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2. Special issue on some histor{y/ies} of health psycholog{y/ies}: an introduction

Author

Lubek, I and Murray, MP

Subjects
BF, R1
Abstract

Academic (sub-)disciplines develop in time and place when particular ideas/practices are nurtured within social, gendered, cultural, community, economic and political contexts. Different histories employ different analyses, some with external views of scientific outputs describing research and practice, and others with internal, behind-the-scenes examinations of these developments, through oral histories and personal recollections. This collection, written by historians of (social) science, or practitioners or pioneering participants, uses different historiographical methods to contextualize health-related activities within the sub-discipline of health psychology and the evolving critical and/or community approaches. The papers connect the evolving health psycholog{y/ies} with changing socio-political circumstances in different countries.

Published
2018

3. HIV/AIDS and Alcohol Risks in Cambodia: Confronting Challenges and Policymaking through Research-Guided Actions

Author

Lubek, I, Kros, S, Wong, M, Lee, HA, Van Merode, T, Idema, R, Thamarangsi, T, Jakubowicz, AH, Tolson, M, McCreanor, T, Liu, JH, and Smith, RA

Abstract

The Khmer Rouge period (1975-1978) saw up to 25 percent of Cambodians die in "the killing fields" or Ii'om starvation, Devastation to national ini1-astructures, family and social life, culture, and the elimination of educated professionals including doctors and teachers werc not alleviated when the Vietnamese then occupied Cambodia for the next 11 years, The Paris Peace Accords in 2001 defined the rebuilding of the Cambodian state and the United Nations moved international personnel to Cambodia to separate warring factions and prepare for elections in 1993, UNAMIC (United Nations Advance Mission in Cambodia, 1991-1992) brought 1,100 personnel and was replaced by UNTAC (United Nations Transitional Authority in Cambodia, 1992-1993) with over 22,000 foreign soldiers, police, and so on, including contingents from sub-Saharan Affican nations already in the throes of their own HIV/AIDS pandemics (UNAMIC, 1992; UNTAC,1996;Yeager & Kingma, 2005)

Published
2013

4. HIV/AIDS and Alcohol Risks in Cambodia: Confronting Challenges and Policymaking through Research-Guided Actions

Author

Smith, RA, Lubek, I, Kros, S, Wong, M, Lee, HA, Van Merode, T, Idema, R, Thamarangsi, T, Jakubowicz, AH, Tolson, M, McCreanor, T, Liu, JH, Smith, RA, Lubek, I, Kros, S, Wong, M, Lee, HA, Van Merode, T, Idema, R, Thamarangsi, T, Jakubowicz, AH, Tolson, M, McCreanor, T, and Liu, JH

Abstract

The Khmer Rouge period (1975-1978) saw up to 25 percent of Cambodians die in "the killing fields" or Ii'om starvation, Devastation to national ini1-astructures, family and social life, culture, and the elimination of educated professionals including doctors and teachers werc not alleviated when the Vietnamese then occupied Cambodia for the next 11 years, The Paris Peace Accords in 2001 defined the rebuilding of the Cambodian state and the United Nations moved international personnel to Cambodia to separate warring factions and prepare for elections in 1993, UNAMIC (United Nations Advance Mission in Cambodia, 1991-1992) brought 1,100 personnel and was replaced by UNTAC (United Nations Transitional Authority in Cambodia, 1992-1993) with over 22,000 foreign soldiers, police, and so on, including contingents from sub-Saharan Affican nations already in the throes of their own HIV/AIDS pandemics (UNAMIC, 1992; UNTAC,1996;Yeager & Kingma, 2005)

Published
2013

5. Creating new career pathways to reduce poverty, illiteracy and health risks, while transforming and empowering Cambodian women's lives

Author

Lee, H, Pollock, G, Lubek, I, Niemi, S, O'Brien, K, Green, M, Bashir, S, Braun, E, Kros, S, Huot, V, Ma, V, Griffiths, N, Dickson, B, Pring, N, Sphkurst Huon-Ribeil, K, Lim, N, Turner, J, Winkler, C, Wong, ML, Van Merode, T, Dy, BC, Prem, S, Idema, R, Lee, H, Pollock, G, Lubek, I, Niemi, S, O'Brien, K, Green, M, Bashir, S, Braun, E, Kros, S, Huot, V, Ma, V, Griffiths, N, Dickson, B, Pring, N, Sphkurst Huon-Ribeil, K, Lim, N, Turner, J, Winkler, C, Wong, ML, Van Merode, T, Dy, BC, Prem, S, and Idema, R

Abstract

Community health psychology provides a framework for local citizens themselves to systematically affect change in health and social inequalities, particularly through Participatory Action Research (PAR). The Cambodian NGO SiRCHESI launched a 24-month Hotel Apprenticeship Program (HAP) in 2006 to provide literacy, English, social skills, health education, hotel skills-training, work experience and a living wage to women formerly selling beer in restaurants; there they had faced workplace risks including HIV/AIDS, alcohol overuse, violence and sexual coercion. Quantitative and qualitative analyses indicate changes in health-related knowledge, behaviour, self-image and empowerment, as HAP trainees were monitored and evaluated within their new career trajectories. Copyright © 2010 SAGE Publications Los Angeles, London, New Delhi, Singapore and Washington DC.

Published
2010

6. Trends in unprotected intercourse among heterosexual men before and after brothel ban in Siem Reap, Cambodia: a serial cross-sectional study (2003-2012).

Author

Wong ML, Teo AKJ, Tai BC, Ng AMT, Lim RBT, Tham DKT, Kaur N, Tan RKJ, Kros S, Touch S, Chhit M, and Lubek I

Subjects
Adult, Cambodia epidemiology, Condoms statistics & numerical data, Cross-Sectional Studies, HIV Infections epidemiology, HIV Infections prevention & control, Humans, Male, Program Evaluation, Self Report, Sexually Transmitted Diseases epidemiology, Sexually Transmitted Diseases prevention & control, Young Adult, Heterosexuality psychology, Sex Work legislation & jurisprudence, Unsafe Sex statistics & numerical data
Abstract

Background: Following Cambodia's implementation of the 100% condom use program with enforcement of condom use and STI treatment services for sex workers in 2001, sexually transmitted infection and HIV declined markedly. In 2008, Cambodia implemented a law to ban brothel-based sex work. We reported trends in unprotected vaginal intercourse with sex workers among heterosexual men buying sex before (2003-2008) and after (2009-2012) the brothel ban in Cambodia. We also determined the association of brothel ban with these men's reports of unprotected intercourse with sex workers., Methods: In this serial cross-sectional study, we collected yearly behavioural data on random cross-sectional samples of heterosexual men buying sex who attended the only government health centre in Siem Reap for voluntary confidential counselling and testing (VCCT) between 2003 and 2012. We used multivariable Poisson regression analysis on the 10-year data of 976 men to obtain the adjusted prevalence ratio (aPR) of unprotected intercourse in the last 6 months by brothel closure., Results: Men buying sex from non-brothel-based sex workers increased almost 3-fold from 17% in 2007-2008 before brothel closure to 55% in 2011-2012 after brothel closure (p < 0.001). Unprotected intercourse with sex workers in the last week increased significantly from 37% (2003-2004) before brothel closure to 65% (2011-2012) after brothel closure. This increase corresponded closely with the increase in self-reported unprotected intercourse from 35% to 61% by the sex workers (n = 1805) attending the same clinic for VCCT. Brothel closure was associated with an increased risk (aPR: 1.65; 95% CI: 1.40-1.94) of unprotected intercourse with sex workers. HIV prevalence in the heterosexual men declined significantly from 26% in 2003-2004 to 4.8% in 2007-2008 and 0 case in 2009-2010 before increasing to 5.6% in 2011-2012., Conclusion: Our findings suggest that the brothel ban had led to an increase in unprotected intercourse with all sex workers for men buying sex. This effect could be attributed to reduced condom access, a consequence of the lack of feasibility to implement the 100% condom use program following the brothel ban. The ban on brothels in Cambodia should be reviewed.

Published
2018
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