageing men, Project Steering Group (MP) BreastScreen Victoria Research and Evaluation Committee (MP) National Centre for HIV Social Research, University of New South Wales, Scientific Advisory Committee (MP) Family Planning Victoria, Human research ethics committee (PH) Nillumbik SSAY Support Group, Reference Group (LH) Ministerial Advisory Committee on AIDS, Hepatitis C and Related Diseases Victorian Cervical Cytology Registry Management Committee (JS) AUSTRALIAN RESEARCH CENTRE IN SEX, HEALTH & SOCIETY ANNUAL REPORT 2006 Faculty Board (MP) Faculty Development Committee (MP) Faculty Human Ethics Committee (LB) Faculty of Health Sciences Research Committee (GD) Faculty Research and Higher Education (Research) Committee (MH/SS) School of Public Health Research Committee (LH) Assessors/reviewers Harvard University Press (LH) NHS Health Technology Assessment Programme (JS) Research Grant Applications Faculty of Health Sciences (MH) ARC (GD) NHMRC (MP, AS, GD, JS, JW) VicHealth Research Fellowships, PhD Scholarships and Small Project Grants (JS) Journals AIDS (AS) AIDS Care (MP, JW, JG) AIDS Education and Prevention (MH) Australian and New Zealand Journal of Public Health (AS, GD, MP, JS, JW, LH, MTS) Australian Health Review (GD) British Journal of Health Psychology (MP) British Journal of Medical Psychology (MP) British Medical Journal (MP, AS, LH, JS) Culture, Health and Sexuality (AS, GD, LH, MH) Family Planning International (JW) Feminism and Psychology (MP, LH) Health Education Research: Theory and Practice (MP) Health Promotion International (AS, LH) Health Sociology Review (GD) Journal of Adolescence (LH) Journal of Community and Applied Social Psychology (MP, LH) Membership on Editorial Boards Implementation Group (MF) Australian and New Zealand Journal of Public Health (GD) Attorney-General’s Ministerial Advisory Committee on Gay and Lesbian Issues (NT) Culture, Health and Sexuality (GD [Senior Reviews Editor]) Australian Bureau of Statistics Personal Safety Survey, Reference Group (MF) Gay and Lesbian Issues and Psychology Review (SD & CF [Guest Editors, December 2005]) Hepatitis C Internet project for secondary schools, Reference Group (AM) Journal of Sex Education (GD) Men and Masculinities: A Journal of Interdisciplinary Studies on Gender (MF [International Advisory Editor]) Sexual Health (GD, MP, MTS) Sexual Health (MTS [Foundation Board of Management]) Sexual Health (AS [Member of Editorial Advisory Board]) Sexualities (GD) Journal of Health Psychology (MP) Sexualities, Evolution and Gender (MP) Journal of Research on Adolescence (AS) Sexuality Research and Social Policy: Journal of the National Sexuality Resource Centre (JW) Journal of Sex Education (GD) Journal of Women and Health (LH) Medical Anthropology (MH, JW) Medical Journal of Australia (AS) Psychology, Health and Medicine (MP) Sex Education (GD) Sexual Health (GD, MTS, MP, AS, JG) Sexualities (GD, SS, LH, MH) Sexuality Research and Social Policy: Journal of the National Sexuality Resources Center, State University of San Francisco (GD) Sexuality, Culture and Health book series (GD [Co-editor]) Social Aspects of AIDS book series (GD) Sexuality Research and Social Policy (GD) Sexually Transmitted Diseases (AS) Sexually Transmitted Infections (AS) Sex Roles (LH) Social Science and Medicine (MP, MH, JG) Society of Research into Adolescence (LH) Membership of Advisory Bodies Advisory Board, Centre for Cultural Research into Risk, Charles Sturt University (AS) AFL (Australian Football League) Respect and Responsibility Policy, Human Rights and Equal Opportunity Commission (HREOC) Advisory Group, Striking the Balance: Women, Men, Work and Family (MF) Joint Ministerial Working Group on Discrimination and Homophobia (NT) National Advisory Committee for the Young Australian Muslim of the Year project (LB [Deputy Chair]) Scientific Advisory Committee, National Centre for HIV Social Research, University of New South Wales (MP) Thesis examiners Marian Pitts Doctor of Philosophy, University of Western Sydney Doctor of Philosophy, University of New England Doctor of Philosophy, Swinburne University Meredith Temple-Smith Doctor of Psychology, RMIT University Lynne Hillier Doctor of Philosophy, Deakin University Linda Bennett Doctor of Philosophy, Victoria University of Wellington Murray Couch Masters thesis, University of Melbourne Postgraduate Student, Amie O’Shea and Research Assistant, Hunter Mulcare. AUSTRALIAN RESEARCH CENTRE IN SEX, HEALTH & SOCIETY ANNUAL REPORT 2006 33 Collaborations Collaboration with colleagues from other institutions, research centres and with community agencies is fundamental to the research undertaken at ARCSHS. We are proud of the inclusive style of our research and particularly wish to acknowledge our collaborations with the following organisations during 2006: • Melbourne Sexual Health Centre • People Living with HIV/AIDS (PLWHA) Victoria • Positive Women • Royal Women’s Hospital • University of Melbourne • Victorian AIDS Council Further afield, we acknowledge our colleagues and collaborators in Western Australia, the Northern Territory and Queensland. At the national level we particularly value our collaborations with: • Australian Federation of AIDS Organisations (AFAO) • Australian Injecting Drug Users’ League (AVIL) • Hepatitis Council • National Association of People Living with HIV/AIDS (NAPWA) Finally, our international collaborators in 2006 included colleagues from Rainbow Sky, MPlus Thailand, Gaya Nusantara Indonesia, HIV/AIDS Network (HIVAN), the University of KwaZuluNatal (UKZN) South Africa, and the Mailman School of Public Health, Columbia University, USA. “Collaboration with colleagues from other institutions, research centres and with community agencies is fundamental to the research undertaken at ARCSHS.” 34 AUSTRALIAN RESEARCH CENTRE IN SEX, HEALTH & SOCIETY ANNUAL REPORT 2006 Publications REFEREED JOURNAL ARTICLES Agius, P.A., Dyson, S., Pitts, M.K., Mitchell, A., and Smith, A.M.A. (2006). Two steps forward and one step back? Australian secondary students’ sexual health knowledge and behaviors, 1992–2002. Journal Adolescent Health. 38(3): 247–52. Agius, P.A., Pitts, M.K., Dyson, S., Mitchell, A., and Smith, A.M.A. (2006). Pregnancy and contraceptive use in a representative sample of Australian secondary students. Australian and New Zealand Journal of Public Health. 30(6): 555–7. Carballo-Diéguez, A., Dowsett, G.W., Ventuneac, A., Remien, R.H., Balan, I., Dolezal, C., Luciano, O., and Lin, P. (2006). Cybercartography of popular internet sites used by New York City men who have sex with men interested in bareback sex. AIDS Education and Prevention. 18(6): 475–89. Couch, M., and Pitts, M.K. (2006). The positioning of bisexuals and ‘men who have sex with men’ in sex, sexuality and sexual health research, 1990–2004. Health Sociology Review. 15(3): 269–76. de Visser, R., Rissel, C., Smith, A.M.A., and Richters, J. (2006). Sociodemographic correlates of selected health risk behaviours in a representative sample of Australian young people. International Journal of Behavioral Medicine. 13(2): 153–62. AUSTRALIAN RESEARCH CENTRE IN SEX, HEALTH & SOCIETY ANNUAL REPORT 2006 35 de Visser, R., Smith, A.M.A., Richters, J., and Rissel, C. (2006). Associations between religiosity and sexuality in a representative sample of Australian adults. Archives of Sexual Behavior. 82: 474–7 Dodson, P.D., Elston, J.K. and McCoy, B. (2006). Leaving culture at the door: Aboriginal perspectives on Christian belief and practice. Pacifica. 19(3): 249–62. Flood, M., and Pease, B. (2006). Undoing men’s privilege and advancing gender equality in public sector institutions. Policy and Society. 24(4): 119–38. Hillier, L. (2006). Safe spaces: The upside of the image problem for same sex attracted young women playing Australian Rules football. International Journal of Football Studies. 8(2): 51–65. Holden, C., Jolley, D., McLachlan, R.I., Pitts, M.K., Cumming R., Wittert, G., Handelsman, D.J., and de Kretser, D.M. (2006). Men in Australia telephone survey (MATeS): Predictors of men’s help-seeking behaviour for reproductive health disorders. Medical Journal of Australia. 185(8): 418–22. Lindsay, J., Perlesz, A., Brown, R., McNair, R., de Vaus, D., and Pitts, M.K. (2006). Stigma or respect: Lesbian-parented families negotiating school settings. Sociology. 40(6): 1059–77. Lister, N., Smith, A.M.A., Tabrizi, S., Garland, S., and Fairley, C.K. (2006). Reinfection of Neisseria gonorrhoeae and chlamydia trachomatis infections among men who have sex with men. International Journal of STD and AIDS. 17: 415–7. Madeddu, D., Grulich, A., Richters, J., Ferris, J., Grierson, J., Smith, A.M.A., Allan, B., and Prestage, G. (2006). Estimating population distribution and HIV prevalence among homosexual and bisexual men. Sexual Health. 3(1): 37–43. McCoy, B. (2006). Healers, clinics and Aboriginal people: Whose health and who benefits? Health Issues. 86(Autumn): 13–6. McCoy, B. (2006). Kanyirninpa: Health, Masculinity and Wellbeing of Desert Aboriginal Men, The University of Melbourne ePrint Repository, July, <http://eprints.infodiv.unimelb.edu.au/ archive/00001886>. McNair, R., Gleitzer, M., and Hillier, L. (2006). Challenging research: methodological barriers to the inclusion of 36 lesbian and bisexual women in Australian population-based health research. Gay and Lesbian Issues in Psychology Review. 2(3). McNally, S., Temple-Smith, M., Sievert, W., and Pitts M.K. (2006). Now, later or never? Challenges associated with hepatitis C treatment. Australian and New Zealand Journal of Public Health. 30(5): 422–7. multilevel analysis. Sexually Transmitted Infections. 82(3): 250–4. Smith, A.M.A., de Visser, R., and Rissel, C. (2006). Optimizing telephone-based population sampling-a reply. Annals of Epidemiology. 16(9): 734–5. Millett, C., Wen, M., Rissel, C., Smith, A.M.A., Richters, J., Grulich, A., and de Visser, R. (2006). Smoking and erectile dysfunction: evidence of a dose response in a representative sample of Australian men. Tobacco Control. 15(2): 136–9. Smith, A.M.A., Grierson, J., Pitts, M.K., and Pattison, P. (2006). Individual characteristics are less important than event characteristics in predicting protected and unprotected anal intercourse among homosexual and bisexual men in Melbourne, Australia. Sexually Transmitted Infections. 82(6): 474–7. Nickson, C., Smith, A.M.A., and Shelley, J.M. (2006). Travel undertaken by women accessing private Victorian pregnancy termination services. Australian and New Zealand Journal of Public Health. 30(4): 329–34. Smith, A.M.A., Grierson, J., Wain, D., Pitts, M.K., and Pattison, P. (2006). Interpersonal and social network influences on gay men’s communication about unprotected sex. International Journal of STD and AIDS. 17(4): 267–70. Perlesz, A., Brown, R., Lindsay, J., McNair, R., de Vaus, D., and Pitts, M.K. (2006). Family in transition: Parents, children and grandparents in lesbian families give meaning to ‘doing’ family. Journal of Family Therapy. 28(2): 175–99. Temple-Smith, M., Jenkinson, K., Lavery, J., Gifford, S., and Morgan, M. (2006). Discrimination or discretion? Exploring dentist’s views on treating patients with hepatitis C. Australian Dental Journal. 51(4): 318–23. Perlesz, A., Brown, R., McNair, R., Lindsay, J., Pitts, M.K., and de Vaus, D. (2006). Full spaces, full lives: Response to commentary by Stephen Hicks. Lesbian and Gay Psychology Review. 7(2): 231–3. Temple-Smith, M., Mark Stoové, Smith, A.M.A., O’Brien, M., Mitchell, D., Banwell, C., Bammer, G., Jolley, D., and Gifford, S. (2006). Gender differences in seeking care for hepatitis C: the Australian experience. Journal of Substance Use, December 11 (6):1–12. Perlesz, A., Brown, R., McNair, R., Lindsay, J., Pitts, M.K., and de Vaus, D. (2006). Lesbian family disclosure: Authenticity and safety within private and public domains. Lesbian and Gay Psychology Review. 7(1): 53–63. Pitts, M.K., Couch, M., and Smith, A.M.A. (2006). Men who have sex with men (MSM): how much to assume and what to ask? Medical Journal of Australia. 185(8): 450–2. Richters, J., Smith, A.M.A., de Visser, R., Grulich, A., and Rissel, C. (2006). Circumcision in Australia: prevalence and affects on sexual health. International Journal of STD and AIDS. 17: 547–54. Slavin, S., Batrouney, C., and Murphy, D.J. (2006). Fear appeals and treatment sideeffects: An effective combination for HIV prevention? AIDS Care. 19(1): 130–7. Smith, A.M.A., and Subramanian, S. (2006). Population contextual influences on heterosexual partner numbers: a AUSTRALIAN RESEARCH CENTRE IN SEX, HEALTH & SOCIETY ANNUAL REPORT 2006 Tideman, R., Pitts, M.K., and Fairley, C.K. (2006). Client acceptability of the use of computers in a sexual health clinic. International Journal of STD and AIDS. 17(2): 121–3. Tideman, R., Pitts, M.K., and Fairley, C.K. (2006). Use of the Delphi sorting technique to establish a core sexual history. International Journal of STD and AIDS. 17(3): 170–2. Tomnay, J., Pitts, M.K., Kuo, T., and Fairley, C.K. (2006). Does the Internet assist clients to carry out contact tracing? A randomized controlled trial using webbased information. International Journal of STD and AIDS. 17(6): 391–4. BOOK CHAPTERS Dowsett, G.W. (2006). Johnnie comes marching…where? Australian gay men, masculinity, HIV/AIDS and sex,. In S. Whitehead (Ed.), Men and Masculinities. London: Routledge. Dowsett, G.W. (2006). Researching gay men’s health: The promise of qualitative research. In I.H. Meyer., and M.E. Northbridge (Eds.), The Health of Sexual Minorities: Public Health Perspectives on Lesbian, Gay, Bisexual and Transgender Populations. New York: Kluwer Academic/Plenum. Dowsett, G.W., and Parker, R.G. (2006). Culture, Sexuality and AIDS Syllabus. In C. Foote-Ardah, and E. Wright (Eds.), Teaching the Sociology of HIV/AIDS: Syllabi, Lectures and Other Resources for Instructors and Students, 3rd edn. Washington, DC: American Sociological Association. Hurley, M. (2006). Entries on Altman, Dessaix, Porter. In Gerstner, D. (Ed) International Encyclopedia of Queer Culture: Gay, Lesbian, Bisexual and Transexual Contemporary Cultures, London and New York: Routledge. Ross, D., Wight, D., Dowsett, G.W., Buvé, A., and Obasi, A. (2006). The weight of evidence: a method for assessing the strength of evidence on the effectiveness of HIV prevention interventions among young people. In D. Ross, B. Dick, and J. Ferguson (Eds.), Preventing HIV/AIDS in Young People: A Systematic Review of the Evidence from Developing Countries, pp. 79–102. Geneva: World Health Organisation. Smith, A.M.A. (2006). Sexuality. In P. Beilharz, and T. Hogan (Eds.), Sociology: Place, Time and Division. pp. 387–90. Melbourne: Oxford University Press. PUBLISHED PAMPHLETS OR REPORTS Aizura, A.Z., Walsh, J., Pike, A., and Jak. (2006). GQ: Gender Questioning. Trans Melbourne Gender Project and Gay and Lesbian Health Victoria, Melbourne, Australia. Banwell, C., Dance, P., Olsen, A., and Temple-Smith, M. (2006). What have hormones got to do with heroin and hep C? Junk Mail, 2006. Couch, M., Dowsett, G.W., Duterte, S., Keys, D., and Pitts, M.K. (2006). Looking for more: A review of social and contextual factors affecting young people’s sexual health. In L.T. University. (Ed.), The Australian Research Centre in Sex, Health and Society monograph series, La Trobe University, Melbourne, Australia. Dowsett, G.W. (2006). Moving masculinities and social change: Why do men matter? Gender Relations Centre Working Papers Series. Australian National University: Research School of Pacific and Asian Studies, Canberra, Australia. Dowsett, G.W., Grierson, J., and McNally, S. (2006), A review of knowledge about the sexual networks and behaviours of men who have sex with men in Asia. Monograph Series Number 59. The Australian Research Centre in Sex, Health and Society, La Trobe University, Melbourne, Australia. Dyson, S., and Fox, C. (2006). An evaluation of the Sexual Health and Relationships Education (SHARE) project 2003–2005, Shine SA. Flood, M., and Pease, B. (2006). The factors influencing community attitudes in relation to violence against women: A critical review of the literature. Victorian Health Promotion Foundation, Melbourne, Australia. Grierson, J., Thorpe, R. and Pitts, M.K. (2006) HIV Futures 5: Life as we know it. Monograph Series Number 60, The Australian Research Centre in Sex, Health and Society, La Trobe University, Melbourne, Australia. McNally, S. and Dutertre, S. (2006). Access to HIV prevention information among selected culturally and linguistically diverse (CALD) communities in Victoria. Monograph Series Number 58, The Australian Research Centre in Sex, Health and Society, La Trobe University, Melbourne, Australia. Pitts, M.K., Couch, M., McNally, S., and Grierson, J. (2006). The dynamics and contexts of male-to-male sex in Indonesia and Thailand: Report to Family Health International. The Australian Research Centre in Sex, Health and Society, La Trobe University, Melbourne Australia. Pitts, M.K., Smith, A.M.A., Mitchell, A. and Patel, S. (2006). Private Lives: A report on the health and wellbeing of GLBTI Australians. Monograph Series Number 57, The Australian Research Centre in Sex, Health and Society, La Trobe University, Melbourne, Australia. Temple-Smith, M. and McNally, S. (2006). Considering treatment for hepatitis C: Selected findings from the now, later or never study. Australian Hepatitis Chronicle, Issue 16, October 2006, pp. 31–34. Temple-Smith, M. and McNally, S. (2006). Hepatitis C social research at the Australian Research Centre in Sex, Health and Society. Australian Hepatitis Chronicle, Issue 16, October 2006, pp. 9–11. Walsh, J. (2006). In sickness and in health (male version and female versions) – Alerting health professionals to Relationships Acts reforms regarding same sex relationships. Poster. Victoria Law Foundation, Melbourne, Australia. Walsh, J. (2006). Sexual diversity health services audit. Gay and Lesbian Health Victoria, Melbourne, Australia. Walsh, J. (2006). You don’t have to tell us if you’re gay and lesbian. But you can. Poster for youth services. Gay and Lesbian Health Victoria, Melbourne, Australia. Walsh, J. (2006). You don’t have to tell us if you’re gay and lesbian. But you can. Poster for adult health and welfare services. Gay and Lesbian Health Victoria, Melbourne, Australia. Walsh, J. (2006). You don’t have to tell us if you’re gay and lesbian. But you can – Working to reduce barriers to health care for people of diverse sexualities and gender. Gay and Lesbian Health Victoria, Melbourne, Australia. Walsh, J., Symons, C., and Hemphill, D. (2006). Getting over it: homophobia, sport and university education. School of Human Movement, Recreation and Performance, Victoria University, Melbourne, Australia. AUSTRALIAN RESEARCH CENTRE IN SEX, HEALTH & SOCIETY ANNUAL REPORT 2006 37 EXTRACTED VOLUMES OF CONFERENCE PROCEEDINGS INTERNATIONAL CONFERENCE PRESENTATIONS Bennett, L. (2006). Encountering the Sacred: Ethnographic and Historical Narratives, Locations of Spirituality: Experiences and Writings of the Sacred, Humanities Research Centre, Australian National University, October 2002. Bennett, L. (2006). ‘Islamic schools in Indonesia and Australia: A comparative perspective’, Symposium on Islamic Schools in Indonesia, University of Western Australia, Perth, Australia, October 2006. Bennett, L. (2006). Spirituality in the sterile field: Childbirth, syncretism and Islam, Locations of Spirituality: Experiences and Writings of the Sacred, Humanities Research Centre, Australian National University, October 2002. Dyson, S. (2006). A whole school approach to sexuality education: is it any different? (Abstract). Sexologies: European Journal of Sexual Health. 15(S1): S39. Fox, C. (2006). Sizing up the man: How important is penis size to men (Abstract). Sexologies: European Journal of Sexual Health. 15(S1): S30. Fox, C. (2006). The penis in words (Extract). Sexologies: European Journal of Sexual Health. 15(S1): S32. FULL PUBLISHED CONFERENCE PROCEEDINGS McCoy, B. (2006). Maparn: Traditionalist health and healing in a Western and Christian world, translated into Mandarin, Shamanic Practices, East-Asian Local Religions and Indigenous Peoples: Encounter with Christianity, Taitung, Taiwan. February 2006. BOOK REVIEWS Dyson, S. (2006). Review of The Anne Oakley Reader. Culture, Health and Sexuality. 8(5): 479–85. Hillier, L. (2006). Review of For the love of women: Gender, identity and same sex relations in a Greek provincial town. Culture Health and Sexuality. 8(2): 189–91. Hillier, L. (2006). Review of Lesbian women and sexual health: the social construction of risk and susceptibility by Kathleen A. Dolan, New York: The Haworth Press Inc, 2005, 122pp., (pbk) ISBN 0-7890-2479-9. Gay and Lesbian Issues in Psychology. McCoy, B. (2006). Review of Reports from a wild country: Ethics for decolonisation by Deborah Bird Rose, Pacifica 19(3): 368–9. 38 Dowsett, G.W. ‘Bareback sex and the internet: MSM who seek men online for intentional unprotected anal intercourse (UAI)’, Carballo-Diéguez A., Ventuneac, A., Dolezal, C., Balán, I., Remien, R.H., Dowsett G.W., Rowe, M., Frasca, T., and Nodin, N., Poster to XVI International AIDS Conference, Toronto, Canada, August 2006. Dowsett, G.W.‘Internet recruitment techniques for face-to-face interviews of men who have sex with men’, Ventuneac A., Carballo-Diéguez, A., Rowe, M., Frasca, T., Nodin, N., Balán, I., Remien, R.H., Dowsett G.W., Lin, P., and Dolezal, C., Poster to XVI International AIDS Conference, Toronto, Canada, August 2006. Dyson, S. (2006). ‘Practised ways of being’: Lesbians negotiating gender and sexuality in clinical spaces, Thinking Gender – The NEXT Generation, Leeds, United Kingdom, June 2006. Dyson, S. (2006). ‘(Ms) Recognition and domains of speakability: coming out in heterosexualised spaces’, Paper presented at the Hetero Factory, Norrkoping, Sweden, June 2006. Fox, C. (2006). ‘The penis in words.’ Poster to 8th Congress of the European Federation of Sexology, Prague, Czech Republic, June 2006. Fox, C. (2006). ‘Sizing up the man: How important is penis size to men’, 8th Congress of the European Federation of Sexology, Prague, Czech Republic, June 2006. Grierson, J., Batrouney, C., Mclean, M., and Kennedy, M. (2006) ‘Being positive about staying negative; the power of first person narrative in HIV prevention’, XVI International AIDS Conference, Toronto, Canada, August 2006. McCoy, B. (2006). ‘Generational trauma and Indigenous men’s health’, World on the Edge, The Society for Applied Anthropology 66th Annual Meeting, Vancouver, British Columbia, Canada, April 2006. McCoy, B. (2006). ‘Suicide and desert men: The power and protection of Kanyirninpa (holding)’, Creating futures: Influencing social determinants of mental health and wellbeing in rural, Indigenous and Island peoples, The Royal Australian and New Zealand College of Psychiatrists Section of Social and Cultural Psychiatry, Triennial Conference, Cairns, Australia, September 2006. Mitchell, A. (2006). ‘We treat everyone the same’: Heterosexism and homophobia in service delivery’, Keynote Address to Asia-Pacific Mental Health Conference, Melbourne, Australia, May 2006. Dyson, S. (2006). ‘A whole school approach to sexuality education: is it any different?’, 8th Congress of the European Federation of Sexology, Prague, Czech Republic, June 2006. Pitts, M.K. (2006). ‘HPV: What have men got to do with it?’ AOGIN 2nd Biennial Conference: “Breakthroughs & Issues in HPV Genital Infections and Neoplasia”, Mactan, Cebu, Philippines, September 2006. Flood, M. (2006). ‘Violence prevention with men: Strategies and challenges’, Keynote address to II International Colloquium of Studies on Men and Masculinities, Guadalajara, Mexico, June 2006. Pitts, M.K. (2006). Overview of ARCSHS, Secretariat of the Pacific Community, Noumea, New Caledonia, November 2006. Fox, C. (2006). ‘Genitalising body image: Pop cultural messages and the role of the large penis in men’s identity construction’, Thinking Gender – The NEXT Generation, Leeds, United Kingdom, June 2006. Fox, C. (2006). ‘It’s hate and intolerance not fear!’ Paper presented at the Hetero Factory, Norrkoping, Sweden, June 2006. AUSTRALIAN RESEARCH CENTRE IN SEX, HEALTH & SOCIETY ANNUAL REPORT 2006 Pitts, M.K. (2006). ‘Psychosocial aspects of HPV’, AOGIN 2nd Biennial Conference: “Breakthroughs and Issues in HPV Genital Infections & Neoplasia”, Mactan, Cebu, Philippines, September 2006. Pitts, M.K. (2006). ‘Women’s health issues: Adolescence, sexuality and STI infections’, AOGIN 2nd Biennial Conference: “Breakthroughs and Issues in HPV Genital Infections and Neoplasia”, Mactan, Cebu, Philippines, September 2006. Pitts, M.K., Dyson S, Garland S, and Rosenthal D. ‘What do women know about HPV?’ EUROGIN conference, Paris, France, April 2006. Thorpe R. (2006). ‘Resisting medicalisation: The use of complementary medicine by people living with HIV/AIDS’, Alternative and Complementary Health Research Network Conference, Nottingham, United Kingdom, July 2006. NATIONAL CONFERENCE PRESENTATIONS Batrouney, C., Guy, R., Goller, J., Grierson, J., and Hellard, M. (2006). ‘Wrong way! – go back! Reflections on two campaign approaches’, 18th Annual Conference of the Australasian Society for HIV Medicine, Melbourne, Australia, October 2006. Bennett, L., and Parker, L. (2006). ‘Zina and Modernity: The socially embedded moralities of premarital sex for Indonesian youth’, 16th Biennial Conference of the Asian Studies Association of Australia, University of Wollongong, Wollongong, Australia, June 2006. Couch, M. and Pitts, M.K. (2006). ‘Religious affiliation and non-heterosexual men and women in Australia: A report from the Private Lives Survey’, The Australian Sociological Association 2006 Conference, University of Western Australia and Murdoch University, Australia, December 2006. Dowsett, G.W. (2006). ‘Brokeback to bareback: shifts in gay sexual culture and dilemmas for prevention research’, Opening plenary address ‘stigma/pleasure/practice’: 9th Social Research Conference on HIV, Hepatitis C and Related Diseases, Sydney, Australia, April 2006. Dyson, S. (2006). ‘Report on the evaluation of the SHARE project’, Teaching It Like It Is Conference, Adelaide, Australia, July 2006. Flood, M. (2006). ‘Ethical issues in qualitative research on sexuality’. National Centre for Epidemiology and Population Health (NCEPH) Methodology Seminar Series, Canberra, Australia, May 2006. Flood, M. (2006). ‘Separated fathers and the fathers’ rights movement’, Feminism, Law and the Family Workshop, Law School, University of Melbourne, Melbourne, Australia, February 2006. Flood, M. (2006). ‘The debate over men’s versus women’s family violence’, Australian Institute of Judicial Administration (AIJA) Family Violence Conference, Adelaide, Australia, February 2006. Grierson, J. (2006). ‘Through a dark glass clearly: The employment and aberration of community in AIDS discourse’, 18th Annual Conference of the Australasian Society for HIV Medicine, Melbourne, Australia, October 2006. Grierson, J. (2006). ‘Treatment breaks from the patient perspective’, 2nd Consensus Conference on the Australian Commentary to the USA Antiretroviral Guidelines, Melbourne, Australia, October 2006. Grierson, J., Thorpe, R., and Pitts, M.K. (2006). ‘Australian trends in ARV uptake and experience 1997–2005’, 18th Annual Conference of the Australasian Society for HIV Medicine, Melbourne, Australia, October 2006. McCoy, B. (2006). ‘Contested sites: Aboriginal health engaging western medicine’, Negotiating the Sacred III: Religion, medicine and the body, The Centre for Cross-Cultural Research, Australian National University (ANU), Canberra, Australia, November 2006. McCoy, B. (2006). ‘Healing the Aboriginal body: Outside the clinic’, Tackling the determinants of health: From bush to Bondi, 37th Public Health Association of Australia Annual Conference, Sydney, Australia, September 2006. McCoy, B. (2006). ‘Outside the ward and clinic: Healing the Aboriginal body’, Beyond science and art: Anthropology and the unification of knowledge, Australian Anthropology Annual Conference, James Cook University, Cairns, Australia, September 2006. McCoy, B. (2006). ‘Petrol sniffing: Social pathways and desert practice’, Australasian Professional Society on Alcohol and Other Drugs (APSAD) Conference, Cairns, Australia, November 2006. McNally, S., Dutertre, S. and Grierson, J. (2006). ‘No-one has sex like this in our community – what newly arrived African and Arabic women think about HIV prevention information in Australia’, 18th Annual Conference of the Australasian Society for HIV Medicine, Melbourne, Australia, October 2006. Mitchell, A., and Walsh, J. (2006). ‘Challenging gender stereotypes in your school’, Sense and Sexuality Conference, Department of Education and Training, Melbourne, Australia, July 2006. AUSTRALIAN RESEARCH CENTRE IN SEX, HEALTH & SOCIETY ANNUAL REPORT 2006 39 Pitts, M.K. Couch, M., and Mulcare, H. (2006). ‘Self-reported health and nonheterosexual men and women in Australia: A report from the Private Lives Survey’, The Australian Sociological Association 2006 Conference, University of Western Australia and Murdoch University, Australia, December 2006. Pitts, M.K., Grierson, J., and Thorpe, R. (2006). ‘Living and working with HIV: Results from HIV futures surveys 1997–2005’, 18th Annual Conference of the Australasian Society for HIV Medicine, Melbourne, Australia, October 2006. Pitts, M.K. (2006). ‘Poor safe sex practices in middle aged and older Australian men: Men in Australia telephone survey (MATeS)’, Australasian Sexual Health Conference, Melbourne, Australia, October 2006. Sidat, M., Grierson, J., and Fairley, C. K. (2006). ‘Experiences and perceptions of HIV-infected individuals with 100% adherence to HAART – a phenomenological study’, 18th Annual Conference of the Australasian Society for HIV Medicine, Melbourne, Australia, October 2006. Thorpe, R. (2006). ‘Resisting medicalisation: Use of complementary medicine by people living with HIV/AIDS’, Australasian Society for HIV Medicine, Melbourne, Australia, October 2006. Thorpe, R., Pitts, M.K., and Grierson, J. (2006). ‘Co-infection with HIV and hepatitis C,’ 18th Annual Conference of the Australasian Society for HIV Medicine, Melbourne, Australia, October 2006. Walsh, J. (2006). ‘Sport: Using homophobia as a training strategy or providing a bridge to isolated young people?’ Sport and Mental Health Conference: From Chemistry to Communities, Monash University, Melbourne, Australia, March 2006. Willis, J., Saunders, M., Grierson, J., Thorpe, R., Pitts, M.K., Hurley, M., and McDonald, K. (2006). ‘Disadvantage among Australian PLWHA who are Aboriginal or Torres Strait Islanders: Findings from the HIV futures surveys’, 18th Annual Conference of the Australasian Society for HIV Medicine, Melbourne, Australia, October 2006. Smith, A.M.A., Grierson, J., Pitts, M.K., and Pattison, P. (2006). ‘Personal, social and contextual associations with protected and unprotected anal intercourse among gay and bisexual men in Melbourne’, 18th Annual Conference of the Australasian Society for HIV Medicine, Melbourne, Australia, October 2006. Temple-Smith, M., and McNally, S. (2006). ‘Considering treatment for Hepatitis C’, 5th Australian Viral Hepatitis Conference, Sydney, Australia, February 2006. Temple-Smith, M., Jenkinson, K., Wallace, J., and Gifford, S. (2006). ‘Pharmacy out of balance or custom-made? Investigating hepatitis C related discrimination’, Australian Professional Society on Alcohol and Other Drugs, Cairns, Australia, November 2006. Temple-Smith, M., McNally, S., Wallace, J., Pitts, M.K., and Smith, A.M.A. (2006). ‘Laws, regulations and guidelines relating to hepatitis C: a help or hindrance to public health?’ Public Health Association, Sydney, Australia, September 2006. 40 AUSTRALIAN RESEARCH CENTRE IN SEX, HEALTH & SOCIETY ANNUAL REPORT 2006 Glossary AFAO Australian Federation of AIDS Organisations AIDS Acquired Immunodeficiency Syndrome ARC Australian Research Council ARCSHS Australian Research Centre in Sex, Health and Society BBV Blood Borne Viruses CLEU Community Liaison and Education Unit DHA Australian Government Department of Health and Ageing DHS Victorian Government Department of Human Services GLBTI Gay, Lesbian, Bisexual, Transgender and Intersex people GLHV Gay and Lesbian Health Victoria HIV Human Immunodeficiency Virus NHMRC National Health and Medical Research Council PLWHA People Living with HIV/AIDS SOPV Sex on Premises Venues STI Sexually Transmissible Infection TMGP Trans Melbourne Gender Project VAC Victorian AIDS Council VINES Victorian Networks Study Australian Research Centre in Sex, Health and Society La Trobe University 1st floor 215 Franklin Street Melbourne, Victoria 3000 AUSTRALIA Editor Ros Handley Design Outsource Design Telephone +61 3 9285 5382 Facsimile +61 3 9285 5220 Email: [email protected] Internet: www.latrobe.edu.au/arcshs Australian Research Centre in Sex, Health and Society