School of Health Sciences, Western Sydney University, Penrith, NSW, Australia.
School of Medicine, Western Sydney University, Campbelltown, NSW, Australia.
Reprod Health. 2024 Sep 18;21(1):134. doi: 10.1186/s12978-024-01879-x.
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.
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。
Int J Environ Res Public Health. 2025-7-12
Sex Reprod Health Matters. 2022-12