Ensuring Rights: Improving Access to Sexual and Reproductive Health Services for Female International Students in Australia

Poljski, Carolyn; Quiazon, Regina; Tran, Chau

doi:10.32674/jis.v4i2.475

Cited by 26 publications

(15 citation statements)

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“…Thus, there is a need to provide sexual health programmes that are tailored to the specific needs of this population. Such programmes will be impactful if they are evidence-based and evidence around sexual health of international students in Australia is still evolving [19][20][21][22][23]. The present study adds to this emerging body of evidence.…”

Section: Introductionmentioning

confidence: 77%

“I always prefer to withdraw than use a condom”: contextualising condomless sex among East Asian and sub-Saharan African international students in Sydney

Okeke

2022

Arch Public Health

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Background Incidence and prevalence of blood-borne viruses and sexually transmissible infections among young people continue to necessitate population-based studies to understand how contextualised sexual health services can be developed and implemented to promote protective behaviours such as consistent condom use. This study examined condomless sexual practice among a sample of East Asian and sub-Saharan African international university students in Sydney, Australia. Methods This qualitative study was methodologically guided by interpretative phenomenological analysis. Data was provided by 20 international students sampled from five universities in Sydney, who participated in either face-to-face or telephone semi-structured in-depth interviews. The interview sessions were audio-recorded, transcribed verbatim, coded in NVivo and analysed using reflexive thematic analysis. Results Condomless sexual practices appear to be common among the study group based on participants’ self-reports of their own practices and the practices of friends and peers. Three themes contextualising condomless among the study participants were generated from the interview transcripts: (1) unanticipated sex, condom related stigma and alcohol use (2) pleasure-seeking, curiosity and intimacy (3) condomless sex as a gendered practice. Conclusions The result of this study has implications for public health research, practice and policy around design, implementation and evaluation of multi-layered and population-specific sexual health services that are tailored to addressing the needs of international students, who migrate from traditional sexual cultures to Australia, where sexual norms are more liberal.

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Section: Introductionmentioning

confidence: 77%

“I always prefer to withdraw than use a condom”: contextualising condomless sex among East Asian and sub-Saharan African international students in Sydney

Okeke

2022

Arch Public Health

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“…Visa status has important implications for health service access in destination countries, broader structural factors such as employment and housing [ 11 ], as well as impacting the likelihood of return to their home country. Previous studies exploring migrant sexual health have mostly included permanent migrants; with a lack of attention on temporary residents (including international students) rendering their health and well-being “invisible to policy makers” (p. 151) [ 54 ]. In this study, we considered the ways in which women felt ‘temporary’ in Australia.…”

Section: Discussionmentioning

confidence: 99%

Exploring the Intersections of Migration, Gender, and Sexual Health with Indonesian Women in Perth, Western Australia

Gray

Crawford

Maycock

et al. 2022

IJERPH

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This paper explores the intersections of migration, gender, and sexual health with Indonesian women living in Perth, Western Australia. The study was part of a larger participatory action research project to co-design an intervention to increase HIV testing in migrant Indonesian women. Unstructured interviews were conducted with adult Indonesian women (n = 10) on their experiences of migration and sexual health. Zimmerman’s migration phases (pre-departure and travel, destination, and return) provided a framework to conceptualize women’s migration journeys. We found that women’s migration journeys were shaped by gender, with male-led migration often reinforcing gender norms. Structural and sociocultural factors (including visa status) influenced women’s sense of belonging while living in Australia, such as help-seeking behaviour and engagement in sexual relationships. Intersecting factors of gender, culture, and the migration process should be considered when designing public health interventions to improve women’s sexual health, in particular migration policies and procedures.

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“…Migrant women experience gendered and racial discrimination within the Australian health system, which limits their access to reproductive health information, appropriate interpreting and timely healthcare [ 22 , 23 ]. Australian immigration and health policies restrict access to reproductive health services to migrant women on temporary visas [ 24 ]. However, to date there are few studies that document RC as experienced by immigrant and refugee women.…”

Section: Introductionmentioning

confidence: 99%

Reproductive coercion as a form of family violence against immigrant and refugee women in Australia

Suha

Murray²,

Warr³

et al. 2022

PLoS ONE

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Reproductive coercion (RC), generally considered a form of intimate partner violence (IPV), refers to perpetrator behaviours and actions that are intended to interfere with and control the autonomous decision-making of a person regarding their reproductive health. To date there are few studies that document RC as experienced by immigrant and refugee women. In this article, we explore cases of RC as described by women who were part of a larger qualitative study investigating violence against immigrant and refugee women in southern Australia. The study aimed to identify the types of RC detailed in immigrant and refugee women’s narratives, and to illustrate the contexts in which these experiences occurred. Analysis followed Baxter and Jack’s (2008) case study methodology; whereby particular “cases” are used to describe a phenomenon in context. Thirteen women from seven countries described experiences that fit definitions of RC. The cases describe various types of RC including violence during pregnancy with the intent of causing miscarriage, forced abortion, contraception sabotage and forced pregnancy. As well as intimate partners, some women described multiple perpetrators being complicit in their experience of RC, especially in regard to controlling women’s access to, and interactions with health services. More information is needed about immigrant and refugee women’s experiences of RC, and how vulnerability to multi-perpetrator violence affects health service access. In particular knowledge about how multi-perpetrator RC can affect consent processes for women who already face barriers to health care requires attention. Further research is required to address knowledge gaps about appropriate prevention and advocacy work about RC in refugee and migrant communities, and what training is needed for professionals in the family violence sector, women’s health services, women’s organisations, multicultural and ethno-specific services.

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Ensuring Rights: Improving Access to Sexual and Reproductive Health Services for Female International Students in Australia

Cited by 26 publications

References 0 publications

“I always prefer to withdraw than use a condom”: contextualising condomless sex among East Asian and sub-Saharan African international students in Sydney

“I always prefer to withdraw than use a condom”: contextualising condomless sex among East Asian and sub-Saharan African international students in Sydney

Exploring the Intersections of Migration, Gender, and Sexual Health with Indonesian Women in Perth, Western Australia

Reproductive coercion as a form of family violence against immigrant and refugee women in Australia

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