What has changed from 2001 to 2012 for sexual minority youth in <scp>N</scp>ew <scp>Z</scp>ealand?

Lucassen, Mathijs; Clark, Terryann; Denny, Simon; Fleming, Theresa; Rossen, Fiona; Sheridan, Janie; Bullen, Pat; Robinson, Elizabeth

doi:10.1111/jpc.12727

Cited by 46 publications

(35 citation statements)

References 36 publications

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“…Comparisons with other research are hampered by differences in sampling, the types of drugs examined and the recall period between studies. The high proportion of participants reporting drug use is consistent with New Zealand research indicating elevated rates of substance use among GBM and is greater than the 23% of the New Zealand male population aged 16–64 years who reported drug use in the previous year in a 2007/2008 national survey . Internationally, our participants appeared to show similar rates of cannabis and poppers use to GBM surveyed in gay community settings in Australia at the same time , higher rates of cannabis compared with GBM in the UK and lower rates of other illicit and club drugs .…”

Section: Discussionsupporting

confidence: 80%

“…The high proportion of participants reporting drug use is consistent with New Zealand research indicating elevated rates of substance use among GBM and is greater than the 23% of the New Zealand male population aged 16–64 years who reported drug use in the previous year in a 2007/2008 national survey . Internationally, our participants appeared to show similar rates of cannabis and poppers use to GBM surveyed in gay community settings in Australia at the same time , higher rates of cannabis compared with GBM in the UK and lower rates of other illicit and club drugs . Further analysis of Australian data has indicated that 2006 represented a peak in drug use, which then declined and similar trends may have occurred in New Zealand since our data were collected.…”

Section: Discussionsupporting

confidence: 80%

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Illicit drug use among New Zealand gay and bisexual men: Prevalence and association with sexual health behaviours

Saxton

Newcombe

Ahmed

et al. 2017

Drug and Alcohol Review

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Drug use was common in this sample of GBM. Polydrug and methamphetamine users had especially high sexual health needs, but risks remained elevated among GBM consuming other drugs. Drug harm reduction programs and HIV prevention should target GBM with problematic drug use. Limitations include an inability to attribute causation. [Saxton P, Newcombe D, Ahmed A, Dickson N, Hughes A. Illicit drug use among New Zealand gay and bisexual men: Prevalence and association with sexual health behaviours. Drug Alcohol Rev 2017;00:000-000].

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Section: Discussionsupporting

confidence: 80%

Section: Discussionsupporting

confidence: 80%

Illicit drug use among New Zealand gay and bisexual men: Prevalence and association with sexual health behaviours

Saxton

Newcombe

Ahmed

et al. 2017

Drug and Alcohol Review

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“…In a smaller study of health and adjustment in 245 GLBT young people aged 21 to 25, family acceptance (based on two to four hour in depth interviews) predicted greater self‐esteem, social support and general health but also lower levels of ‘suicidal thoughts or behaviour’ (Ryan et al ., ). It may be that gender orientation and/or identity per se account for only a small proportion of variability in suicidal ideation and attempts, with risk largely mediated through the presence (or not) of protective factors such as perceptions of family support and ‘acceptance’ and this may also vary by gender, with males being particularly vulnerable (Lucassen et al ., ).…”

Section: Child Characteristicsmentioning

confidence: 97%

Family factors associated with adolescent self‐harm: a narrative review

Fortune

Cottrell

Fife

2016

Journal of Family Therapy

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This narrative literature review focuses on family factors that might be amenable to intervention using family therapy (n = 126). Domains of interest include parent/child interactions, inter-parental relationships, child characteristics, parental characteristics, wider system factors, treatment needs and moderators.The focus of family-orientated treatment with this population should focus on maximizing cohesion, attachment, adaptability, family support, parental warmth while reducing maltreatment, scapegoating and moderating parental control.Close working relationships with child protection services and schools represent additional opportunities. Practitioner Points1. Over and above any inherited risk, a range of family interactional factors are strongly associated with self-harming behaviours in young people.2. Therapy has the potential to make a positive difference by focusing on enhancing family cohesion and adaptability, whilst reducing discord and violence. Discussions that enhance perceived parental support and warmth may be particularly helpful.3. Therapists should attend to issues of perceived difference and potential victimisation (bullying, gender orientation and identity, ethnic minority status) as these may play an important role in self-harm. Family factors associated with adolescent self-harm; a narrative review Aim:Our aim is to produce a narrative literature review of family factors associated with self-harm by adolescents in order to assist therapists in working with such families and support the development of further research in this area by highlighting what is already known (and not known). A number of factors shown to be associated with adolescent self-harm are potentially amenable to change, and even when they are not, greater awareness of these issues may change the ways in which family members think about themselves. We attempt to highlight those areas that might be amenable to change through family therapy Method/Search strategy:We expected that the current body of literature would be of variable quality and diverse methodology and therefore chose to conduct a narrative review, attempting to summarise and integrate different primary studies. However, we have tried to be as systematic as possible in our search and reporting strategies.In this review we have defined self-harm as any form of non-fatal self-poisoning or self-injury (such as cutting, taking an overdose, hanging, self-strangulation and running into traffic), regardless of motivation or the degree of intention to die. This concept overlaps with NSSI (non-suicidal self-injury) which is considered to beselfinjury in the absence of suicidal intent (for review see Swannell, 2014). The focus of the search was non-fatal acts of SH, but we included the literature on death by suicide where it was pertinent to family functioning.The first author conducted a literature search using Medline (2000 week 4, June 2015 and Psychinfo (2000 June, week 5, 2015. A variety of terms was used to define self-harm including: suicide, attempt...

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“…11 While there appears to be improvements in reproductive health, there are disparities in rates of STIs and in rates of access to sexual health services among some populations. [12][13][14] Tracking trends in sexual health behaviours among adolescents is essential for any evidence-based public health intervention to monitor progress, ascertain weaknesses in the delivery of sexual and reproductive healthcare, and identify populations vulnerable to unplanned pregnancies and STIs. In this study, we present data from the Youth2000 survey series; these are nationally representative health and wellbeing surveys of secondary school students in NZ.…”

mentioning

confidence: 99%

Changes in the sexual health behaviours of New Zealand secondary school students, 2001–2012: findings from a national survey series

Clark

Lucassen

Fleming

et al. 2016

Australian and New Zealand Journal of Public Health

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Objective: To describe trends in self-reported sexual and reproductive health behaviours among New Zealand secondary school students. Methods:Nationally representative health and wellbeing surveys conducted in 2001 (n=9,699), 2007 (n=9,107) and 2012 (n=8,500) were analysed. Logistic regressions were used to explore variations in sexual health outcomes between 2001 and 2012.Results: 'Ever had sex' (-6.9%, p<0.001); 'currently sexually active' (-2.3%, p<0.001); 'always use condoms' (-3.3%, p=0.006); 'condoms at last sex' (-7.0, p=0.002); 'contraception at last sex' (-5.8%, p<0.001) and sexually transmitted infections (-0.3%, p=0.001) have reduced over time. 'Always use contraception' did not change significantly (-1.4%, p=0.514) over time. Māori (OR 0.7), Pacific (OR 0.5) and socioeconomically deprived students (OR 0.7) less frequently used condoms. Māori (OR 0.6), Pacific (OR 0.4), Asian (OR 0.5), younger (OR 0.6), and socioeconomically deprived (OR 0.6) students less frequently used contraception.Conclusions: Students in 2012 were more likely to delay sexual activity, but were less likely to use condoms and contraception consistently, compared to students in 2001. Declining contraceptive use over an 11-year period suggests that current strategies are inadequate, particularly for Māori, Pacific and socioeconomically deprived students. Appropriate and accessible sexual and reproductive health services are urgently required.

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What has changed from 2001 to 2012 for sexual minority youth in New Zealand?

Cited by 46 publications

References 36 publications

Illicit drug use among New Zealand gay and bisexual men: Prevalence and association with sexual health behaviours

Illicit drug use among New Zealand gay and bisexual men: Prevalence and association with sexual health behaviours

Family factors associated with adolescent self‐harm: a narrative review

Changes in the sexual health behaviours of New Zealand secondary school students, 2001–2012: findings from a national survey series

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