Sexual behaviour, drug use and health service use by young Noongar people in Western Australia: a snapshotRobyn Williams A , Chris Lawrence B , Edward Wilkes C E , Maurice Shipp C , Barbara Henry A , Sandra Eades B , Bradley Mathers D , John Kaldor D , Lisa Maher D and Dennis Gray C
A Derbarl Yerrigan Aboriginal Health Service, 156 Wittenoom Street, East Perth, WA 6004, Australia.
B The George Institute for Global Health, PO Box M201, Missenden Road, Sydney, NSW 2050, Australia and Sydney Medical School, The University of Sydney, Sydney, NSW 2006, Australia.
C National Drug Research Institute, Curtin University, GPO Box U1987, Perth, WA 6845, Australia.
D Kirby Institute for Infection and Immunity in Society, University of NSW, Sydney, NSW 2052, Australia.
E Corresponding author. Email: firstname.lastname@example.org
Sexual Health 12(3) 188-193 https://doi.org/10.1071/SH14038
Submitted: 21 February 2014 Accepted: 3 October 2014 Published: 15 December 2014
Background: This study aimed to describe sexual health behaviour, alcohol and other drug use, and health service use among young Noongar people in the south-west of Western Australia. Method: A cross-sectional survey was undertaken among a sample of 244 Noongar people aged 16-30 years. Results: The sample was more disadvantaged than the wider Noongar population. Sexual activity was initiated at a young age, 18% had two or more casual sex partners in the previous 12 months, with men more likely to have done so than women (23% vs 14%). Condoms were always or often carried by 57% of men and 37% of women, and 36% of men and 23% of women reported condom use at last sex with a casual partner. Lifetime sexually transmissible infection diagnosis was 14%. Forty percent currently smoked tobacco and 25% reported risky alcohol consumption on a weekly and 7% on an almost daily basis. Cannabis was used by 37%, 12% used drugs in addition to cannabis and 11% reported recently injecting drugs. In the previous 12 months, 66% had a health check and 31% were tested for HIV or sexually transmissible infections. Additionally, 25% sought advice or assistance for mental health or alcohol and other drug issues. Discussion: Although some respondents engaged in risky sexual behaviour, alcohol and other drug use or both, most did not. Particularly encouraging was the engagement of respondents with the health care system, especially among those engaging in risky behaviours. The results confound negative stereotypes of Aboriginal people and demonstrate a level of resilience among respondents.
Additional keywords: Aboriginal, condoms, Indigenous, sexual health, youth.
References Australian Health Ministers’ Advisory Council. Aboriginal and Torres Strait Islander health performance framework 2012 report. Canberra: Australian Government Department of Health and Ageing; 2012.
 Australian Bureau of Statistics (ABS). National Aboriginal and Torres Strait Islander social survey 2008. Cat. No. 4720.0. Canberra: ABS; 2010. Available at: http://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/4720.02008 [verified 28 October 2014].
 Australian Institute of Health and Welfare (AIHW). The health and welfare of Australia’s Aboriginal and Torres Strait Islander people: an overview 2011. Cat. no. IHW 42. Canberra: AIHW; 2011.
 Kratzmann M, Mitchell E, Ware J, Banach L, Ward J, Ryan J. Injecting drug use and associated harms among Aboriginal Australians. ANCD research paper 22. Canberra: Australian National Council on Drugs; 2012.
 Department of Health, Western Australia. The epidemiology of notifiable sexually transmitted infections and blood-borne viruses in Western Australia 2010. Perth: Department of Health, Western Australia; 2010.
 Australian Bureau of Statistics (ABS). Census of population and housing – counts of Aboriginal and Torres Strait Islander Australians 2011. Cat. No. 2075.0. Canberra: ABS; 2012.
 Australian Bureau of Statistics (ABS). Population by age and sex, regions of Australia, 2011. Cat. No. 3235.0. Canberra: ABS; 2012.
 Blair EM, Zubrick SR, Cox AH. The Western Australian Aboriginal child health survey: findings to date on adolescents. Med J Aust 2005; 183 433–5.
| 16225453PubMed |
 Zubrick SR, Silburn SR, Lawrence DM, Mitrou FG, Dalby RB, Blair EM, Griffin J, Milroy H, De Maio JA, Cox A, Li J. The Western Australian Aboriginal Child Health Survey: the social and emotional wellbeing of Aboriginal children and young people. Perth: Curtin University of Technology and Telethon Institute for Child Health Research; 2005.
 Australian Bureau of Statistics (ABS). Census of population and housing. Canberra: ABS; 2011. Available at: http://www.abs.gov.au/websitedbs/censushome.nsf/home/tablebuilder [verified 28 October 2014].
 Wilkinson R, Marmot M, eds. Social determinants of health: the solid facts. Copenhagen: World Health Organization; 2003.
 Marmot M. Social determinants and the health of Indigenous Australians. Med J Aust 2011; 194 512–3.
| 21644897PubMed |
 Carson B, Dunbar T, Chenhall R, Bailie R, eds. Social determinants of Indigenous health. Sydney: Allen & Unwin; 2007.
 Australian Institute of Health and Welfare (AIHW). 2010 national drug strategy household survey report. Drug statistics series no. 25. Cat. no. PHE 145. Canberra: AIHW; 2011.
 Australian Institute of Health and Welfare (AIHW). Substance use among Aboriginal and Torres Strait Islander people. Cat. no. IHW 40. Canberra: AIHW; 2011.