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善、恶与缘由:讲阿拉伯语的移民男性如何看待和体验瑞典与性健康和生殖健康相关的信息及服务?

The good, the bad, and the why: How do Arabic-speaking migrant men perceive and experience information and services related to sexual and reproductive health in Sweden?

作者信息

Baroudi Mazen, Goicolea Isabel, Hurtig Anna-Karin

机构信息

The Department of Epidemiology and Global Health, Umeå University, Sweden.

出版信息

J Migr Health. 2023 Jan 29;7:100153. doi: 10.1016/j.jmh.2023.100153. eCollection 2023.

Abstract

Although migrant men constitute a large and growing proportion of men in Sweden, literature exploring migrant men's experiences in sexual and reproductive health (SRH) services is scarce. We aimed to explore how Arabic-speaking migrant men perceive and experience information and services related to SRH in Sweden. We conducted 13 semi-structured interviews with Arabic-speaking migrant men and analysed the data using reflexive thematic analysis. We developed four themes: 1) SRH is 'something essential in life'; 2) the good: a transition to a 'new open society'; 3) the bad: barriers to sexual education and health services; and 4) the why: blaming oneself or the system. SRH services and sexual education/information were perceived as needs and rights, and the participants were content with the new possibilities and the 'new open society'. However, sexual education was not provided to most migrants, and SRH services provided to men had shortcomings that deprived some migrant men from fulfilling their needs. Moreover, internalised and cultural racism created a challenge to receive adequate/acceptable SRH services. There is a need to provide comprehensive sexual education for all, strengthen SRH services provided to men, and develop an action plan to reinforce the anti-discrimination/racism policies in healthcare and society.

摘要

尽管移民男性在瑞典男性中占比很大且呈增长趋势,但探讨移民男性在性与生殖健康(SRH)服务方面经历的文献却很匮乏。我们旨在探究讲阿拉伯语的移民男性如何看待和体验瑞典与SRH相关的信息及服务。我们对讲阿拉伯语的移民男性进行了13次半结构化访谈,并运用反思性主题分析法对数据进行了分析。我们提炼出四个主题:1)SRH是“生活中至关重要的事情”;2)好的方面:向“新的开放社会”的转变;3)不好的方面:性教育和卫生服务的障碍;4)原因:自责或归咎于体制。SRH服务以及性教育/信息被视为需求和权利,参与者对新的可能性和“新的开放社会”感到满意。然而,大多数移民没有接受性教育,为男性提供的SRH服务存在缺陷,使一些移民男性无法满足自身需求。此外,内化的文化种族主义对获得充分/可接受的SRH服务构成了挑战。有必要为所有人提供全面的性教育,加强为男性提供的SRH服务,并制定一项行动计划,以强化医疗保健和社会领域的反歧视/反种族主义政策。

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