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      Working with Aboriginal young people in sexual health research: a peer research methodology in remote Australia

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          Abstract

          In a context of ongoing colonization and dispossession in Australia, many Aboriginal people live with experiences of health research that is done “on” rather than “with” or “by” them. Recognizing the agency of young people and contributing to Aboriginal self-determination and community control of research, we used a peer research methodology involving Aboriginal young people as researchers, advisors, and participants in a qualitative sexual health study in one remote setting in the Northern Territory, Australia. We document the methodology, while critically reflecting on its benefits and limitations as a decolonizing method. Findings confirm the importance of enabling Aboriginal young people to play a central role in research with other young people about their own sexual health. Future priorities include developing more enduring forms of coinvestigation with Aboriginal young people beyond data collection during single studies, and support for young researchers to gain formal qualifications to enhance future employability.

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          Review of community-based research: assessing partnership approaches to improve public health.

          Community-based research in public health focuses on social, structural, and physical environmental inequities through active involvement of community members, organizational representatives, and researchers in all aspects of the research process. Partners contribute their expertise to enhance understanding of a given phenomenon and to integrate the knowledge gained with action to benefit the community involved. This review provides a synthesis of key principles of community-based research, examines its place within the context of different scientific paradigms, discusses rationales for its use, and explores major challenges and facilitating factors and their implications for conducting effective community-based research aimed at improving the public's health.
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            Internationalization of an Indigenous Anticolonial Cultural Critique of Research Methodologies: A Guide to Indigenist Research Methodology and Its Principles

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              Colonisation – It’s bad for your health: The context of Aboriginal health

              Australia's history is not often considered to be an indicator of any person's health status. However, as health professionals we are taught the importance of taking and listening to our client's detailed history to assist us in our comprehension of the issues impacting upon their lives. This skill base is an important one in that it makes available valuable information that assists the health professional to be discerning of intimate and specific circumstances that could contribute to health related problems not previously diagnosed. It is a vital screening tool. I would like to advocate that history taking, that being Australia's colonial, political, social and economic histories be a course of action undertaken by all health professionals working with Aboriginal and Torres Strait Islander peoples. Health researchers of recent years have been able to clearly illustrate that there is a powerful relationship between health status and individuals or collectives; social, political and economic circumstances (Marmot, 2011; Marmot & Wilkinson, 2001; Saggers & Gray, 2007). This way of knowing how health can be affected through such social health determinants is an important health competency (Anderson, 2007; Marmot, 2011). As such this paper delivers a timeline of specific historical and political events, contributing to current social health determinants that are undermining Indigenous Australians health and well-being. This has been undertaken because most Australians including Indigenous Australians have not benefited from a balanced and well informed historical account of the past 200 and something years. The implication of this lack of knowing unfortunately has left its effect on the way health service providers have delivered health to Indigenous children, mothers, fathers, and their communities. Indigenous Australians view the way forward in improving health outcomes, as active partners in their health service delivery. This partnership requires health professionals to listen to their clients, with respect and a decolonising gaze.
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                Author and article information

                Journal
                Qual Health Res
                Qual Health Res
                QHR
                spqhr
                Qualitative Health Research
                SAGE Publications (Sage CA: Los Angeles, CA )
                1049-7323
                1552-7557
                3 October 2020
                January 2021
                : 31
                : 1
                : 16-28
                Affiliations
                [1 ]UNSW Sydney, Sydney, New South Wales, Australia
                [2 ]The Australian National University, Canberra, Australia
                [3 ]University College London, London, United Kingdom
                [4 ]Central Australian Aboriginal Congress Aboriginal Corporation, Alice Springs, Australia
                [5 ]Burnet Institute, Melbourne, Australia
                [6 ]University of Queensland, Brisbane, Queensland, Australia
                Author notes
                [*]Stephen Bell, Kirby Institute for Infection and Immunity in Society, UNSW Sydney, Level 6, Wallace Wurth Building, Sydney, New South Wales 2052, Australia. Email: sbell@ 123456kirby.unsw.edu.au
                [*]

                The MOST study investigators are Prof. John Kaldor, Prof. James Ward, Dr. Nathan Ryder, Associate Prof. David Whiley, Prof. Rebecca Guy, Dr. Steven Skov, Associate Prof. Handan Ward, Prof. Lisa Maher, Dr. Stephen Bell, Prof. Christopher Fairley, Prof. Basil Donovan, Associate Prof. Alice Rumbold.

                Author information
                https://orcid.org/0000-0003-2877-9231
                Article
                10.1177_1049732320961348
                10.1177/1049732320961348
                7750674
                33012220
                92eb23fc-460e-464d-8f6d-6236681f786f
                © The Author(s) 2020

                This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License ( https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                Funding
                Funded by: National Health and Medical Research Council, FundRef https://doi.org/10.13039/501100000925;
                Award ID: APP1060478
                Categories
                Research Articles
                Custom metadata
                ts1

                Medicine
                qualitative,aboriginal,young people,youth,sexual health,australia,self-determination,decolonizing methods

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