Papers by Jeff Adams
In this article we provide a critical narrative review of the diverse contemporary research into ... more In this article we provide a critical narrative review of the diverse contemporary research into sexualities and health in Aotearoa/New Zealand. We outline the specific colonial context of Aotearoa/New Zealand and the implications of this context for health research with lesbian, gay, bisexual, trans and queer (LGBTQ) communities. The review draws on examples from our own experience carrying out LGBTQ health psychology research and wider research outside the boxes of psychology as a discipline, outside sexualities as simple identity categories, and outside HIV/AIDS as focus of much LGBTQ health research in recent decades and at present. We review existing LGBTQ health research from Aotearoa/New Zealand with regards to three central themes: (1) holistic approaches to health and healthcare for LGBTQ communities; (2) challenges in working towards health equalities for LGBTQ communities; and (3) theorisation of the impact of discrimination on the health of members of LGBTQ communities. Throughout the review we emphasise critical perspectives on research into sexualities and health and the importance of considering whether LGBTQ communities benefit from research. We also make suggestions for enhancing the criticality of LGBTQ health research in Aotearoa/New Zealand and illustrate how research into sexualities and health in Aotearoa/New Zealand provides useful examples for LGBTQ health researchers in other contexts.
Aims and objectives
To explore men who have sex with mens’ views about condom use when having ana... more Aims and objectives
To explore men who have sex with mens’ views about condom use when having anal intercourse.
Background
Internationally, health promotion campaigns utilise behavioural change strategies to support men who have sex with men to always use condoms when having anal sex with other men. The health promotion message given to this group is consistent and explicitly stated; use a condom every time for anal sex regardless of relationship status.
Design
Qualitative analysis of data from a cohort of New Zealand men who have sex with men.
Methods
A total of 960 useable questionnaires were completed; 571 online and 389 in hard copy. Qualitative data were analysed using a thematic data analytic process.
Results
Three themes relating to condom use in men who have sex with men were identified. These are: “Safer sex is good sex”, “Condom use is good but …” and “I use condoms sometimes”.
Conclusions
The range of responses towards condom use for anal sex in MSM in our sample, reveal this as a complex public health issue, with not all MSM willing to consistently use condoms.
Relevance to clinical practice
It is important that nurses do not assume that all MSM are willing to use condoms for anal sex, and should create opportunities for MSM to raise any concerns about the use of condoms. In this way, nurses can assist in providing information that may help MSM to make decisions that will minimise risk of contracting infections associated with sexual activity.
This report outlines my experiences attending the first International lesbian, Gay, Bisexual and ... more This report outlines my experiences attending the first International lesbian, Gay, Bisexual and Transgender Psychology Summer Institute, held at the University of Michigan, Ann Arbor, MI, USA, 3-8 August 2008. This Institute aimed to provide for an intensive exchange of ideas among senior, junior and graduate student scholars located across LGBT psychology.
International Journal of Older People Nursing, 2014
Internationally, increases in the numbers of older people will be reflected in larger numbers of ... more Internationally, increases in the numbers of older people will be reflected in larger numbers of more socioculturally diverse groups of older people requiring care provided by residential care facilities. Covert and overt instances of homophobia are evident within residential care services provided to older lesbian, gay and bisexual people. To explore the perceptions of care staff working in residential care homes towards older lesbian, gay and bisexual people. Critical gerontology formed the methodological foundations for focus group discussions with care staff from seven residential care facilities. Hypothetical vignettes were used to stimulate discussion amongst participants. Thematic analysis of the seven focus group interviews illuminated three themes: 'Knowing me knowing you', 'Out of sight out of mind' and 'It's a generational thing'. Subtle as well as not so subtle forms of homophobia were evident in each of the themes. Care staff felt they were largely unprepared to provide care to older lesbian, gay and bisexual people. This small-scale New Zealand study identifies that the residential care sector is not always supportive, or prepared, to provide a care service to those people identifying as lesbian, gay and bisexual. Findings from this study recommend the implementation of principle-based guidelines, opportunities to participate in ongoing education and partnering with non-heterosexual community organisations in order to provide culturally appropriate care to older lesbian, gay and bisexual people.
Psychology and Sexuality, 2010
This article reports on a conversation between 12 lesbian, gay, bisexual and transgender (LGBT) p... more This article reports on a conversation between 12 lesbian, gay, bisexual and transgender (LGBT) psychologists at the first international LGBT Psychology Summer Institute at the University of Michigan in August 2009. Participants discuss how their work in LGBT psychology is affected by national policy, funding and academic contexts and the transnational influence of the US-based stigma model of LGBT psychology. The challenges and possibilities posed by internationalism are discussed with reference to the dominance of the United States, the cultural limits of terms such as ‘lesbian, gay, bisexual and transgender’, intergenerational communication between researchers and the role of events such as the Summer Institute in creating an international community of LGBT psychologists.
Annals of Leisure Research, 2013
... Finally, Emma Sherry and David Shilbury investigate the public expectations related to sport,... more ... Finally, Emma Sherry and David Shilbury investigate the public expectations related to sport, and how Page 3. ... Christopher Wynveen, Robert Bixler, and William Hammitt, via a large Internet survey, examine issues surrounding crime, urban encroachment, and law enforcement ...
Journal of Clinical Nursing, 2013
To evaluate the diabetes nurse specialist prescribing project with the aim of determining whether... more To evaluate the diabetes nurse specialist prescribing project with the aim of determining whether diabetes nurse specialist prescribing is safe and effective and to inform the implementation and extension of registered nurse prescribing. Registered nurses in many countries are able to prescribe medicines, but in New Zealand, prior to the diabetes nurse specialist project, nurse practitioners were the only nurses who could prescribe medicines. New regulations allowed the nurses to prescribe a limited number of prescription medicines. The study was a process and outcome clinical programme evaluation. The project took place between April-September 2011 and involved 12 diabetes nurse specialist in four localities. Quantitative data were collected from clinical records maintained by the diabetes nurse specialist for the project (1274 patients and 3402 prescribing events), from surveys with stakeholders (general practitioners, n = 30; team members, n = 19; and patients, n = 89) and audits from patient notes (n = 117) and prescriptions (n = 227), and qualitative data from interviews with project participants (n = 18) and patients (n = 19). All data were analysed descriptively. Diabetes nurse specialist prescribing was determined to be safe, of high quality and appropriate. It brought important benefits to the effectiveness of specialist diabetes services, was acceptable to patients and was supported by the wider healthcare team. These findings are consistent with the findings reported in the international literature about nurse prescribing in a range of different practice areas. Clarification of the education and competence requirements and resourcing for the ongoing supervision of nurses is recommended if the prescribing model is to be extended. Diabetes nurse specialist prescribing improved access to medicines by providing a more timely service. Nurses felt more satisfied with their work because they could independently provide a complete episode of care. As novice prescribers, nurses need to be well prepared educationally and have access to supportive clinical supervision.
LGBT psychology etc. by Jeff Adams
This article reports on a conversation between 12 lesbian, gay, bisexual and transgender (LGBT) p... more This article reports on a conversation between 12 lesbian, gay, bisexual and transgender (LGBT) psychologists at the first international LGBT Psychology Summer Institute at the University of Michigan in August 2009. Participants discuss how their work in LGBT psychology is affected by national policy, funding and academic contexts and the transnational influence of the US-based stigma model of LGBT psychology. The challenges and possibilities posed by internationalism are discussed with reference to the dominance of the United States, the cultural limits of terms such as ‘lesbian, gay, bisexual and transgender’, intergenerational communication between researchers and the role of events such as the Summer Institute in creating an international community of LGBT psychologists.
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Papers by Jeff Adams
To explore men who have sex with mens’ views about condom use when having anal intercourse.
Background
Internationally, health promotion campaigns utilise behavioural change strategies to support men who have sex with men to always use condoms when having anal sex with other men. The health promotion message given to this group is consistent and explicitly stated; use a condom every time for anal sex regardless of relationship status.
Design
Qualitative analysis of data from a cohort of New Zealand men who have sex with men.
Methods
A total of 960 useable questionnaires were completed; 571 online and 389 in hard copy. Qualitative data were analysed using a thematic data analytic process.
Results
Three themes relating to condom use in men who have sex with men were identified. These are: “Safer sex is good sex”, “Condom use is good but …” and “I use condoms sometimes”.
Conclusions
The range of responses towards condom use for anal sex in MSM in our sample, reveal this as a complex public health issue, with not all MSM willing to consistently use condoms.
Relevance to clinical practice
It is important that nurses do not assume that all MSM are willing to use condoms for anal sex, and should create opportunities for MSM to raise any concerns about the use of condoms. In this way, nurses can assist in providing information that may help MSM to make decisions that will minimise risk of contracting infections associated with sexual activity.
LGBT psychology etc. by Jeff Adams
To explore men who have sex with mens’ views about condom use when having anal intercourse.
Background
Internationally, health promotion campaigns utilise behavioural change strategies to support men who have sex with men to always use condoms when having anal sex with other men. The health promotion message given to this group is consistent and explicitly stated; use a condom every time for anal sex regardless of relationship status.
Design
Qualitative analysis of data from a cohort of New Zealand men who have sex with men.
Methods
A total of 960 useable questionnaires were completed; 571 online and 389 in hard copy. Qualitative data were analysed using a thematic data analytic process.
Results
Three themes relating to condom use in men who have sex with men were identified. These are: “Safer sex is good sex”, “Condom use is good but …” and “I use condoms sometimes”.
Conclusions
The range of responses towards condom use for anal sex in MSM in our sample, reveal this as a complex public health issue, with not all MSM willing to consistently use condoms.
Relevance to clinical practice
It is important that nurses do not assume that all MSM are willing to use condoms for anal sex, and should create opportunities for MSM to raise any concerns about the use of condoms. In this way, nurses can assist in providing information that may help MSM to make decisions that will minimise risk of contracting infections associated with sexual activity.