Sexual and reproductive health and rights decision-making among Australian migrant and refugee youth: a group concept mapping study

被引:0
|
作者
Napier-Raman, Sharanya [1 ]
Hossain, Syeda Zakia [1 ]
Mpofu, Elias [1 ,2 ,3 ]
Lee, Mi-Joung [1 ]
Liamputtong, Pranee [4 ]
Dune, Tinashe [5 ,6 ]
机构
[1] Univ Sydney, Fac Med & Hlth, Sydney Sch Hlth Sci, Sydney, NSW, Australia
[2] Univ North Texas, Rehabil & Hlth Serv, Denton, TX USA
[3] Univ Witwatersrand, Sch Human & Community Dev, Johannesburg, South Africa
[4] Coll Hlth Sci, Hanoi, Vietnam
[5] Western Sydney Univ, Translat Hlth Res Inst, Campbelltown, NSW, Australia
[6] Australian Coll Appl Profess, Discipline Psychol Sci, Sydney, NSW, Australia
基金
澳大利亚研究理事会;
关键词
sexual and reproductive health; youth; migrants and refugees; rights; decision-making; YOUNG-PEOPLE; CONSTRUCTIONS; EXPERIENCES; ATTITUDES; BELIEFS; CULTURE;
D O I
10.1080/13691058.2023.2275303
中图分类号
D669 [社会生活与社会问题]; C913 [社会生活与社会问题];
学科分类号
1204 ;
摘要
Sexual and reproductive health (SRH) is a human right. Young people, particularly from marginalised groups such as migrant and refugees, are vulnerable to compromised sexual and reproductive health and rights. In this study, we aimed to identify socioecological factors influencing migrant and refugee youth SRH decision-making and compare perspectives of youth with key stakeholders. Data were collected using Group Concept Mapping (GCM), a mixed-methods participatory approach. Participants included migrant and refugee young people, aged 16-26 from Western Sydney (n = 55), and key stakeholders comprising clinicians, service providers and researchers (n = 13). GCM involved participants brainstorming statements about how migrant and refugee youth make SRH decisions. Participants then sorted statements into groups based on similarity, and rated statements on importance and impact. Multidimensional scaling and hierarchical cluster analysis were used to cluster statements into concept maps that represented participants' perspectives. The resulting maps comprised six clusters representing main concepts informing decision-making. The most important clusters were 'healthy relationships' and 'safe-sex practices'. Youth rated healthy relationships more important than stakeholders did. This study reveals factors informing migrant and refugee youth's decision-making. Future policy should go beyond biomedical constructions of SRH to incorporate emotional and relational factors, which young people consider to be equally important and beneficial to their agency.
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页数:18
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