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社会生态学在塑造移民和难民青年的性健康和生殖健康及权利方面的作用:一项参与式行动研究。

Socioecologies in shaping migrants and refugee youths' sexual and reproductive health and rights: a participatory action research study.

机构信息

School of Health Sciences, Western Sydney University, Penrith, NSW, Australia.

School of Medicine, Western Sydney University, Campbelltown, NSW, Australia.

出版信息

Reprod Health. 2024 Sep 18;21(1):134. doi: 10.1186/s12978-024-01879-x.


DOI:10.1186/s12978-024-01879-x
PMID:39294779
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11409589/
Abstract

OBJECTIVE: This study explores socioecological factors facilitating the sexual and reproductive health and rights (SRHR) experiences of migrant and refugee youth (MRY) in Greater Western Sydney, Australia. MRY may be at higher risk for poorer SRH outcomes due to cultural, linguistic, and systemic barriers. METHODS: Using participatory action research, 17 focus groups were conducted with 87 MRY aged 15-29 from diverse cultural backgrounds. Data were analysed thematically, using socioecological framework. RESULTS: Key facilitators of MRY's SRHR were identified at the microsystem and exosystem levels, including (1) Peer dynamics and support, with friends serving as trusted confidants and sources of advice; (2) Safety and contraceptive choices, highlighting the importance of access to contraception and STI prevention; and (3) Digital platforms for SRHR information access, with online resources filling knowledge gaps. CONCLUSION: Findings suggest the need for SRHR interventions to leverage peer support networks, expand access to contraceptive options, and develop culturally appropriate digital resources for MRY. Further research is needed to identify and enhance facilitators across all socioecological levels to comprehensively support MRY's SRHR needs.

摘要

目的:本研究旨在探讨促进澳大利亚大悉尼西部地区移民和难民青年(MRY)性与生殖健康和权利(SRHR)体验的社会生态因素。由于文化、语言和制度障碍,MRY 可能面临更差的 SRH 结果的更高风险。

方法:采用参与式行动研究,对来自不同文化背景的 87 名 15-29 岁的 MRY 进行了 17 次焦点小组讨论。使用社会生态框架对数据进行了主题分析。

结果:在微观系统和外在系统层面上确定了 MRY 的 SRHR 的主要促进因素,包括:(1)同伴动态和支持,朋友是值得信赖的知己和提供建议的来源;(2)安全性和避孕选择,强调获得避孕和性传播感染预防的重要性;(3)用于 SRHR 信息访问的数字平台,在线资源填补了知识空白。

结论:研究结果表明,需要对 SRHR 干预措施进行投资,以利用同伴支持网络,扩大避孕选择,并为 MRY 开发文化适宜的数字资源。需要进一步研究以确定和加强所有社会生态层面的促进因素,以全面支持 MRY 的 SRHR 需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2435/11409589/43dc61ef7ab8/12978_2024_1879_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2435/11409589/ffadaca47614/12978_2024_1879_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2435/11409589/2723cd2964c2/12978_2024_1879_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2435/11409589/43dc61ef7ab8/12978_2024_1879_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2435/11409589/ffadaca47614/12978_2024_1879_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2435/11409589/2723cd2964c2/12978_2024_1879_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2435/11409589/43dc61ef7ab8/12978_2024_1879_Fig3_HTML.jpg

相似文献

[1]
Socioecologies in shaping migrants and refugee youths' sexual and reproductive health and rights: a participatory action research study.

Reprod Health. 2024-9-18

[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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引用本文的文献

[1]
Crossing Borders: SRH Challenges Among Immigrant and Minority Adolescents.

Int J Environ Res Public Health. 2025-7-12

[2]
Bridging the gap: exploring students' needs, knowledge, and preferences for delivering comprehensive sexuality education in Sierra Leone.

BMC Public Health. 2025-3-3

本文引用的文献

[1]
Use of digital media by adolescents for sexual and reproductive health and rights communication in sub-Saharan Africa: a protocol for systematic review.

Syst Rev. 2024-5-14

[2]
Migrant and Refugee Youth's Sexual and Reproductive Health and Rights: A Scoping Review to Inform Policies and Programs.

Int J Public Health. 2023

[3]
Comprehensive sexuality education linked to sexual and reproductive health services reduces early and unintended pregnancies among in-school adolescent girls in Zambia.

BMC Public Health. 2023-2-16

[4]
Environmental scan of mobile apps for promoting sexual and reproductive health of adolescents in low- and middle-income countries.

Front Public Health. 2022

[5]
Migrant and refugee youth perspectives on sexual and reproductive health and rights in Australia: a systematic review.

Sex Health. 2023-2

[6]
Men of refugee and migrant backgrounds in Australia: a scoping review of sexual and reproductive health research.

Sex Health. 2023-2

[7]
"Such conversations are not had in the families": a qualitative study of the determinants of young adolescents' access to sexual and reproductive health and rights information in Rwanda.

BMC Public Health. 2022-10-7

[8]
Pooled prevalence and determinants of informed choice of contraceptive methods among reproductive age women in Sub-Saharan Africa: A multilevel analysis.

Front Public Health. 2022

[9]
Immigrant women's perspectives on contraceptive counselling provided by midwives in Sweden - a qualitative study.

Sex Reprod Health Matters. 2022-12

[10]
Disruption in accessing sexual and reproductive health services among border populations during COVID-19 lockdown in Uganda.

J Glob Health. 2022-8-17

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