Department of Infectious Diseases, University of Melbourne, at the Peter Doherty Institute for Infection and Immunity, Melbourne, Australia.
Centre for Social Research in Health, UNSW Sydney, Sydney, Australia.
Glob Public Health. 2023 Jan;18(1):2196561. doi: 10.1080/17441692.2023.2196561.
Aboriginal and Torres Strait Islander (Aboriginal) young people seek information and access health services for their sexual health needs. This study examined Aboriginal young people's perspectives on sexual health services and sex education in Australia. Overall, 51 Aboriginal people aged 16-26 years were interviewed by peer researchers in Sydney, Australia in 2019-2020. The findings suggest that the internet was used to assess information quickly and confidentially, but Aboriginal young people questioned its reliability and accuracy. Family, Elders and peers were seen as sources of advice because they had real-life experience and highlighted intergenerational learning that occurs in Aboriginal communities. School-based sex education programmes had mixed reviews, with a preference for programmes delivered by external specialists providing anonymity, clear and accurate information about sex and relationships and positive approaches to sex education, including how to gain consent before sex. There was a need identified for school-based programmes to better consider the needs of Aboriginal young people, including those who identified as LGBTQI + . Aboriginal Medical Services were highly valued for providing culturally safe access to services, while sexual health clinics were valued for providing specialised confidential clinical services with low levels of judgement.
原住民和托雷斯海峡岛民（原住民）年轻人寻求有关性健康需求的信息和获取健康服务。本研究考察了澳大利亚原住民年轻人对性健康服务和性教育的看法。总体而言，2019 年至 2020 年，在澳大利亚悉尼，由同行研究人员对 51 名年龄在 16 至 26 岁的原住民进行了采访。调查结果表明，互联网被用于快速和保密地评估信息，但原住民年轻人质疑其可靠性和准确性。家庭、长辈和同龄人被视为提供建议的来源，因为他们有现实生活经验，并强调了在原住民社区中发生的代际学习。学校性教育计划的评价好坏参半，更倾向于由外部专家提供匿名、清晰准确的性和关系信息以及对性教育采取积极方法的计划，包括在性行为前获得同意。需要确定的是，学校性教育计划要更好地考虑原住民年轻人的需求，包括那些自认为是 LGBTQI 的年轻人。原住民医疗服务因其能够提供文化安全的服务而受到高度重视，而性健康诊所则因其能够提供专业的保密临床服务且评判标准低而受到重视。
