Barriers and facilitators to publicly‑funded gender‑affirming surgery: the perspectives amongst a cohort of Australian clinicians

Article

Piñón‑O’Connor, Katie E., Mullens, Amy B., Debattista, Joseph, Sanders, Tait and Bromdal, Annette. 2023. "Barriers and facilitators to publicly‑funded gender‑affirming surgery: the perspectives amongst a cohort of Australian clinicians." Discover Health Systems. 2. https://doi.org/10.1007/s44250-023-00055-5
Article Title

Barriers and facilitators to publicly‑funded gender‑affirming surgery: the perspectives amongst a cohort of Australian clinicians

Article CategoryArticle
AuthorsPiñón‑O’Connor, Katie E., Mullens, Amy B., Debattista, Joseph, Sanders, Tait and Bromdal, Annette
Journal TitleDiscover Health Systems
Journal Citation2
Article Number42
Number of Pages15
Year2023
PublisherSpringer Nature
Place of PublicationSwitzerland
ISSN2731-7501
Digital Object Identifier (DOI)https://doi.org/10.1007/s44250-023-00055-5
Web Address (URL)https://link.springer.com/article/10.1007/s44250-023-00055-5
Abstract

Introduction Barriers to publicly-funded gender-affirming surgery (GAS) in Australia have been identified as costly with limited availability of qualified providers and lack of public hospital systems performing/offering these services. Our study explores barriers, facilitators, and potential implications for expanding, and improving publicly-funded GAS in Australia from the perspectives of an Australian cohort of gender-affirming clinicians.

Methods We conducted semi-structured interviews with eight clinicians in 2021 who currently work within gender-affirming health services in Australia. Through ecological systems theory, gender minority stress framework, and reflexive thematic analysis, themes and sub-themes were developed.

Results Our study identified three themes and five sub-themes exploring the barriers and facilitators to publicly-funded GAS in Australia. Gender-affirming clinicians indicated establishing a surgical center for excellence in trans and non-binary
healthcare is an essential facilitator needed to implement publicly-funded GAS. This would allow for a best-practice decentralized model of gender-affirming care to be realized in future to optimize health and wellbeing among trans and non-binary persons.

Conclusions There remain substantial barriers, specifically at exosystem and macrosystem levels, within the public health service needing urgent attention. Implications of findings are relevant to funding, clinical practice, research, and policy
within and beyond Australia.

Policy Implications The substantial barriers within the public health service sector could be improved through a growing support, and a changing socio-political-cultural milieu; ultimately informing publicly-funded GAS as the most sustainable course of action and policy reform.

KeywordsTrans and non-binary · Clinicians · Gender-affirming surgery · Ecological systems theory · Gender minority stress · Australia
Article Publishing Charge (APC) FundingOther
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020440508. Transgender studies
440705. Gender, policy and administration
420602. Health equity
Byline AffiliationsSchool of Psychology and Wellbeing
Department of Health, Queensland
School of Education
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Does distance to hospital affect emergency department presentations and hospital length of stay among COPD patients?
Rana, Rezwanul, Gow, Jeff, Moloney, Clint, King, Alex, Keijzers, Gerben, Beccaria, Gavin and Mullens, Amy. 2022. "Does distance to hospital affect emergency department presentations and hospital length of stay among COPD patients?" Internal Medicine Journal. 52 (3), pp. 403-410. https://doi.org/10.1111/imj.15014
Applications and Careers in Psychology within Public Health and Community Settings to Build Wellbeing and Promote Social Justice
Mullens, Amy B, Krishnamoorthy, Govind, She, Eidin Ni and Burton, Lorelle. 2022. "Applications and Careers in Psychology within Public Health and Community Settings to Build Wellbeing and Promote Social Justice." Machin, Tony, Machin, Tanya, Jeffries, Carla, Hoare, Nancey and Abel, Susan (ed.) The Australian Handbook for Careers in Psychological Science. Toowoomba, Australia. University of Southern Queensland. pp. 297-325
A Critical Discourse Analysis of an Australian Incarcerated Trans Woman’s Letters of Complaint and Self-Advocacy
Halliwell, Sherree D., du Plessis, Carol, Hickey, Andrew, Gildersleeve, Jessica, Mullens, Amy B., Sanders, Tait, Clark, Kirsty A., Hughto, Jaclyn M. W., Debattista, Joseph, Phillips, Tania M., Daken, Kirstie and Bromdal, Annette. 2022. "A Critical Discourse Analysis of an Australian Incarcerated Trans Woman’s Letters of Complaint and Self-Advocacy." Ethos. 50 (2), pp. 208-232. https://doi.org/10.1111/etho.12343
Coping with COVID: Pandemic Narratives for Australian Children
Gildersleeve, Jessica, Cantrell, Kate, Bryce, India, Daken, Kirstie, Durham, Jo, Mullens, Amy, Batorowicz, Beata, Johnson, Rhiannan, Gildersleeve J., Cantrell K., Bryce I., Daken K., Durham J., Mullens A., Batorowicz B. and Johnson R.. 2022. "Coping with COVID: Pandemic Narratives for Australian Children." Heliyon. 8 (5). https://doi.org/10.1016/j.heliyon.2022.e09454
Associated factors, assessment, management, and outcomes of patients who present to the emergency department for acute exacerbation of chronic obstructive pulmonary disease: A scoping review
Phillips, Tania M., Moloney, Clint, Sneath, Emily, Beccaria, Gavin, Issac, Hancy, Mullens, Amy B., Gow, Jeff, Rana, Rezwanul and King, Alex. 2022. "Associated factors, assessment, management, and outcomes of patients who present to the emergency department for acute exacerbation of chronic obstructive pulmonary disease: A scoping review." Respiratory Medicine. 193, pp. 1-13. https://doi.org/10.1016/j.rmed.2022.106747
Are sexual health survey items understood as intended by African and Asian migrants to Australia? Methods, results and recommendations for qualitative pretesting
Vujcich, Daniel, Roberts, Meagan, Brown, Graham, Durham, Jo, Gu, Zhihong, Hartley, Lisa, Lobo, Roanna, Mao, Limin, Moro, Piergiorgio, Mullens, Amy B., Offord, Baden, Oudih, Enaam and Reid, Alison. 2021. "Are sexual health survey items understood as intended by African and Asian migrants to Australia? Methods, results and recommendations for qualitative pretesting." BMJ Open. 11 (12), pp. 1-14. https://doi.org/10.1136/bmjopen-2021-049010
Sexual and reproductive health knowledge, attitudes and behaviours of Chinese international students studying abroad (in Australia, the UK and the US): a scoping review
Mundie, Arabella, Lazarou, Mattea, Mullens, Amy B., Gu, Zhihong and Dean, Judith A.. 2021. "Sexual and reproductive health knowledge, attitudes and behaviours of Chinese international students studying abroad (in Australia, the UK and the US): a scoping review." Sexual Health. 18 (4), pp. 294-302. https://doi.org/10.1071/SH21044
STI and HIV knowledge and testing: a comparison of domestic Australian-born, domestic overseas-born and international university students in Australia
Engstrom, Teyl, Waller, Michael, Mullens, Amy B., Durham, Jo, Debattista, Joseph, Wenham, Kathryn, Bell, Sara F., Ariana, Armin, Gu, Zhihong, Daken, Kirstie, Dingle, Kaeleen, Gilks, Charles F., Williams, Owain D. and Dean, Judith A.. 2021. "STI and HIV knowledge and testing: a comparison of domestic Australian-born, domestic overseas-born and international university students in Australia." Sexual Health. 18 (4), pp. 346-348. https://doi.org/10.1071/SH21055
Recalibrating the epigenetic clock after exposure to trauma: The role of risk and protective psychosocial factors
Mehta, Divya, Bruenig, Dagmar, Pierce, John, Sathyanarayanan, Anita, Stringfellow, Rachel, Miller, Olivia, Mullens, Amy B. and Shakespeare-Finch, Jane. 2022. "Recalibrating the epigenetic clock after exposure to trauma: The role of risk and protective psychosocial factors." Journal of Psychiatric Research. 149, pp. 374-381. https://doi.org/10.1016/j.jpsychires.2021.11.026
Safe Connection Toowoomba: Connecting and Supporting LGBTQIA+ Communities
Bromdal, Annette, Phillips, Tania, Sanders, Tait, Excell, Tarra, Mullens, Amy B and Lifeline Darling Downs and South West QLD Ltd. 2022. Safe Connection Toowoomba: Connecting and Supporting LGBTQIA+ Communities. Australia. University of Southern Queensland. https://doi.org/10.13140/RG.2.2.23857.25446
Dietary habits, physical activity, and sedentary behaviour of children of employed mothers: a systematic review
Afrin, Sabiha, Mullens, Amy B., Chakrabarty, Sayan, Bhowmik, Lupa and Biddle, Stuart J.. 2021. "Dietary habits, physical activity, and sedentary behaviour of children of employed mothers: a systematic review." Preventive Medicine Reports. 24, pp. 1-16. https://doi.org/10.1016/j.pmedr.2021.101607
Beyond criticism of ethics review boards: strategies for engaging research communities and enhancing ethical review processes
Hickey, Andrew, Davis, Samantha, Farmer, Will, Dawidowicz, Julianna, Moloney, Clint, Lamont-Mills, Andrea, Carniel, Jess, Pillay, Yosheen, Akenson, David, Bromdal, Annette, Gehrmann, Richard, Mills, Dean, Kolbe-Alexander, Tracy, Machin, Tanya, Reich, Suzanne, Southey, Kim, Crowley-Cyr, Lynda, Watanabe, Taiji, Davenport, Josh, ..., Maxwell, Jacinta. 2021. "Beyond criticism of ethics review boards: strategies for engaging research communities and enhancing ethical review processes." Journal of Academic Ethics. 20, pp. 549-567. https://doi.org/10.1007/s10805-021-09430-4
Towards a whole-school approach for sexuality education in supporting and upholding the rights and health of students with intersex variations
Bromdal, Annette, Zavross-Orr, Agli, Hunter, Lisa, Hand, Kirstine and Hart, Bonnie. 2021. "Towards a whole-school approach for sexuality education in supporting and upholding the rights and health of students with intersex variations." Sex Education. 21 (5), pp. 568-583. https://doi.org/10.1080/14681811.2020.1864726
Tools to measure HIV knowledge, attitudes & practices (KAPs) in healthcare providers: a systematic review
Kaladharan, Siddharth, Daken, Kirstie, Mullens, Amy B. and Durham, Jo. 2021. "Tools to measure HIV knowledge, attitudes & practices (KAPs) in healthcare providers: a systematic review." AIDS Care: psychological and socio-medical aspects of AIDS-HIV. 33 (11), pp. 1500-1506. https://doi.org/10.1080/09540121.2020.1822502
Estimating the frequency and cost of emergency department presentations and hospitalisation of chronic obstructive pulmonary disease patients: a retrospective analysis from regional Queensland
Rana, Rezwanul, Gow, Jeff, Moloney, Clint, King, Alex, Keijzers, Gerben, Beccaria, Gavin and Mullens, Amy. 2021. "Estimating the frequency and cost of emergency department presentations and hospitalisation of chronic obstructive pulmonary disease patients: a retrospective analysis from regional Queensland." Emergency Medicine Australasia. 33 (3), pp. 491-498. https://doi.org/10.1111/1742-6723.13665
Homophobia, transphobia, young people and the question of responsibility
Rasmussen, Mary Lou, Sanjakdar, Fida, Allen, Louisa, Quinlivan, Kathleen and Bromdal, Annette. 2017. "Homophobia, transphobia, young people and the question of responsibility." Discourse: studies in the cultural politics of education. 38 (1), pp. 30-42. https://doi.org/10.1080/01596306.2015.1104850
Competency, capability and professional identity: the case for advanced practice
Fergusson, Lee C., Bromdal, Annette, Gough, Murray and Mears, Stephen. 2020. "Competency, capability and professional identity: the case for advanced practice." Work Based Learning e-journal. 9 (1), pp. 95-131.
Questioning representations of athletes with elevated testosterone levels in elite women’s sports: a critical policy analysis
Bromdal, Annette, Olive, Rebecca and Walker, Brooke. 2020. "Questioning representations of athletes with elevated testosterone levels in elite women’s sports: a critical policy analysis." International Journal of Sport Policy and Politics. 12 (4), pp. 699-715. https://doi.org/10.1080/19406940.2020.1834432
'We don’t recognize transsexuals … and we’re not going to treat you': cruel and unusual and the lived experiences of transgender women in US prisons
Phillips, Tania, Bromdal, Annette, Mullens, Amy, Gildersleeve, Jessica and Gow, Jeff. 2020. "'We don’t recognize transsexuals … and we’re not going to treat you': cruel and unusual and the lived experiences of transgender women in US prisons." Harmes, Marcus, Harmes, Meredith and Harmes, Barbara (ed.) The Palgrave handbook of incarceration in popular culture. Switzerland. Palgrave Macmillan. pp. 331-360
Domains of reinforcement associated with greater alcohol use among gay, bisexual and men who have sex with men (GBMSM) within ‘Chemsex’ contexts in Queensland
Fein, Erich, Mullens, Amy, Ray, Madeleine, Daken, Kirstie, Garvey, Shane, Muscolino, Robert and Young, Ross. 2019. "Domains of reinforcement associated with greater alcohol use among gay, bisexual and men who have sex with men (GBMSM) within ‘Chemsex’ contexts in Queensland." 2019 Australasian Professional Society on Alcohol and Other Drugs Conference (APSAD 2019). Hobart, Australia 10 - 13 Nov 2019 Sydney, Australia.
Substance use at sex on premises venues among GBMSM (gay, bisexual and other men who have sex with men)
Daken, Kirstie, Mullens, Amy B., Lemoire, Jime, Brownlow, Charlotte, Howard, Chris and Coffey, Luke. 2019. "Substance use at sex on premises venues among GBMSM (gay, bisexual and other men who have sex with men)." 2019 Australasian Professional Society on Alcohol and Other Drugs Conference (APSAD 2019). Hobart, Australia 10 - 13 Nov 2019 Sydney, Australia.
Reducing Avoidable Copd Emergency Room Presentations: An Integrated Cross-Health Service Utilisation Scoping Initiative In South Queensland
Moloney, C., Beccaria, G., Sneath, E., Mullens, A., Issac, H., King, A., Gow, J. and Phillips, T.. 2020. "Reducing Avoidable Copd Emergency Room Presentations: An Integrated Cross-Health Service Utilisation Scoping Initiative In South Queensland." The Thoracic Society of Australia & New Zealand and the Australian and New Zealand Society of Respiratory Science Annual Scientific Meeting for Leaders in Lung Health & Respiratory Science (TSANZSRS 2020). Melbourne, Australia 27 - 31 Mar 2020 Australia. https://doi.org/10.1111/resp.13778
Strengths of the Health Action Process Approach: a Structured Review
Fein, Erich C., Cassimatis, Mandy, Jakovickis, Dharmashakti and Mullens, Amy B.. 2019. "Strengths of the Health Action Process Approach: a Structured Review." 2019 Australian Psychological Society College of Health Psychologists Conference. Adelaide, Australia 25 - 27 Apr 2019 Melbourne, Australia.
Sailing for Resilience: a Pilot Evaluation of Nature Therapy Program for Stress and Anxiety
Fein, Erich C., Tyquin, Dana, Mullens, Amy, Goldwater, Aaron and Gilmour, John. 2019. "Sailing for Resilience: a Pilot Evaluation of Nature Therapy Program for Stress and Anxiety." 2019 Australian Psychological Society College of Health Psychologists Conference. Adelaide, Australia 25 - 27 Apr 2019 Melbourne, Australia.
Through Benevolent Eyes: the Differential Efficacy of Perspective Taking and Cognitive Reappraisalon the Regulation of Shame
Krishnamoorthy, Govind, Davis, Penelope, O'Donovan, Analise, McDermott, Brett and Mullens, Amy. 2021. "Through Benevolent Eyes: the Differential Efficacy of Perspective Taking and Cognitive Reappraisalon the Regulation of Shame." International Journal of Cognitive Therapy. 14 (2), pp. 263-288. https://doi.org/10.1007/s41811-020-00085-4
The Pedagogical Possibilities of Critically Examining Gender and Sexuality in Initial Teacher Education Through the Lens of Intersex
Bromdal, Annette and Davis, Ian. 2020. "The Pedagogical Possibilities of Critically Examining Gender and Sexuality in Initial Teacher Education Through the Lens of Intersex." van Rensburg, Henriette and O'Neill, Shirley (ed.) Inclusive Theory and Practice in Special Education. Hershey, United States. IGI Global. pp. 99-123
A Critical Investigation of Masculinity in Education: Using a Narrative Method
Davis, Ian and Bromdal, Annette. 2020. "A Critical Investigation of Masculinity in Education: Using a Narrative Method." van Rensburg, Henriette and O'Neill, Shirley (ed.) Inclusive Theory and Practice in Special Education. Hershey, United States. IGI Global. pp. 288-300
Effectiveness of Interventions for Hepatitis B and C: A Systematic Review of Vaccination, Screening, Health Promotion and Linkage to Care Within Higher Income Countries
Ortiz, Elizabeth, Scanlon, Brighid, Mullens, Amy and Durham, Jo. 2019. "Effectiveness of Interventions for Hepatitis B and C: A Systematic Review of Vaccination, Screening, Health Promotion and Linkage to Care Within Higher Income Countries." Journal of Community Health. 45, pp. 201 -218. https://doi.org/10.1007/s10900-019-00699-6
Stimulant expectancy questionnaire for men who have sex with men: a measure of substance‐related beliefs
Mullens, Amy B., Fein, Erich C., Young, Ross, Dunne, Michael P., Norton, Graham and Daken, Kirstie. 2020. "Stimulant expectancy questionnaire for men who have sex with men: a measure of substance‐related beliefs." Health Promotion Journal of Australia. 31 (2), pp. 309-319. https://doi.org/10.1002/hpja.271
Mentoring matters: findings from the APS College of Health Psychologists Survey
Mullens, Amy, Stapleton, Peta, Clarke, Allison and Strodl, Esben. 2019. "Mentoring matters: findings from the APS College of Health Psychologists Survey." In-Psych.
The OnTrack Diabetes Group Therapy Project: Feasibility Trial of a Web-based CBT Program with Conjunctive Group Therapy
Cassimatis, Mandy, Kavanagh, David, Kazantzis, Nikolaos and Mullens, Amy B.. 2019. "The OnTrack Diabetes Group Therapy Project: Feasibility Trial of a Web-based CBT Program with Conjunctive Group Therapy." International Society for Research on Internet Interventions - ISRII: The Next Generation (2019). Auckland, New Zealand 13 - 15 Feb 2019
HIV Point of Care Testing (PoCT) at late-night sex on premises venues (SOPV) for gay and bisexual men and other men who have sex with men (GBMSM): a mixed methods analysis
Mullens, Amy B., Daken, Kirstie, Lemoire, Jime, Brownlow, Charlotte, Driver, Glen and Gow, Jeff. 2020. "HIV Point of Care Testing (PoCT) at late-night sex on premises venues (SOPV) for gay and bisexual men and other men who have sex with men (GBMSM): a mixed methods analysis." AIDS and Behavior. 24 (2), pp. 450-466. https://doi.org/10.1007/s10461-019-02500-0
Whole-incarceration-setting approaches to supporting and upholding the rights and health of incarcerated transgender people
Bromdal, Annette, Clark, Kirsty A., Hughto, Jaclyn M. W., Debattista, Joseph, Phillips, Tania M., Mullens, Amy B., Gow, Jeff and Daken, Kirstie. 2019. "Whole-incarceration-setting approaches to supporting and upholding the rights and health of incarcerated transgender people." International Journal of Transgenderism. 20 (4), pp. 341-350. https://doi.org/10.1080/15532739.2019.1651684
Point-of-care testing (POCT) for HIV/STI targeting MSM in regional Australia at community ‘beat’ locations
Mullens, Amy, Duyker, Josh, Brownlow, Charlotte, Lemoire, Jime, Daken, Kirstie and Gow, Jeff. 2019. "Point-of-care testing (POCT) for HIV/STI targeting MSM in regional Australia at community ‘beat’ locations." BMC Health Services Research. 19 (93), pp. 1-10. https://doi.org/10.1186/s12913-019-3899-2
Memoirs and manifestos for early career researchers in gender and sexuality education research
Coll, Leanne, van Leent, Lisa and Bromdal, Annette. 2019. "Memoirs and manifestos for early career researchers in gender and sexuality education research." Jones, Tiffany, Coll, Leanne, van Leent, Lisa and Taylor, Yvette (ed.) Uplifting gender and sexuality education research. Cham, Switzerland. Palgrave Macmillan. pp. 279-302
Homophobia, transphobia, young people and the question of responsibility
Rasmussen, Mary Lou, Sanjakdar, Fida, Allen, Louisa, Quinlivan, Kathleen and Bromdal, Annette. 2018. "Homophobia, transphobia, young people and the question of responsibility." Halse, Christine, Hartung, Catherine and Wright, Jan (ed.) Responsibility and responsibilisation in education. Abingdon, UK. Routledge. pp. 30-42
Recommendations and practices for holistic chronic obstructive pulmonary disease (COPD) assessment and optimal referral patterns in emergency department presentations: a scoping review protocol
Moloney, Clint, Beccaria, Gavin, Mullens, Amy, Issac, Hancy and Phillips, Tania. 2019. "Recommendations and practices for holistic chronic obstructive pulmonary disease (COPD) assessment and optimal referral patterns in emergency department presentations: a scoping review protocol ." BMJ Open. 9 (8), pp. 1-5. https://doi.org/10.1136/bmjopen-2019-030358
Substance-related expectancies mediate relationships between substance use (stimulants, alcohol) and condomless anal sex among men
Mullens, Amy, Fein, Erich, Ray, Madeleine and Young, Ross. 2018. "Substance-related expectancies mediate relationships between substance use (stimulants, alcohol) and condomless anal sex among men." International Journal of Behavioral Medicine. 25 (1 (Supplement)), p. S172.
Experiences of transgender prisoners and their knowledge, attitudes and practices regarding sexual behaviours and HIV/STIs: a systematic review
Mullens, Amy, Bromdal, Annette, Phillips, Tania and Gow, Jeff. 2018. "Experiences of transgender prisoners and their knowledge, attitudes and practices regarding sexual behaviours and HIV/STIs: a systematic review." International Journal of Behavioral Medicine. 25, p. S42.
The experience of psychological distress, symptoms of trauma, coping and post-traumatic growth in parents of children with congenital heart disease: a systematic review of the literature
Mullens, Amy and Brown, Jodie. 2018. "The experience of psychological distress, symptoms of trauma, coping and post-traumatic growth in parents of children with congenital heart disease: a systematic review of the literature." International Journal of Behavioral Medicine. 25 (1 (Supplement)), p. S14.
Experiences of transgender prisoners and their knowledge, attitudes, and practices regarding sexual behaviors and HIV/STIs: a systematic review
Bromdal, Annette, Mullens, Amy B., Phillips, Tania M. and Gow, Jeff. 2019. "Experiences of transgender prisoners and their knowledge, attitudes, and practices regarding sexual behaviors and HIV/STIs: a systematic review." International Journal of Transgenderism. 20 (1), pp. 4-20. https://doi.org/10.1080/15532739.2018.1538838
Characteristics Of Early Adopters Of Hiv Point Of Care Testing (Poct) At Late-Night Sex On Premises Venue (Sopv) Theme Parties
Mullens, Amy, Daken, Kirstie, Lemoire, Jime, Brownlow, Charlotte and Gow, Jeff. 2018. "Characteristics Of Early Adopters Of Hiv Point Of Care Testing (Poct) At Late-Night Sex On Premises Venue (Sopv) Theme Parties." 15th International Congress of Behavioral Medicine. Santiago, Chile 14 - 17 Nov 2018 United States. Springer.
Integrating theories of alcohol consumption: how do drinking motives influence self-efficacy?
Girdlestone, D., Fein, E. and Mullens, A.. 2017. "Integrating theories of alcohol consumption: how do drinking motives influence self-efficacy?" 38th National Conference of the Australian Association for Cognitive and Behaviour Therapy (AACBT 2017):Innovations in Cognitive and Behavioural Therapies across the Lifespan. Sydney, Australia 26 - 28 Oct 2017 Australia.
Exploring HIV risks, testing and prevention among sub-Saharan African community members in Australia
Mullens, Amy B., Kelly, Jennifer, Debattista, Joseph, Phillips, Tania M., Gu, Zhihong and Siggins, Fungisai. 2018. "Exploring HIV risks, testing and prevention among sub-Saharan African community members in Australia." International Journal for Equity in Health. 17. https://doi.org/10.1186/s12939-018-0772-6
HIV risks and prevention: themes from a community forum among African community members in Queensland
Mullens, Amy, Debattista, Joseph, Gu, Zhihong, Siggins, Fungisai, Phillips, Tania and Kelly, Jennifer. 2017. "HIV risks and prevention: themes from a community forum among African community members in Queensland." ASBHM - CHP Conference 2017. Gold Coast, Australia 13 - 15 Jul 2017 Gold Coast, Australia.
Novel HIV testing during health promotion outreach: a qualitative analysis of field notes by peer-testers
Mullens, Amy, Duyker, Josh, Lemoire, Jime and Brownlow, Charlotte. 2017. "Novel HIV testing during health promotion outreach: a qualitative analysis of field notes by peer-testers." ASBHM - CHP Conference 2017. Gold Coast, Australia 13 - 15 Jul 2017 Gold Coast, Australia.
Health behaviours and health literacy: Hepatitis B regarding Sub-Saharan African migrants living in Queensland
Majerovic, A., Mullens, A., Debattista, J., Fein, E., Gu, Z. and Siggins, F.. 2017. "Health behaviours and health literacy: Hepatitis B regarding Sub-Saharan African migrants living in Queensland." ASBHM - CHP Conference 2017. Gold Coast, Australia 13 - 15 Jul 2017 Gold Coast, Australia.
Mentoring: results from the Australian Psychological Society College of Health Psychologists professional mentoring survey
Stapleton, P., Clarke, A., Strodl, E. and Mullens, A.. 2017. "Mentoring: results from the Australian Psychological Society College of Health Psychologists professional mentoring survey." ASBHM - CHP Conference 2017. Gold Coast, Australia 13 - 15 Jul 2017 Gold Coast, Australia.
Integrating theories of alcohol consumption: how do drinking motives influence HAPA self-efficacy?
Girdlestone, Denise, Fein, Erich and Mullens, Amy. 2017. "Integrating theories of alcohol consumption: how do drinking motives influence HAPA self-efficacy?" ASBHM - CHP Conference 2017. Gold Coast, Australia 13 - 15 Jul 2017 Gold Coast, Australia.
Lived experiences among transgender and gender diverse offenders and their knowledge, attitudes and practices regarding sexual behaviours and HIV/STIs, and knowledge and attitudes among prison officers towards transgender and gender diverse prisoners, sexuality and HIV/STIs: protocol for a systematic review
Bromdal, Annette, Mullens, Amy, Phillips, Tania and Gow, Jeff. 2017. "Lived experiences among transgender and gender diverse offenders and their knowledge, attitudes and practices regarding sexual behaviours and HIV/STIs, and knowledge and attitudes among prison officers towards transgender and gender diverse prisoners, sexuality and HIV/STIs: protocol for a systematic review." PROSPERO: International Prospective Register of Systematic Reviews. 18 Sept 2017.
Metacognitions mediate HIV stigma and depression/anxiety in men who have sex with men living with HIV
Strodl, Esben, Stewart, Lauren, Mullens, Amy B. and Deb, Sibnath. 2015. "Metacognitions mediate HIV stigma and depression/anxiety in men who have sex with men living with HIV." Health Psychology Open. 2 (1), pp. 1-11. https://doi.org/10.1177/2055102915581562
Guidelines for Peer Supervision
Mullens, Amy. 2016. "Guidelines for Peer Supervision." Drug Arm Clinical Worker State-wide professional development forum (2016). Annerley, Australia
Substance use among LGQBTIQ
Mullens, Amy. 2016. "Substance use among LGQBTIQ." College of Community Services (Drug Arm, Healthy Options) LGBT Symposium (2016). Brisbane, Australia 11 Feb 2016
Queensland Chemsex Study
Ray, Madeleine, Garvey, Shane, Mullens, Amy and Fein, Erich. 2017. "Queensland Chemsex Study." The 2017 Australian Winter School Conference. Brisbane, Australia 27 - 28 Jul 2017
PoCT (point of care) HIV/STI testing at after-hours SOPV (sex on premises venues) theme parties
Mullens, Amy, Driver, Glen, Lemoire, Jime and Daken, Kirstie. 2017. "PoCT (point of care) HIV/STI testing at after-hours SOPV (sex on premises venues) theme parties." 9th IAS conference on HIV science (IAS 2017). Paris, France 23 - 26 Jul 2017
Comparison of government and non-government alcohol and other drug (AOD) treatment service delivery for the lesbian, gay, bisexual, and transgender (LGBT) community
Mullens, Amy B., Fischer, Jane, Stewart, Mary, Kenny, Kathryn, Garvey, Shane and Debattista, Joseph. 2017. "Comparison of government and non-government alcohol and other drug (AOD) treatment service delivery for the lesbian, gay, bisexual, and transgender (LGBT) community." Substance Use and Misuse. 52 (8), pp. 1027-1038. https://doi.org/10.1080/10826084.2016.1271430
Predicating HIV risk behaviour secondary to substance use
Mullens, Amy, Young, Ross McD, Dunne, Michael P., Debattista, Joe and Norton, Graham. 2011. "Predicating HIV risk behaviour secondary to substance use." Australasian Professional Society on Alcohol and Other Drugs Conference 2011. Hobart, Tasmania 13 - 16 Nov 2011 United Kingdom. John Wiley & Sons.
Metacognitions mediate HIV stigma & depression/anxiety in men who have sex with men living with HIV
Mullens, Amy B., Strodl, Esben, Stewart, Lauren and Deb, Sibnath. 2016. "Metacognitions mediate HIV stigma & depression/anxiety in men who have sex with men living with HIV." 14th International Congress of Behavioral Medicine: Behavioral Medicine: Making an Impact in the Modern World (ICBM 2016). Melbourne, Australia 07 - 10 Dec 2016
Innovative methods to increase HIV testing among MSM in regional Queensland
Mullens, Amy, Duyker, Josh and Lemoire, Jime. 2016. "Innovative methods to increase HIV testing among MSM in regional Queensland." 14th International Congress of Behavioral Medicine: Behavioral Medicine: Making an Impact in the Modern World (ICBM 2016). Melbourne, Australia 07 - 10 Dec 2016
Depression mediates HIV stigma and medication adherence in men who have sex with men (living with HIV)
Mullens, Amy B., Strodl, Esben, Fein, Erich, Stewart, Lauren and Daken, Kirstie. 2016. "Depression mediates HIV stigma and medication adherence in men who have sex with men (living with HIV)." 14th International Congress of Behavioral Medicine: Behavioral Medicine: Making an Impact in the Modern World (ICBM 2016). Melbourne, Australia 07 - 10 Dec 2016
Utilisation of novel methodologies to engage 'hard to reach' clients in health promotion and screening, in rural and regional areas
Mullens, Amy B., Duyker, Josh and Lemoire, Jime. 2016. "Utilisation of novel methodologies to engage 'hard to reach' clients in health promotion and screening, in rural and regional areas." 8th Australian Rural and Remote Mental Health Symposium. Kingscliffe, Australia 02 - 04 Nov 2016 Nerang, Qld, Australia.
In search of critical pedagogy in sexuality education: visions, imaginations, and paradoxes
Sanjakdar, Fida, Allen, Louisa, Rasmussen, Mary Lou, Quinlivan, Kathleen, Bromdal, Annette and Aspin, Clive. 2015. "In search of critical pedagogy in sexuality education: visions, imaginations, and paradoxes." Review of Education, Pedagogy, and Cultural Studies. 37 (1), pp. 53-70. https://doi.org/10.1080/10714413.2015.988537
Supervision: considerations and self-reflective practice
Mullens, Amy. 2015. "Supervision: considerations and self-reflective practice." 2015 Queensland Clinical Training Network Research Symposium. Brisbane, Australia 12 - 13 Nov 2015 Australia.
A&D staff attitudes regarding LGBT clients
Mullens, Amy. 2016. "A&D staff attitudes regarding LGBT clients." 3rd International Conference on Social Identity and Health. Brisbane, Australia 16 - 18 Jun 2016 St Lucia, Australia.
Intersex bodies in sexuality education: on the edge of cultural difference
Bromdal, Annette, Rasmussen, Mary Lou, Sanjakdar, Fida, Allen, Louisa and Quinlivan, Kathleen. 2017. "Intersex bodies in sexuality education: on the edge of cultural difference." Allen, Louisa and Rasmussen, Mary Lou (ed.) The Palgrave handbook of sexuality education. London, United Kingdom. Palgrave Macmillan. pp. 369-390
Substance-related expectancies among men who have sex with men: development of psychometric tools to predict unprotected sexual activity
Boedicker Mullens, Amy. 2011. Substance-related expectancies among men who have sex with men: development of psychometric tools to predict unprotected sexual activity. PhD Thesis Doctor of Philosophy. Queensland University of Technology.
Sexuality education in public schools in Australia and Aotearoa - New Zealand
Rasmussen, Mary Lou, Sanjakdar, Fida, Quinlivan, Kathleen, Allen, Louisa, Bromdal, Annette and Aspin, Clive. 2016. "Sexuality education in public schools in Australia and Aotearoa - New Zealand." Rasmussen, Mary Lou (ed.) Progressive sexuality education: the conceits of secularism. New York. Routledge. pp. 48-70
Who's afraid of sex at school? The politics of researching culture, religion and sexuality at school
Allen, Louisa, Rasmussen, Mary Lou, Quinlivan, Kathleen, Aspin, Clive, Sanjakdar, Fida and Bromdal, Annette. 2012. "Who's afraid of sex at school? The politics of researching culture, religion and sexuality at school." International Journal of Research and Method in Education. 37 (1), pp. 31-43. https://doi.org/10.1080/1743727X.2012.754006
Confidant and breast cancer patient reports of quality of life
Sandgren, Ann K., Mullens, Amy B., Erickson, Shannon C., Romanek, Kathleen M. and McCaul, Kevin D.. 2004. "Confidant and breast cancer patient reports of quality of life." Quality of Life Research. 13 (1), pp. 155-160. https://doi.org/10.1023/B:QURE.0000015287.90952.95
The amyl nitrite expectancy questionnaire for men who have sex with men (AEQ-MSM): a measure of substance related beliefs
Mullens, Amy B., Young, Ross, Dunne, Michael P. and Norton, Graham. 2011. "The amyl nitrite expectancy questionnaire for men who have sex with men (AEQ-MSM): a measure of substance related beliefs." Substance Use and Misuse. 46 (13), pp. 1642-1650. https://doi.org/10.3109/10826084.2011.599096
The drinking expectancy questionnaire for men who have sex with men (DEQ-MSM): a measure of substance-related beliefs
Mullens, Amy B., Young, Ross McD., Dunne, Michael P. and Norton, Graham. 2011. "The drinking expectancy questionnaire for men who have sex with men (DEQ-MSM): a measure of substance-related beliefs." Drug and Alcohol Review. 30 (4), pp. 372-380. https://doi.org/10.1111/j.1465-3362.2010.00225.x
The cannabis expectancy questionnaire for men who have sex with men (CEQ-MSM): a measure of substance-related beliefs
Mullens, A. B., Young, R. McD., Dunne, M. and Norton, G.. 2010. "The cannabis expectancy questionnaire for men who have sex with men (CEQ-MSM): a measure of substance-related beliefs." Addictive Behaviors. 35, pp. 616-619. https://doi.org/10.1016/j.addbeh.2010.01.006
The consequences of substance use among gay and bisexual men: a consensual qualitative research analysis
Mullens, Amy B., Young, Ross McD., Hamernik, Elisabeth and Dunne, Michael. 2009. "The consequences of substance use among gay and bisexual men: a consensual qualitative research analysis." Sexual Health. 6 (2), pp. 139-152. https://doi.org/10.1071/SH08061
Sex on premises venue (SOPV) health promotion project in response to sustained increases in new HIV notifications
Mullens, Amy B., Staunton, Shaun, Debattista, Joseph, Hamernik, Elisabeth and Gill, Darren. 2009. "Sex on premises venue (SOPV) health promotion project in response to sustained increases in new HIV notifications." Sexual Health. 6 (1), pp. 41-44. https://doi.org/10.1071/SH07087
The motivational effects of thinking and worrying about the effects of smoking cigarettes
McCaul, Kevin D., Mullens, Amy, Romanek, Kathleen M., Erickson, Shannon C. and Gatheridge, Brian J.. 2007. "The motivational effects of thinking and worrying about the effects of smoking cigarettes." Cognition and Emotion. 21 (8), pp. 1780-1798. https://doi.org/10.1080/02699930701442840
Meeting at the crossroads: re-conceptualising difference in research teams
Allen, Louisa, Quinlivan, Kathleen, Aspin, Clive, Sanjakdar, Fida, Bromdal, Annette and Rasmussen, Mary Lou. 2014. "Meeting at the crossroads: re-conceptualising difference in research teams." Qualitative Research Journal. 14 (2), pp. 119-133. https://doi.org/10.1108/QRJ-08-2013-0047
Sexuality Education in Public Schools in Australia and Aotearoa New Zeeland
Rasmussen, Mary Lou, Sanjakdar, Fida, Quinlivan, Kathleen, Allen, Louisa, Bromdal, Annette and Aspin, Clive. 2016. "Sexuality Education in Public Schools in Australia and Aotearoa New Zeeland ." Rasmussen, Mary Lou (ed.) Progressive Sexuality Education: The Conceits of Secularism. New York. Routledge. pp. 48-70
(Un)Queering the Intersex Body in Elite Sports
Brömdal, Annette C.G.. 2011. "(Un)Queering the Intersex Body in Elite Sports ." Ramello, Stefano (ed.) Fascination of Queer. United Kingdom. Brill. pp. 23-34
Coping after cancer: risk perceptions, worry and health behaviors among colorectal cancer survivors
Mullens, Amy B., McCaul, Kevin D., Erickson, Shannon C. and Sandgren, Ann K.. 2004. "Coping after cancer: risk perceptions, worry and health behaviors among colorectal cancer survivors." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 13 (6), pp. 367-376. https://doi.org/10.1002/pon.751