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.

 

More than half of fertility and period-tracker apps ineffective at predicting ovulation, study finds

ABC Health & Wellbeing,  17/09/2019

An Australian study of the most downloaded fertility apps has found over half didn’t perform well at predicting ovulation — which is exactly what many users are using these apps for.

The findings, by researchers at Eve Health Fertility in Brisbane in conjunction with Queensland Fertility Group, were presented at a Fertility Society of Australia conference this week in Hobart.

International consensus on testosterone treatment for women

Jean Hailes, 2 September 2019

The first Global Position Statement on the use of testosterone in the treatment of women, led by the International Menopause Society (IMS), was published in four leading international medical journals today.

The statement has been authored by a diverse team of leading experts based around the world and has been endorsed by internationally-esteemed medical societies.

It follows years of debate regarding testosterone therapy for women and, for the first time, provides agreement among experts and medical societies about how testosterone could be prescribed for women.

Access the statement: 

Analysis of cervical cancer and abnormality outcomes in an era of cervical screening and HPV vaccination in Australia

Australian Institute of Health and Welfare, Release Date: 

This is the third report from an Australian-first project, combining screening, cancer, death, and HPV vaccination data to demonstrate the effects of screening and HPV vaccination on cervical cancer, precancerous abnormalities and cervical screening behaviour.

Screen-detected cervical cancers were less likely to cause death than those diagnosed in never-screened women, and HPV-vaccinated women were more likely to participate in cervical screening, and less likely to have a high-grade abnormality.

 

A community perspective: On Human Papillomavirus (HPV)-related cancer among women and, trans and gender diverse people

Positive Life NSW & Femfatales, April 2019

Authors: Liz Sutherland, Lance Feeney, Katya Samodurov

Human papillomavirus (HPV) is a common virus which can be passed through skin to skin contact during sexual activity. Evidence to date shows that women living with HIV are 3 to 6 times more likely to develop cervical cancer than the general female population. They are also at greater risk of developing anal, vaginal, oropharyngeal and vulvar cancers.

There are other groups who may have a higher but preventable risk because they are often left out of the conversation about HPV and related cancers. Trans men are less likely to be up-todate with Pap tests to screen for cervical cancer. Furthermore, several studies have highlighted that trans and gender diverse people, and lesbian and bisexual cis-gendered women are often disregarded as not being at risk.

Positive Life and Femfatales developed a cross-sectional study to:

• Assess awareness and knowledge of HPV infection and risk for 4 HPV-related cancers (cervical, vaginal, vulvar, and anal) among women and, trans and gender diverse people in Australia;

• Assess the knowledge gaps to inform the development and implementation of population-specific educational resources to increase community and healthcare professional awareness of HPV and related cancers;

• Assist with the prevention of morbidity and mortality by increasing screening, early detection and treatment of HPV-related cancers, and;

• Assess rates of HPV vaccination in women and, trans and gender diverse people

KEY FINDINGS:

1. The results from this survey highlighted a lack of awareness of risk, prevention,
symptoms, and early detection of HPV-related vaginal, vulvar, and anal cancers.

2. Approximately 28% of HIV-positive respondents were unaware that a vaccination
against HPV exists and 71% of HIV-positive respondents had not been vaccinated
against HPV.

3. Over half (60%) of HIV-positive respondents believe their risk of anal cancer was either‘about the same’, ‘lower’, or ‘much lower’ than the general female population’s risk.

4. While all HIV-positive respondents had screened for cervical cancer at some point in
their lives, 91.7% had never had an anal examination for anal cancer.

5. Among HIV-positive and HIV-negative but immunocompromised respondents who had undergone staging or treatment for either cervical, vaginal, or vulvar cancer, none had ever screened for anal cancer.

6. Of the HIV-positive respondents who do not receive screening reminder notifications, none were aware of the new 3 yearly National Cervical Screening Guidelines and changes.

7. Qualitative responses indicated that respondents generally preferred having clinician-initiated conversations with female doctors or nurses who were non-judgemental, non-dismissive, clear, and made them feel comfortable.

8. In an open-ended short-answer question, more than 25% of qualitative respondents felt that more awareness and normalising talking about HPV in the public realm would help increase their chance of detecting HPV-related cancer early.

Social housing landlords use domestic violence as reason to evict victims – study

Guardian Australia, Thu 13 Jun 2019 

Social housing landlords are evicting low-income domestic violence survivors because the abuse they suffer can be considered a “nuisance” breach under existing tenancy laws, a new study has found.

Researchers from two universities analysed lease terminations data, nearly 100 state tribunal and court decisions, as well as case studies from housing providers to assess the impact on the nation’s most vulnerable tenants.