L Brener
Datos Biográficos
| ID | 68554 |
|---|---|
| NOMBRE | L Brener |
| NOMBRES | L |
| APELLIDO | Brener |
| FIRMA | BRENER L |
| AFILIACIONES | UNSW Sydney |
| ORCID | 0000-0002-7453-4852 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 58 |
| TOTAL DE CITAS | 37 |
| TOTAL COMO AUTOR | 58 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1997 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 4 |
Experiences of Living with HIV, Stigma, and Healthcare Access in Australia among People Born in China, Thailand, and Latin America Compared to People Born in Australia
In Australia, progress towards the UNAIDS 95-95-95 targets is lower among people living with HIV born overseas compared to those born in Australia. Stigma is a major barrier to achieving these targets. This project aimed to identify differences in experiences of HIV-related stigma and healthcare outcomes between people born in Asia, Latin America, and Australia. Between April-August 2023, 153 Sydney Sexual Health Centre clients who were living wi…
Exploring the benefits and challenges of lived and living experience among support workers in the alcohol, drug and mental health workforce in Australia
Study examined the role of AOD and mental health workers with lived and living experience (LLE). • It assessed the organisational supports needed to sustain safe and effective practice. • Workers described benefits in relationship with client when disclosing LLE. • Care is needed to balance authenticity with professional boundaries and self-protection. • Meaningful inclusion of LLE requires full structural and organisational support for workers. …
Tracing Structural Stigma in Health Care Towards People With Blood Borne Viruses and Sexually Transmissible Infections
Background Analysis of power is often omitted from research on stigma. This project examined structural stigma and power in health care for people affected by blood-borne viruses and sexually transmissible infections (BBV/STIs) with a focus on societal norms and hidden assumptions that shape health care practice and policy. Method In-depth interviews were conducted in 2023 with 24 key informants with expertise in designing and delivering services…
Socio-demographic and Psychosocial Determinants of HIV Knowledge and Attitudes Towards HIV among Black Sub-Saharan African Migrants in Australia
Despite recent advances in HIV prevention and treatment, black migrants from sub-Saharan Africa (SSA) in high-income countries remain disproportionately affected by HIV. Limited knowledge and stigmatising attitudes towards HIV often hinder testing, treatment uptake, and effective prevention. This study examined the socio-demographic and psychosocial factors of HIV knowledge and attitudes towards HIV among black migrants from SSA living in Austral…
“The Culturally and Linguistically Diverse Community Is Not Just Minoritised But Ignored”
BACKGROUND: People from culturally and linguistically diverse (CALD) backgrounds who are living in high-income countries, are disproportionately impacted by blood-borne viruses and sexually transmissible infections (BBVs/STIs). Despite this, many do not engage with available preventive and treatment services due to a range of patient, provider and systems level barriers that make patient engagement challenging. This study explores ways to make he…
Suboptimal Patient-Provider Communication About Undetectable = Untransmittable and HIV Transmission Risk in Australia and the US
The Undetectable = Untransmittable (U = U) campaign aims to raise global awareness that people living with HIV whose viral load is undetectable cannot sexually transmit HIV. Healthcare providers are uniquely positioned to disseminate the U = U message. Our study explored patient-provider communication about U = U and HIV risk from the perspectives of gay, bisexual, and other men living with HIV (MLHIV) and healthcare providers engaged in HIV trea…
A huge, unwieldy barrier to push through on a daily basis”
Understanding, responding to, and mitigating stigma need recognition as core aspects of AOD professional roles. To support worker retention and wellbeing, we suggest AOD services prioritise the development of strategies for working within a stigmatised context, while continuing to advocate against the injustices that stigma creates for people who use drugs
Stigma and patient work
Patient work refers to the quotidian labour undertaken by individuals to manage health, often unrecognised by health systems. This article argues that anticipated and received stigma and inclusivity labour comprise additional forms of patient work specific to minority populations. We draw on a case study of gay and bisexual men's experiences accessing healthcare services related to HIV prevention and testing in New South Wales (NSW), Australia's …
Understanding Hepatitis B Knowledge, Attitudes, and Stigma in the Korean Community in Australia
People Like Us Would Have No Clue If the Information Is Online
Socio-cultural and behavioural factors are often not adequately considered in designing health promotion programs for culturally and linguistically diverse communities in Australia. Given that people of Vietnamese background are disproportionately impacted by hepatitis B, the aim of this research was to better understand these factors to inform hepatitis B health promotion messages for the Vietnamese community. Twenty participants (four living wi…
Stigma by association among alcohol and other drug and harm reduction workers
Understanding cultural inclusion in alcohol and other drug services in New South Wales, Australia and assessing the acceptability of a cultural inclusion audit
Experiences of stigma and subsequent reduced access to health care among women who inject drugs
Differences in stigma reduction related to injection drug use between people expressing conservative, moderate and progressive values following an online intervention
Understanding stigma and attitudes towards hepatitis B among university students in Australia of Chinese and Vietnamese background
This research provides insights that could inform culturally sensitive health promotion programs to address negative attitudes towards hepatitis B among the broader Chinese and Vietnamese communities living in Australia
Factors associated with sharing equipment among people who inject drugs
The impact of sources of stigma on health care avoidance among gay and bisexual men in Australia
Stigma has a negative impact on health and wellbeing for gay and bisexual men (GBM). There is little research which assesses whether stigma from various sources affects access to different health care services. Further, those people who pay more attention to their stigmatised condition may be more likely to avoid health services. This study aimed to assess the association between sources of stigma and health care avoidance amongst a sample of GBM…
Perceptions of Covid-19 Vaccines
COVID-19 vaccination is particularly challenging among populations who have experienced discrimination in healthcare settings. This paper presents qualitative findings from in-depth interviews about COVID-19 vaccination conducted in Australia between October 2020 and November 2021. Data from four different studies are presented; each population has unique experiences of discrimination within the healthcare system: Aboriginal people; people who in…
Practising care in a pandemic
From the outset of the COVID-19 pandemic, fears have been raised worldwide regarding the unique challenges facing socially marginalised people such as those who inject drugs. This article draws on in-depth interviews conducted during the first year of the pandemic with people who inject drugs living in urban and regional Australia. Perhaps the most surprising finding to emerge was the number of participants who reported minimal disruption to thei…
Moderating Effects of Socio-Demographic Factors in Associations Between Acculturation and Dietary and Physical Activity Behaviours
Optimising community health services in Australia for populations affected by stigmatised infections
Stigma in health services undermines diagnosis, treatment and successful health outcomes for all communities, but especially for those affected by blood-borne viruses and sexually transmitted infections (STIs). This study sought to examine experiences in accessing and receiving health services, including what characteristics promoted better health, safety and well-being for people with blood-borne viruses or STIss. It conducted 46 in-depth interv…
Health worker perceptions of the impact of Covid‐19 on harm reduction services for people who inject drugs
The COVID-19 pandemic has affected entire systems of health service provision globally, including health service closure, redeployment of staff and resources and implementation of infection prevention protocols. Harm reduction facilities face particular challenges responding to COVID-19, attempting to continue service provision to people who inject drugs with minimal service disruption whilst protecting their staff. This research assessed the imp…
Hepatitis B‐related stigma among Chinese immigrants living with hepatitis B virus in Australia
Chinese immigrants in Australia are overrepresented among people with chronic hepatitis B virus (PWCHB) but experience poor access to healthcare. Given the historical discriminatory policies against PWCHB in mainland China, this study aimed to explore the lived experiences of stigma and discrimination surrounding hepatitis B virus (HBV) among Chinese immigrants originally from mainland China. Semi-structured in-depth interviews were conducted by …
Treatment outcomes of a lesbian, gay, bisexual, transgender and queer alcohol and other drug counselling service in Australia
Positive effects of community attachment on internalised stigma and wellbeing among people who inject drugs
Rethinking safety and fidelity
Hepatitis C (HCV) is a disease of the liver with a range of potentially debilitating symptoms, the severity of which differ from person to person. HCV is a major public health challenge. Globally an estimated one in 12 persons is affected by the virus, and substantial new transmissions occur each year. The vast majority of new transmissions occur among people who inject drugs, particularly through practices such as sharing of needles, syringes an…
One size fits all? The discursive framing of cultural difference in health professional accounts of providing cancer care to Aboriginal people
While none of our participants were dismissive of the idea that cultural identity might matter to Aboriginal people, their reliance upon familiar narratives about what that means for cancer care services has the potential to both symbolically and practically exclude the voices of a group of people who may already feel disenfranchised from the mainstream health care system. Critically unpacking the 'taken for granted' assumptions behind how health…
Socio-cultural beliefs about an ideal body size and implications for risk of excess weight gain after immigration
Objectives: Though several studies have focused on risk factors associated with excess weight gain, little is known about the extent to which socio-cultural beliefs about body sizes may contribute to risk of excess weight gain, especially in non-Western migrant communities. Drawing on socio-cultural and attribution theories, this study mainly explored socio-cultural beliefs about an ideal body size among Australian residents who were born in sub-…
Multiple stigmas, shame and historical trauma compound the experience of Aboriginal Australians living with hepatitis C
Hepatitis C (HCV) is a stigmatised disease due, in part, to an association with injecting drug use. Aboriginal Australians, a stigmatised group, are over-represented in patterns of HCV infections. We examined the experience of Aboriginal Australians living with HCV using qualitative in-depth interviews, paying particular attention to instances where multiple stigma mechanisms (relating to HCV, injecting drug use and Aboriginal identity) overlappe…
Practising care in a pandemic
From the outset of the COVID-19 pandemic, fears have been raised worldwide regarding the unique challenges facing socially marginalised people such as those who inject drugs. This article draws on in-depth interviews conducted during the first year of the pandemic with people who inject drugs living in urban and regional Australia. Perhaps the most surprising finding to emerge was the number of participants who reported minimal disruption to thei…
Establishing the impact of consumer participation in alcohol and other drug treatment settings in Australia
It is generally recognised that engaging consumers to participate in policy making, programming, and practice is fundamental to effective alcohol and other drug (AOD) treatment, however, literature continues to document challenges and barriers to its implementation in AOD settings. This study reports on an evaluation of the Consumer Participation Project implemented in key non-government AOD services in Australia. Data collection consisted of an …
Knowledge and beliefs about hepatitis B virus infection and associated factors among Chinese migrants in Australia
Chinese immigrants to Australia have an increased prevalence of hepatitis B virus (HBV) infection compared to the general population. Despite this, engagement with HBV screening and healthcare for chronic hepatitis B (CHB) among immigrants of Chinese background is relatively low. This study investigated knowledge about HBV among this high-risk community and explored sociodemographic factors that might influence this knowledge. During February to …
Care and treatment of hepatitis C among Aboriginal people in New South Wales, Australia
Introduction. Despite Aboriginal Australians being over-represented in populations of people living with hepatitis C (HCV), there is a dearth of research to guide policy and programme development in the area of care and treatment, particularly relating to new HCV treatments.Method. In-depth interviews were conducted with 39 people identifying as Aboriginal Australians and living with HCV in New South Wales.Results. Participants' experiences were …
Health literacy in relation to cancer
Cancer outcomes for Aboriginal Australians are poorer when compared with cancer outcomes for non-Aboriginal Australians despite overall improvements in cancer outcomes. One concept used to examine inequities in health outcomes between groups is health literacy. Recent research and advocacy have pointed to the importance of increasing health literacy as it relates to cancer among Aboriginal people. This study examined individual, social and cultur…
Stigma and patient work
Patient work refers to the quotidian labour undertaken by individuals to manage health, often unrecognised by health systems. This article argues that anticipated and received stigma and inclusivity labour comprise additional forms of patient work specific to minority populations. We draw on a case study of gay and bisexual men's experiences accessing healthcare services related to HIV prevention and testing in New South Wales (NSW), Australia's …
Understanding Hepatitis B Knowledge, Attitudes, and Stigma in the Korean Community in Australia
Health worker perceptions of the impact of Covid‐19 on harm reduction services for people who inject drugs
The COVID-19 pandemic has affected entire systems of health service provision globally, including health service closure, redeployment of staff and resources and implementation of infection prevention protocols. Harm reduction facilities face particular challenges responding to COVID-19, attempting to continue service provision to people who inject drugs with minimal service disruption whilst protecting their staff. This research assessed the imp…
Hepatitis B‐related stigma among Chinese immigrants living with hepatitis B virus in Australia
Chinese immigrants in Australia are overrepresented among people with chronic hepatitis B virus (PWCHB) but experience poor access to healthcare. Given the historical discriminatory policies against PWCHB in mainland China, this study aimed to explore the lived experiences of stigma and discrimination surrounding hepatitis B virus (HBV) among Chinese immigrants originally from mainland China. Semi-structured in-depth interviews were conducted by …
Associations of post-migration dietary and physical activity behaviours with acculturation and social cognitive factors
A considerable amount of research suggests that several 'immigrants' from low-and-middle income countries often adopt less healthy dietary and physical activity behaviours after settling in high income countries, which may lead to increased risk of weight-related diseases. Several studies have also reported that post-migration changes in dietary and physical activity behaviours are associated with acculturation. Given that social cognitive factor…
Naming the Dangers of Working on the Street
Robbery and rape by clients and sexual assault by police officers are common experiences for sex workers write ILSE PAUW and LOREN BRENER. Sex workers are developing strategies to improve their safety on the street
Naming the Dangers of Working on the Street
Robbery and rape by clients and sexual assault by police officers are common experiences for sex workers write ILSE PAUW and LOREN BRENER. Sex workers are developing strategies to improve their safety on the street
Naming the dangers of working on the street
Accessing the evidence to treat the dysphagic patient
Evidence-based practice (EBP) is the process by which science, research and evidence are integrated with clinical expertise to guide clinical decision making. Dysphagia is a complex disorder that is becoming an increasingly large part of the speech pathologist's caseload. The scope of practice is expanding to include assessment, direct therapy, education, participation in outcomes measurements, and determining the effectiveness of services provid…
You are just whores—you can't be raped’
This paper identifies barriers to HIV risk reduction among women street sex workers in Cape Town. To gain access to the study population, investigators undertook observational fieldwork for 9 months. This initial trust‐building period allowed for the mutual identification of issues to guide the remainder of the research. Twenty‐five individual interviews and four focus groups were then conducted. The following were identified as barriers to the u…
Needle fictions
The term “needle fixation” is increasingly used by researchers and health professionals to explain a range of drug injecting attitudes and practices. This article employs an innovative discourse analysis approach to consider this notion of needle fixation. Foucault's theories of power, knowledge and discourse are taken up in examining a recent literature review of material considered to support the idea of needle fixation, and in conducting a sec…
The power of naming
The power of naming: A reply to McBride and Pates." Addiction Research & Theory, 13(4), pp. 403–404
Prejudice among health care workers toward injecting drug users with hepatitis C
Preventing transitions to injecting amongst young people
Evolving Knowledge and Practice
The exponential rate of development in science and technology in recent decades has had a profound social impact. In particular, computing and the Internet have indelibly altered the world's social, economic, and intellectual landscapes. The Information Age has transformed leisure, employment, business, and financial systems, and modified historical approaches to organizing and executing political and social action. A concomitant revolution in co…
Hepatitis C in an Australian Migrant Community
This exploratory study focuses on the knowledge and awareness of hepatitis C, and attitudes towards people living with hepatitis C, in the Australian-Egyptian community. Surveys were completed by 121 participants recruited in inner and suburban Sydney. Significant gaps in hepatitis C knowledge existed around transmission and treatment. A favorable attitude towards people living with hepatitis C, having heard about hepatitis C, and having had a bl…
Exploring the relationship between implicit self-representation and drug use
Sociological theory stresses the link between drug use and identity and the need to reconstitute this identity as separate from drug use for successful recovery. Research in implicit social cognition suggests that people's attitudes need not be available to conscious awareness to have an influence on behaviour. Combining these two ideas, this exploratory study aimed to assess the association between an individual's implicit self-representation an…
Evaluation of an integrated care service facility for people living with hepatitis C in New Zealand
The findings point to the importance of integrated care in the community setting in providing clients with a positive experience of health care, which appears to increase their skills and desire to better manage their hepatitis C
Makes you wanna do treatment’
People with hepatitis C virus (HCV) are a marginalised population that may experience discrimination in everyday contexts, including health-care, due to the association of HCV with injecting drug use. Stigma and discrimination are known to have a range of negative effects on people with HCV, including diminished quality of life and avoidance of health-care. The Hepatitis C Community Clinic is an integrated care service established in 2008 in Chri…
Rethinking safety and fidelity
Hepatitis C (HCV) is a disease of the liver with a range of potentially debilitating symptoms, the severity of which differ from person to person. HCV is a major public health challenge. Globally an estimated one in 12 persons is affected by the virus, and substantial new transmissions occur each year. The vast majority of new transmissions occur among people who inject drugs, particularly through practices such as sharing of needles, syringes an…
Experiences of HIV stigma
For many people living with HIV (PLHIV), disclosure or concealment of their HIV status may be under their personal control; however, for PLHIV with visible symptoms of their illness, disclosure may no longer be a choice. Previous research suggests that those with visible HIV symptoms have poorer mental and physical health than those without visible HIV symptoms. This study aimed to extend these findings and assess the role of perceived centrality…
One size fits all? The discursive framing of cultural difference in health professional accounts of providing cancer care to Aboriginal people
While none of our participants were dismissive of the idea that cultural identity might matter to Aboriginal people, their reliance upon familiar narratives about what that means for cancer care services has the potential to both symbolically and practically exclude the voices of a group of people who may already feel disenfranchised from the mainstream health care system. Critically unpacking the 'taken for granted' assumptions behind how health…
Health literacy in relation to cancer
Cancer outcomes for Aboriginal Australians are poorer when compared with cancer outcomes for non-Aboriginal Australians despite overall improvements in cancer outcomes. One concept used to examine inequities in health outcomes between groups is health literacy. Recent research and advocacy have pointed to the importance of increasing health literacy as it relates to cancer among Aboriginal people. This study examined individual, social and cultur…
The impact of HIV treatment-related stigma on uptake of antiretroviral therapy
HIV-related stigma has been linked to avoidance of health care services and suboptimal adherence to antiretroviral therapy (ART). However, less is known about concerns of stigma related specifically to the taking of ART in uptake of treatment. This study examines experiences of HIV treatment-related stigma and assesses if these experiences are associated with ART uptake, independent of general HIV-related stigma. People living with HIV (PLHIV; n …
Care and treatment of hepatitis C among Aboriginal people in New South Wales, Australia
Introduction. Despite Aboriginal Australians being over-represented in populations of people living with hepatitis C (HCV), there is a dearth of research to guide policy and programme development in the area of care and treatment, particularly relating to new HCV treatments.Method. In-depth interviews were conducted with 39 people identifying as Aboriginal Australians and living with HCV in New South Wales.Results. Participants' experiences were …
Hepatitis C Stigma and Empowerment Through Positive Speaking in Sydney, Australia
Although the adverse impacts of health‐related stigma are well established, there is growing evidence to suggest that some people reject stigma and become empowered through involvement in education and advocacy. C‐een and Heard ( C & H ) is a positive speaking programme in Sydney, Australia, using educational presentations by people living with hepatitis C to increase understanding of the illness among health and community workers. This study exp…
Multiple stigmas, shame and historical trauma compound the experience of Aboriginal Australians living with hepatitis C
Hepatitis C (HCV) is a stigmatised disease due, in part, to an association with injecting drug use. Aboriginal Australians, a stigmatised group, are over-represented in patterns of HCV infections. We examined the experience of Aboriginal Australians living with HCV using qualitative in-depth interviews, paying particular attention to instances where multiple stigma mechanisms (relating to HCV, injecting drug use and Aboriginal identity) overlappe…
Care, agency and criminality
Socio-cultural beliefs about an ideal body size and implications for risk of excess weight gain after immigration
Objectives: Though several studies have focused on risk factors associated with excess weight gain, little is known about the extent to which socio-cultural beliefs about body sizes may contribute to risk of excess weight gain, especially in non-Western migrant communities. Drawing on socio-cultural and attribution theories, this study mainly explored socio-cultural beliefs about an ideal body size among Australian residents who were born in sub-…
Perceived inability to help is associated with client‐related burnout and negative work outcomes among community mental health workers
Community mental health is a vital service, but it faces ongoing challenges from its high staff-turnover rates. The current study provides a preliminary test of a novel explanation for employee disengagement in community mental health. It is proposed that providing assistance to clients, while simultaneously feeling that only limited progress is being made, is associated with client-related burnout among community mental health providers, leading…
Associations of post-migration dietary and physical activity behaviours with acculturation and social cognitive factors
A considerable amount of research suggests that several 'immigrants' from low-and-middle income countries often adopt less healthy dietary and physical activity behaviours after settling in high income countries, which may lead to increased risk of weight-related diseases. Several studies have also reported that post-migration changes in dietary and physical activity behaviours are associated with acculturation. Given that social cognitive factor…
Medicine (47 obras) · Psychology (36 obras) · Psychiatry (28 obras) · HIV, Drug Use, Sexual Risk (24 obras) · HIV/AIDS Research and Interventions (23 obras) · Political science (23 obras) · Family medicine (22 obras) · Nursing (21 obras) · Sociology (21 obras) · Health care (20 obras)