{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T02:39:18Z","timestamp":1788575958804,"version":"build-2803163510"},"reference-count":65,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T00:00:00Z","timestamp":1768953600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T00:00:00Z","timestamp":1768953600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Prom J of Aust"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Pacific Australia Labour Mobility (PALM) scheme workers (hereafter referred to as PALM participants) are integral to Australia's economic landscape, contributing predominantly to agriculture and meatworks sectors. Many PALM participants come from regions with high burdens of blood\u2010borne viruses (BBVs) such as hepatitis B virus (HBV), yet there is a lack of understanding of their Australian health experiences. This study explores the lived experiences of PALM participants, focusing on healthcare interactions and challenges faced in addressing health issues, particularly HBV and other BBVs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Eighteen semi\u2010structured interviews with agricultural PALM participants from four Pacific Island countries were conducted and analysed thematically through an equity lens.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A complex interplay of factors impacting health and healthcare system navigation was described, revealing challenges beyond HBV and other BBVs. Three overlapping themes are explored: (i) access issues, (ii) awareness and understanding; and (iii) \u2018battling the system\u2019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>PALM participants have significant unmet healthcare needs, with public health and economic implications. Greater political will is required to prioritise equitable healthcare for this population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>So What?<\/jats:title>\n                    <jats:p>This study highlights required changes to inform effective policies and interventions that promote health equity and improve health outcomes for PALM participants from Pacific Island countries and Timor Leste, particularly in relation to HBV and other BBVs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hpja.70144","type":"journal-article","created":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T10:47:06Z","timestamp":1768992426000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Pacific Australia Labour Mobility Workers in Australia: Lived Experiences of Health and Navigating Health Systems"],"prefix":"10.1002","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0132-9946","authenticated-orcid":false,"given":"Geraldine","family":"Vaughan","sequence":"first","affiliation":[{"name":"Central Queensland University  Rockhampton Australia"},{"name":"Centre for Health Equity in Regional and Remote Communities (CHERRC), CQUniversity  Rockhampton Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2882-3087","authenticated-orcid":false,"given":"Catherine","family":"O'Mullan","sequence":"additional","affiliation":[{"name":"Central Queensland University  Rockhampton Australia"},{"name":"Centre for Health Equity in Regional and Remote Communities (CHERRC), CQUniversity  Rockhampton Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4700-1521","authenticated-orcid":false,"given":"Robyn","family":"Preston","sequence":"additional","affiliation":[{"name":"Central Queensland University  Rockhampton Australia"},{"name":"Centre for Health Equity in Regional and Remote Communities (CHERRC), CQUniversity  Rockhampton Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6364-1516","authenticated-orcid":false,"given":"Haylee","family":"Fox","sequence":"additional","affiliation":[{"name":"Menzies School of Health Research  Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,21]]},"reference":[{"key":"e_1_2_14_2_1","unstructured":"L.KananandJ.Putt \u201cSafety and Wellbeing in the PALM Scheme \u201d2022 Paper Presented to Australasian AID Conference."},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/joac.12524"},{"key":"e_1_2_14_4_1","unstructured":"Australian Government \u201cPacific Australia Labour Mobility (PALM) Scheme \u201dhttps:\/\/www.palmscheme.gov.au\/."},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/1467-8462.12522"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.31235\/osf.io\/gu3q8_v1"},{"key":"e_1_2_14_7_1","volume-title":"Gains, Pains, and Dubious Claims From the Pacific Labour Mobility Survey","author":"Withers M.","year":"2023"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/13552074.2019.1570733"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1108\/AAAJ-09-2020-4925"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/00049182.2023.2203348"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/glob.12463"},{"key":"e_1_2_14_12_1","volume-title":"Rapid Analysis of Family Separation Issues and Responses in the PALM Scheme\u2014Final Report","author":"Withers M.","year":"2022"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/app5.70033"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10624-019-09553-6"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/10497323241285768"},{"key":"e_1_2_14_16_1","doi-asserted-by":"crossref","unstructured":"K.PetrouandJ.Connell \u201cPacific Islands Guestworkers in Australia: The New Blackbirds?\u201d2023.","DOI":"10.1007\/978-981-19-5387-3"},{"key":"e_1_2_14_17_1","unstructured":"R.Bailey \u201cHealth Care Management in Australia's and New Zealand's Seasonal Worker Schemes \u201d2020."},{"key":"e_1_2_14_18_1","volume-title":"The PALM Scheme: Labour Rights for Our Pacific Partners. 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