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Sexual Health Help-Seeking Behavior among Migrants from Sub-Saharan Africa and South East Asia living in High Income Countries: A Systematic Review

Author

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  • Donna Angelina Rade

    (School of Public Health, Curtin University, Kent Street, Bentley, WA 6102, Australia)

  • Gemma Crawford

    (Collaboration for Evidence, Research and Impact in Public Health, School of Public Health, Curtin University, Kent Street, Bentley, WA 6102, Australia)

  • Roanna Lobo

    (Collaboration for Evidence, Research and Impact in Public Health, School of Public Health, Curtin University, Kent Street, Bentley, WA 6102, Australia)

  • Corie Gray

    (Collaboration for Evidence, Research and Impact in Public Health, School of Public Health, Curtin University, Kent Street, Bentley, WA 6102, Australia)

  • Graham Brown

    (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, Bundoora, VIC 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.

Suggested Citation

  • Donna Angelina Rade & Gemma Crawford & Roanna Lobo & Corie Gray & Graham Brown, 2018. "Sexual Health Help-Seeking Behavior among Migrants from Sub-Saharan Africa and South East Asia living in High Income Countries: A Systematic Review," IJERPH, MDPI, vol. 15(7), pages 1-22, June.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:7:p:1311-:d:153934
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    References listed on IDEAS

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    1. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
    2. Josephine Agu & Roanna Lobo & Gemma Crawford & Bethwyn Chigwada, 2016. "Migrant Sexual Health Help-Seeking and Experiences of Stigmatization and Discrimination in Perth, Western Australia: Exploring Barriers and Enablers," IJERPH, MDPI, vol. 13(5), pages 1-22, May.
    3. Gemma Crawford & Roanna Lobo & Graham Brown & Chloe Macri & Hannah Smith & Bruce Maycock, 2016. "HIV, Other Blood-Borne Viruses and Sexually Transmitted Infections amongst Expatriates and Travellers to Low- and Middle-Income Countries: A Systematic Review," IJERPH, MDPI, vol. 13(12), pages 1-22, December.
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    Cited by:

    1. Corie Gray & Gemma Crawford & Bruce Maycock & Roanna Lobo, 2022. "Exploring the Intersections of Migration, Gender, and Sexual Health with Indonesian Women in Perth, Western Australia," IJERPH, MDPI, vol. 19(20), pages 1-16, October.
    2. Corie Gray & Gemma Crawford & Bruce Maycock & Roanna Lobo, 2021. "Socioecological Factors Influencing Sexual Health Experiences and Health Outcomes of Migrant Asian Women Living in ‘Western’ High-Income Countries: A Systematic Review," IJERPH, MDPI, vol. 18(5), pages 1-14, March.
    3. Osnat Keidar & David S. Srivastava & Emmanouil Pikoulis & Aristomenis K. Exadaktylos, 2019. "Health of Refugees and Migrants—Where Do We Stand and What Directions Should We Take?," IJERPH, MDPI, vol. 16(8), pages 1-8, April.
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    5. Corie Gray & Roanna Lobo & Lea Narciso & Enaam Oudih & Praveena Gunaratnam & Rachel Thorpe & Gemma Crawford, 2019. "Why I Can’t, Won’t or Don’t Test for HIV: Insights from Australian Migrants Born in Sub-Saharan Africa, Southeast Asia and Northeast Asia," IJERPH, MDPI, vol. 16(6), pages 1-18, March.
    6. Sajana Ghimire & Jonathan Hallett & Corie Gray & Roanna Lobo & Gemma Crawford, 2019. "What Works? Prevention and Control of Sexually Transmitted Infections and Blood-Borne Viruses in Migrants from Sub-Saharan Africa, Northeast Asia and Southeast Asia Living in High-Income Countries: A ," IJERPH, MDPI, vol. 16(7), pages 1-17, April.

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