{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T15:47:50Z","timestamp":1782920870239,"version":"3.54.5"},"reference-count":23,"publisher":"CSIRO Publishing","issue":"5","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":3649,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,10,7]]},"abstract":"<jats:p>Background: The Deadly Liver Mob project (DLM) is an incentive-based, peer-driven health promotion intervention for Aboriginal people, focusing on hepatitis C and offering education and screening for sexually transmissible infections (STI) and blood-borne viruses (BBV). This study aims to assess the DLM effect on attendance and STI\/BBV screening, describe BBV risk factors and report infection rates among Aboriginal people attending Western Sydney Sexual Health Centre (WSSHC). Methods: A retrospective review of Aboriginal clients during the first year of the DLM project was compared with Aboriginal clients who attended during the 5.3 years before implementation of the project. Data on attendance, screening rates, demographics, lifestyle information and STI\/BBV results were extracted. Results: There was a 10-fold increase in the number of Aboriginal people attending, via the DLM project (P &amp;lt; 0.01). The DLM group were more likely to be male (47 vs 28%), \u2265 35 years (46 vs 27%), report injecting drug use (IDU) (43 vs 26%), a history of incarceration (48 vs 24%) or unsafe tattooing (36 vs 16%) and have comprehensive STI\/BBV testing (85 vs 54%); (P &amp;lt; 0.01 for all). There were 79 positive results and 30 commenced hepatitis B vaccination in the DLM period, compared with 15 and 19, in the non-DLM period. Conclusions: The DLM project effectively increased sexual healthcare attendance and screening for Aboriginal people in Western Sydney. The DLM has fostered ongoing care and facilitated service engagement for individuals at high risk of contracting STIs and BBVs.<\/jats:p>","DOI":"10.1071\/sh15176","type":"journal-article","created":{"date-parts":[[2016,7,3]],"date-time":"2016-07-03T18:55:53Z","timestamp":1467572153000},"page":"457-464","source":"Crossref","is-referenced-by-count":21,"title":["Deadly Liver Mob: opening the door \u2013 improving sexual health pathways for Aboriginal people in Western Sydney"],"prefix":"10.1071","volume":"13","author":[{"given":"Karen","family":"Biggs","sequence":"first","affiliation":[{"name":"AWestern Sydney Sexual Health Centre, Western Sydney Local Health District, 162 Marsden Street, Parramatta, NSW 2150, Australia."},{"name":"BSydney Nursing School, University of Sydney, 88 Mallett Street, Camperdown, NSW 2050, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Walsh","sequence":"additional","affiliation":[{"name":"AWestern Sydney Sexual Health Centre, Western Sydney Local Health District, 162 Marsden Street, Parramatta, NSW 2150, Australia."},{"name":"DCorresponding author. Email: Jennifer.walsh@health.nsw.gov.au"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catriona","family":"Ooi","sequence":"additional","affiliation":[{"name":"AWestern Sydney Sexual Health Centre, Western Sydney Local Health District, 162 Marsden Street, Parramatta, NSW 2150, Australia."},{"name":"CSydney Medical School \u2013 Westmead, University of Sydney, NSW 2006, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"67","published-online":{"date-parts":[[2016,7,4]]},"reference":[{"key":"2026070101542656200_R1","unstructured":"Australian Indigenous HealthInfoNet. Overview of Australian Indigenous health status, 2014. Mt Lawley, WA: Australian Indigenous HealthInfoNet; 2015. Available online at: http:\/\/www.healthinfonet.ecu.edu.au\/health-facts\/overviews [verified 2 July 2015]."},{"key":"2026070101542656200_R2","unstructured":"The Kirby Institute. Bloodborne viral and sexually transmitted infections in Aboriginal and Torres Strait Islander people: annual surveillance report 2015. Sydney: The Kirby Institute, UNSW; 2015. Available online at: http:\/\/www.kirby.unsw.edu.au [verified 6 January 2016]."},{"key":"2026070101542656200_R3","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1071\/HE09195","article-title":"Enhancing Aboriginal and Torres Strait Islander young people\u2019s resilience to blood-borne and sexually transmitted infections: findings from a community-based participatory research project.","volume":"20","author":"Mooney-Somers","year":"2009","journal-title":"Health Promot J Austr"},{"key":"2026070101542656200_R4","doi-asserted-by":"publisher","first-page":"81","DOI":"10.1071\/PY11032","article-title":"Use of health services for sexually transmitted and blood-borne viral infections by young Aboriginal people in New South Wales.","volume":"19","author":"Ward","year":"2013","journal-title":"Aust J Primary Health"},{"key":"2026070101542656200_R5"},{"key":"2026070101542656200_R6","unstructured":"NSW Ministry of Health (NSW MoH). NSW HIV Strategy 2012\u20132015 a new era. Sydney: NSW MoH; 2012. Available online at: http:\/\/www.health.nsw.gov.au\/publications\/Publications\/nsw-hiv-strategy-2012-15.pdf [Verified March 2015]."},{"key":"2026070101542656200_R7"},{"key":"2026070101542656200_R8","unstructured":"NSW Ministry of Health. NSW Hepatitis B Strategy 2014\u20132020. Sydney: NSW MoH; 2014 Available online at: http:\/\/www.health.nsw.gov.au\/hepatitis\/Pages\/HepatitisBStrategy.aspx [verified 11 February 2016]."},{"key":"2026070101542656200_R9","unstructured":"NSW Ministry of Health. NSW Hepatitis C Strategy 2014\u20132020. Sydney: NSW MoH; 2014. Available online at: http:\/\/www.health.nsw.gov.au\/hepatitis\/Pages\/hepatitiscstrategy.aspx [verified 11 February 2016]."},{"key":"2026070101542656200_R10","unstructured":"NSW Government Land and Property Information. Atlas of New South Wales: Indigenous population. Sydney: NSW Government; 2015. Available online at: http:\/\/www.atlas.nsw.gov.au\/public\/nsw\/home\/topic\/article\/indigenous-population.html [verified 22 June 2015]."},{"key":"2026070101542656200_R11"},{"key":"2026070101542656200_R12","first-page":"42","article-title":"Harnessing peer networks as an instrument for AIDS prevention: results from a peer-driven intervention.","volume":"113","author":"Broadhead","year":"1998","journal-title":"Public Health Rep"},{"key":"2026070101542656200_R13","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1097\/00019514-199907040-00004","article-title":"Paying injection drug users to educate and recruit their peers: why participant-driven interventions are an ethical public health model.","volume":"7","author":"Hughes","year":"1999","journal-title":"Qual Manag Health Care"},{"key":"2026070101542656200_R14"},{"key":"2026070101542656200_R15","doi-asserted-by":"publisher","first-page":"60","DOI":"10.1071\/SH08091","article-title":"\u2018Show me the money\u2019: financial incentives increase chlamydia screening rates among tertiary students: a pilot study.","volume":"7","author":"Currie","year":"2010","journal-title":"Sex Health"},{"issue":"Suppl","key":"2026070101542656200_R16","doi-asserted-by":"publisher","first-page":"S33","DOI":"10.1016\/j.ypmed.2011.12.016","article-title":"Financial incentives for smoking cessation among pregnant and newly postpartum women.","volume":"55","author":"Higgins","year":"2012","journal-title":"Prev Med"},{"issue":"Suppl","key":"2026070101542656200_R17","doi-asserted-by":"publisher","first-page":"S2","DOI":"10.1016\/j.ypmed.2012.04.008","article-title":"Incentives and health: an introduction.","volume":"55","author":"Higgins","year":"2012","journal-title":"Prev Med"},{"key":"2026070101542656200_R18","doi-asserted-by":"publisher","first-page":"297","DOI":"10.1016\/j.ypmed.2013.04.013","article-title":"A randomised controlled trial of financial incentives to increase hepatitis B vaccination completion among people who inject drugs in Australia. Hepatitis Acceptability and Vaccine Incentives Trial (HAVIT) Study Group.","volume":"57","author":"Topp","year":"2013","journal-title":"Prev Med"},{"key":"2026070101542656200_R19","doi-asserted-by":"publisher","first-page":"261","DOI":"10.1186\/1471-2458-12-261","article-title":"Should young people be paid for getting tested? A national comparative study to evaluate patient financial incentives for chlamydia screening.","volume":"12","author":"Zenner","year":"2012","journal-title":"BMC Public Health"},{"key":"2026070101542656200_R20"},{"key":"2026070101542656200_R21","unstructured":"Australian Government, Department of Health and Ageing. National Male Health Policy: Building on the strengths of Australian males. Canberra: Commonwealth of Australia; 2010. Available online at http:\/\/www.health.gov.au\/internet\/main\/publishing.nsf\/Content\/7935AC78159969D4CA257BF0001C6B07\/$File\/MainDocument.pdf [verified 22 June 2015]."},{"key":"2026070101542656200_R22"},{"key":"2026070101542656200_R23","doi-asserted-by":"publisher","first-page":"458","DOI":"10.1071\/SH15061","article-title":"Hepatitis B screening and vaccination: how does a sexual health service measure up?","volume":"12","author":"McIver","year":"2015","journal-title":"Sex Health"}],"container-title":["Sexual Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/connectsci.au\/sh\/article-pdf\/13\/5\/457\/1942323\/sh15176.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/connectsci.au\/sh\/article-pdf\/13\/5\/457\/1942323\/sh15176.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T15:10:02Z","timestamp":1782918602000},"score":1,"resource":{"primary":{"URL":"https:\/\/connectsci.au\/sh\/article\/13\/5\/457\/273552\/Deadly-Liver-Mob-opening-the-door-improving-sexual"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,7,4]]},"references-count":23,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2016,10,7]]}},"URL":"https:\/\/doi.org\/10.1071\/sh15176","relation":{},"ISSN":["1448-5028","1449-8987"],"issn-type":[{"value":"1448-5028","type":"print"},{"value":"1449-8987","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,7,4]]}}}