BackgroundSignificant health disparities persist regarding new and late Human Immunodeficiency Virus (HIV) diagnoses among sub-Saharan African (SSA) communities in Australia. Personal/cultural beliefs and practices influence HIV (risk, prevention, testing) within Australia and during visits to home countries.MethodA community forum was conducted involving 23 male and female adult African community workers, members and leaders, and health workers; facilitated by cultural workers and an experienced clinician/researcher. The forum comprised small/large group discussions regarding HIV risk/prevention (responses transcribed verbatim; utilising thematic analysis).ResultsStigma, denial, social norms, tradition and culture permeated perceptions/beliefs regarding HIV testing, prevention and transmission among African Australians, particularly regarding return travel to home countries.ConclusionsInternational travel as a risk factor for HIV acquisition requires further examination, as does the role of the doctor in HIV testing and Pre-exposure Prophylaxis (PrEP). Further assessment of PrEP as an appropriate/feasible intervention is needed, with careful attention regarding negative community perceptions and potential impacts.
University students usually consist of young people from culturally and linguistically diverse backgrounds, and a group recognised as being at increased risk of STI. This study found lower levels of STI knowledge and STI testing among international students and to a lesser extent, domestic overseas-born students, compared with domestic Australian-born students. International students exhibited lower risk sexual behaviour but were more likely to have had a HIV test than domestic students. This diversity in sexual health knowledge, sexual health services utilisation and sexual experience indicates the need for a variety of public health approaches to improve sexual health.
International students are the 4th most revenue raising industry in Australia brining in $6 billion in 2006. December 2006 reports show 383 818 international students were enrolled across Australia with 61�019 in Queensland. The vast majority of students come from Asian countries with a high prevalence of HIV/AIDS and STIs combined with minimal sexual health knowledge.
Through workshops and discussion groups with international students they have been identified as a high risk in relation to sexual health problems due to their lack of sexual health knowledge, their tendency to engage in risk behaviour without adequate knowledge of risks, consequences and protection mechanisms. As a result, sexual health issues are increasingly presenting to professionals working directly with international students and health services in claims related to pregnancy, abortion rates, sexual assault, rape and reports of international students from high risk countries found to be HIV+.
Further, international students reported receiving no information prior to arrival and on arrival of risk behaviour, safety issues, health or laws in Australia. In order to promote safe sex behaviour among international students we have formulated various strategies to raise awareness of international students, from print material on arrival, to information stalls at O-week, intermittent workshops for international students, student leaders and professionals working directly with international students. The feedback from the students is very positive and new strategies are being developed to target students facing language barriers.
Our program findings demonstrate that the international student population is a high risk group facing sexual health issues where increased education and support must occur to prevent and reduce sexual health related problems.
IntroductionMore research and policy action are needed to improve migrant health in areas such as sexual health and blood-borne viruses (SHBBV). While Knowledge, Attitudes and Practice Surveys (KAPS) can inform planning, there are no SHBBV KAPS suitable for use across culturally and linguistically diverse contexts. This study pretests one instrument among people born in Sub-Saharan Africa, South-East and North-East Asia living in Australia.MethodsEmployees of multicultural organisations were trained to collect data over three rounds using a hybrid qualitative pretesting method. Two researchers independently coded data. Researchers made revisions to survey items after each round. Responses to feedback questions in the final survey were analysed.ResultsSixty-two participants pretested the survey. Issues were identified in all three rounds of pretesting. Of the 77 final survey respondents who responded to a survey experience question, 21% agreed and 3% strongly agreed with the statement ‘I found it hard to understand some questions/words’.ConclusionIt is essential to pretest SHBBV surveys in migrant contexts. We offer the following pretesting guidance: (1) large samples are needed in heterogeneous populations; (2) intersectionality must be considered; (3) it may be necessary to pretest English language surveys in the participants’ first language; (4) bilingual/bicultural workers must be adequately trained to collect data; (5) results need to be interpreted in the context of other factors, including ethics and research aims; and (6) pretesting should occur over multiple rounds.
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