Sexual and reproductive health and rights decision-making among Australian migrant and refugee youth: a group concept mapping study.

IF 1.8 3区 医学 Q2 FAMILY STUDIES
Culture, Health & Sexuality Pub Date : 2024-08-01 Epub Date: 2023-11-17 DOI:10.1080/13691058.2023.2275303
Sharanya Napier-Raman, Syeda Zakia Hossain, Elias Mpofu, Mi-Joung Lee, Pranee Liamputtong, Tinashe Dune
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Abstract

Sexual and reproductive health (SRH) is a human right. Young people, particularly from marginalised groups such as migrant and refugees, are vulnerable to compromised sexual and reproductive health and rights. In this study, we aimed to identify socioecological factors influencing migrant and refugee youth SRH decision-making and compare perspectives of youth with key stakeholders. Data were collected using Group Concept Mapping (GCM), a mixed-methods participatory approach. Participants included migrant and refugee young people, aged 16-26 from Western Sydney (n = 55), and key stakeholders comprising clinicians, service providers and researchers (n = 13). GCM involved participants brainstorming statements about how migrant and refugee youth make SRH decisions. Participants then sorted statements into groups based on similarity, and rated statements on importance and impact. Multidimensional scaling and hierarchical cluster analysis were used to cluster statements into concept maps that represented participants' perspectives. The resulting maps comprised six clusters representing main concepts informing decision-making. The most important clusters were 'healthy relationships' and 'safe-sex practices'. Youth rated healthy relationships more important than stakeholders did. This study reveals factors informing migrant and refugee youth's decision-making. Future policy should go beyond biomedical constructions of SRH to incorporate emotional and relational factors, which young people consider to be equally important and beneficial to their agency.

澳大利亚移民和难民青年的性健康和生殖健康及权利决策:群体概念绘图研究。
性健康和生殖健康是一项人权。年轻人,特别是来自移民和难民等边缘化群体的年轻人,性健康和生殖健康及权利容易受到损害。在这项研究中,我们旨在确定影响移民和难民青年SRH决策的社会生态因素,并比较青年与关键利益相关者的观点。数据收集使用群体概念映射(GCM),一种混合方法的参与式方法。参与者包括来自西悉尼的16-26岁的移民和难民年轻人(n = 55),以及包括临床医生、服务提供者和研究人员在内的关键利益相关者(n = 13)。GCM要求参与者就移民和难民青年如何做出性健康和生殖健康决定进行头脑风暴。然后,参与者根据相似性将陈述分类,并根据重要性和影响力对陈述进行评级。使用多维尺度和分层聚类分析将陈述聚类成代表参与者观点的概念图。生成的地图由六个集群组成,代表决策的主要概念。最重要的分类是“健康的关系”和“安全性行为”。年轻人认为健康的人际关系比利益相关者更重要。本研究揭示了影响移民和难民青年决策的因素。未来的政策应超越性健康和生殖健康的生物医学结构,纳入情感和关系因素,年轻人认为这对他们的机构同样重要和有益。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.60
自引率
4.50%
发文量
80
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