Botfield Jessica R, Newman Christy E, Zwi Anthony B
Health, Rights and Development (HEARD@UNSW) at the School of Social Sciences, UNSW Australia, Kensington, NSW 2052, Australia.
Centre for Social Research in Health, UNSW Australia, Kensington, NSW 2052, Australia.
Sex Health. 2016 Feb;13(1):1-9. doi: 10.1071/SH15090.
Sexual and reproductive health needs are global health, development and human rights priorities, essential to the wellbeing of individuals, couples and families. Despite widespread recognition of this, young people, including those from culturally diverse backgrounds in wealthy nations such as Australia, remain largely hidden to, and underserved by, sexual and reproductive healthcare services. A scoping review was undertaken to describe the range of research on sexual and reproductive health among culturally diverse young people in Australia, in order to identify gaps in the literature. This comprised a systematic literature search and key informant consultations, followed by descriptive thematic analysis of the included literature. One hundred and twenty papers were deemed eligible for inclusion, and findings are presented as three separate analyses. The first provides an overview of four dimensions identified in the literature: (i) cultural diversity; (ii) the resettlement experiences of migrant communities; (iii) the sexual and reproductive health needs of these communities; and (iv) the practices of health services in this field. The second explores what is known from the literature about culturally diverse young people's needs for, use of, and engagement with services for sexual and reproductive health, while the third identifies two knowledge gaps: (1) the perspectives of culturally diverse young people regarding sexual and reproductive health and health care; and (2) the engagement of culturally diverse young people with sexual and reproductive health services. New directions for a research agenda on sexual and reproductive health care for culturally diverse young people in Australia are proposed, based on the identified knowledge gaps.
性与生殖健康需求是全球健康、发展及人权的优先事项，对个人、伴侣及家庭的幸福安康至关重要。尽管对此已得到广泛认可，但包括来自澳大利亚等富裕国家不同文化背景的年轻人在内，在很大程度上仍未被性与生殖健康医疗服务所关注，且服务不足。开展了一项范围综述，以描述澳大利亚不同文化背景年轻人的性与生殖健康研究范围，从而找出文献中的空白。这包括系统的文献检索和关键信息提供者咨询，随后对纳入文献进行描述性主题分析。120篇论文被认为符合纳入标准，研究结果以三项独立分析呈现。第一项分析概述了文献中确定的四个维度：（i）文化多样性；（ii）移民社区的重新安置经历；（iii）这些社区的性与生殖健康需求；（iv）该领域卫生服务的实践。第二项分析探讨了文献中关于不同文化背景年轻人对性与生殖健康服务的需求、使用情况及参与情况的已知内容，而第三项分析则确定了两个知识空白：（1）不同文化背景年轻人对性与生殖健康及医疗保健的看法；（2）不同文化背景年轻人与性与生殖健康服务的接触情况。基于已确定的知识空白，提出了澳大利亚不同文化背景年轻人性与生殖健康护理研究议程的新方向。
