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Understanding Access to and Utilisation of Sexual Health Services by South Asian Immigrant Men in Western Countries: A Scoping Review

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Abstract

South Asian communities comprise one of the fastest growing populations in Western countries. However, the sexual health of immigrant men in particular remains vastly understudied and little is known about how and if men access these services. Four multi-disciplinary electronic databases were searched to between 1998 and 2018. The search yielded 586 articles; 407 duplicate articles were removed, and 376 did not meet the inclusion criteria. A total of 10 articles were included in this review. Herein we report the factors shaping sexual health service access and use, namely: (1) cultural and psychological factors; (2) sexual health service accessibility; (3) personal beliefs and patterns in service use; (4) social perspectives and conflicting values on sexual health. We identify the gaps in research needed for policymakers, formal healthcare providers, and South Asian community stakeholders to develop effective and inclusive sexual health programs for South Asian men in Western countries.

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References

  1. Nilaweera I, Doran F, Fisher J. Prevalence, nature and determinants of postpartum mental health problems among women who have migrated from South Asian to high-income countries: a systematic review of the evidence. J Affect Disord. 2014;166:213–26. https://doi.org/10.1016/j.jad.2014.05.021.

    Article  PubMed  Google Scholar 

  2. Islam F, Khanlou N, Tamim H. South Asian populations in Canada: Migration and mental health. BMC Psychiatry. 2014;14(1):1–13. https://doi.org/10.1186/1471-244X-14-154.

    Article  Google Scholar 

  3. United Nations Population Fund. Migration. 2015. https://www.unfpa.org/migration. Accessed 10 Apr 2018.

  4. Statistics Canada. Immigration and ethnocultural diversity in Canada. National Household Survey, 2011. National Household Survey, 2011 (vol. 99-10-X20). 2013.

  5. Statistics Canada. Canada Yearbook. Ottawa: Statistics Canada; 2011. p. 438–447.

    Google Scholar 

  6. SAALT Demographic Snapshot. (citing United States Census data on Bangladeshi, Indian, Pakistani, and Sri Lankan groups (2000, 2010)). (2012). https://saalt.org/resources/reports-and-publications/#factsheets.

  7. Lebrun LA, Dubay LC. Access to primary and preventive care among foreign-born adults in Canada and the United States. Health Serv Res. 2010;45(6 PART 1):1693–719. https://doi.org/10.1111/j.1475-6773.2010.01163.x.

    Article  PubMed  PubMed Central  Google Scholar 

  8. ABS. Australian Bureau of Statistics web site. 2011. https://www.abs.gov.au/. Accessed 10 Apr 2018.

  9. Vasileva K. 6.5% of the EU population are foreigners and 9.4% are born abroad. Eurostat Stat Focus. 2011;34:1–8. Accessed 8 June 2018.

    Google Scholar 

  10. Davies A, Blake C, Dhavan P. Social determinants and risk factors for non-communicable diseases (NCDs) in south asian migrant populations in Europe. Asia Eur J. 2011;8(4):461–73. https://doi.org/10.1007/s10308-011-0291-1.

    Article  Google Scholar 

  11. Degni F, Suominen S, Essén B, El Ansari W, Vehviläinen-Julkunen K. Communication and cultural issues in providing reproductive health care to immigrant women: Health care providers’ experiences in meeting Somali women living in Finland. J Immigr Minor Health. 2012;14(2):330–43. https://doi.org/10.1007/s10903-011-9465-6.

    Article  PubMed  Google Scholar 

  12. Doll LS, Beeker C. Male bisexual behavior and HIV risk in the united states: Synthesis of research with implications for behavioral interventions. AIDS Educ Prev. 1996;8(3):205–25.

    CAS  PubMed  Google Scholar 

  13. Leininger MM. Transcultural nursing: concepts, theories, research and practice. Columbus: WCB McGraw-Hill; 1995.

    Google Scholar 

  14. Courtenay WH. Behavioral factors associated with disease, injury, and death among men: evidence and implications for prevention. J Men’s Stud. 2000;9(1):81–142. https://doi.org/10.3149/jms.0901.81.

    Article  Google Scholar 

  15. Courtenay WH. Engendering health: a social constructionist examination of men’s health beliefs and behaviors. Psychol Men Masc. 2000;1(1):4–15. https://doi.org/10.1037//1524-9220.1.1.4.

    Article  Google Scholar 

  16. Weston HJ. Public honour, private shame and HIV: Issues affecting sexual health service delivery in London's south asian communities. Health and Place. 2003;9(2):109–17. https://doi.org/10.1016/S1353-8292(03)00002-9.

    Article  CAS  PubMed  Google Scholar 

  17. Buzi RS, Smith PB. Access to sexual and reproductive health care services: young men's perspectives. J Sex Marital Ther. 2014;40(2):149–57. https://doi.org/10.1080/0092623X.2012.736923.

    Article  PubMed  Google Scholar 

  18. Hahm HC, Song IH, Ozonoff A, Sassani JC. HIV testing among sexually experienced Asian and pacific islander young women. Association with routine gynecologic care. Women’s Health Issues. 2009;19(4):279–88. https://doi.org/10.1016/j.whi.2009.05.001.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Willcox A, Gleeson J. Boys, young men and teenage pregnancies: Adrienne willcox and judy gleeson explore the issues around educating boys on teenage pregnancy. Prim Health Care. 2003;13:27.

    Article  Google Scholar 

  20. Ottawa Public Health. Sexually transmitted infections and sexual health in Ottawa. Ottawa (ON): Ottawa Public Health; 2011. Accessed 8 June 2018.

    Google Scholar 

  21. Smith AL. Health policy and the coloring of an American male crisis: a perspective on community-based health services. [Reprint in Am J Public Health. 2008 Sep;98(9 Suppl):S158–61; PMID: 18687603]. Am J Public Health. 2003; 93:749–52. https://doi.org/10.2105/AJPH.93.5.749

  22. Jayaraman G, Totten S, Perrin M, Fang L, Remes O. Report on Sexually Transmitted Infections in Canada: 2008. Centre for Communicable Diseases and Infection Control. 2008. https://www.phac-aspc.gc.ca. Accessed 6 June 2018.

  23. Hancock J. Can mainstream services learn from male only sexual health pilot projects? Sex Transm Infect. 2004;80(6):484–7. https://doi.org/10.1136/sti.2004.011304.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. Manderson L, Allotey P. Storytelling, marginality, and community in Australia: how immigrants position their difference in health care settings. Med Anthropol. 2003;22(1):1–21. https://doi.org/10.1080/01459740306767.

    Article  PubMed  Google Scholar 

  25. Aggleton P, Campbell C. Working with young people—towards an agenda for sexual health. Sex Relatsh Ther. 2010;15(3):283–96. https://doi.org/10.1080/14681990050109863.

    Article  Google Scholar 

  26. Zhou YR. ‘Race’ and HIV vulnerability in a transnational context: The case of chinese immigrants to canada. Cult Health Sex. 2017;19(6):695–708. https://doi.org/10.1080/13691058.2016.1192221.

    Article  PubMed  Google Scholar 

  27. Grewal S, Bottorff J, Hilton B. The influence of family on immigrant south Asian women’s health. J Fam Nurs. 2005;11(3):242–63. https://doi.org/10.1177/1074840705278622.

    Article  PubMed  Google Scholar 

  28. Arksey H, O’Malley L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol. 2005;8(1):19–32. https://doi.org/10.1080/1364557032000119616.

    Article  Google Scholar 

  29. Levac D, Colquhoun H, O’Brien KK. Scoping studies: advancing the methodology. Implement Sci. 2010;5(1):1–9. https://doi.org/10.1186/1748-5908-5-69.

    Article  Google Scholar 

  30. Al-Taiar A, Clark A, Longenecker JC, Whitty CJM. Physical accessibility and utilization of health services in Yemen. Int J Health Geogr. 2010;9:1–8. https://doi.org/10.1186/1476-072X-9-38.

    Article  Google Scholar 

  31. Goddard M, Smith P. Equity of access to health care services : theory and evidence from the UK. Soc Sci Med. 2001;53(9):1149–62. https://doi.org/10.1016/S0277-9536(00)00415-9.

    Article  CAS  PubMed  Google Scholar 

  32. Cook BL, Doksum T, Chen C, Carle A, Alegría M. The role of provider supply and organization in reducing racial/ethnic disparities in mental health care in the U.S. Soc Sci Med. 2013;84:102–9. https://doi.org/10.1016/j.socscimed.2013.02.006.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Hibbard J. Using systematic measurement to target consumer activation strategies. Med Care Res Rev. 2009;66(1):9S–27S. https://doi.org/10.1177/1077558708326969.

    Article  PubMed  Google Scholar 

  34. Davidson PL, et al. A framework for evaluating safety-net and other community-level factors on access for low-income populations. Inquiry. 2004;41(1):21–38.

    Article  Google Scholar 

  35. Vlassoff C, Ali F. HIV-related stigma among South Asians in Toronto. Ethn Health. 2011;16(1):25–422. https://doi.org/10.1080/13557858.2010.523456.

    Article  PubMed  Google Scholar 

  36. Zhou YR, Majumdar B, Vattikonda N. Culture, but more than culture: an exploratory study of the HIV vulnerability of Indian immigrants in Canada. Cult Health Sex. 2016;18(9):1067–80. https://doi.org/10.1080/13691058.2016.1162328.

    Article  CAS  PubMed  Google Scholar 

  37. Donnelly LR, Bailey L, Jessani A, Postnikoff J, Kerston P, Brondani M. Stigma experiences in marginalized people living with hiv seeking health services and resources in Canada. J Assoc Nurses AIDS Care. 2016;27(6):768–83. https://doi.org/10.1016/j.jana.2016.07.003.

    Article  PubMed  Google Scholar 

  38. Kang E, Rapkin BD, Springer C, Kim JH. The “Demon Plague” and access to care among Asian undocumented immigrants living with HIV disease in New York City. J Immigr Health. 2003;5(2):49–58.

    Article  Google Scholar 

  39. Neville S, Adams J. Views about HIV / STI and health promotion among gay and bisexual Chinese and South Asian men living in Auckland New Zealand. Int J Qual Stud Health Well-being. 2016;11(1):30764. https://doi.org/10.3402/qhw.v11.30764.

    Article  PubMed  Google Scholar 

  40. Ramanathan V, Sitharthan G, Pepper K, Wylie K. Sexual health of Indian immigrant men in Australia: an exploratory research on help-seeking attitudes. Sex Health. 2013;10(4):380–1. https://doi.org/10.1071/SH12199.

    Article  PubMed  Google Scholar 

  41. Sawleshwarkar S, Kakar SR, Jones R, Lagios K, Mindel A, Hillman RJ. Indian-born patients attending a sexual health clinic in Australia have differing characteristics to their Australian-born counterparts. Intern Med J. 2013;43(12):1327–30. https://doi.org/10.1111/imj.12299.

    Article  CAS  PubMed  Google Scholar 

  42. Sudhinaraset M, Ling I, To TM, Melo J, Quach T. Dreams deferred: contextualizing the health and psychosocial needs of undocumented Asian and Pacific Islander young adults in Northern California. Soc Sci Med. 2017;184:144–52. https://doi.org/10.1016/j.socscimed.2017.05.024.

    Article  PubMed  Google Scholar 

  43. Manzardo C, Treviño B, Gómez i Prat J, Cabezos J, Monguí E, Clavería I, Navarro R. Communicable diseases in the immigrant population attended to in a tropical medicine unit: Epidemiological aspects and public health issues. Travel Med Infect Dis. 2008;6(1–2):4–11. https://doi.org/10.1016/j.tmaid.2007.11.002.

    Article  PubMed  Google Scholar 

  44. Ramanathan V. Values, behaviour and identity: acculturation of Indian immigrant men in Australia. J Int Migr Integr. 2015;16(3):625–38. https://doi.org/10.1007/s12134-014-0364-2.

    Article  Google Scholar 

  45. Brindis C, Barenbaum M, Sanchez-Flores H, McCarter V, Chand R. Let’s hear it for the guys: California’s male involvement program. Int J Men’s Health. 2005;4(1):29–53. https://doi.org/10.3149/jmh.0401.29.

    Article  Google Scholar 

  46. Armstrong B. The young men’s clinic : addressing men’s reproductive health responsibilities. Perspect Sex Reprod Health. 2003;35(5):220–5.

    Article  Google Scholar 

  47. Federal Register “Minority Health and Health Disparities Research and Education Act of 2000,” (S-1880). 2000. https://www.congress.gov/106/plaws/publ525/PLAW-106publ525.pdf.

  48. Brach C, Fraserirector I. Can cultural competency reduce racial and ethnic health disparities? A review and conceptual model. Med Care Res Rev. 2000;57(1_suppl):181–217. https://doi.org/10.1177/1077558700057001S09.

    Article  PubMed  PubMed Central  Google Scholar 

  49. Komaromy M, Grumbach K, Drake M, Vranizan K, Lurie N, Keane D, Bindman AB. The role of black and hispanic physicians in providing health care for underserved populations. N Engl J Med. 1996;334(20):1305–10. https://doi.org/10.1056/NEJM199605163342006.

    Article  CAS  PubMed  Google Scholar 

  50. Phillips KA, Mayer ML, Aday LA. Barriers to care among racial/ethnic groups under managed care. Health Aff. 2000;19(4):65–75.

    Article  CAS  Google Scholar 

  51. Marcell AV, Bell DL, Lindberg LD, Takruri A. Prevalence of sexually transmitted infection/human immunodeficiency virus counseling services received by Teen Males, 1995–2002. J Adolesc Health. 2010;46(6):553–9. https://doi.org/10.1016/j.jadohealth.2009.12.002.

    Article  PubMed  PubMed Central  Google Scholar 

  52. Smith JA, Braunack-Mayer A, Wittert G. What do we know about men’s help-seeking and health service use? Med J Aust. 2006;184:81–3.

    Article  Google Scholar 

  53. Addis ME, Mahalik JR. Men, masculinity, and the contexts of help seeking. Am Psychol. 2003. https://doi.org/10.1037/0003-066X.58.1.5.

    Article  PubMed  Google Scholar 

  54. Raine T, Marcell AV, Rocca CH, Harper CC. The other half of the equation: Serving young men in a young women’s reproductive health clinic. Perspect Sex Reprod Health. 2008;35(5):208–14. https://doi.org/10.1363/psrh.35.208.03.

    Article  Google Scholar 

  55. Wright AL, Morgan WJ. On the creation of “problem” patients. Soc Sci Med. 1990;30(9):951–9. https://doi.org/10.1016/0277-9536(90)90142-F.

    Article  CAS  PubMed  Google Scholar 

  56. Nyblade L, Stangl A, Weiss E, Ashburn K. Combating HIV stigma in health care settings: what works? J Int AIDS Soc. 2009;12(1):15. https://doi.org/10.1186/1758-2652-12-15.

    Article  PubMed  PubMed Central  Google Scholar 

  57. Halcomb E, Fernandez R. Systematic reviews. Nurs Stand. 2015;29(33):45–51. https://doi.org/10.7748/ns.29.33.45.e8868.

    Article  PubMed  Google Scholar 

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Jahangir, Y.T., Meyer, S.B. Understanding Access to and Utilisation of Sexual Health Services by South Asian Immigrant Men in Western Countries: A Scoping Review. J Immigrant Minority Health 22, 621–633 (2020). https://doi.org/10.1007/s10903-020-00981-z

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