Professor Rachel Skinner

Professor in Paediatrics & Child Health
Paediatrics & Child Health, Children's Hospital, Westmead

Telephone +61 2 9845 3377
Curriculum vitae Curriculum vitae

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Biographical details

Professor S. Rachel Skinner is a teaching and research academic in the Discipline of Paediatrics and Child Health, Sydney Medical School, Sydney University, and Adolescent Physician at the Children’s Hospital Westmead. She was promoted to A/Professor in 2011 and Professor in 2016. Her research program concerns the public health and psychosocial aspects of adolescent sexual and reproductive health and her research is notable for its cross-disciplinary nature, and for translation of findings into real world interventions with clear impact on health outcomes. Prof Skinner has established an international reputation for research relating to human papillomavirus (HPV) vaccine efficacy, and effectiveness and school vaccination programs; and for work on origins of early and risky sexual behaviour, contraception and early pregnancy in adolescents. Her research expertise however applies more broadly and as such she is invited to contribute to major research initiatives in adolescent health.

Prof Skinner has an expertise in the measurement and study of sexual risk behaviour in adolescence, with a focus on cohort studies; develop and evaluate interventions to promote adolescent health, using robust experimental methods, with careful process evaluation, including an extensive range of qualitative methods. Her research is informed by the participation of young people at each stage of the research process. She is experienced in the recruitment and retention of adolescent participants and in the ethical aspects of conducting sensitive research with this age group, and also has extensive expertise in interventions to promote vaccination through school based programs, and extensive experience in the clinical and epidemiological study of HPV vaccine impact on disease. She has secured nationally competitive grant funding (ARC or NHMRC) as CIA 4 times, and as co-CI another 6 times; is co-CI on 2 nationally competitive tenders; and is also a lead CI on international multi-centre vaccine trials. Prof Skinner has over78 peer review journal publications (H index 23), with 49 in the past 5 years. Her publications are in top tier journals such as Lancet, Lancet Oncology, Pediatrics, J Inf Diseases, Health Psych, J Adol Health, Vaccine. To date, four of her PhD students have completed, one is under review, and 4 are current. She is Chair of Sydney University’s Low Risk Health Ethics Committee; was a member of NHMRC GRPs in 2012-2013; and a member of ATAGI’s HPV Working Party 2014-2015.

Research interests

Prof Skinner's current research program spans several areas within the field of sexual and reproductive health, including 1) teenage pregnancy, condom and contraception use, 2) the correlates and antecedents of teenage sexual risk taking, 3) knowledge and acceptability, and promotion of HPV vaccination in school based and clinic vaccination programs in Australia, and 3) clinical trials of HPV vaccines.

Her research methods expertise is broad based and includes quantitative approaches such as longitudinal cohort studies, large cross-sectional surveys, community based health promotion interventions and qualitative research. Much of the subject area of her work (teenage sexuality, behaviour and education) is highly sensitive, and has specific ethical challenges.

Current projects

HPV vaccination

Prof Skinner is a principal investigator on two major international phase III clinical trial evaluations of the efficacy of the bivalent HPV vaccine, Cervarix, in adolescents, young adult (the PATRICIA trial) and older women (the VIVIANE trial). These findings of the PATRICIA, along with Merck’s FUTURE trials, have led to adoption of nationally funded HPV vaccination programs across the globe. Prof Skinner currently participates in several of the major evaluations of this vaccination program in Australia, which has demonstrated as a first, the substantial impact the vaccine has had on HPV infection in our population. Since the start of PATRICIA in 2004, and VIVIANE in 2005, she has played an increasing leadership role in the studies and their dissemination. Prof Skinner is a leading or co-investigator on a series of studies on HPV and HPV vaccination in Australia. She has developed an intervention to promote school based HPV vaccination uptake and knowledge and understanding of HPV and HPV vaccines in young people (NHMRC1026765). She has worked with colleagues on the impact of the HPV vaccination in young Australian women (NHMRC628754) with marked reduction in vaccine genotype prevalence, reduction in non-vaccine types and herd immunity. It supported commonwealth funding to broaden the study to indigenous women. She is co-investigator on an ARC grant (LP100200007) to explore relationships between the education and health sectors in the implementation of school based vaccination programs, which has led to a MOU between government health and education sectors around school based vaccination. In recognition of her expertise and work in HPV vaccines, she has been invited to be a member of the HPV Working Party for Australian Technical Advisory Group on Immunisation. This committee advises on changes to Australia’s HPV immunisation program.

Adolescent sexual and reproductive health

Prof Skinner's research on sexual health of young people has explored the childhood origins of sexual and other risk taking behaviour in adolescence, and has contributed unique understandings into why teenagers engage in sexual and other health risk behaviour; why they have unplanned pregnancies, use or don’t use protection, and contract sexually transmitted infections (STIs). Her work has helped to provide insights into how we can develop innovative intervention strategies, promote more effective contraception use and reduce adverse outcomes in teenage mothers. These are important and unique studies, given the ethical sensitivities of studying sexual behaviour in adolescents, and the challenges in recruiting and retaining this age group in research. In recognition of the importance of this work, she has been invited to contribute to state and national discussions about adolescent health policy and research. For example, the WA Clinical Senate on youth sexual health, in Perth 2012, hosted by WA Health Department; the Child and Youth Wellbeing Research Round Table, Melbourne, March 2014, hosted by the Australian Research Alliance on Child and Adolescent Health; invited keynote at the International Congress of Pediatrics 2013 on the topic of adolescent sexual risk behaviour; policy writing group for Royal Australasian College of Physicians policy statement on Sexual and Reproductive Health of Young People. Prof Skinner is a CI and contribute to Professor Kate Steinbeck's ARCHER study - a longitudinal study of puberty in rural adolescents, and a CI on an NHMRC project grant application led by CIA Richard Mattick, from the National Drug and Alcohol Research Centre, to study determinants of cannabis use in young people. She was nominated to the editorial board of the Journal of Infectious Diseases. Prof Skinner is also lead CI on a Australian Research Council Discovery Project looking at the online and offline social networks and the development of sexual agency in young people. She has been an NHMRC grant review panel member 2012-2013,and an external reviewer of many project grant applications for NHMRC and UK’s MRC. Prof Skinner has been invited to contribute to the Society of Adolescent Medicine’s Policy Statement on Immunisation School Entry Requirements for HPV vaccination. She served as a member of one of the main ethics committees at Sydney University, for 2 years and for the past 18 months, she has been Chair of the newly created Low Risk Health Sub-committee.

Awards and honours

Public Health Research Scholarship - NHMRC (1997-2000)

Kate Campbell Travelling Scholarship -Royal Children’s Hospital (2000)

Research Registrar in Adolescent Medicine - Princess Margaret Hospital Foundation (2003)

CSL Immunisation Travel Grant - Royal Australasian College of Physicians 2005

PhD and master's project opportunities

Selected grants

2015

  • Online and offline social networks and the development of sexual agency; Skinner R, Albury K, Chung K, Cooper S, Lim M; Australian Research Council (ARC)/Discovery Projects (DP).
  • Safe Schools Coalition Australia; Robinson K, Skinner R, Davies C, Ullman J; Foundation for Young Australians/Research Grant.

2012

  • Randomised Controlled Evaluation of a Complex Intervention to Promote Uptake of School-based HPV Vaccination; Skinner R, Cooper S, McCaffery K, Zimet G, McGeechan K, Whyte P, Regan D, Marshall H, Stoney T; National Health and Medical Research Council (NHMRC)/Project Grants.

2011

  • Adolescents & Parents Shared Decision-Making about HPV Vaccination; McCaffery K, Cooper S, Skinner R; BUPA Foundation (Australia) Limited/Expression of Interest Grants Program.
  • Adolescent Rural Cohort Study Hormones, Health, Education, Environments and Relationships; Steinbeck K, Hawke C, Hazell P, Skinner R, Ivers R, Booy R, Cumming R, Fulcher G; National Health and Medical Research Council (NHMRC)/Project Grants.

2010

  • Childhood determinants of risky sexual behaviour in adolescence: a prospective cohort study; Skinner R, Smith A, Hickey M, Mattes E, Doherty D, Rosenthal S, Cooper S; National Health and Medical Research Council (NHMRC)/Project Grants.

Selected publications

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Book Chapters

  • Kang, M., Skinner, R., Bateson, D. (2013). Adolescent Sexuality, Sexual and Reproductive Health. In Kate Steinbeck, Michael Kohn (Eds.), A Clinical Handbook in Adolescent Medicine: A Guide for Health Professionals Who Work with Adolescents and Young Adults, (pp. 307-332). Singapore: World Scientific Publishing.
  • Williams, H., Kang, M., Skinner, R. (2013). Sexual and reproductive health. In M Kang, S Rachel Skinner, L A Sanci and S M Sawyer (Eds.), Youth Health and Adolescent Medicine, (pp. 192-214). Melbourne: IP Communications.
  • Skinner, R., Parsons, A., Kang, M., Williams, H., Fairley, C. (2009). Young people and sexually transmitted infections. In Bennet, D; Towns, S; Elliot, E; Merrick, J. (Eds.), Challenges in Adolescent Health: An Australian Perspective, (pp. 205-215). United States: Nova Science Publishers.

Journals

  • Skinner, R., Robinson, M., Smith, M., Cooper, S., Mattes, E., Cannon, J., Rosenthal, S., Marino, J., Hickey, M., Doherty, D. (2015). Childhood behavior problems and age at first sexual intercourse: a prospective birth cohort study. Pediatrics, 135(2), 255-263. [More Information]
  • Kreimer, A., Struyf, F., Del Rosario-Raymundo, M., Hildesheim, A., Skinner, R., Wacholder, S., Garland, S., Herrero, R., David, M., Wheeler, C. (2015). Efficacy of fewer than three doses of an HPV-16/18 AS04-adjuvanted vaccine: combined analysis of data from the Costa Rica Vaccine and PATRICIA trials. Lancet Oncology, 16(7), 775-786. [More Information]
  • Apter, D., Wheeler, C., Paavonen, J., Castellsague, X., Garland, S., Skinner, R., Naud, P., Salmeron, J., Chow, S., Kitchener, H., et al (2015). Efficacy of human papillomavirus 16 and 18 (HPV-16/18) AS04-adjuvanted vaccine against cervical infection and precancer in young women: final event-driven analysis of the randomized, double-blind PATRICIA trial. Clinical and Vaccine Immunology, 22(4), 361-373. [More Information]
  • Braunack-Mayer, A., Skinner, R., Collins, J., Tooher, R., Proeve, C., O'Keefe, M., Burgess, T., Watson, M., Marshall, H. (2015). Ethical Challenges in School-Based Immunization Programs for Adolescents: A Qualitative Study. American Journal of Public Health, 105(7), 1399-1403. [More Information]
  • Struyf, F., Colau, B., Wheeler, C., Naud, P., Garland, S., Quint, W., Chow, S., Salmeron, J., Lehtinen, M., Del Rosario-Raymundo, M., Skinner, R., et al (2015). Post hoc analysis of the PATRICIA randomized trial of the efficacy of human papillomavirus type 16 (HPV-16)/HPV-18 AS04-adjuvanted vaccine against incident and persistent infection with nonvaccine oncogenic HPV types using an alternative multiplex type-specific PCR assay for HPV DNA. Clinical and Vaccine Immunology, 22(2), 235-244. [More Information]
  • Hayles, E., Cooper, S., Wood, N., Sinn, J., Skinner, R. (2015). What predicts postpartum pertussis booster vaccination? A controlled intervention trial. Vaccine, 33(1), 228-236. [More Information]
  • Tabrizi, S., Brotherton, J., Kaldor, J., Skinner, R., Liu, B., Bateson, D., McNamee, K., Garefalakis, M., Phillips, S., Cummins, E., et al (2014). Assessment of herd immunity and cross-protection after a human papillomavirus vaccination programme in Australia: a repeat cross-sectional study. The Lancet Infectious Diseases, 14(10), 958-966. [More Information]
  • Skinner, R., Szarewski, A., Romanowski, B., Garland, S., Lazcano-Ponce, E., Salmeron, J., Del Rosario-Raymundo, M., Verheijen, R., Quek, S., da Silva, D., et al (2014). Efficacy, safety, and immunogenicity of the human papillomavirus 16/18 AS04-adjuvanted vaccine in women older than 25 years: 4-year interim follow-up of the phase 3, double-blind, randomised controlled VIVIANE study. The Lancet, 384(9961), 2213-2227. [More Information]
  • Marshall, H., Proeve, C., Collins, J., Tooher, R., OKeef, M., Burgess, T., Skinner, R., Watson, M., Ashmeade, H., Braunack-Mayer, A. (2014). Eliciting youth and adult recommendations through citizens' juries to improve school based adolescent immunisation programs. Vaccine, 32, 2434-2440. [More Information]
  • Castellsague, X., Paavonen, J., Jaisamrarn, U., Wheeler, C., Skinner, R., Lehtinen, M., Naud, P., Chow, S., Del Rosario-Raymundo, M., Teixeira, J., et al (2014). Risk of first cervical HPV infection and pre-cancerous lesions after onset of sexual activity: analysis of women in the control arm of the randomized, controlled PATRICIA trial. BMC Infectious Diseases, 14(1), 1-12. [More Information]
  • Castellsague, X., Naud, P., Chow, S., Wheeler, C., Germar, M., Lehtinen, M., Paavonen, J., Jaisamrarn, U., Garland, S., Salmeron, J., Skinner, R., et al (2014). Risk of Newly Detected Infections and Cervical Abnormalities in Women Seropositive for Naturally Acquired Human Papillomavirus Type 16/18 Antibodies: Analysis of the Control Arm of PATRICIA. The Journal of Infectious Diseases, 210(4), 517-534. [More Information]
  • Kang, M., Rochford, A., Skinner, R., Mindel, A., Webb, M., Peat, J., Usherwood, T. (2014). Sexual behaviour, sexually transmitted infections and attitudes to chlamydia testing among a unique national sample of young Australians: baseline data from a randomised controlled trial. BMC Public Health, 14(12), 1-12. [More Information]
  • Silins, E., Horwood, L., Patton,, G., Fergusson, D., Olsson, C., Hutchinson, D., Spry, E., Toumbourou, J., Degenhardt, L., Swift, W., Skinner, R., et al (2014). Young adult sequelae of adolescent cannabis use: An integrative analysis. The Lancet Psychiatry, 1(4), 286-293. [More Information]
  • Marino, J., Skinner, R., Doherty, D., Rosenthal, S., Cooper, S., Cannon, J., Hickey, M. (2013). Age at menarche and age at first sexual intercourse: A prospective cohort study. Pediatrics, 132(6), 1028-1036. [More Information]
  • Smith, J., Skinner, R., Fenwick, J. (2013). Preconception reflections, postconception intentions: The before and after of birth control in Australian adolescent females. Sexual Health, 10(4), 332-338. [More Information]
  • Cooper, S., Rawsthorne, M., Paxton, K., Hawke, C., Skinner, R., Steinbeck, K. (2012). "You Can Help People": Adolescents' Views on Engaging Young People in Longitudinal Research. Journal of Research on Adolescence, 22(1), 8-13. [More Information]
  • Wheeler, C., Castellsague, X., Garland, S., Szarewski, A., Paavonen, J., Naud, P., Salmeron, J., Chow, S., Apter, D., Kitchener, H., Skinner, R., et al (2012). Cross-protective efficacy of HPV-16/18 AS04-adjuvanted vaccine against cervical infection and precancer caused by non-vaccine oncogenic HPV types: 4-year end-of-study analysis of the randomised, double-blind PATRICIA trial. The Lancet Oncology, 13(1), 100-110. [More Information]
  • Szarewski, A., Poppe, W., Skinner, R., Wheeler, C., Paavonen, J., Naud, P., Salmeron, J., Chow, S., Apter, D., Kitchener, H., et al (2012). Efficacy of the human papillomavirus (HPV)-16/18 AS04-adjuvanted vaccine in women aged 15-25 years with and without serological evidence of previous exposure to HPV-16/18. International Journal of Cancer, 131(1), 106-116. [More Information]
  • Kang, M., Rochford, A., Skinner, R., Mindel, A., Webb, M., Peat, J., Usherwood, T. (2012). Facilitating chlamydia testing among young people: a randomised controlled trial in cyberspace. Sexually Transmitted Infections, 88(8), 568-573. [More Information]
  • Tabrizi, S., Brotherton, J., Kaldor, J., Skinner, R., Cummins, E., Liu, B., Bateson, D., McNamee, K., Garefalakis, M., Garland, S. (2012). Fall in Human Papillomavirus Prevalence Following a National Vaccination Program. The Journal of Infectious Diseases, 206(11), 1645-1651. [More Information]
  • Cooper, S., Skinner, R. (2012). One giant leap towards Australian adolescents’ understanding of the human papillomavirus vaccine. Expert Review of Obstetrics and Gynecology, 7(2), 135-140. [More Information]
  • Lehtinen, M., Paavonen, J., Wheeler, C., Jaisamrarn, U., Garland, S., Castellsague, X., Skinner, R., Apter, D., Naud, P., Salmeron, J., Mindel, A., et al (2012). Overall efficacy of HPV-16/18 AS04-adjuvanted vaccine against grade 3 or greater cervical intraepithelial neoplasia: 4-year end-of-study analysis of the randomised, double-blind PATRICIA trial. The Lancet Oncology, 13(1), 89-99. [More Information]
  • Smith, J., Skinner, R., Fenwick, J. (2012). Perceptions of teen motherhood in Australian adolescent females: Life-line or lifederailment. Women and Birth, 25(4), 181-186. [More Information]
  • Roset Bahmanyar, E., Paavonen, J., Naud, P., Salmeron, J., Chow, S., Apter, D., Kitchener, H., Castellsague, X., Teixeira, J., Skinner, R., et al (2012). Prevalence and risk factors for cervical HPV infection and abnormalities in young adult women at enrolment in the multinational PATRICIA trial. Gynecologic Oncology, 127(3), 440-450. [More Information]
  • Hendriks, J., Fyfe, S., Styles, I., Skinner, R., Merriman, G. (2012). Scale construction utilising the Rasch unidimensional measurement model: A measurement of adolescent attitudes towards abortion. The Australasian Medical Journal, 5(5), 251-261. [More Information]
  • Steinbeck, K., Hazell, P., Cumming, R., Skinner, R., Ivers, R., Booy, R., Fulcher, G., Handelsman, D., Martin, A., Morgan, G., Starling, J., Bauman, A., Rawsthorne, M., Chow, C., Lam, M., Kelly, P., Paxton, K., Hawke, C., et al (2012). The study design and methodology for the ARCHER Study - Adolescent Rural Cohort Study of Hormones, Health, Education, Environments and Relationships. BMC Pediatrics, 12, 1-10. [More Information]
  • Garland, S., Skinner, R., Brotherton, J. (2011). Adolescent and young adult HPV vaccination in Australia: achievements and challenges. Preventive Medicine, 53, s29-s35. [More Information]
  • Yin, K., Wang, H., Skinner, R., Salkeld, G., Booy, R. (2011). Assessing seasonal vaccine-related cross-protection from 2009 pandemic H1N1 influenza through teacher absenteeism. Australian and New Zealand Journal of Public Health, 35(4), 393-394. [More Information]
  • Skinner, R., Allen, D., Trottier, H., Ronsse, V., Castellsague, X. (2011). Benefits of vaccinating young adult women against cervical cancer: A review of the evidence. Gynecologic Oncology, 121(2), S10-S20. [More Information]
  • Smith, J., Skinner, R., Fenwick, J. (2011). How Australian Female Adolescents Prioritize Pregnancy Protection: A Grounded Theory Study of Contraceptive Histories. Journal of Adolescent Research, 26(5), 617-644. [More Information]
  • Cooper, S., Ward, K., Skinner, R. (2011). School-based vaccination: A systematic review of process evaluations. Vaccine, 29(52), 9588-9599. [More Information]
  • Bernard, D., Cooper, S., McCaffery, K., Scott, C., Skinner, R. (2011). The domino effect: adolescent girls' response to human papillomavirus vaccination. Medical Journal of Australia, 194(6), 297-300. [More Information]
  • Smith, J., Fenwick, J., Skinner, R., Merriman, G., Hallett, J. (2011). Young males' perspectives on pregnancy, Fatherhood and Condom Use: Where Does Responsibility for Birth Control Lie? Sexual and Reproductive HealthCare, 2(1), 37-42. [More Information]
  • Cooper, S., Bernard, D., McCaffery, K., Brotherton, J., Skinner, R. (2010). "I just signed": Factors influencing decision-making for school-based HPV vaccination of adolescent girls. Health Psychology, 29(6), 618-625. [More Information]
  • Cooper, S., Bernard, D., McCaffery, K., Brotherton, J., Garland, S., Skinner, R. (2010). "Is cancer contagious?": Australian adolescent girls and their parents: making the most of limited information about HPV and HPV vaccination. Vaccine, 28(19), 3398-3408. [More Information]
  • Cooper, S., Bernard, D., McCaffery, K., Skinner, R. (2010). 'It's a logistical nightmare!' Recommendations for optimising human papillomavirus school-based vaccination experience. Sexual Health, 7(3), 271-278. [More Information]
  • Lewis, L., Doherty, D., Hickey, M., Skinner, R. (2010). Implanon as a contraceptive choice for teenage mothers: a comparison of contraceptive choices, acceptability and repeat pregnancy. Contraception, 81(5), 421-426. [More Information]
  • Kang, M., Skinner, R., Usherwood, T. (2010). Interventions for young people in Australia to reduce HIV and sexually transmissible infections: a systematic review. Sexual Health, 7(2), 107-128. [More Information]
  • Lewis, L., Doherty, D., Hickey, M., Skinner, R. (2010). Predictors of sexual intercourse and rapid-repeat pregnancy among teenage mothers: an Australian prospective longitudinal study. Medical Journal of Australia, 193(6), 338-342. [More Information]
  • Smith, J., Fenwick, J., Skinner, R., Hallet, J., Merriman, G., Marshall, L. (2010). Sex, Condoms and Sexually Transmissible Infections: A Qualitative Study of Sexual Health in Young Australian Men. Archives of Sexual Behavior, Volume 41, Issue 2, April 2012, Pages 487-495, 1-9. [More Information]
  • Skinner, R., Cooper, S. (2010). Voluntary school-based human papillomavirus vaccination: an efficient and acceptable model for achieving high vaccine coverage in adolescents. The Journal of Adolescent Health, 47(3), 215-218. [More Information]
  • Cooper, S., Skinner, R. (2009). Clarifying the importance of HPV vaccination. Singapore Medical Journal, 50(8), 841-2; author reply 843. [More Information]
  • Paavonen, J., Naud, P., Salmeron, J., Wheeler, C., Chow, S., Apter, D., Kitchener, H., Castellsague, X., Teixeira, J., Skinner, R. (2009). Efficacy of human papillomavirus (HPV)-16/18 AS04-adjuvanted vaccine against cervical infection and precancer caused by oncogenic HPV types (PATRICIA): final analysis of a double-blind, randomised study in young women. The Lancet, 374(9686), 301-314. [More Information]
  • Lewis, L., Hickey, M., Doherty, D., Skinner, R. (2009). How do pregnancy outcomes differ in teenage mothers? A Western Australian study. Medical Journal of Australia, 190(10), 537-541. [More Information]
  • Weisberg, E., Bateson, D., McCaffery, K., Skinner, R. (2009). HPV vaccination catch up program - utilisation by young Australian women. Australian Family Physician, 38(1-2), 72-76. [More Information]
  • Cooper, S., Skinner, R. (2009). Letter to the Editor: clarifying the importance of HPV Vaccination. Singapore Medical Journal, 50(8), 841-842.
  • Skinner, R., Smith, J., Fenwick, J., Hendricks, J., Fyfe, S., Kendall, G. (2009). Pregnancy and protection: perceptions, attitudes and experiences of Australian female adolescents. Women and Birth, 22(2), 50-56. [More Information]
  • Garland, S., Brotherton, J., Skinner, R., Pitts, M., Saville, A., Mola, G., Jones, R. (2008). Human Papillomavirus and Cervical Cancer in Australasia and Oceania: Risk-factors, Epidemiology and Prevention. Vaccine, 26(Supplement 12), M80-M88. [More Information]
  • Garland, S., Brotherton, J., Skinner, R., Pitts, M., Saville, M., Mola, G., Jones, R. (2008). Human papillomavirus and cervical cancer in Australasia and Oceania: risk-factors, epidemiology and prevention. Vaccine, 26, M80-8. [More Information]
  • Skinner, R., Garland, S., Stanley, M., Pitts, M., Quinn, M. (2008). Human papillomavirus vaccination for the prevention of cervical neoplasia: is it appropriate to vaccinate women older than 26? Medical Journal of Australia, 188(4), 238-242. [More Information]
  • Skinner, R., Smith, J., Fenwick, J., Fyfe, S., Hendriks, J. (2008). Perceptions and Experiences of First Sexual Intercourse in Australian Adolescent Females. Journal of Adolescent Health, 43(6), 593-599. [More Information]
  • Skinner, R., Brotherton, J. (2008). Sexual risk assessment is not helpful for recommendations on human papillomavirus vaccination. Therapy, 5(3), 283-287.
  • Paavonen, J., Jenkins, D., Bosch, F., Naud, P., Salmeron, J., Wheeler, C., Chow, S., Apter, D., Kitchener, H., Castellsague, X., Skinner, R., et al (2007). Efficacy of a prophylactic adjuvanted bivalent L1 virus-like-particle vaccine against infection with human papillomavirus types 16 and 18 in young women: an interim analysis of a phase III double-blind, randomised controlled trial. The Lancet, 369(9580), 2161-2170. [More Information]
  • Kang, M., Skinner, R., Foran, T. (2007). Sex, contraception and health. Australian Family Physician, 36(8), 594-600. [More Information]
  • Skinner, R., Parsons, A., Kang, M., Williams, H., Fairley, C. (2007). Sexually transmitted infections. Initiatives for prevention. International Journal of Adolescent Medicine and Health, 19(3), 285-294. [More Information]
  • Skinner, R., Kang, M., Rosenthal, S. (2007). Vaccinating young adults against human papillomavirus: the importance of understanding health decision-making and behaviour. Sexual Health, 4(2), 129-132. [More Information]
  • Skinner, R., Kang, M. (2006). Human papillomavirus prevalence in Canberra high school students: significance for vaccination strategies and adolescent health[Letter]. Sexual Health, 3, 299-300. [More Information]
  • Skinner, R., Ng, C., McDonald, A., Walters, T. (2005). A patient with autism and severe depression: medical and ethical challenges for an adolescent medicine unit. Medical Journal of Australia. [More Information]
  • Payne, D., Martin, C., Viner, R., Skinner, R. (2005). Adolescent medicine in paediatric practice. Archives of Disease in Childhood, 90, 1133-1137. [More Information]
  • Skinner, R., Hickey, M. (2003). Current priorities for adolescent sexual and reproductive health in Australia. Medical Journal of Australia, 179, 158-161.

2015

  • Skinner, R., Robinson, M., Smith, M., Cooper, S., Mattes, E., Cannon, J., Rosenthal, S., Marino, J., Hickey, M., Doherty, D. (2015). Childhood behavior problems and age at first sexual intercourse: a prospective birth cohort study. Pediatrics, 135(2), 255-263. [More Information]
  • Kreimer, A., Struyf, F., Del Rosario-Raymundo, M., Hildesheim, A., Skinner, R., Wacholder, S., Garland, S., Herrero, R., David, M., Wheeler, C. (2015). Efficacy of fewer than three doses of an HPV-16/18 AS04-adjuvanted vaccine: combined analysis of data from the Costa Rica Vaccine and PATRICIA trials. Lancet Oncology, 16(7), 775-786. [More Information]
  • Apter, D., Wheeler, C., Paavonen, J., Castellsague, X., Garland, S., Skinner, R., Naud, P., Salmeron, J., Chow, S., Kitchener, H., et al (2015). Efficacy of human papillomavirus 16 and 18 (HPV-16/18) AS04-adjuvanted vaccine against cervical infection and precancer in young women: final event-driven analysis of the randomized, double-blind PATRICIA trial. Clinical and Vaccine Immunology, 22(4), 361-373. [More Information]
  • Braunack-Mayer, A., Skinner, R., Collins, J., Tooher, R., Proeve, C., O'Keefe, M., Burgess, T., Watson, M., Marshall, H. (2015). Ethical Challenges in School-Based Immunization Programs for Adolescents: A Qualitative Study. American Journal of Public Health, 105(7), 1399-1403. [More Information]
  • Struyf, F., Colau, B., Wheeler, C., Naud, P., Garland, S., Quint, W., Chow, S., Salmeron, J., Lehtinen, M., Del Rosario-Raymundo, M., Skinner, R., et al (2015). Post hoc analysis of the PATRICIA randomized trial of the efficacy of human papillomavirus type 16 (HPV-16)/HPV-18 AS04-adjuvanted vaccine against incident and persistent infection with nonvaccine oncogenic HPV types using an alternative multiplex type-specific PCR assay for HPV DNA. Clinical and Vaccine Immunology, 22(2), 235-244. [More Information]
  • Hayles, E., Cooper, S., Wood, N., Sinn, J., Skinner, R. (2015). What predicts postpartum pertussis booster vaccination? A controlled intervention trial. Vaccine, 33(1), 228-236. [More Information]

2014

  • Tabrizi, S., Brotherton, J., Kaldor, J., Skinner, R., Liu, B., Bateson, D., McNamee, K., Garefalakis, M., Phillips, S., Cummins, E., et al (2014). Assessment of herd immunity and cross-protection after a human papillomavirus vaccination programme in Australia: a repeat cross-sectional study. The Lancet Infectious Diseases, 14(10), 958-966. [More Information]
  • Skinner, R., Szarewski, A., Romanowski, B., Garland, S., Lazcano-Ponce, E., Salmeron, J., Del Rosario-Raymundo, M., Verheijen, R., Quek, S., da Silva, D., et al (2014). Efficacy, safety, and immunogenicity of the human papillomavirus 16/18 AS04-adjuvanted vaccine in women older than 25 years: 4-year interim follow-up of the phase 3, double-blind, randomised controlled VIVIANE study. The Lancet, 384(9961), 2213-2227. [More Information]
  • Marshall, H., Proeve, C., Collins, J., Tooher, R., OKeef, M., Burgess, T., Skinner, R., Watson, M., Ashmeade, H., Braunack-Mayer, A. (2014). Eliciting youth and adult recommendations through citizens' juries to improve school based adolescent immunisation programs. Vaccine, 32, 2434-2440. [More Information]
  • Castellsague, X., Paavonen, J., Jaisamrarn, U., Wheeler, C., Skinner, R., Lehtinen, M., Naud, P., Chow, S., Del Rosario-Raymundo, M., Teixeira, J., et al (2014). Risk of first cervical HPV infection and pre-cancerous lesions after onset of sexual activity: analysis of women in the control arm of the randomized, controlled PATRICIA trial. BMC Infectious Diseases, 14(1), 1-12. [More Information]
  • Castellsague, X., Naud, P., Chow, S., Wheeler, C., Germar, M., Lehtinen, M., Paavonen, J., Jaisamrarn, U., Garland, S., Salmeron, J., Skinner, R., et al (2014). Risk of Newly Detected Infections and Cervical Abnormalities in Women Seropositive for Naturally Acquired Human Papillomavirus Type 16/18 Antibodies: Analysis of the Control Arm of PATRICIA. The Journal of Infectious Diseases, 210(4), 517-534. [More Information]
  • Kang, M., Rochford, A., Skinner, R., Mindel, A., Webb, M., Peat, J., Usherwood, T. (2014). Sexual behaviour, sexually transmitted infections and attitudes to chlamydia testing among a unique national sample of young Australians: baseline data from a randomised controlled trial. BMC Public Health, 14(12), 1-12. [More Information]
  • Silins, E., Horwood, L., Patton,, G., Fergusson, D., Olsson, C., Hutchinson, D., Spry, E., Toumbourou, J., Degenhardt, L., Swift, W., Skinner, R., et al (2014). Young adult sequelae of adolescent cannabis use: An integrative analysis. The Lancet Psychiatry, 1(4), 286-293. [More Information]

2013

  • Kang, M., Skinner, R., Bateson, D. (2013). Adolescent Sexuality, Sexual and Reproductive Health. In Kate Steinbeck, Michael Kohn (Eds.), A Clinical Handbook in Adolescent Medicine: A Guide for Health Professionals Who Work with Adolescents and Young Adults, (pp. 307-332). Singapore: World Scientific Publishing.
  • Marino, J., Skinner, R., Doherty, D., Rosenthal, S., Cooper, S., Cannon, J., Hickey, M. (2013). Age at menarche and age at first sexual intercourse: A prospective cohort study. Pediatrics, 132(6), 1028-1036. [More Information]
  • Smith, J., Skinner, R., Fenwick, J. (2013). Preconception reflections, postconception intentions: The before and after of birth control in Australian adolescent females. Sexual Health, 10(4), 332-338. [More Information]
  • Williams, H., Kang, M., Skinner, R. (2013). Sexual and reproductive health. In M Kang, S Rachel Skinner, L A Sanci and S M Sawyer (Eds.), Youth Health and Adolescent Medicine, (pp. 192-214). Melbourne: IP Communications.

2012

  • Cooper, S., Rawsthorne, M., Paxton, K., Hawke, C., Skinner, R., Steinbeck, K. (2012). "You Can Help People": Adolescents' Views on Engaging Young People in Longitudinal Research. Journal of Research on Adolescence, 22(1), 8-13. [More Information]
  • Wheeler, C., Castellsague, X., Garland, S., Szarewski, A., Paavonen, J., Naud, P., Salmeron, J., Chow, S., Apter, D., Kitchener, H., Skinner, R., et al (2012). Cross-protective efficacy of HPV-16/18 AS04-adjuvanted vaccine against cervical infection and precancer caused by non-vaccine oncogenic HPV types: 4-year end-of-study analysis of the randomised, double-blind PATRICIA trial. The Lancet Oncology, 13(1), 100-110. [More Information]
  • Szarewski, A., Poppe, W., Skinner, R., Wheeler, C., Paavonen, J., Naud, P., Salmeron, J., Chow, S., Apter, D., Kitchener, H., et al (2012). Efficacy of the human papillomavirus (HPV)-16/18 AS04-adjuvanted vaccine in women aged 15-25 years with and without serological evidence of previous exposure to HPV-16/18. International Journal of Cancer, 131(1), 106-116. [More Information]
  • Kang, M., Rochford, A., Skinner, R., Mindel, A., Webb, M., Peat, J., Usherwood, T. (2012). Facilitating chlamydia testing among young people: a randomised controlled trial in cyberspace. Sexually Transmitted Infections, 88(8), 568-573. [More Information]
  • Tabrizi, S., Brotherton, J., Kaldor, J., Skinner, R., Cummins, E., Liu, B., Bateson, D., McNamee, K., Garefalakis, M., Garland, S. (2012). Fall in Human Papillomavirus Prevalence Following a National Vaccination Program. The Journal of Infectious Diseases, 206(11), 1645-1651. [More Information]
  • Cooper, S., Skinner, R. (2012). One giant leap towards Australian adolescents’ understanding of the human papillomavirus vaccine. Expert Review of Obstetrics and Gynecology, 7(2), 135-140. [More Information]
  • Lehtinen, M., Paavonen, J., Wheeler, C., Jaisamrarn, U., Garland, S., Castellsague, X., Skinner, R., Apter, D., Naud, P., Salmeron, J., Mindel, A., et al (2012). Overall efficacy of HPV-16/18 AS04-adjuvanted vaccine against grade 3 or greater cervical intraepithelial neoplasia: 4-year end-of-study analysis of the randomised, double-blind PATRICIA trial. The Lancet Oncology, 13(1), 89-99. [More Information]
  • Smith, J., Skinner, R., Fenwick, J. (2012). Perceptions of teen motherhood in Australian adolescent females: Life-line or lifederailment. Women and Birth, 25(4), 181-186. [More Information]
  • Roset Bahmanyar, E., Paavonen, J., Naud, P., Salmeron, J., Chow, S., Apter, D., Kitchener, H., Castellsague, X., Teixeira, J., Skinner, R., et al (2012). Prevalence and risk factors for cervical HPV infection and abnormalities in young adult women at enrolment in the multinational PATRICIA trial. Gynecologic Oncology, 127(3), 440-450. [More Information]
  • Hendriks, J., Fyfe, S., Styles, I., Skinner, R., Merriman, G. (2012). Scale construction utilising the Rasch unidimensional measurement model: A measurement of adolescent attitudes towards abortion. The Australasian Medical Journal, 5(5), 251-261. [More Information]
  • Steinbeck, K., Hazell, P., Cumming, R., Skinner, R., Ivers, R., Booy, R., Fulcher, G., Handelsman, D., Martin, A., Morgan, G., Starling, J., Bauman, A., Rawsthorne, M., Chow, C., Lam, M., Kelly, P., Paxton, K., Hawke, C., et al (2012). The study design and methodology for the ARCHER Study - Adolescent Rural Cohort Study of Hormones, Health, Education, Environments and Relationships. BMC Pediatrics, 12, 1-10. [More Information]

2011

  • Garland, S., Skinner, R., Brotherton, J. (2011). Adolescent and young adult HPV vaccination in Australia: achievements and challenges. Preventive Medicine, 53, s29-s35. [More Information]
  • Yin, K., Wang, H., Skinner, R., Salkeld, G., Booy, R. (2011). Assessing seasonal vaccine-related cross-protection from 2009 pandemic H1N1 influenza through teacher absenteeism. Australian and New Zealand Journal of Public Health, 35(4), 393-394. [More Information]
  • Skinner, R., Allen, D., Trottier, H., Ronsse, V., Castellsague, X. (2011). Benefits of vaccinating young adult women against cervical cancer: A review of the evidence. Gynecologic Oncology, 121(2), S10-S20. [More Information]
  • Smith, J., Skinner, R., Fenwick, J. (2011). How Australian Female Adolescents Prioritize Pregnancy Protection: A Grounded Theory Study of Contraceptive Histories. Journal of Adolescent Research, 26(5), 617-644. [More Information]
  • Cooper, S., Ward, K., Skinner, R. (2011). School-based vaccination: A systematic review of process evaluations. Vaccine, 29(52), 9588-9599. [More Information]
  • Bernard, D., Cooper, S., McCaffery, K., Scott, C., Skinner, R. (2011). The domino effect: adolescent girls' response to human papillomavirus vaccination. Medical Journal of Australia, 194(6), 297-300. [More Information]
  • Smith, J., Fenwick, J., Skinner, R., Merriman, G., Hallett, J. (2011). Young males' perspectives on pregnancy, Fatherhood and Condom Use: Where Does Responsibility for Birth Control Lie? Sexual and Reproductive HealthCare, 2(1), 37-42. [More Information]

2010

  • Cooper, S., Bernard, D., McCaffery, K., Brotherton, J., Skinner, R. (2010). "I just signed": Factors influencing decision-making for school-based HPV vaccination of adolescent girls. Health Psychology, 29(6), 618-625. [More Information]
  • Cooper, S., Bernard, D., McCaffery, K., Brotherton, J., Garland, S., Skinner, R. (2010). "Is cancer contagious?": Australian adolescent girls and their parents: making the most of limited information about HPV and HPV vaccination. Vaccine, 28(19), 3398-3408. [More Information]
  • Cooper, S., Bernard, D., McCaffery, K., Skinner, R. (2010). 'It's a logistical nightmare!' Recommendations for optimising human papillomavirus school-based vaccination experience. Sexual Health, 7(3), 271-278. [More Information]
  • Lewis, L., Doherty, D., Hickey, M., Skinner, R. (2010). Implanon as a contraceptive choice for teenage mothers: a comparison of contraceptive choices, acceptability and repeat pregnancy. Contraception, 81(5), 421-426. [More Information]
  • Kang, M., Skinner, R., Usherwood, T. (2010). Interventions for young people in Australia to reduce HIV and sexually transmissible infections: a systematic review. Sexual Health, 7(2), 107-128. [More Information]
  • Lewis, L., Doherty, D., Hickey, M., Skinner, R. (2010). Predictors of sexual intercourse and rapid-repeat pregnancy among teenage mothers: an Australian prospective longitudinal study. Medical Journal of Australia, 193(6), 338-342. [More Information]
  • Smith, J., Fenwick, J., Skinner, R., Hallet, J., Merriman, G., Marshall, L. (2010). Sex, Condoms and Sexually Transmissible Infections: A Qualitative Study of Sexual Health in Young Australian Men. Archives of Sexual Behavior, Volume 41, Issue 2, April 2012, Pages 487-495, 1-9. [More Information]
  • Skinner, R., Cooper, S. (2010). Voluntary school-based human papillomavirus vaccination: an efficient and acceptable model for achieving high vaccine coverage in adolescents. The Journal of Adolescent Health, 47(3), 215-218. [More Information]

2009

  • Cooper, S., Skinner, R. (2009). Clarifying the importance of HPV vaccination. Singapore Medical Journal, 50(8), 841-2; author reply 843. [More Information]
  • Paavonen, J., Naud, P., Salmeron, J., Wheeler, C., Chow, S., Apter, D., Kitchener, H., Castellsague, X., Teixeira, J., Skinner, R. (2009). Efficacy of human papillomavirus (HPV)-16/18 AS04-adjuvanted vaccine against cervical infection and precancer caused by oncogenic HPV types (PATRICIA): final analysis of a double-blind, randomised study in young women. The Lancet, 374(9686), 301-314. [More Information]
  • Lewis, L., Hickey, M., Doherty, D., Skinner, R. (2009). How do pregnancy outcomes differ in teenage mothers? A Western Australian study. Medical Journal of Australia, 190(10), 537-541. [More Information]
  • Weisberg, E., Bateson, D., McCaffery, K., Skinner, R. (2009). HPV vaccination catch up program - utilisation by young Australian women. Australian Family Physician, 38(1-2), 72-76. [More Information]
  • Cooper, S., Skinner, R. (2009). Letter to the Editor: clarifying the importance of HPV Vaccination. Singapore Medical Journal, 50(8), 841-842.
  • Skinner, R., Smith, J., Fenwick, J., Hendricks, J., Fyfe, S., Kendall, G. (2009). Pregnancy and protection: perceptions, attitudes and experiences of Australian female adolescents. Women and Birth, 22(2), 50-56. [More Information]
  • Skinner, R., Parsons, A., Kang, M., Williams, H., Fairley, C. (2009). Young people and sexually transmitted infections. In Bennet, D; Towns, S; Elliot, E; Merrick, J. (Eds.), Challenges in Adolescent Health: An Australian Perspective, (pp. 205-215). United States: Nova Science Publishers.

2008

  • Garland, S., Brotherton, J., Skinner, R., Pitts, M., Saville, A., Mola, G., Jones, R. (2008). Human Papillomavirus and Cervical Cancer in Australasia and Oceania: Risk-factors, Epidemiology and Prevention. Vaccine, 26(Supplement 12), M80-M88. [More Information]
  • Garland, S., Brotherton, J., Skinner, R., Pitts, M., Saville, M., Mola, G., Jones, R. (2008). Human papillomavirus and cervical cancer in Australasia and Oceania: risk-factors, epidemiology and prevention. Vaccine, 26, M80-8. [More Information]
  • Skinner, R., Garland, S., Stanley, M., Pitts, M., Quinn, M. (2008). Human papillomavirus vaccination for the prevention of cervical neoplasia: is it appropriate to vaccinate women older than 26? Medical Journal of Australia, 188(4), 238-242. [More Information]
  • Skinner, R., Smith, J., Fenwick, J., Fyfe, S., Hendriks, J. (2008). Perceptions and Experiences of First Sexual Intercourse in Australian Adolescent Females. Journal of Adolescent Health, 43(6), 593-599. [More Information]
  • Skinner, R., Brotherton, J. (2008). Sexual risk assessment is not helpful for recommendations on human papillomavirus vaccination. Therapy, 5(3), 283-287.

2007

  • Paavonen, J., Jenkins, D., Bosch, F., Naud, P., Salmeron, J., Wheeler, C., Chow, S., Apter, D., Kitchener, H., Castellsague, X., Skinner, R., et al (2007). Efficacy of a prophylactic adjuvanted bivalent L1 virus-like-particle vaccine against infection with human papillomavirus types 16 and 18 in young women: an interim analysis of a phase III double-blind, randomised controlled trial. The Lancet, 369(9580), 2161-2170. [More Information]
  • Kang, M., Skinner, R., Foran, T. (2007). Sex, contraception and health. Australian Family Physician, 36(8), 594-600. [More Information]
  • Skinner, R., Parsons, A., Kang, M., Williams, H., Fairley, C. (2007). Sexually transmitted infections. Initiatives for prevention. International Journal of Adolescent Medicine and Health, 19(3), 285-294. [More Information]
  • Skinner, R., Kang, M., Rosenthal, S. (2007). Vaccinating young adults against human papillomavirus: the importance of understanding health decision-making and behaviour. Sexual Health, 4(2), 129-132. [More Information]

2006

  • Skinner, R., Kang, M. (2006). Human papillomavirus prevalence in Canberra high school students: significance for vaccination strategies and adolescent health[Letter]. Sexual Health, 3, 299-300. [More Information]

2005

  • Skinner, R., Ng, C., McDonald, A., Walters, T. (2005). A patient with autism and severe depression: medical and ethical challenges for an adolescent medicine unit. Medical Journal of Australia. [More Information]
  • Payne, D., Martin, C., Viner, R., Skinner, R. (2005). Adolescent medicine in paediatric practice. Archives of Disease in Childhood, 90, 1133-1137. [More Information]

2003

  • Skinner, R., Hickey, M. (2003). Current priorities for adolescent sexual and reproductive health in Australia. Medical Journal of Australia, 179, 158-161.

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