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Minichiello, Victor
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Given Name
Victor
Victor
Surname
Minichiello
UNE Researcher ID
une-id:vminichi
Email
vminichi@une.edu.au
Preferred Given Name
Victor
School/Department
Administration
143 results
Now showing 1 - 10 of 143
- PublicationSexual risk assessment in general practice: evidence from a New South Wales surveyPhysicians' inadequate involvement in sexual risk assessment has the potential to miss many asymptomatic cases. The present study was conducted to explore sexual risk assessment by physicians in clinical practice and to identify barriers in eliciting sexual histories from patients. Methods: A stratified random sample of 15% of general practitioners (GP) from New South Wales was surveyed to assess their management of sexually transmissible infections (STI). In total, 409 GP participated in the survey with a response rate of 45.4%. Results: Although nearly 70% of GP regularly elicited a sexual history from commercial sex workers whose presenting complaint was not an STI, this history taking was much lower (<10%) among GP for patients who were young or heterosexual. About 23% never took a sexual history from Indigenous patients and 19% never elicited this history from lesbian patients. Lack of time was the most commonly cited barrier in sexual history taking (55%), followed by a concern that patients might feel uncomfortable if a sexual history was taken (49%). Other constraints were the presence of another person (39%) and physician's embarrassment (15%). About 19% of GP indicated that further training in sexual history taking could improve their practice. Conclusions: The present study identifies inconsistent involvement by GP in taking sexual histories, which can result in missed opportunities for early detection of many STI. Options for overcoming barriers to taking sexual histories by GP are discussed.
- PublicationChildren Living in HIV Families: A ReviewThis review article summarizes the current knowledge about children born or living in families affected by HIV, a topic of recent interest in the HIV field. It also presents a case study of a child's narrative about the implications of living with a HIV parent. The case study is part of a larger study involving both parents and children living with HIV in Bangladesh. The paper discusses the implications of HIV for children, their families, and social services to gain a better understanding of some of the social issues, such as stigma, associated with this illness. The paper recommends that the development of effective social and service interventions using appropriate language, information, and access to social support services are urgently needed to reduce the concerns and increase the life opportunities of children living in HIV families.
- PublicationMidlife Career Transitions for Male Scientists and Engineers: A Qualitative Study(2010)
; Englar-Carlson, MattThis dissertation presents the results of a qualitative study of career transition experiences of male scientists and engineers. The sample population was selected from organizations in research and development, industrial, and academic fields in geographically diverse locations in the United States. Examples of career transitions from this population include job reassignment, relocation, being laid off, leaving the corporate world to become a consultant or establish one's own business, making a radical change in a career field, and taking an early retirement. The study addresses the challenges the technical professionals faced and the effects of these challenges from psychosocial perspectives. A narrative approach was used to collect data from 14 male scientists and engineers. The collected data were analyzed using a grounded theory approach. Examples of the emerging themes that helped in a successful career transition were self-efficacy, resilience, optimism, flexibility, adaptation, and spousal support. The factors that described the dynamics in the career transition experiences were identified as personhood, relationships, lifestyle, and workplace environment and corporate culture. The findings and their implications are discussed in reference to developing appropriate counseling strategies for this population. These strategies are focused on helping a professional recognize midlife transitions as both developmental crises and opportunities. Coping skills are provided to support the tasks of reappraising the past, modifying the current life structure, and completing the transition process as a life-enhancing transformation. - PublicationMigrant Populations: Socio-cultural Dynamics and the Explanation for the Risk of HIV/AIDS Transmission in Bangladesh(2013)
; ; - PublicationModels of Care in Small Rural Communities(2002)
; The original intent of this thesis was to examine the health care needs of older people living in small rural communities and how those needs might best be met. Interest in this topic arose initially from my involvement in the restructuring of rural health services when, in 1993, individual hospital management, with separate Boards of Directors, was replaced with the aggregation of groups of hospitals into district health services with a corporate board. In 1996, these district health services were restructured and aggregated into eight area health services covering the rural portion of New South Wales. This was undertaken to achieve consistency with the area health service structure found in the metropolitan areas of New South Wales for some considerable time. Without debating the merits of these changes and restructures, they did, in my view, represent an alienation of local communities from direct involvement in the control and management of the health services, a focus on corporate management and an emphasis on efficiency ahead of effectiveness. - PublicationSexual health (excluding reproductive health, intimate partner violence and gender-based violence) and COVID-19: a scoping review(Bmj Group, 2021)
; ; Tucker, JosephObjectives The COVID-19 pandemic has exposed and exacerbated existing socioeconomic and health disparities, including disparities in sexual health and well-being. While there have been several reviews published on COVID-19 and population health disparities generally—including some with attention to HIV—none has focused on sexual health (ie, STI care, female sexual health, sexual behaviour). We have conducted a scoping review focused on sexual health (excluding reproductive health (RH), intimate partner violence (IPV) and gender-based violence (GBV)) in the COVID-19 era, examining sexual behaviours and sexual health outcomes.
Methods A scoping review, compiling both peer-reviewed and grey literature, focused on sexual health (excluding RH, IPV and GBV) and COVID-19 was conducted on 15 September 2020. Multiple bibliographical databases were searched. Study selection conformed to Joanna Briggs Institute (JBI) Reviewers' Manual 2015 Methodology for JBI Scoping Reviews. We only included English-language original studies.
Results We found that men who have sex with men may be moving back toward pre-pandemic levels of sexual activity, and that STI and HIV testing rates seem to have decreased. There was minimal focus on outcomes such as the economic impact on sexual health (excluding RH, IPV and GBV) and STI care, especially STI care of marginalised populations. In terms of population groups, there was limited focus on sex workers or on women, especially women's sexual behaviour and mental health. We noticed limited use of qualitative techniques. Very few studies were in low/middle-income countries (LMICs).
Conclusions Sexual health research is critical during a global infectious disease pandemic and our review of studies suggested notable research gaps. Researchers can focus efforts on LMICs and under-researched topics within sexual health and explore the use of qualitative techniques and interventions where appropriate.
This article is made freely available for use in accordance with BMJ's website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained.
- PublicationManaging Pre-hospital Emergency Medical Services of Road Traffic Injuries in Khon Kaen Province, Thailand(2011)
; ; Road trauma is a public health issue worldwide. The Emergency Medical Service (EMS) focuses on improving trauma patient outcomes by providing medical care and transporting patients to the appropriate health facility as quickly as possible. The aim of this study is to provide basic knowledge and recommendations for the improvement of current EMS management practice in relation to road trauma, in particular, in Khon Kaen Province, Thailand. An understanding of current EMS operation in response to Road Traffic Injury (RTI) enhances knowledge that informs the management of EM Services and identifies factors that can achieve better patient outcomes. The study consists of two parts: (i) a description of a road traffic injury and EMS response profile based on data available from KKRH Trauma Registry and the KK EMS database for KK EMS health area, and (ii) an exploratory qualitative analysis using in-depth interviews with KK EMS staff to determine how EMS management and patient outcomes could be improved. Many important road traffic injury risks from an eight year period from 1998-2005 were identified such as being a motorcycle rider, a young male, working as a labourer, not wearing a helmet while riding two-wheeled vehicles, festival and weekend periods, and rural location. The available EMS data from 2003-2007 indicates that EMS responses are to some extent adequate for the requirement of emergency calls. However, the dramatic increase in non-urgent cases in the past several years indicates some level of inefficiency. In-depth interviews with 20 EMS staff, who had experience in EMS employment, provided data for the qualitative part of the study. Thematic analysis was used. EMS staff commented on a number of social issues particularly regarding issues associated with alcohol-related injuries of young male motorcyclists, lack of the public awareness of EM Service provision and the professionalism of EMS staff. The study highlights that the KK social context has an influence on the effectiveness of management of both road safety strategies and EMS provided. The recognition of the impact of local worldview of management needs to be considered in the management of EMS of RTI. - PublicationUnderstanding the Sexual-selves of Iranian-American Women: A Qualitative Study(2011)
; ; The purpose of this qualitative research is to explore the perception of Iranian-American women about their sexual-selves and gender role formations. Additionally, the research discusses issues which contributed to the formation of their sexual-selves, gender roles, and gender identity, as well as the role culture plays in the lives of these women. The snowball sampling technique was used to identify the 24 participants, aged 18 years and older, among the first generation Iranian-American women living in Southern California, United States. A feminist perspective was selected to provide the theoretical framework to understand each woman's unique experience with respect to her sexual-self and life circumstances. Narrative analysis was utilized to explore the sexual life stories via individual in-depth interview. These stories included childhood to marriage in Iran, the undoing and unlearning process underpinning the development of their sexual-selves, and the influences of the socio-cultural factors that framed the experiences of the participants in both their home and host cultures. ... The thesis argues that the concept of the sexual rights of women has to be equated with human rights for significant advances to be made in the equality of women with men. The findings have policy and practice implications of Iranian-American women benefiting from educational programs and community discussion groups. Health professionals will see greater therapeutic gain in their patients by having adequate sensitivity to and familiarity with their patients' culture and language. Researchers will have an information base from which to pursue further research, not only with Iranian women, but also with women of similar cultural backgrounds. - PublicationSex and the (older) single girl: Experiences of sex and dating in later life(Elsevier Ltd, 2015)
; ; Pitts, MarianThis study explored the sexual subjectivities of older Australian women. In this article we present findings from 15 qualitative interviews with Australian women aged 55-81 who were single at the time of interview. The majority of these women were single following divorce or separation, with a smaller number of women who were widowed or never in a long-term relationship. We found that these women's sexual desire and sexual activity were fluid and diverse across their life course. Although some participants desired a romantic or sexual relationship, they were also protective of their independence and reluctant to re-enter into a relationship in later life. Our findings indicate that these women's sexual subjectivities were shaped by dominant norms of ageing, sex, and gender. At the same time, older women are challenging and resisting these norms, and beginning to renegotiate sexuality in later life. - PublicationProminent Themes and Lessons LearnedThis book describes the qualitative journeys of more than a dozen neophyte researchers and their mentors. As such, the stories have embedded within them certain themes that can also be connected to reveal similar patterns. If you were going to analyze this data, ask yourself what stands out most to you across the narratives you've read. Just as the authors described the ways that they identified the most important plots (narrative analysis), codes (grounded theory), themes (phenomenology), and so forth, so too can we talk about what struck us as common threads that appear most significant.