Publications by authors named "Wendy Foley"

Background: Occasions of self-discharge from health services before being seen by a health profession or against medical advice are often used by health systems as an indicator of quality care. People self-discharge because of factors such as dissatisfaction with care, poor communication, long waiting times, and feeling better in addition to external factors such as family and employment responsibilities. These factors, plus a lack of cultural safety, and interpersonal and institutional racism contribute to the disproportionately higher rates of Indigenous people self-discharging from hospital.

View Article and Find Full Text PDF

Food insecurity adversely affects diet quality, physical, mental and social wellbeing and the capacity to act on health advice recommended by primary healthcare providers. In this article, an overview of the neglected issue of food insecurity in urban Aboriginal and Torres Strait Islander communities is provided. Policy and action on food security for urban Aboriginal and Torres Strait Islander people is reviewed, and it is argued that for primary health care to better address food insecurity, an evidence base is needed to understand the experiences of individuals and households and how to work effectively to support food insecure clients.

View Article and Find Full Text PDF
Article Synopsis
  • Indigenous Australians face a significant life expectancy gap compared to non-Indigenous Australians, exacerbated by high smoking rates and low participation in cessation programs.
  • This qualitative study involved 27 adult Indigenous smokers who participated in focus groups and interviews to discuss their opinions on smoking, quitting, and the acceptability of both current and novel nicotine products, including e-cigarettes.
  • Participants showed interest in trying both existing and new nicotine products, particularly for short-term relief; however, the unpleasant taste of current options was a barrier, highlighting the need for better product improvement and accessibility for effective tobacco harm reduction.
View Article and Find Full Text PDF

Objective: To describe the Inala Aboriginal and Torres Strait Islander Community Jury for Health Research, and evaluate its usefulness as a model of Indigenous research governance within an urban Indigenous primary health care service from the perspectives of jury members and researchers.

Methods: Informed by a phenomenological approach and using narrative inquiry, a focus group was conducted with jury members and key informant interviews were undertaken with researchers who had presented to the Community Jury in its first year of operation.

Results: The jury was a site of identity work for researchers and jury members, providing an opportunity to observe and affirm community cultural protocols.

View Article and Find Full Text PDF

Introduction: Aboriginal and Torres Strait Islander people experience higher levels of psychological distress and mental ill health than their non-Indigenous counterparts, but underuse mental health services. Interventions are required to address the structural and functional access barriers that cause this underuse. In 2012, the Southern Queensland Centre of Excellence in Aboriginal and Torres Strait Islander Primary Health Care employed a psychologist and a social worker to integrate mental health care into its primary health care services.

View Article and Find Full Text PDF

Study Aim: This study examined urban Aboriginal and Torres Strait Islander mothers' breastfeeding experiences to inform support for mothers and their families.

Study Design: The research took a strengths approach, using qualitative methodology. Twenty semi-structured in-depth face-to-face interviews were conducted and analysed thematically.

View Article and Find Full Text PDF

Objective: In response to The New Nutrition Science Project's Giessen Declaration, we provide here a case for a more fully described and integrated 'social' dimension within the nutrition sciences.

Design: This paper explores what we mean when we argue for socially engaged nutrition sciences (SENS), and describes the disciplinary fields, epistemologies and methodologies that contribute to SENS' potential rich diversity and value. Additionally, the current positioning of 'social nutrition' research within the nutrition sciences is critiqued.

View Article and Find Full Text PDF

This article reports on ethnographic study of urban Aboriginal family food and implications for nutrition promotion. Data were collected over 2 years through in-depth interviews and participant observation in groups conducted through Indigenous organisations in a suburb of Brisbane. Issues when organising family food include affordability, keeping family members satisfied and being able to share food, a lack of cooking ideas, the accessibility of nutrition information, additional work involved in ensuring healthy eating, and a desire for convenience.

View Article and Find Full Text PDF

Objective: To estimate the extent of food insecurity in South Australia and its relationship with a variety of socio-economic variables.

Design: Data collected routinely from 2002 to 2007 by SA Health were analysed to explore food security in the State's population. An ecological analysis of data collected by the South Australian Monitoring and Surveillance System (SAMSS) that collects data on key health indicators.

View Article and Find Full Text PDF