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The COVID-19 pandemic and associated school closures may have constrained educational participation particularly for students in disadvantaged circumstances. We explore how 30 disadvantaged students in secondary school (14 mainstream/16 Flexible Learning Programme) from Queensland, New South Wales and Tasmania experienced home learning during the first wave of COVID-19, teasing out nuances across two educational models. Drawing on semi-structured interviews with these students, our analysis revealed three interconnected themes inflecting their learning: connection, connectivity and choice. Connection captures the desire for belonging and practices that facilitated meeting this desire during system-wide disruptions to school routines and face-to-face learning. Connectivity captures the impact of digitally facilitated learning at home on students' ability to engage with curriculum content and with their learning community. Choice captures the availability of viable options to overcome barriers students encountered in their learning and possibilities to flexibly accommodate student preferences and learning needs. Students from Flexible Learning Programmes appeared generally better supported to exercise agency within the scope of their lived experience of home-based learning. Findings indicate a need for strengthening student-centred policy and practices aimed at leveraging the affordances of information technology, balancing self-directed and structured learning and providing holistic support to enable meaningful student choice.

This visual essay incorporates photographs from a research project on the changing landscapes of cancer survivorship in Australia. Study participants were asked to tell the story of what cancer looks and feels like and what it means to them. The photographs were captioned and discussed during a follow-up interview. Employing Henri Lefebvre’s rhythmanalysis, these photographs, captions and narrations show how the routines and expectations arising in cancer survivorship reorient life around movement in time and place. They provide insights into the unfolding of cancer survivorship in the ebb and flow of lived experience.

Low-income mothers face disproportionately high risks of engaging with statutory child protection systems. Whilst this is often perceived as a result of poor or irresponsible parenting practices, an increasing body of scholarship foregrounds the role of structural issues—such as poverty and homelessness—that constrain mothers’ agency and impact their ability to care for their children. In this article, we examine Australia’s first permanent Supportive Housing for Families (SHF) programme, which offers low-income mothers practical resources to minimise the risk of statutory child protection intervention. Our research aims to understand low-income mothers’ willingness and ability to care for their children, and how mothers engaged with and made meaning of their experiences residing in SHF. Using a qualitative research design, we analyse interview data with programme mothers (n = 17), programme support workers (n = 10) and statutory child protection officers (n = 7). We find that the resources provided through the programme enabled mothers to care for their children in ways that aligned with their parenting beliefs and aspirations. We conclude that SHF programmes may be an effective means through which low-income mothers can overcome the structural barriers that keep them engaged with statutory child protection systems.

Objective: The aim of this study is to provide the first systematic analysis of differences in the closeness of sibling relations between lesbian, gay, and bisexual (LGB) and heterosexual adults. Background: Across countries, LGB people experience poorer socioeconomic and health outcomes than heterosexual people. Although the reasons for this disadvantage are complex, low levels of family support have been recurrently identified as an important contributor. However, the available literature has concentrated on relations between LGB people and their parents, neglecting other important familial bonds—including sibling bonds. Method: To compare the closeness of sibling relations between individuals with different sexual orientations, this study leverages unique data from an Australian national survey (Household, Income and Labour Dynamics in Australia Survey, n = 13,157 individuals, 35,622 individual-sibling pairs) and multilevel regression models. Results: Key results indicated that—when compared with heterosexual individuals—LGB individuals had less frequent contact with and lived geographically farther from their siblings. The pattern of effects was similar for bisexual and gay or lesbian individuals, and stronger for male than female sexual-minority individuals. There was only sparse evidence of moderation of these associations by individual or sibling traits. Conclusions: The findings of this study are consistent with theoretical perspectives highlighting the unique barriers to socioeconomic inclusion experienced by individuals from sexual minorities. They suggest that these barriers begin within the nuclear family.

This article examines the efficacy of a supportive housing program aiming to provide mothers in violent relationships with the practical resources to minimize child protection intervention. Drawing on qualitative interviews with program mothers, child safety officers, and program practitioners, we explore the extent to which the program enabled mothers and children to live free from fathers’ violence and disengage from the child protection system. We find that, although valuable, the program did not fully mitigate the risks posed by violent fathers. We therefore argue that responsibility must be shifted onto violent fathers to change their behavior and build their parenting capacities.

In scholarship on cancer survivorship, “normality” is discussed as a strategy to restore and maintain continuity of identity for the person with cancer. I interrogate the strategic deployment of “normality” in what I define as ritual-like practices by drawing on 20 narrative interviews and 455 photographs produced by study participants. The findings explore normality as outcome (being normal), practice (doing normality), and ethical standard (aspiring to normality). They indicate how sociocultural scripts such as the cancer survivor identity and authentic selfhood inflect what it means to be a “normal” person with cancer with repercussions for recognition in lived experience.

Medical research shows that healthy sleep has benefits for human wellbeing. We contribute to the emerging social-epidemiological literature on the social determinants of sleep by considering how living in an area with poor economic circumstances can result in sleep loss through financial worry, uncertainty and stress. We use multilevel regression models and nationally-representative data from the Household, Income and Labour Dynamics in Australia Survey (n = 9181) and find that individuals who live in areas with high unemployment rates or experience individual-level economic vulnerability sleep less than comparable individuals in areas with low unemployment rates, or who do not experience financial hardships. The negative association between local economic conditions and sleep duration is substantially stronger amongst economically vulnerable individuals. This highlights the importance of considering multiple levels in the analysis of health inequalities, as status and location can intersect to produce and reproduce disadvantage systems.

Objective To understand Australian hospital pharmacists’ accounts of antibiotic use, and the potential role of pharmacy in antibiotic optimisation within a tertiary hospital setting. Design, setting and participants Qualitative study, utilising semistructured interviews with 19 pharmacists in two hospitals in Queensland, Australia in 2014. Data was analysed using the framework approach and supported by NVivo10 qualitative data analysis software. Results The results demonstrate that (1) pharmacists’ attitudes are ambivalent towards the significance of antibiotic resistance with optimising antibiotic use perceived as low priority; (2) pharmacists’ current capacity to influence antibiotic decision-making is limited by the prescribing power of doctors and the perception of antibiotic use as a medical responsibility; and, (3) interprofessional and organisational barriers exist that prevent change in the hospital setting including medical hierarchies, limited contact with senior doctors and resource constraints resulting in insufficient pharmacy staffing to foster collaborative relationships and facilitate the uptake of their advice. Discussion While pharmacy is playing an increasingly important role in enhanced antibiotic governance and is a vital component of antimicrobial stewardship in Australia, role-based limitations, interprofessional dynamics and organisational/resource constraints in hospitals, if not urgently addressed, will continue to significantly limit the ability of pharmacy to influence antibiotic prescribing.