Papers by Pranee Liamputtong
New graduate physiotherapists’ perceptions and experiences working with people from culturally and linguistically diverse communities in Australia: a qualitative study
Physiotherapy Theory and Practice, Jul 30, 2020
INTRODUCTION Upon entering the workforce, physiotherapists are required to provide safe and effec... more INTRODUCTION Upon entering the workforce, physiotherapists are required to provide safe and effective care toward people from culturally and linguistically diverse (CALD) communities. Objective: To explore new graduate physiotherapists' perceptions and experiences when working with people from CALD communities in Australia. METHODS A phenomenological framework guided this qualitative study. Seventeen new graduate physiotherapists who had experience working with people from CALD communities were interviewed. Interviews were audio-recorded, transcribed verbatim, and then thematically analyzed. RESULTS New graduate physiotherapists felt challenged when they encountered people from CALD communities. Although they had good intentions, their healthcare approach was limited. Their perceived approach to care was unidirectional and anchored in a western healthcare framework, and they used superficial strategies for cultural adaptation. Perceptions that people from CALD communities were passive recipients to healthcare also underpinned their practices. While participants described pockets of patient-centered care, their perceived healthcare approach lacked appropriate consideration and integration of their patients' cultural perspective. CONCLUSION New graduate physiotherapists may need support with effectively integrating different cultural perspectives into their care and adapting their practices and interventions for people from CALD communities. Education and training at entry-level and after graduation should address these learning needs. However, there is limited research on how to culturally adapt physiotherapy practices and interventions that impact patient engagement outcomes. Thus, research is needed to understand how current evidence-based interventions can be culturally adapted to integrate patients' cultural perspectives into care.
Emerging Population Health Issues and Health Promotion
After reading this chapter, readers will be able to: identify and discuss the emerging population... more After reading this chapter, readers will be able to: identify and discuss the emerging population health issues in the early twenty-first century with a focus on health promotion strategies for optimal health for travel -- discuss the evidence for causal links between ecological change and its impact on human health and how life styles can be adjusted to maximise health status -- critically analyse how social and lifestyle changes may impact on the overall health status of an individual and their society
The perceptions and practices of Thai health professionals providing maternity care for migrant Burmese women: An ethnographic study
Women and Birth, Jul 1, 2022
BACKGROUND Across the globe, many women including economic and humanitarian migrants receive inad... more BACKGROUND Across the globe, many women including economic and humanitarian migrants receive inadequate antenatal care. Understanding the difficulties that migrant women encounter when accessing maternity care, including the approach of health professionals, is necessary because inadequate care is associated with increasing rates of morbidity and mortality. There are very few studies of migrant women's access to and experience of maternity services when they have migrated from a low- to a middle-income country. AIM To examine the perceptions and practices of Thai health professionals providing maternity care for migrant Burmese women, and to describe women's experiences of their encounters with health professionals providing maternity care in Ranong Province in southern Thailand. METHODS Ethnography informed the study design. Individual interviews were conducted with 13 healthcare professionals and 10 Burmese women before and after birth. Observations of interactions (130 h) between health care providers and Burmese women were also conducted. Data were analysed using thematic analysis. FINDINGS The healthcare professionals' practices differed between the antenatal clinics and the postnatal ward. Numerous barriers to accessing culturally appropriate antenatal care were evident. In contrast, the care provided in the postnatal ward was woman and family centered and culturally sensitive. One overarching theme, "The system is in control' was identified, and comprised three sub-themes (1) 'Being processed' (2) 'Insensitivity to cultural practices' and, (3) 'The space to care'. DISCUSSION AND CONCLUSIONS The health system and healthcare professionals controlled the way antenatal care was provided to Burmese migrant women. This bureaucratic and culturally insensitive approach to antenatal care impacted on some women's decision to engage in antenatal care. Conversely, the more positive examples of woman-centered care evident after birth in the postnatal ward, can inform service delivery.
Women and health: an ongoing agenda
Oxford University Press eBooks, 2003
Melbourne, VI
Social Surveys and Public Health
Springer eBooks, 2023
Sexual and Reproductive Health of People with Physical Disabilities
Springer eBooks, Dec 27, 2022
The Influence of Traditional Vietnamese Culture on the Utilization of Mainstream Health Services for Sexual Health Issues by Second Generation Vietnamese Australian Young Women
ABSTRACT The present paper discusses the impact the traditional Vietnamese culture has on the upt... more ABSTRACT The present paper discusses the impact the traditional Vietnamese culture has on the uptake of mainstream health services for sexual health matters by Vietnamese Australian young women. It is part of a wider qualitative study that explored the factors that shaped the sexual behaviour of Vietnamese Australian young women living in Australia. A Grounded Theory methodology was used, involving in-depth interviews with 15 Vietnamese Australian young women aged 18 to 25 years who reside in Victoria, Australia. The findings demonstrated that the ethnicity of the general practitioner had a clear impact on the women utilising the health service. They perceived that a Vietnamese doctor would hold the traditional view of sex as held by their parents' generation. They rationalised that due to cultural mores, optimum sexual health care could only be achieved with a non-Vietnamese health professional. It is evident from the present study that cultural influences can impact on the sexual health of young people from culturally diverse backgrounds and in Australia's multicultural society, provision of sexual health services must acknowledge the specific needs of ethnically diverse young people.
‘There was a struggle between my instinct and my head’: women’s perception and experience of masturbation in contemporary Vietnam
Culture, Health & Sexuality, Aug 31, 2017
This paper investigates how masturbation, as one form of non-coital sexual practice, is interpret... more This paper investigates how masturbation, as one form of non-coital sexual practice, is interpreted and experienced by young married women in contemporary Vietnam. Data were collected through semi-structured interviews with 20 professional women aged 25-40 living in Hanoi. Thematic analysis suggests that by embracing the pursuit of pleasure and aspiring to achieve this goal, many women stake a claim for modernity by promoting the idea that they are no longer traditional in this particular domain of social life. However, wider social forces associated with traditional Vietnamese gender ideology and sexual values remain firmly rooted, impacting on their everyday lives as working wives and mothers, and stalling their pursuit of pleasure and thus 'wellbeing' in its fullest sense. Indeed, among participants in this study, sex was interpreted as being almost exclusively organised around penile-vaginal intercourse. Even when sex was conceptualised as involving more than penetration, penile-vaginal intercourse was still viewed as its most essential component, without which a sexual transaction could not be seen as complete. The normality of penetrative sex was sometimes coupled with the stigma and discrimination associated with other non-coital sexual practices, positioning women firmly within conventional discourses of naturalness and health in regard to sex.
Gender affirmation and social exclusion amongst trans women of color in Australia
PubMed, 2022
Introduction: Transgender (trans) women of color navigate the intersected identity frames of gend... more Introduction: Transgender (trans) women of color navigate the intersected identity frames of gender, race, social class and sexuality, whilst facing multiple layers of stigma, discrimination and violence during and following gender affirmation. However, little is known about the ways in which trans women of color negotiate gender affirmation, in the context of the risk of social exclusion and violence. Aim: This article discusses the experience and construction of gender transitioning and gender affirmation for trans women of color living in Australia, associated with the risk of social exclusion or violence. Method: In-depth interviews and photovoice were conducted with 31 trans women of color, analyzed through theoretical thematic analysis informed by intersectionality theory. Results: The following themes were identifed: 1) 'Gender affirmation: A bittersweet experience', with three subthemes: 'Self-empowerment is tempered by family rejection', 'Migration facilitates gender affirmation' and 'Gender affirmation and social support'; 2) 'Being a trans woman of color', subthemes: 'Bodily agency and passing', 'Femininity as pleasure and cultural self-expression', and 'Resisting archetypal White hetero-femininity'; 3) 'Hormones, surgical intervention and navigating the health system'. Conclusion: Gender transitioning and gender affirmation involved the intersection of gender, cultural, social class and sexual identities, accomplished through personal agency and with the support of significant others. To ensure that policy and support services meet the needs of trans women of color, it is critical that the voices of such multiply-marginalized women are at the center of leadership, program and policy development.
Crossing Boundaries and Fetishization: Experiences of Sexual Violence for Trans Women of Color
Journal of Interpersonal Violence, Aug 12, 2020
Transgender (trans) women are at higher risk of sexual violence than cisgender women, with trans ... more Transgender (trans) women are at higher risk of sexual violence than cisgender women, with trans women of color reported to be at highest risk. This study examined subjective experiences of sexual violence for 31 trans women of color living in Australia, average age 29 (range 18–54), through in-depth interviews. An additional photovoice activity and follow-up interviews were completed by 19 women. Data were analyzed through thematic analysis and feminist intersectionality theory, identifying the following themes. The first theme, “‘A sexually tinged violation of boundaries’: Defining sexual violence,” examined women’s definition of sexual violence, including staring and verbal abuse, nonconsensual touching and sexual assault, in both public and private contexts. The second theme, “‘Crossing people’s boundaries’: Sexual harassment in the public domain,” examined the frequent sexual harassment women experienced in their daily lives. This included the subtheme, “A hostile gaze: Public staring and ‘weird looks’” and “Mockery and transphobic abuse: Verbal abuse is sexual violence.” The third theme, “‘Crossing bodily boundaries’: Experiences of sexual assault,” included the subthemes “‘Unwanted sexual touch’: Groping and forced sex by strangers,” “Danger in relationships: Sexual assault and manipulation,” “Sexual violence in the context of sex work,” and “‘We’re turned into something we’re not’: Fetishization and the sexual other.” The poor health outcomes experienced by many trans women are closely associated with their exposure to sexual violence and the social inequities and transphobia to which they are subjected. Trans women of color may experience additional prejudice and discrimination due to the intersection of gender, sexuality, race, and social class. Our research suggests that understanding these intersectionalities is integral in understanding the sexual violence experiences of trans women of color.
Researching the Vulnerable
Barriers and facilitators to access mental health services among people with mental disorders in Indonesia: A qualitative study
Belitung Nursing Journal, Apr 18, 2023
Sexual Health, Dec 2, 2022
Migrant and refugee youth (MRY) in Australia face specific experiences that inform their sexual a... more Migrant and refugee youth (MRY) in Australia face specific experiences that inform their sexual and reproductive health and rights (SRHR). Migrant and refugee communities experience poor health outcomes and low service uptake. Additionally, youth are vulnerable to poor sexual health. This review examines the understandings and perspectives of MRY. A systematic review was conducted as per Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The protocol is registered with PROSPERO: CRD42021241213. Nine databases were systematically searched. Inclusion criteria specified literature reporting on migrant and/or refugee youth perspectives and attitudes towards sexual and reproductive health; peer-reviewed qualitative, mixed-methods and/or quantitative studies or grey literature reports; records using Australian research; literature published in English between January 2000 and March 2021. Records that did not report on MRY and did not examine participant views or perspectives; were abstract-only, reviews, pamphlets, protocols, opinion pieces or letters; did not include Australian research; were published before 2000 and/or in a language other than English were excluded. Two reviewers screened titles, abstracts and full-text articles. The Mixed Method Appraisal Tool was used to assess studies' methodological quality. Thematic synthesis methods guided data extraction and analysis. Twenty-eight papers were included in the final review. Three themes were identified in MRY constructions of SRHR: (1) experiences of silence and shame; (2) understandings of and responses to SRHR risks; (3) navigation of relationships and sexual activity. Socioecological factors shaped MRY perspectives at individual, interpersonal, institutional and societal levels. Societal factors and interpersonal relationships significantly influenced decision making.
Många människor tycker att kontakt med injektioner, blod eller skador är obehagligt men cirka 3,5... more Många människor tycker att kontakt med injektioner, blod eller skador är obehagligt men cirka 3,5% av befolkningen störs av en överdriven rädsla för dessa stimuli, vilket kallas BII-fobi (Blood-Injection-Injury Phobia). Injektionsfobi är en typ av BII-fobi och det har hittills inte funnits några mätmetoder för injektionsfobi hos barn. Studiens syfte var att undersöka de psykometriska egenskaperna hos Injektionsfobiskalan anpassad till barn samt att samla in normdata för barn i åldrarna 8-17 år. Data från 677 barn samlades in i skolor i Stockholmsområdet. Resultaten visade att skalan hade god reliabilitet och god samtidig och diskriminativ validitet. En faktoranalys visade att skalan mätte två faktorer som tillsammans förklarade 51% av variansen. Flickor skattade signifikant högre än pojkar på skalan. Det fanns inga skillnader mellan olika åldersgrupper. Slutsatsen är att Injektionsfobiskalan för barn har goda psykometriska egenskaper och kan användas för bedömning av injektionsfobi hos 8-17-åringar i forskning och behandling. Rädsla för vissa specifika företeelser eller situationer är vanligt förekommande, men för att rädslan ska betraktas som en specifik fobi skall vissa kriterier vara uppfyllda, enligt diagnosmanualen DSM-IV (APA, 1994). Rädslan ska vara bestående och så gott som alltid framkalla ångest eller panik. Rädslan ska uppfattas som överdriven eller orimlig av patienten och ska i betydande grad störa ett normalt fungerande i vardagen, eller så ska personen lida påtagligt av fobin. Specifika fobier delas in i subgrupper utifrån typ av fobisk stimulus. I DSM-IV finns fem subgrupper: levande varelser (till exempel spindlar, hundar), naturföreteelser (till exempel höjder, stormar), blod-sprutor-skador (till exempel operationer, blodprov), specifika situationer (till exempel hissar, flygplan) och annan form (till exempel att kräkas, sjukdom). Litteraturen rapporterar olika siffror för livstidsprevalens, alltså förekomst någon gång under livet, av specifik fobi i befolkningen. Enligt en studie från 2005, där livstidsprevalens för olika DSM-IV-diagnoser studerades, hade specifik fobi den tredje högsta livstidsprevalensen, 12,5%. Endast egentlig depression och alkoholmissbruk hade högre livstidsprevalens (16,6% respektive 13,2%). Författarna rapporterade signifikant högre risk för specifik fobi för kvinnor än för män . I en tysk studie från 2007 undersöktes förekomsten av specifika fobier hos unga kvinnor . Bedömningen utgick från kriterierna för specifik fobi enligt DSM-IV och livstidprevalensen var *Tack till min handledare Lars-Göran Öst för att du föreslog uppsatsämnet och för utmärkt handledning under hela arbetet, till Lena Reuterskiöld för att du underlättat litteratursökningen och till Olle Svensson för hjälp med illustrationerna av rädda ansikten. Slutligen vill jag rikta ett stort tack till alla barn och ungdomar som deltagit i studien och till deras föräldrar, lärare och rektorer. Injektionsfobiskalan för barn och Blodfobiskalan för barn, appendix 1-4, får endast kopieras och användas efter kontakt med Tove Wahlund eller Lars-Göran Öst.
Acculturation stress and social support for young refugees in regional areas
Children and Youth Services Review, Jun 1, 2017
In this paper, we discuss acculturation stress and social capital experienced by Congolese young ... more In this paper, we discuss acculturation stress and social capital experienced by Congolese young refugees in regional Australia. Seventy percent of Australia's humanitarian entrants are young people; many settle in regional areas. However, the perspectives of young refugees in regional areas have received little attention. Qualitative in-depth interviewing and photo elicitation methods were conducted with sixteen Congolese young people. Findings revealed that these young people experienced unique acculturation stress including language problems, a lack of employment opportunities and difficulties accessing further education, impacting on their integration into Australian society. However, they relied on a range of social support from their friends, family, their ethnic community and the wider regional community to cope with these issues. This social support helped to strengthen their social capital and enhance their wellbeing.
Motherhood and Postnatal Depression
Springer eBooks, 2011
Diary Method and Research on Breastfeeding with Working Mothers in Malaysia
Springer eBooks, 2021
Cross-cultural research in health, illness and well-being, 2016
This new series examines determinants of health from a cross-cultural perspective. The focus of t... more This new series examines determinants of health from a cross-cultural perspective. The focus of this perspective is on factors which could infl uence and determine the health and well-being of people. These factors include biological and genetic factors; health behaviors; socio-cultural and socio-economic factors and environment factors. This series fi lls a gap by including books which are research-based and contain diverse issues relevant to determinants of health including emerging health issues, such as HIV/AIDS and other infectious and non-infectious diseases/illnesses from a cross-cultural perspective. Volumes in the series will be a valuable resource for researchers and students in sociology, quality of life studies, anthropology, medicine, public health, social work and medicine.
Sexual Health Knowledge and Needs
International Journal of Health Services, Nov 3, 2015
In this article, we discuss the sexual health knowledge and needs among young Muslim women living... more In this article, we discuss the sexual health knowledge and needs among young Muslim women living in Melbourne, Australia. Eleven young Muslim women were individually interviewed about issues relating to sexual health knowledge and needs, access to sexual health services, and their experiences of balancing their lives in relation to sexual health. Findings revealed a marked influence of religion and culture on sexual health of young Muslim women. They often faced challenges balancing Muslim culture, Australian culture, and Islamic religion. Our findings have implications for health services in a multicultural society. They could be used to promote culturally sensitive sexual health services for young Muslim women in Australia and elsewhere.
The Impact of COVID-19 on Individuals and Communities Through the Lens of a Kurdish Artist: A Narrative Inquiry Study
Health security, Mar 23, 2023
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Papers by Pranee Liamputtong