Presentation Transcript
Australian Research Centre in Sex, Health and Society: Australian Research Centre in Sex, Health and Society Prof Anthony Smith
Australian Research Centre in Sex, Health and Society: Australian Research Centre in Sex, Health and Society ARCSHS
Hepatitis C research
Areas we research: Areas we research HIV
Hepatitis
Sexual health / STIs
Sex and sexualities
Reproductive health
Men’s / women’s health
Social inequalities
The Hepatitis Social Research Program: The Hepatitis Social Research Program Uses a public health approach to examine and address hepatitis from a range of perspectives
Conducts and collaborates on research projects, resources education and training for health professionals, and is committed to transferring research outcomes into both policy and practice.
Completed Hepatitis C projects: Completed Hepatitis C projects Identifying the social, personal and health needs of women living with Hepatitis C
Identifying the social, personal and health needs of men living with Hepatitis C
Blood, football and risk: an examination of the implementation and significance of blood borne virus prevention policy in Australian Rules Football
Living with co-infection (HIV and Hep C)
Barriers to treatment for Hep. C
Current Hepatitis C research projects: Referral patterns of GPs and specialists: Current Hepatitis C research projects: Referral patterns of GPs and specialists Examines when GP refer patients with Hep C to specialists and when specialists wish to receive referrals
Significant mis-matches with GPs often delaying in referrals
Factors in health care settings contributing to discrimination against people with Hepatitis C : Factors in health care settings contributing to discrimination against people with Hepatitis C Aim is to identify:
factors in health care settings which could contribute to discrimination
barriers to the provision of care for those with hep. C
20 in-depth interviews with
General Practitioners
Dentists
Pharmacists
Nurses
Staff questionnaire and in-depth case study of policies and practices in 2 clinics from each setting.
Learning to inject inside: Learning to inject inside Aims to identify the resilience and risk factors in the uptake of injecting in ATSI men who are incarcerated.
A qualitative study with former prisoners and prisoner support groups
Living with HIV and the Hepatides: Living with HIV and the Hepatides Approximately 1,500 Australians are co-infected with HIV and Hep C
In addition a significant number of PLWHA have had Hep B.
In-depth interviews with people with co-infections in three states
Analysis of Futures data
Evaluating a web-based Hep C intervention for secondary students: Evaluating a web-based Hep C intervention for secondary students The web site development
How it imparts Hep C knowledge
How it address discrimination
Choice or Chance: the social context of contraceptive use by women with Hepatitis C and their reproductive and sexual health needs: Choice or Chance: the social context of contraceptive use by women with Hepatitis C and their reproductive and sexual health needs Previous research found that women with hepatitis C report low levels of contraception compared with Australian women as a whole (34% and 67% respectively).
Young women are the fastest growing group of those contracting hepatitis C.
Women with the virus have particular contraceptive needs and reproductive concerns
Choice or chance ?: Choice or chance ? Aims:
To investigate the reasons behind this low use of contraception
To determine the implications for their reproductive choices and sexual health
To contribute, based on findings, to the development of strategies to assist in achieving improved levels of contraception, where appropriate
Regulating Hepatitis C: rights and duties: Regulating Hepatitis C: rights and duties How regulations, guidelines and codes of practice relating to hepatitis C transmission and prevention are understood and acted upon by service providers (AHMAC)
Mapping of all relevant laws, regulations at local, state/territory and federal levels.
Key informant interviews with stakeholders and peak professional bodies in the areas of pharmacy, prisons, drug and health service sectors.
Case studies
To identify policy and regulatory gaps in relation to:: To identify policy and regulatory gaps in relation to:
Needle and syringe programs
Acupuncture clinics
Prisons and juvenile justice centres
Tattooing and body piercing premises
Future Studies in Hepatitis C: Future Studies in Hepatitis C Improving treatment access for Victorian prisoners
Mapping services with the potential to provide Hepatitis C treatment and support
Regionally based treatments for Hepatitis C (EOI / NHMRC)
Aging with Hepatitis C
Impacts on the health care system of aging populations of people with Hep. C, many of whom are of southern Mediterranean or Indochinese origin, (NOI / NHMRC)
Treatment access for CALD groups
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