Enhancing Aboriginal and Torres Strait Islander young people's resilience to blood-borne and sexually transmitted infections: findings from a community-based participatory research project.
OBJECTIVE
Health services are fundamental to reducing the burden of blood-borne and sexually transmitted infections (BBV/STI) in Indigenous communities. However, we know very little about young Indigenous people's use of mainstream and community-controlled health services for the prevention and treatment of these infections, or how health services can best support young people's efforts to prevent infection.


METHODS
University-researchers, a site co-ordinator and peer researchers developed a project and conducted interviews with 45 Aboriginal and Torres Strait Islander people aged between 17 and 26 years. Thematic analysis of interview notes identified key themes around health service use and experiences of Aboriginal Community-Controlled Health Services (ACCHS).


RESULTS
Most participants had accessed health services for the prevention or treatment of BBV/STI, with positive experiences characterised by the provision of information and feeling cared for. Participants described the comfort and understanding they experienced at ACCHS; personal relationships and having an Indigenous care provider present were important factors in the overwhelmingly positive accounts. Young people reported strategies for overcoming challenges to prevention and accessing treatment services, including being proactive by carrying condoms and persisting with behavioural intentions despite feeling shame.


CONCLUSIONS
Our findings reinforce the important role both mainstream and community-controlled health services have in the prevention and treatment of blood-borne and sexually transmitted infections in young Indigenous people. We highlight opportunities to build on young people's strengths, such as their valuing of their health, their persistence, and their offers to support peers, to better prevent transmission of infections and enhance access to treatment.
Mooney-Somers
Julie
J
National Centre in HIV Epidemiology and Clinical Medicine, University of New South Wales, Sydney, Australia. jmooneysomers@nchecr.unsw.edu.au
Erick
Wani
W
Scott
Robert
R
Akee
Angie
A
Kaldor
John
J
Maher
Lisa
L
D000293:Adolescent; D000328:Adult; D001315:Australia; D017848:Blood-Borne Pathogens; D003153:Community Health Services / Q000706:statistics & numerical data*; D003256:Community Participation; D017280:Condoms / Q000706:statistics & numerical data; D054521:Cultural Competency; D005260:Female; D006293:Health Promotion; D006302:Health Services Research; D006801:Humans; D008297:Male; D036301:Qualitative Research; D034121:Reproductive Health Services / Q000706:statistics & numerical data*; D012749:Sexually Transmitted Diseases / Q000188:drug therapy / Q000208:ethnology* / Q000517:prevention & control; D055815:Young Adult