Hidden Forces: Shining a light on Reproductive Coercion (White Paper)

Marie Stopes Australia, 2018

Reproductive Coercion (RC) is behaviour that interferes with the autonomy of a person to make decisions about their reproductive health. Many Australians do not have full control over their reproductive choices. Their choices are constrained by people in their familial and community networks or by structural forces at play in our society.

Reproductive Coercion is gaining greater attention in Australia. Brave people are coming forward to share stories of their lived experience of Reproductive Coercion in order to build greater understanding of this important issue and how it has shaped their lives.

For twenty months, Marie Stopes Australia coordinated a public consultation process that has culminated in this White Paper on Reproductive Coercion. This White Paper has emerged following a roundtable of 50 stakeholders, two phases of public submissions, comment on a draft White Paper and targeted engagement of leading
academics, healthcare professionals and psychosocial specialists.

84 submissions that have informed the development of this White Paper. These submissions have provided a wide spectrum of views on this complex issue.

 

Understanding the experiences of Culturally Diverse LGBTIQ+ Talent at Work

Diversity Council Australia, 2019

While many workplaces have developed LGBTIQ+ inclusion programs, they are not currently specifically addressing the cultural diversity of LGBTIQ+ people.

DCA, along with Pride in Diversity, is undertaking research to help better understand the experiences of Culturally Diverse LGBTIQ+ Talent at Work.

This project will help with understanding of the experiences of people of LGBTIQ+ people from culturally diverse backgrounds, and will assist in providing informed advice to workplaces about how to make inclusion initiatives work.

  • Are you or one of your colleagues an LGBTIQ+ person from a non-Anglo or a non-Main English speaking country cultural background?
  • Can you share your insights to help develop workplace guidance for Australian organisations wanting to better harness the skills and talents of LGBTIQ+ people from culturally diverse backgrounds?

What do I need to do?

Video: teaching Arabs to talk about sex

BBC news, 09 Jul 2019

Safa Tamish teaches Palestinians to talk about sex, a topic often seen as taboo in the Arab world.

She encourages workshop participants to speak frankly, for example not shying away from using proper names for body parts in Arabic.

A survey for BBC Arabic across the Middle East and North Africa has looked at attitudes on issues ranging from religion to homosexuality and migration.

Of 25,000 people interviewed by Arab Barometer, 44% said they had the right to freedom of expression, down from 64% in 2013.

Cultural and linguistic diversity of people living with chronic hepatitis B

Cultural and linguistic diversity of people living with chronic hepatitis B in 2011–2016: changing migration, shifting epidemiology
Aust NZ J Public Health. 2018; 42:441-3; doi: 10.1111/1753-6405.12826
Abstract
Objective: To estimate the cultural and linguistic diversity in Australians currently living with chronic hepatitis B (CHB), the majority of whom were born overseas, and to identify trends in this diversity over time.
Methods: Estimates were generated by combining Australian census country of birth
information with seroprevalence data generated from antenatal serology linked with
surveillance notifications. The number of people living with CHB was assessed according to country of birth using the 2011 and 2016 censuses.
Results: The total number of Australian residents living with CHB increased by 20% between 2011 and 2016, substantially outpacing population growth. The most common country of birth continued to be China, with the number of Chinese-born Australians living with CHB increasing by 60% in the 5-year period. Decreased numbers were observed for people born in European countries.
Conclusions: The epidemiology of chronic hepatitis B in Australia has shifted over time due to changing migration patterns, with increases in many countries in the Asia-Pacific, African and Middle Eastern regions. 
Implications for public health: Interventions to improve the health of people living with CHB are imperative, and these up-to-date estimates identify priority groups and communities, which are constantly changing.

HIV diagnoses in migrant populations in Australia: a changing epidemiology

PLoS ONE ,14(2): e0212268. https://doi.org/10.1371/journal.pone.0212268

Abstract

Introduction

We conducted a detailed analysis of trends in new HIV diagnoses in Australia by country of birth, to understand any changes in epidemiology, relationship to migration patterns and implications for public health programs.

Methods

Poisson regression analyses were performed, comparing the age-standardised HIV diagnosis rates per 100,000 estimated resident population between 2006–2010 and 2011–2015 by region of birth, with stratification by exposure (male-to-male sex, heterosexual sex–males and females). Correlation between the number of permanent and long-term arrivals was also explored using linear regression models.

Results

Between 2006 and 2015, there were 6,741 new HIV diagnoses attributed to male-to-male sex and 2,093 attributed to heterosexual sex, with the proportion of diagnoses attributed to male-to-male sex who were Australian-born decreasing from 72.5% to 66.5%. Compared with 2006–2010, the average annual HIV diagnosis rate per 100,000 in 2011–15 attributed to male-to-male sex was significantly higher in men born in South-East Asia (summary rate ratio (SRR) = 1.37, p = 0.001), North-East Asia (SRR = 2.18, p<0.001) and the Americas (SRR = 1.37, p = 0.025), but significantly lower as a result of heterosexual sex in men born in South-East Asia (SRR = 0.49, p = 0.002), Southern and Central Asia (SRR = 0.50, p = 0.014) and Sub-Saharan Africa (SRR = 0.39, p<0.001) and women born in South-East Asia (SRR = 0.61, p = 0.002) and Sub-Saharan Africa (SRR = 0.61, p<0.001). Positive associations were observed between the number of permanent and long-term arrivals and HIV diagnoses particularly in relation to diagnoses associated with male-to-male sex in men from North Africa and the Middle East, North Asia, Southern and Central Asia and the Americas.

Conclusion

The epidemiology of HIV in Australia is changing, with an increase in HIV diagnosis rates attributed to male-to-male sex amongst men born in Asia and the Americas. Tailored strategies must be developed to increase access to, and uptake of, prevention, testing and treatment in this group.

 

Cervical cancer self-tests helping to break down barriers and increase screening rates

ABC Health & Wellbeing, Posted Friday 8th March 2019 at 14:54

In Australia, 80 per cent of cervical cancers are found in women who are overdue for screening or have never been screened.

“We know there’s an equity issue in our cervical screening program,” said Dr Saville, executive director of the VCS Foundation, a cervical screening not-for-profit.

“Women from lower socio-economic settings, Aboriginal and Torres Strait Islander women, and women from culturally and linguistically diverse backgrounds do not screen as often … and are more likely to get cancer.”

In a bid to overcome these barriers, a self-testing process was introduced to Australia’s National Cervical Screening Program in 2017.