McCormack Heather, Dickson Michelle, Harrington Thomas, Garay Mahlia, Whybrow Robert, Mooney-Somers Julie, Aggleton Peter, Lafferty Lise, Mitchell Elke, Morris Jessica, Haire Bridget
Kirby Institute, UNSW, Sydney, New South Wales, Australia.
Australian Human Rights Institute, UNSW Sydney, Sydney, New South Wales, Australia.
Cult Health Sex. 2025 Jun;27(6):685-700. doi: 10.1080/13691058.2024.2394649. Epub 2024 Aug 24.
In Australia, Aboriginal young people who are lesbian, gay, bisexual, trans, queer or otherwise sexuality and gender diverse (LGBTQ+) are recognised within several overlapping priority populations in state and federal sexually transmissible infection and HIV strategies. However, limited research has documented their unique sexual health experiences, needs and preferences. In this qualitative study, semi-structured interviews were conducted with 10 LGBTQ+ Aboriginal young people aged 16-24 years in New South Wales. Interviews incorporated questions about service access, positive and negative experiences and self-determined healthcare priorities. We conducted a strengths-based thematic analysis to understand the issues of greatest importance in sexual healthcare for participants. Using the framework of 'imaginaries', we explored how participants imagined sexual healthcare that would meet their individual and cultural needs. The dominant imaginary centred on respect, representation and the as-yet-unrealised possibility of sexual healthcare designed by and for people who shared the intersection of Aboriginal and LGBTQ+ experience. We identified individual-level, service-level and societal-level factors influencing this imaginary, including relationships, accessibility and experiences of racism. Analysing the imaginaries constructed by LGBTQ+ Aboriginal young people of empowering, culturally safe sexual healthcare that is 'for them' provides insight into potential service design to improve sexual health outcomes for this population.
在澳大利亚，女同性恋、男同性恋、双性恋、跨性别、酷儿或其他性取向和性别多样化的原住民年轻人（LGBTQ+）在州和联邦性传播感染及艾滋病毒战略中的几个重叠重点人群中得到认可。然而，仅有有限的研究记录了他们独特的性健康经历、需求和偏好。在这项定性研究中，我们对新南威尔士州10名年龄在16至24岁之间的LGBTQ+原住民年轻人进行了半结构化访谈。访谈包含了关于服务获取、正面和负面经历以及自主确定的医疗保健优先事项等问题。我们进行了基于优势的主题分析，以了解对参与者而言性健康护理中最重要的问题。我们运用“想象”框架，探讨了参与者如何设想能够满足其个人和文化需求的性健康护理。主要的想象集中在尊重、代表性以及由具有原住民和LGBTQ+交叉经历的人设计并为其服务的性健康护理尚未实现的可能性上。我们确定了影响这种想象的个人层面、服务层面和社会层面的因素，包括人际关系、可及性和种族主义经历。分析LGBTQ+原住民年轻人构建的关于赋权、具有文化安全性且“为他们”的性健康护理的想象，有助于深入了解潜在的服务设计，以改善这一人群的性健康结果。
