International Journal of Environmental Research and Public Health
Volume 13, Issue 5, 2016

Migrant sexual health help-seeking and experiences of stigmatization and discrimination in Perth, Western Australia: Exploring barriers and enablers (Article) (Open Access)

Agu J.* , Lobo R. , Crawford G. , Chigwada B.
  • a School of Public Health, Curtin University, Kent Street, Bentley, WA 6102, Australia
  • b Collaboration for Evidence, Research and Impact in Public Health, School of Public Health, Curtin University, Kent Street, Bentley, WA, Australia
  • c Collaboration for Evidence, Research and Impact in Public Health, School of Public Health, Curtin University, Kent Street, Bentley, WA, Australia
  • d HepatitisWA (Inc.), 134 Aberdeen Street, Northbridge, WA 6003, Australia

Abstract

Increasing HIV notifications amongst migrant and mobile populations to Australia is a significant public health issue. Generalizations about migrant health needs and delayed or deterred help-seeking behaviors can result from disregarding the variation between and within cultures including factors, such as drivers for migration and country of birth. This study explored barriers and enablers to accessing sexual health services, including experiences of stigma and discrimination, within a purposive sample of sub-Saharan African, Southeast Asian, and East Asian migrants. A qualitative design was employed using key informant interviews and focus group discussions. A total of 45 people with ages ranging from 18 to 50 years, participated in focus group discussions. Common barriers and enablers to help seeking behaviors were sociocultural and religious influence, financial constraints, and knowledge dissemination to reduce stigma. Additionally, common experiences of stigma and discrimination were related to employment and the social and self-isolation of people living with HIV. Overcoming barriers to accessing sexual health services, imparting sexual health knowledge, recognizing variations within cultures, and a reduction in stigma and discrimination will simultaneously accelerate help-seeking and result in better sexual health outcomes in migrant populations. © 2016 by the authors; licensee MDPI, Basel, Switzerland.

Author Keywords

sexual health Migrants Health determinants Stigma discrimination HIV

Index Keywords

information processing immigrant Perth [Western Australia] sexual behavior Australia Stereotyping human middle aged Asia ethnology Human immunodeficiency virus interview Young Adult Humans migrant psychology Adolescent male female purposive sample Africa Social Stigma Western Australia sexual health stigma health services help seeking behavior adult migration Reproductive Health Health Services Accessibility Transients and Migrants social discrimination Help-Seeking Behavior employment Focus Groups public health health care delivery

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84966378327&doi=10.3390%2fijerph13050485&partnerID=40&md5=e810085ca7f9cb6f395c48516e901057

DOI: 10.3390/ijerph13050485
ISSN: 16617827
Cited by: 10
Original Language: English