International Journal of Environmental Research and Public Health
Volume 15, Issue 7, 2018

Sexual health help-seeking behavior among migrants from sub-Saharan Africa and South East Asia living in high income countries: A systematic review (Review) (Open Access)

Rade D.A. , Crawford G. , Lobo R. , Gray C.* , Brown G.
  • 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 6102, Australia
  • c Collaboration for Evidence, Research and Impact in Public Health, School of Public Health, Curtin University, Kent Street, Bentley, WA 6102, Australia
  • d Collaboration for Evidence, Research and Impact in Public Health, School of Public Health, Curtin University, Kent Street, Bentley, WA 6102, Australia
  • e Collaboration for Evidence, Research and Impact in Public Health, School of Public Health, Curtin University, Kent Street, Bentley, WA 6102, Australia, Australian Research Centre in Sex, Health and Society School of Psychology and Public Health, La Trobe University, BundooraVIC 3086, Australia

Abstract

The number of migrants has increased globally. This phenomenon has contributed to increasing health problems amongst migrants in high-income countries, including vulnerability for HIV acquisition and other sexual health issues. Adaptation processes in destination countries can present difficulties for migrants to seek help from and gain access to health services. This study examined migrants’ from sub-Saharan Africa (SSA) and South East Asia (SEA) sexual health help-seeking behavior in high-income countries with universal health coverage. The systematic review followed PRISMA guidelines and was registered with PROSPERO. Several databases were searched from 2000 to 2017. Of 2824 studies, 15 met the inclusion criteria. These consisted of 12 qualitative and three quantitative studies conducted in Australia, Spain, the United Kingdom, Belgium, Scotland, Ireland, and Sweden. Migrants experienced a range of difficulties accessing health services, specifically those related to sexual health, in high-income countries. Few studies described sources of sexual health help-seeking or facilitators to help-seeking. Barriers to access were numerous, including: stigma, direct and indirect costs, difficulty navigating health systems in destination countries and lack of cultural competency within health services. More culturally secure health services, increased health service literacy and policy support to mitigate costs, will improve health service access for migrants from SSA and SEA. Addressing the structural drivers for stigma and discrimination remains an ongoing and critical challenge. © 2018 by the authors. Licensee MDPI, Basel, Switzerland.

Author Keywords

sexual health Systematic review Migrants Help-seeking behavior

Index Keywords

Africa south of the Sahara Sub-Saharan Africa sexual behavior Australia cost analysis developing country health insurance human middle aged Asia statistics and numerical data health service Developed Countries health status comparative study Aged migrants experience driver cultural competence high income country Sweden Humans migrant Ireland psychology male Spain female Aged, 80 and over Southeast Asia very elderly Review Belgium health services sexual health stigma literacy help seeking behavior adult migration Scotland United Kingdom Transients and Migrants Help-Seeking Behavior systematic review practice guideline Health Services Accessibility public health health care delivery
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85049078165&doi=10.3390%2fijerph15071311&partnerID=40&md5=6dc017fbf578b66450f08e261c763bf2
DOI: 10.3390/ijerph15071311
ISSN: 16617827
Cited by: 4
Original Language: English