Publications by authors named "J Wigle"

Article Synopsis
  • Engaging adolescents as active partners in research is vital for amplifying diverse voices and driving social change.
  • A youth-led participatory action research (YPAR) study in Ontario involved teams of young researchers identifying and exploring issues related to adolescent sexual and reproductive health and rights.
  • The YPAR approach not only empowered youth by centering their experiences but also highlighted significant barriers to sexual health services, informing policy and practice improvements on accessibility and education.
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Background: People experiencing homelessness are at increased risk of contracting SARS-CoV-2 and of severe complications of COVID-19. Vaccination is promoted as a key strategy to protect against severe illness from SARS-CoV-2 infection, but rates of vaccination among people experiencing homelessness are lower than the general population. Studies suggest lower uptake is a result of vaccine hesitancy, but few theoretically engage with the structural drivers of vaccine hesitancy.

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This qualitative, focused critical ethnographic study explores how young people's 'lived SRH citizenship' and their active roles realising their sexual and reproductive health (SRH) and rights, shape their agency and participation in decision-making in Malawi. Informed by postcolonial feminist and difference-centred citizenship theories, our findings reveal that age-based power differentials, systems of gerontocracy and a culture of adultism impede bona fide youth involvement in SRH policymaking, making young citizens' participation more of an illusion than reality. Although democratisation and decentralisation aim to promote youth engagement, SRH policy spaces/processes lack institutionalised processes for integrating youth and remain dominated by donors and government.

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Background: The transition from pediatric to adult care is a vulnerable time for young people living with type 1 diabetes (T1D). Bridging the Gap (BTG) is an audit-and-feedback (AF) intervention aimed at improving both transitions-in-care processes and diabetes management in the year following transition. As part of BTG, we conducted a qualitative process evaluation to understand: (a) what was implemented and how; and (b) the contextual factors (micro-, meso- and macro-) that affected implementation, outcomes and study processes.

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Objectives: Parents' decisions to vaccinate their children against COVID-19 are complex and often informed by discussions with primary care physicians. However, little is known about physicians' perspectives on COVID-19 vaccinations for children or their experiences counselling parents in their decision-making. We explored physicians' experiences providing COVID-19 vaccination recommendations to parents and their reflections on the contextual factors that shaped these experiences.

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