Writing themselves in: a national report on the sexuality, health and well-being of same-sex attracted young people

This 1998 report is about young people who are attracted to their own sex. The need for accurate baseline figures about young people of non-heterosexual orientation has developed as part of a general concern about the spread of the HIV virus into the adolescent population and a specific concern around these young people’s emotional well-being. In the past three years, Australian adolescent research conducted by the National Centre in HIV Social Research, La Trobe University, has revealed that a significant minority of young people are not unequivocally heterosexual, with numbers ranging between 8 and 11% in recent research. Research which specifically targets this population has, until now, been conducted retrospectively and/or with people who identify as gay or lesbian recruited through gay and lesbian youth groups or the gay press. As researchers we know little about young people at pre-identity or pre-disclosure stages because their need for anonymity means they cannot be contacted through the usual channels. The young people represented in this project were accessed through an advertising campaign in National magazines, via radio and the Internet. A survey was available on a website and from the Centre for the Study of Sexually Transmissible Diseases. Surveys were also inserted in the gay and street press. These surveys sought information regarding sexual feelings and experiences as well as sexual and drug-taking practices in regard to STDs (including HIV) and related diseases. The source and adequacy of sexual health information for this group and their levels of support and experiences of abuse and discrimination were also elicited. The survey also charted young people’s perceptions of their quality of life and emotional well-being. In addition, participants were also asked to write stories about their experiences, including when they first knew about their sexual feelings, their relationships with family and friends, and their hopes for the future. &nbsp

"It's not easy but it's still possible to be an abstainer here": Non-Drug Use Among Young Men in a Slum Area in Makassar, Indonesia

This qualitative study explores the social context and protective factors that enable young men in a slum area (lorong) in Makassar, Indonesia, to abstain from using drugs. Semi-structured interviews, conducted with fifteen male non-drug users in the lorong showed, despite living in a drug risk environment, non-drug users were involved in neither the drug scene nor street culture. There were two main reasons for this: their employment opportunities, albeit in low paid jobs and the informal economy, and their schooling. These non-users asserted that respectability and the status of rewa (a local construct of masculinity) should and could be achieved through traditional means, i.e. employment providing legitimate income and education leading to a career. Their work provides both direct benefit, i.e. legitimate income (economic capital), and indirect benefits such as meaningful activities and structured time. Employment and schooling also generated a respectable identity (symbolic and cultural capital), wider social networks (bridging social capital) and the opportunity for upward mobility. All of these enable them to have a stake within mainstream society and are incentives for them to abstain from drug taking. This study demonstrates the crucial role of direct and indirect benefits of employment and of economic, symbolic, cultural and social capital in understanding the social context of non-drug use among young men in the lorong. The findings suggest protagonists of drug policy reform and implementation in Indonesia should be more cognizant of social marginalization in the lorong, and of the need to improve young people's access to employment and education, in order to decrease the likelihood of drug initiation and use

Australian clinicians and chemoprevention for women at high familial risk for breast cancer

<p>Abstract</p> <p>Objectives</p> <p>Effective chemoprevention strategies exist for women at high risk for breast cancer, yet uptake is low. Physician recommendation is an important determinant of uptake, but little is known about clinicians' attitudes to chemoprevention.</p> <p>Methods</p> <p>Focus groups were conducted with clinicians at five Family Cancer Centers in three Australian states. Discussions were recorded, transcribed and analyzed thematically.</p> <p>Results</p> <p>Twenty three clinicians, including genetic counselors, clinical geneticists, medical oncologists, breast surgeons and gynaecologic oncologists, participated in six focus groups in 2007. The identified barriers to the discussion of the use of tamoxifen and raloxifene for chemoprevention pertained to issues of evidence (evidence for efficacy not strong enough, side-effects outweigh benefits, oophorectomy superior for mutation carriers), practice (drugs not approved for chemoprevention by regulatory authorities and not government subsidized, chemoprevention not endorsed in national guidelines and not many women ask about it), and perception (clinicians not knowledgeable about chemoprevention and women thought to be opposed to hormonal treatments).</p> <p>Conclusion</p> <p>The study demonstrated limited enthusiasm for discussing breast cancer chemoprevention as a management option for women at high familial risk. Several options for increasing the likelihood of clinicians discussing chemoprevention were identified; maintaining up to date national guidelines on management of these women and education of clinicians about the drugs themselves, the legality of "off-label" prescribing, and the actual costs of chemopreventive medications.</p

Book review: 'Handbook of adolescent development', edited by Sandy Jackson and Luc Goossens

Reivew of the book 'Handbook of adolescent development', edited by Sandy Jackson and Luc Goossens, published by Psychology Press, 2006

Giving up on drugs: homeless young people and self-reported problematic drug use

This is a publisher's version of an article published in Contemporary Drug Problems 2006, published by Federal Legal Publications, Inc. This version is reproduced with permission from Contemporary Drug Problems.Numerous studies have revealed high levels of drug-taking among young people experiencing homelessness. This article draws upon 20 in-depth interviews carried out as part of a five-year longitudinal study of homeless young people (Project i). It is noteworthy that almost all of those who identified their drug use as problematic gave up or reduced their level of use without treatment or professional assistance during the period of the study. The interviews provided insight into the way in which some young people experiencing homelessness view their drug use and the actions they take in light of these understandings. Here we report their stated reasons for giving up or reducing usage and identify some commonalities that may have impacted on the outcomes

A typology approach to describing parents as communicators about sexuality

Teenagers in Grades 8 and 10 and their parents completed a questionnaire examining the frequency of parental communications about sexuality and the communicative style when discussing sexuality and in general. Respondents also assessed parents' competence in communicating about sexual matters. For each set of respondents (teens reporting about mother, teens reporting about father, mothers' self-reports, fathers' self-reports), a cluster analysis yielded four clusters that were similar for each set. Relative to other parents, there was a group of parents that could be labelled as competent communicators and a group that could be labelled as problematic communicators about sexuality, with strong associations between cluster membership and score on the global measure of communicative competence. There were two intermediate categories that reflected more or less competence although the precise nature of these clusters differed as a function of informant group. Overall, fathers were rated as poorer communicators about sexuality than were mothers, at least by their teenage children. Consistent with other studies, mothers were more likely to be perceived as effective communicators by daughters and older teens. It appears that, independent of their level of competence, parents adjust their communication strategies according to the age and sex of their child, at least in the eyes of that child. Effective and problematic communicators among mothers were regarded as such by both sets of informants. This was not the case for fathers. We conclude that it is possible to classify parents usefully on the basis of perceived competence as communicators about sexuality

Social connectedness among international students at an Australian university

Social connectedness, International students,