Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Lidcombe, NSW, Australia.
Centre for Disability Research and Policy and Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Lidcombe, NSW, Australia.
Health Promot J Austr. 2021 Feb;32 Suppl 1:69-79. doi: 10.1002/hpja.408. Epub 2020 Sep 21.
We currently know very little about the attitudes of young adult Australians from migrant backgrounds towards health service utilisation. This qualitative study aimed to explore their experiences of accessing health services and identify barriers and facilitators to health service utilisation.
Semi-structured interviews were conducted with young people aged between 18-24 and living in Greater Western Sydney. Interview questions focused on facilitators and barriers to health service access. NVivo 11 was used to facilitate thematic analysis of the interviews.
Twenty-five young adults between 18-24 years from migrant backgrounds participated. Twenty semi-structured individual interviews and one group interview with five participants were conducted. Analysis identified themes relating to health literacy, cultural factors and quality of care and showed the importance of families, the education system and service outreach in facilitating access.
Findings indicate that more effective delivery of health services information in education, positive engagement between service-providers and service-users, and age-appropriate, culturally considerate health promotion strategies are needed to overcome barriers to health services accessibility. SO WHAT?: The results show the importance of families and communities, the education system and health service outreach in facilitating health service access for young people from migrant backgrounds. The paper highlights the need for more effective health promotion strategies targeting this group, their families and communities. To increase access, health promotion practitioners need to actively reach out to families and young people from migrant backgrounds through education and community-relevant forums.
我们目前对来自移民背景的澳大利亚年轻成年人对卫生服务利用的态度知之甚少。本定性研究旨在探讨他们获取卫生服务的经验，并确定卫生服务利用的障碍和促进因素。
对居住在大悉尼西部地区的 18-24 岁的年轻人进行了半结构化访谈。访谈问题集中在获取卫生服务的促进因素和障碍。使用 NVivo 11 对访谈进行主题分析。
25 名来自移民背景的 18-24 岁的年轻人参与了研究。进行了 20 次半结构化的个人访谈和 1 次有 5 名参与者的小组访谈。分析确定了与健康素养、文化因素和护理质量相关的主题，并表明家庭、教育系统和服务外展在促进获取服务方面的重要性。
研究结果表明，需要在教育中更有效地传递卫生服务信息，服务提供者与服务使用者之间进行积极互动，以及制定适合年龄和文化的、体贴的健康促进策略，以克服卫生服务获取的障碍。
所以呢？：研究结果表明，家庭和社区、教育系统以及卫生服务外展在促进移民背景的年轻人获得卫生服务方面非常重要。该论文强调了针对这一群体、他们的家庭和社区制定更有效的健康促进策略的必要性。为了增加获取机会，健康促进从业者需要通过教育和社区相关论坛积极接触移民背景的家庭和年轻人。
