Pre-exposure prophylaxis access, uptake and usage by young people: a systematic review of barriers and facilitators

Article

Warzywoda, Sarah, Fowler, James A., Dyda, Amalie, Fitzgerald, Lisa, Mullens, Amy B. and Dean, Judith A.. 2024. "Pre-exposure prophylaxis access, uptake and usage by young people: a systematic review of barriers and facilitators." Therapeutic Advances in Infectious Disease. 11, pp. 1-25. https://doi.org/10.1177/20499361241303415
Article Title

Pre-exposure prophylaxis access, uptake and usage by young people: a systematic review of barriers and facilitators

Article CategoryArticle
AuthorsWarzywoda, Sarah, Fowler, James A., Dyda, Amalie, Fitzgerald, Lisa, Mullens, Amy B. and Dean, Judith A.
Journal TitleTherapeutic Advances in Infectious Disease
Journal Citation11, pp. 1-25
Number of Pages25
Year2024
PublisherSAGE Publications Ltd
Place of PublicationUnited Kingdom
ISSN2049-9361
2049-937X
Digital Object Identifier (DOI)https://doi.org/10.1177/20499361241303415
Web Address (URL)https://journals.sagepub.com/doi/pdf/10.1177/20499361241303415
Abstract

Background:
Young people’s sexual health decision-making, including decisions to access and adhere to HIV prevention strategies such as Pre-Exposure Prophylaxis (PrEP), are influenced by a range of internal and external factors. Synthesizing these factors is essential to guide the development of youth-focused PrEP health promotion strategies to contribute to international goals of ending HIV transmission.
Objective:
To understand the individual, interpersonal, sociocultural and systemic barriers and facilitators to PrEP access, uptake and use experienced by young people 24 years and younger.
Design:
A systematic review that adhered to the Preferred Reporting Items of Systematic Review and Meta-Analysis Protocols.
Data Sources and Methods:
Eight databases (PubMed, Scopus, Cochrane, Medline, CINAHL, JBI, EMBASE, Web of Science) were systematically searched using terms related to young people, HIV and PrEP use. A narrative synthesis approach was used to delineate key barriers and facilitators to PrEP access, uptake and use.
Results:
Of 11,273 returned articles, 32 met the eligibility criteria for inclusion: 18 from the United States, 10 from African nations and two from Brazil. Barriers and facilitators to PrEP access, uptake and use experienced by young people were identified across intrapersonal, interpersonal, community and systems levels. These factors are described under four overarching themes that relate to knowledge, side effects and perceptions of risk; attitudes and perceptions of family and partners; community attitudes and stigma; and negative healthcare provider experiences and difficulties navigating complex costly healthcare systems.
Conclusion:
Findings suggest individual-level factors need consideration alongside the impacts of healthcare systems and broader systemic sociocultural structures within young people’s relationships when developing PrEP health promotion strategies and services. Without considering these wider external implications to access, uptake and use of PrEP, global targets towards the elimination of HIV transmission will likely remain out of reach.

KeywordsHIV; HIV prevention; pre-exposure prophylaxis; young people
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020320211. Infectious diseases
520304. Health psychology
420603. Health promotion
Byline AffiliationsUniversity of Queensland
School of Psychology and Wellbeing
Centre for Health Research
Institute for Resilient Regions
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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
Economic evaluation of alternative testing regimes and settings to detect undiagnosed HIV in Australia
Williams, Owain D., Dean, Judith A., Crothers, Anna, Gilks, Charles F. and Gow, Jeff. 2021. "Economic evaluation of alternative testing regimes and settings to detect undiagnosed HIV in Australia." BMC Health Services Research. 21, pp. 1-12. https://doi.org/10.1186/s12913-020-06040-5
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
'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
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
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.
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.
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.
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
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