The effect of weather parameters on mental health is likely to be influenced by other seasonal factors, as well as non-climatic factors, predominantly social, that may have contributed to the study findings. Psychiatric admissions reflect the behaviour of patients, carers and medical professionals. The complexity of this behaviour and the day-of-the-week periodicity may have confounded variations associated with the weather. (Int J Psych Clin Pract 2002; 6: 147-153 ).
Women in a residential drug-rehabilitation program had lower rates of cervical screening attendance and higher rates ofdetected abnormalities than women attending a local Well Women's Clinic. As a result ofthis study we plan to include a more comprehensive sexual health history into routine women's health consultations.
During an 18-month period to June 2012, 1732 anal chlamydia (Chlamydia trachomatis) tests were performed among men who have sex with men (MSM) at RPA Sexual Health in Sydney's inner west. Positive anal chlamydia samples were subsequently tested for lymphogranuloma venereum (LGV). Seventy-five (4.3%) anal samples were positive for chlamydia among 67 men during the study period. Anal symptoms were reported for 16 out of 75 (21.3%) of anal chlamydia episodes overall. Three episodes of LGV (all serovar L2b) were identified, all three of whom reported anal symptoms (100%, 95% confidence interval (CI): 29.2-100%). In contrast, only 13/72 (18.1%, 95% CI: 10.0-28.9%) of those with non-LGV anal chlamydia reported anal symptoms. LGV was not identified in any of 59 episodes of asymptomatic anal chlamydia (0%, 95% CI: 0-6.1%). Of those with LGV, two were known to be HIV-positive and one subsequently seroconverted to HIV within a year of the LGV diagnosis. Our findings suggest that routine LGV testing among MSM is not warranted, except among those with anal symptoms.
Purpose
– The purpose of this paper is to explore the links between forced marriage, running away/going missing and child sexual exploitation.
Design/methodology/approach
– An extensive research review and interviews with experts and practitioners across the three fields identified a total of 22 cases in which young people (aged 18 and under) had experienced some combination of all three issues. Of these, nine case studies involving South Asian young people were explored in depth using a case study methodology.
Findings
– Through adopting constitutive intersectionality as an analytical framework, the power of “community” emerged as a distinct theme within the cases. Concern about both family and community “honour” impacted young people’s decision making and help seeking processes. “Honour” also impacted parental responses to the young people as well as how they engaged with the professionals seeking to support them.
Research limitations/implications
– The safety of mothers also emerged as an issue, suggesting that this is an area for further research.
Practical implications
– Practical implications for practice included: the need to address barriers to young people disclosing abuse and entering into the criminal justice process; difficulties associated with finding safe spaces to work with young people; the need to identify effective ways of working with abused young people who are unable to draw on relational and social support; and dangers associated with accessing support services.
Originality/value
– An extensive review of the relevant research literature failed to uncover links between forced marriage, going missing and child sexual exploitation. This led the author to assert that the risk of child sexual exploitation as it relates to young South Asian young people who run away from home to escape forced marriage has been both under-acknowledged and under-explored (Sharp, 2013). Empirical research undertaken by the author over a 15-month period confirmed this assertion.
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