Contraceptive use and contraceptive health care needs among Sri Lankan migrants living in Australia: Findings from the understanding fertility management in contemporary Australia survey

Ellawela, Yamuna; Nilaweera, Irosha; Holton, Sara; Rowe, Heather; Kirkman, Maggie; Jordan, Lynne; McNamee, Kathy; Bayly, Christine; McBain, John; Sinnott, Vikki; Fisher, Jane

doi:10.1016/j.srhc.2017.03.003

Cited by 9 publications

(15 citation statements)

References 12 publications

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“…Nevertheless, the provision of education about birth control alone would not sufficiently acknowledge the broader contexts of people's lives that contribute towards inconsistent contraceptive practices, such as interpersonal challenges in partner communication and decision-making (Ellawela et al 2017;McMichael and Gifford 2010). The current study makes a valuable contribution to existing literature by further illuminating men's perspectives on this issue (Tober, Taghdisi, and Jalali 2006).…”

Section: Discussionmentioning

confidence: 93%

“…Such studies have found that many cultural groups continue to experience unmet reproductive health needs post-resettlement, including low rates of contraceptive uptake, and increased risk of unintended pregnancy Ngum Chi Watts, Liamputtong, and Carolan 2014). These issues have, in part, been attributed to inadequate contraceptive knowledge , concerns about the health risks of hormone-based contraception (Hawkey, Ussher, and Perz 2018;Rogers and Earnest 2014), religious beliefs (Ellawela et al 2017;Srikanthan and Reid 2008), and cultural norms that impede discussions of sexual and reproductive health (Rogers and Earnest 2014;Ussher et al 2017). Furthermore, several studies have described how, at times, male partners' decision-making authority overrides women's preferences to use contraception (Dengi, Koivusilta, and Ojanlatva 2006).…”

Section: Introductionmentioning

confidence: 99%

“…While migration is a significant life event that can profoundly impact sexual and reproductive health (Ellawela et al 2017), there is a paucity of research that has considered the ways that rapid social and cultural change influences family planning in refugee and migrant populations. The limited research in this area has found that some cultural groups, such as Somali and Afghan migrants, have experienced a reduction in family size following resettlement in countries with lower fertility rates (Abbasi-Shavazi et al 2015;Dengi, Koivusilta, and Ojanlatva 2006).…”

Section: Introductionmentioning

confidence: 99%

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Family planning and Afghan refugee women and men living in Melbourne, Australia: new opportunities and transcultural tensions

Russo

Lewis

Ali

et al. 2019

Culture, Health & Sexuality

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This research aimed to explore the family planning perspectives and experiences of Afghan women and men living in Melbourne. A total of 57 Afghan women and men participated in six focus groups and 20 semi-structured interviews. The majority of participants indicated a preference for two or three children and were open to using modern contraception. However, many women described experiencing negative side effects when using hormone-based contraception and expressed difficulty negotiating condom use with their husbands as an alternative. Some women described how these difficulties resulted in inconsistent contraceptive practices and, at times, unintended pregnancy. Participants recognised that health professionals have an important role in addressing their family planning needs. This study highlights the ways in which Afghan women and men are changing in relation to their family planning beliefs and practices, and the opportunities, challenges and transcultural tensions they experience as they navigate these issues in Australia. ARTICLE HISTORY

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Section: Discussionmentioning

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Family planning and Afghan refugee women and men living in Melbourne, Australia: new opportunities and transcultural tensions

Russo

Lewis

Ali

et al. 2019

Culture, Health & Sexuality

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“…In recent years, the range of contraceptives available has expanded and the overall distribution of contraceptive methods has changed. The use of permanent methods such as sterilisation has decreased, and barrier and long-acting hormonal methods have increased (Ellawela et al, 2017). In our study, 50.0 of the migrant woman stated that upon arriving in Slovenia they were given access to new contraception methods.…”

Section: Discussionmentioning

confidence: 64%

“…In fact, the use of contraception is affected by access to affordable and preferred contraception, and to supportive SRH services. For immigrants, access is made even more difficult by social and religious differences and linguistic barriers (Ellawela et al, 2017). It should be emphasised that migrant women may improve their quality of life by using modern contraceptive methods.…”

Section: Introductionmentioning

confidence: 99%

Women, Migrations and Health

Urpis¹

2019

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Several topical issues arising from the contemporary migrant context, at both regional and global levels, are addressed in the chapter. First, when it comes to the sphere of the European Union, the emphasis is on the issues of integration in the migrant context, as well as the security situation. Women have often been heavily involved in the survival of their families and communities, but today the 'feminisation of migration' and 'feminisation of survival' processes are very evident. These two phrases highlight the increasingly public and visible forms of women's contribution to families, along with their contribution to the state and society (immigrant and emigrant), especially the growing world demand for their services. Although women have always migrated, developments in the last decades sustain both their presence in international migration flows and their recognition as migrants. The focus of this contribution on presenting certain results of ongoing research, chiefly on the social integration of migrants in Slovenia.

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Migration and Sexual Health Services Use – Results from the German Health and Sexuality Survey (GeSiD)

et al. 2022

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Introduction Migration background is an important predisposing characteristic of health service use (HSU). In this cross-sectional survey, we aim to explore the association between migration background and HSU in the context of sexual health. Methods In a population-representative sample of 4,955 persons from all German federal states (data collection 2018/2019), we examined the HSU of first-generation (15.9% of the total sample) and second-generation migrants (9.8%) compared to non-migrants (74.3%). Outcomes of sexual HSU ranged from primary and secondary prevention measures such as human papillomaviruses (HPV) vaccination and chlamydia test to HSU due to sexual problems in the relationship, and consultations on contraceptives, and HIV or other STIs. Results Generally, first-generation migrants used sexual health services less often than non-migrants. Notably, first-generation migrant women had lower odds of being vaccinated against HPV (OR = 0.24; 95% CI: 0.14; 0.38), of a lifetime use of both a chlamydia test in the context of a screening program for young women (OR = 0.21; 95% CI: 0.11; 0.39), and a HSU due to contraceptives (OR = 0.40; 95% CI: 0.28; 0.58). Second-generation migrants resembled more closely the non-migrants, only showing differences regarding the use of the HPV vaccination (OR = 0.48; 95% CI: 0.30; 0.76). Policy Implications First-generation migrants showed remarkable differences in the HSU compared to non-migrants. Therefore, this group should be targeted with the aim of a more equitable HSU that is mainly based on the needs for health services and not restricted due to formal or informal barriers. Both migration generations had lower odds of being vaccinated against HPV indicating the need for a better education regarding the benefits and risks of vaccinations.

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Contraceptive use and contraceptive health care needs among Sri Lankan migrants living in Australia: Findings from the understanding fertility management in contemporary Australia survey

Cited by 9 publications

References 12 publications

Family planning and Afghan refugee women and men living in Melbourne, Australia: new opportunities and transcultural tensions

Family planning and Afghan refugee women and men living in Melbourne, Australia: new opportunities and transcultural tensions

Women, Migrations and Health

Migration and Sexual Health Services Use – Results from the German Health and Sexuality Survey (GeSiD)

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