migrants and refugees young people sexual and reproductive health health literacy knowledge attitudes and beliefs
Young people from culturally and linguistically diverse backgrounds experience barriers accessing sexual and reproductive health (SRH) information and care. This systematic review, utilising a pre-determined protocol, performed according to PRISMA guidelines, explored SRH knowledge, attitudes and information sources for young (16-24 years) culturally and linguistically diverse background people living in Australia, to gain understanding of their sexual health literacy. CINAHL, Embase, MEDLINE, PubMed and Scopus were systematically searched with inclusion criteria applied to 216 articles. After title and abstract screening, backward/forward searching, and full-text review of 58 articles, 13 articles from eight studies were identified. Thematic analysis, guided by core constructs from cultural care theory, identified three themes: (1) SRH knowledge varied by topic but was generally low; (2) young people's attitudes and beliefs were influenced by family and culture; however, 'silence' was the main barrier to sexual health literacy; and (3) Access to SRH information was limited. To attain sexual health literacy and equitable access to culturally-congruent and responsive SRH information and care, there is a need for theory-informed strategies and policies that address the diverse social, cultural and structural factors affecting young culturally and linguistically diverse background people, especially the 'silence' or lack of open SRH communication they experience.
Details
Title
Sexual and reproductive health literacy of culturally and linguistically diverse young people in Australia: a systematic review
Authors
Alison Lirios - The University of Queensland
Amy B. Mullens - University of Southern Queensland
Kirstie Daken - University of Southern Queensland
Claire Moran - True Relationships and Reproductive Health (Australia)
Zhihong Gu - Ethnic Communities Council of Queensland (Brisbane, Australia)
Yibeltal Assefa - The University of Queensland
Judith A. Dean (Corresponding Author) - The University of Queensland
Publication details
Culture, Health and Sexuality, Vol.26(6), pp.790-807
Much of the data supporting the findings of this study are available in public domain resources and databases. Supporting material described here is available on request to the corresponding author.
Grant note
The research described here was supported by the Sexual Health Research Fund, an initiative of the Sexual Health Ministerial Advisory Committee, funded by Queensland Health and administered by the Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM).