Narushima Miya, McLaughlin Janet, Barrett-Greene Jackie
Department of Health Sciences, Brock University, 500 Glenridge Ave., St. Catharines, ON, L2S 3A1, Canada.
Health Studies, International Migration Research Centre, Wilfrid Laurier University, Brantford, ON, Canada.
J Immigr Minor Health. 2016 Apr;18(2):374-81. doi: 10.1007/s10903-015-0189-x.
Every year Canada hosts approximately 40,000 temporary foreign migrant farmworkers (MFWs). They are predominantly Mexican and Caribbean married men or single mothers who leave their families for months at a time over a span of many years. This pilot study investigated their knowledge about HIV/AIDS, attitudes towards condoms and their use, and perceived barriers to accessing sexual health services. A survey (n = 103) and four focus groups (n = 21) were conducted in Ontario's Niagara Region. The results suggest that MFWs commonly face vulnerabilities to HIV/AIDS, STIs and other sexual health issues due to personal, social-cultural, environmental and structural factors. The findings highlight the need for increasing culturally and gender sensitive sexual health education and harm reduction outreach and providing information about local health care systems and resources for MFWs. The study also calls for further community-based research and actions to reduce MFWs' perceived access barriers to health care services.
加拿大每年接待约40000名临时外国流动农场工人（MFWs）。他们主要是墨西哥和加勒比地区的已婚男性或单身母亲，多年来他们每次都要离开家人数月之久。这项试点研究调查了他们对艾滋病毒/艾滋病的了解、对避孕套及其使用的态度，以及获得性健康服务的感知障碍。在安大略省尼亚加拉地区进行了一项调查（n = 103）和四个焦点小组（n = 21）。结果表明，由于个人、社会文化、环境和结构因素，流动农场工人普遍面临感染艾滋病毒/艾滋病、性传播感染和其他性健康问题的风险。研究结果凸显了加强具有文化和性别敏感性的性健康教育、减少伤害宣传以及为流动农场工人提供当地医疗保健系统和资源信息的必要性。该研究还呼吁开展更多基于社区的研究和行动，以减少流动农场工人在获得医疗保健服务方面的感知障碍。
