Fiona H. McKay

‘Any one of these boat people could be a terrorist for all we know!’ Media representations and public perceptions of ‘boat people’ arrivals in Australia:

In April 2009 a boat (named the ‘SIEV 36’ by the Australian Navy) carrying 49 asylum seekers exploded off the north coast of Australia. Media and public debate about Australia’s responsibility to individuals seeking asylum by boat was instantaneous. This paper investigates the media representation of the ‘SIEV 36’ incident and the public responses to media reports through online news fora. We examined three key questions: 1) Does the media reporting refer back to and support previous policies of the Howard Government? 2) Does the press and public discourse portray asylum arrivals by boat as a risk to Australian society? 3) Are journalists following and applying industry guidelines about the reporting of asylum seeker issues? Our results show that while there is an attempt to provide a balanced account of the issue, there is variation in the degree to which different types of reports follow industry guidelines about the reporting of issues relating to asylum seekers and the use of ‘appropriate’ language.

Evaluating mobile phone applications for health behaviour change: A systematic review

Introduction Increasing smartphones access has allowed for increasing development and use of smart phone applications (apps). Mobile health interventions have previously relied on voice or text-based short message services (SMS), however, the increasing availability and ease of use of apps has allowed for significant growth of smartphone apps that can be used for health behaviour change. This review considers the current body of knowledge relating to the evaluation of apps for health behaviour change. The aim of this review is to investigate approaches to the evaluation of health apps to identify any current best practice approaches. Method A systematic review was conducted. Data were collected and analysed in September 2016. Thirty-eight articles were identified and have been included in this review. Results Articles were published between 2011– 2016, and 36 were reviews or evaluations of apps related to one or more health conditions, the remaining two reported on an investigation of the usability of health apps. Studies investigated apps relating to the following areas: alcohol, asthma, breastfeeding, cancer, depression, diabetes, general health and fitness, headaches, heart disease, HIV, hypertension, iron deficiency/anaemia, low vision, mindfulness, obesity, pain, physical activity, smoking, weight management and women’s health. Conclusion In order to harness the potential of mobile health apps for behaviour change and health, we need better ways to assess the quality and effectiveness of apps. This review is unable to suggest a single best practice approach to evaluate mobile health apps. Few measures identified in this review included sufficient information or evaluation, leading to potentially incomplete and inaccurate information for consumers seeking the best app for their situation. This is further complicated by a lack of regulation in health promotion generally.

Food security among asylum seekers in Melbourne

Objectives: This research explores food insecurity among asylum seekers who are members of the Asylum Seeker Resource Centre (ASRC) in Melbourne, Australia.

Steroid users and the unique challenge they pose to needle and syringe program workers

INTRODUCTION AND AIMS Needle and syringe programs (NSP), which provide sterile injecting equipment, are a cornerstone of Australias drug harm reduction strategy and assist in reducing the spread of blood-borne virus infections, such as HIV and hepatitis C, among people who inject drugs. Some reports suggest that steroid users are an increasing proportion of clientele at NSPs. In this research, we investigate the experience of NSP workers who come into contact with people who use steroids and other performance- and image-enhancing drugs (PIED). DESIGN AND METHOD Thirteen NSP workers were recruited using purposive sampling strategies. Participants were interviewed using a semi-structured interview guide. Interviews were recorded, transcribed and coded for themes. RESULTS There are three key findings of this study. Firstly, NSP workers do not feel well informed about the substances that PIED users are injecting. Secondly, they were unsure what equipment PIED users required. Thirdly, PIED users were perceived to differ from other client groups, and these differences impacted upon the level of rapport staff could build with this group. DISCUSSION AND CONCLUSION PIED users pose unique challenges for NSP workers compared with other NSP client groups. The PIEDs used and the way in which they are used are substantially different compared with other NSP clients, and there appears to be a lack of knowledge within the workforce about these substances. This study highlights the need to engage in workforce training, but also the need to more effectively engage with PIED users in relation to effective harm reduction strategies.

AIDS assassins : Australian media’s portrayal of HIV-positive refugees who deliberately infect others

The media representations of refugees who are HIV-positive often revolve around criminal transmission cases. This study examines the approach the Australian mass media have taken toward the case of two men from refugee backgrounds and how this stigmatizing language is unhelpful in discussions of HIV. An extensive search of the Factiva database was undertaken for all newspaper articles in the major dailies that mentioned “HIV,” “AIDS,” and “refugee” between 2002 and 2008. Analysis was guided by several approaches to media analysis in an attempt to understand the representations of HIV-positive refugees. When analyzing the media articles of criminal cases relating to HIV we found that refugees who are HIV-positive were portrayed in a negative fashion, with the concept of “otherness” prominent throughout most newspaper media reports. Considering this is the main source of information for most people concerning HIV, this representation carries the potential to lead to further stigma and discrimination to both people living with HIV and refugees.

Do performance and image enhancing drug users in regional Queensland experience difficulty accessing health services

INTRODUCTION AND AIM To understand health service access and needs of people who use performance and image enhancing drugs (PIED) in regional Queensland. DESIGN AND METHODS Semi-structured interviews were conducted with 21 people (n = 19 men) who reported the use of a range of PIEDs, including anabolic-androgenic steroids, human chorionic gonadotropin, growth hormone, clenbuterol, tamoxifen, insulin and peptides. RESULTS Participants reported accessing a range of services, including needle and syringe programs and pharmacies, for sterile injecting equipment. While PIEDs users attributed some stigma to needle and syringe programs, they were seen as an important service for injecting equipment. Participants reported receiving either positive care from health-care providers, such as general practitioners (GP), or having negative experiences due to the stigma attached with PIED use. Few participants reported disclosing their PIED use to their GP not only because of the concerns that their GP would no longer see them but also because they felt their GP was not knowledgeable about these substances. DISCUSSION AND CONCLUSION Participants in the study reported no difficulty in accessing health services based on living in a regional area, with their concern focused more upon how they were viewed and treated by service staff. [Dunn M, Henshaw R, Mckay F. H. Do performance and image enhancing drug users in regional Queensland experience difficulty accessing health services? Drug Alcohol Rev 2016;35:377-382].

Food Aid Provision in Metropolitan Melbourne: A Mixed Methods Study

ABSTRACT This study used a mixed methods approach, incorporating a desktop review, online survey, and semistructured interview, to investigate how providers of food aid in metropolitan Melbourne are experiencing changes because of an increased demand for services. The findings of this study indicate that though many providers report an increased demand, the complex needs of clients, including issues of housing, intergenerational poverty, and limited education and employment opportunities, make addressing food insecurity a challenge for food aid providers.

Student reflections in a first year public health and health promotion unit

While reflective practice has been used extensively in nursing and teaching education over many years, the introduction of reflective practice into other disciplines is more recent. This paper provides an overview of the use of reflective practice as an assessment task in a first year, first trimester, undergraduate health promotion and public health unit. Reflective practice is included in this unit as a way for students to deal with challenges that arise during learning. This study used a coding scheme to determine the level of reflection of student journals, as well as a qualitative approach of thematic analysis to investigate themes within the student’s reflective journals. Findings of this study suggest a low level of student reflection, however; thematic analysis results in rich data that describe student aspirations for future careers.

Life on newstart allowance: a new reality for low-income single mothers

ABSTRACT In recent years, significant policy changes have been made to Australian welfare benefits for single parent families. These changes include the addition of work requirements and changes to the eligibility requirements for family payments. This paper explores the most recent welfare payment change for low-income single parents in 2013, whereby a change in eligibility requirements has seen many move from the Parenting Payment Single (PPS) to Newstart Allowance, a decreased fortnightly payment with a stricter income test. Twenty-three in-depth interviews were conducted with women who had recently experienced this payment change. All of the women were already struggling financially on the PPS, with the shift to Newstart Allowance further exacerbating their precarious financial position. This paper focuses on the financial impacts, the need to prioritise expenses and women’s capacity to make up the financial shortfall since moving off the PPS. This paper adds to the existing literature exploring the impacts of welfare policy change on single parent families.

Evaluating a school-based alcohol program: the WARP experience

The Western Alcohol Reduction Program (WARP) is a community designed and lead, secondary school-based, program that seeks to address issues related to alcohol use by young people in the Melbourne western metropolitan region. Taking a whole-of-community approach, the program consisted of six programs for a class of 20 students from schools in western Melbourne. The program sought to highlight negative influences of alcohol on life outcomes, and addresses the issues of alcohol-related behaviour in assaults, injuries and preventable consequences of risk-taking behaviour. The findings of this evaluation suggest that students have modified some of their drinking behaviours over the program, have modified some of their risky behaviours and have increased their knowledge in some areas. This program, designed specifically to meet the needs of the local school and students, has the potential to increase the alcohol- and drug-related knowledge of students, while also having a positive impact on alcohol-related behaviours.