Publications by authors named "Deborah Bateson"
Background Abortion is a common procedure in Australia; it is estimated that the rate is between 15 and 17 per 1000 women. Surgical and medical abortion options are available; however, the use of medical abortion is not as common as in other similar countries. The aim of this study is to understand preferences for the provision of early abortion services in Australia.
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- The study aimed to create and test a new framework called PACE (Population And ContExt) for adapting patient decision aids (PtDAs), specifically focusing on contraceptive options for Chinese-speaking migrant women in Australia.
- The PACE framework included six stages: selection and appraisal, content expert review, pre-testing for usability, translation, assessing decisional needs, and testing acceptability and feasibility,
- The pilot results showed that the adapted PtDAs were well-received by users, and the study highlighted the need for a flexible, team-based approach for successful adaptation in diverse contexts.
Article Synopsis
- Australian general practitioners face diverse health challenges and effective clinical record-keeping is essential for patient care and clinician decision-making.
- The article highlights a project aimed at improving chlamydia management that involved developing and implementing documentation shortcuts for general practice.
- These shortcuts serve as helpful reminders and efficiency tools for clinicians, enhancing best practices in chlamydia management while complementing rather than replacing their clinical judgment.
Emergency contraception access in Fijian community pharmacies: A descriptive study.
Aust N Z J Public Health
October 2024
Objective: To assess pharmacists' knowledge regarding emergency contraceptive pills (ECPs), their attitudes towards women obtaining ECPs, and ECP counselling and dispensing practices.
Methods: An online cross-sectional survey using Qualtrics was distributed via pharmacy emails and networks to recruit registered pharmacists working in community-based pharmacies.
Results: There were 22 valid respondents, predominantly female pharmacists (68%), with an average of 7.
Objective: The coronavirus pandemic impacted health-seeking behaviour and access to primary care in Australia. We investigated factors associated with intention-to-attend and attendance of cervical screening during the pandemic, mainly in Victoria, Australia.
Methods: We used questionnaire and attendance data (Aug 2020-Nov 2022) from Compass-PLUS, a sub-study of the Compass randomized-controlled trial of Human Papillomavirus-based vs cytology-based screening.
Article Synopsis
- Australia implemented a national HPV vaccination program for girls in 2007 and boys in 2013, achieving strong coverage among both groups, with a study focusing on HPV prevalence among men aged 18-35 based on their vaccination status.
- Of the 1,625 men studied, the HPV prevalence was similar for vaccinated and unvaccinated men who have sex with women (10.6% vs. 10.7%), while unvaccinated men who have sex with men had a significantly higher prevalence (40.3%) compared to vaccinated men (29.9%).
- The findings highlight that universal vaccination is crucial for all adolescents, particularly to ensure that men who have sex with men also gain protection from HPV, as older
Background: The World Health Organisation's vision of eliminating cervical cancer as a public health problem is achievable, but elimination must be achieved equitably, including for people with intellectual disability. A better understanding of cervical screening within the context of the lives of people with intellectual disability is needed. This study systematically reviewed research on the rates of cervical screening participation among people with intellectual disability, and facilitators and barriers that affect participation.
View Article and Find Full Text PDFEnhancing equity in cervical screening - initiatives to increase screening participation.
Curr Opin Obstet Gynecol
October 2024
Purpose Of Review: Cervical cancer can be eliminated as a public health problem through a three-pillar approach including high coverage of human papillomavirus (HPV) vaccination and HPV-based cervical screening, and treatment of precancers and invasive cancers. However, access inequities prevent many women and people with a cervix benefitting from these life-saving advances. This review focuses on evidence-based interventions that can improve equity and scale-up of cervical screening.
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- Uptake of long-acting reversible contraception (LARC) in Australia is lower than in other high-income countries, and only 11% of GPs offer early medical abortion (EMA).
- The AusCAPPS Network supports primary care practitioners by creating a community for sharing resources and addressing clinician needs regarding LARC and EMA care.
- Data from July 2021 to July 2023 showed 1911 members in AusCAPPS, primarily GPs, with the most popular resources being concise point-of-care documents; GPs expressed a significant need for clinical education and support for providing LARC and EMA services.
Aim: To describe key features of a co-designed nurse-led model of care intended to improve access to early medication abortion and long-acting reversible contraception in rural Australian general practice.
Design: Co-design methodology informed by the Experience-Based Co-Design Framework.
Methods: Consumers, nurses, physicians and key women's health stakeholders participated in a co-design workshop focused on the patient journey in seeking contraception or abortion care.
Introduction: Cervical cancer is one of the most preventable cancers yet remains a disease of inequity for people with intellectual disability, in part due to low screening rates. The ScreenEQUAL project will use an integrated knowledge translation (iKT) model to co-produce and evaluate accessible cervical screening resources with and for this group.
Methods: Stage 1 will qualitatively explore facilitators and barriers to screening participation for people with intellectual disability, families and support people, healthcare providers and disability sector stakeholders ( ≈ 20 in each group).
Background: Little is known about the degree to which the COVID-19 pandemic, and associated restrictions and disruptions to health services, impacted the accessibility of hormonal long-acting reversible contraception (LARC) devices within Australia. Here, we explore longitudinal patterns of dispensing of the contraceptive implant and hormonal intrauterine devices (IUDs) within Australia, before and during the COVID-19 pandemic.
Methods: Population-based cohort study; analysis of 10% random sample of national Pharmaceutical Benefits Scheme dispensing data, for females aged 15-49 years dispensed a hormonal LARC device between February 2017 and November 2021.
Article Synopsis
- The study aimed to evaluate the prevalence of induced abortions among women giving birth in Victoria from 2010 to 2019 and identify socio-demographic factors associated with it.
- A total of 766,488 women were included, with 12.2% reporting a history of induced abortion; factors such as age, parity, and living situation influenced the likelihood of having one.
- While overall prevalence declined over the study period, the findings suggest that access to abortion care improved, highlighting the need for further research on the relationship between contraceptive use and unintended pregnancies, especially in different geographic areas.
Background: Abortion stigma involves the stereotyping of, discrimination against, and delegitimization of those who seek and provide abortion. Experiences of abortion care are shaped by stigma at the meso (e.g.
View Article and Find Full Text PDFIntroduction: Improving access to effective contraception has the potential to reduce unintended pregnancy and abortion rates. Community pharmacists could play an expanded role in contraceptive counselling and referral to contraceptive prescribers particularly when women are already attending community pharmacy to obtain emergency contraceptive pills (ECPs) or to have medical abortion (MA) medicines dispensed. The ALLIANCE trial aims to compare the subsequent uptake of effective contraception (hormonal or intrauterine) in women seeking ECP or MA medicines, who receive the ALLIANCE community pharmacy-based intervention with those who do not receive the intervention.
View Article and Find Full Text PDFObjective: Equitable elimination of cervical cancer in Australia within the next decade will require high National Cervical Screening Program (NCSP) participation by all subgroups of women. The aim of this study was to examine the participation of immigrants compared to Australian-born women.
Methods: Participation in the NCSP (≥1cytology test) over a 3-year (2010-2012) and 5-year (2008-2012) period, by place of birth and time since immigration was examined using individually linked data of 67,350 New South Wales (NSW) women aged ≥45 enrolled in the 45 and Up Study.
Background: Pregnancies among women with chronic disease are associated with poor maternal and fetal outcomes. There is a need to understand how women use or don't use contraception across their reproductive years to better inform the development of preconception care strategies to reduce high risk unintended pregnancies, including among women of older reproductive age. However, there is a lack of high-quality longitudinal evidence to inform such strategies.
View Article and Find Full Text PDFImproving rural and regional access to long-acting reversible contraception and medical abortion through nurse-led models of care, task-sharing and telehealth (ORIENT): a protocol for a stepped-wedge pragmatic cluster-randomised controlled trial in Australian general practice.
BMJ Open
March 2023
Introduction: Women living in rural and regional Australia often experience difficulties in accessing long-acting reversible contraception (LARC) and medical abortion services. Nurse-led models of care can improve access to these services but have not been evaluated in Australian general practice. The primary aim of the ORIENT trial (ImprOving Rural and regIonal accEss to long acting reversible contraceptioN and medical abortion through nurse-led models of care, Tasksharing and telehealth) is to assess the effectiveness of a nurse-led model of care in general practice at increasing uptake of LARC and improving access to medical abortion in rural and regional areas.
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- The global rise in obesity among women of reproductive age highlights the need for comprehensive contraceptive options to protect their reproductive rights.
- Individuals with obesity often face stigma and discrimination in healthcare settings, necessitating awareness of potential biases during contraceptive care.
- The article evaluates the benefits and drawbacks of various contraceptive methods for people with obesity, emphasizing the importance of inclusive care and long-acting reversible contraceptives while considering health risks and noncontraceptive benefits.
Article Synopsis
- The study aims to establish and evaluate an online community of practice (called AusCAPPS Network) to enhance the provision of long-acting reversible contraception (LARC) and early medical abortion (EMA) in Australian primary care settings.
- Key goals include certifying more general practitioners and pharmacists in EMA services, increasing prescription rates for LARC and EMA, and improving the knowledge and attitudes of primary care providers toward these services.
- Evaluation methods include a stakeholder workshop, health service data analysis, online surveys, and interviews to assess changes in certification, prescription practices, and participant experiences, guided by established frameworks for effective implementation.