title: Sexual behaviour, drug use and health service use by young Noongar people in Western Australia: a snapshot.
abstract: Background This study aimed to describe sexual health behaviour, alcohol and other drug use, and health service use among young Noongar people in the south-west of Western Australia.
  
  
  METHODS
  A cross-sectional survey was undertaken among a sample of 244 Noongar people aged 16-30 years.
  
  
  RESULTS
  The sample was more disadvantaged than the wider Noongar population. Sexual activity was initiated at a young age, 18% had two or more casual sex partners in the previous 12 months, with men more likely to have done so than women (23% vs 14%). Condoms were always or often carried by 57% of men and 37% of women, and 36% of men and 23% of women reported condom use at last sex with a casual partner. Lifetime sexually transmissible infection diagnosis was 14%. Forty percent currently smoked tobacco and 25% reported risky alcohol consumption on a weekly and 7% on an almost daily basis. Cannabis was used by 37%, 12% used drugs in addition to cannabis and 11% reported recently injecting drugs. In the previous 12 months, 66% had a health check and 31% were tested for HIV or sexually transmissible infections. Additionally, 25% sought advice or assistance for mental health or alcohol and other drug issues.
  
  
  CONCLUSIONS
  Although some respondents engaged in risky sexual behaviour, alcohol and other drug use or both, most did not. Particularly encouraging was the engagement of respondents with the health care system, especially among those engaging in risky behaviours. The results confound negative stereotypes of Aboriginal people and demonstrate a level of resilience among respondents.
authors.affiliation: Derbarl Yerrigan Aboriginal Health Service, 156 Wittenoom Street, East Perth, WA 6004, Australia.
authors.forename: Robyn
authors.initials: R
authors.lastname: Williams
authors.affiliation: The George Institute for Global Health, PO Box M201, Missenden Road, Sydney, NSW 2050, Australia and Sydney Medical School, The University of Sydney, Sydney, NSW 2006, Australia.
authors.forename: Chris
authors.initials: C
authors.lastname: Lawrence
authors.affiliation: National Drug Research Institute, Curtin University, GPO Box U1987, Perth, WA 6845, Australia.
authors.forename: Edward
authors.initials: E
authors.lastname: Wilkes
authors.affiliation: National Drug Research Institute, Curtin University, GPO Box U1987, Perth, WA 6845, Australia.
authors.forename: Maurice
authors.initials: M
authors.lastname: Shipp
authors.affiliation: Derbarl Yerrigan Aboriginal Health Service, 156 Wittenoom Street, East Perth, WA 6004, Australia.
authors.forename: Barbara
authors.initials: B
authors.lastname: Henry
authors.affiliation: The George Institute for Global Health, PO Box M201, Missenden Road, Sydney, NSW 2050, Australia and Sydney Medical School, The University of Sydney, Sydney, NSW 2006, Australia.
authors.forename: Sandra
authors.initials: S
authors.lastname: Eades
authors.affiliation: Kirby Institute for Infection and Immunity in Society, University of NSW, Sydney, NSW 2052, Australia.
authors.forename: Bradley
authors.initials: B
authors.lastname: Mathers
authors.affiliation: Kirby Institute for Infection and Immunity in Society, University of NSW, Sydney, NSW 2052, Australia.
authors.forename: John
authors.initials: J
authors.lastname: Kaldor
authors.affiliation: Kirby Institute for Infection and Immunity in Society, University of NSW, Sydney, NSW 2052, Australia.
authors.forename: Lisa
authors.initials: L
authors.lastname: Maher
authors.affiliation: National Drug Research Institute, Curtin University, GPO Box U1987, Perth, WA 6845, Australia.
authors.forename: Dennis
authors.initials: D
authors.lastname: Gray