Migrant Sexual Health Help-Seeking and Experiences of Stigmatization and Discrimination in Perth, Western Australia: Exploring Barriers and Enablers

Background and Objective: Health care industry is going through a renaissance with the advances in mobile Internet technology. Health care seeking has become easier for people and there are multiple providers offering online consultations and counselling. Sexual medicine is still an unrecognized specialty in India. People suffering from sexual health problems and dysfunctions have a lot of stigma approaching health care professionals. With the coming in of Internet-based services, people are finding it easier to seek help online anonymously. As an industry this is likely to continue to grow and offer opportunities to people in distress to seek help. Methodology: In the present study, we have done a retrospective analysis of 500 queries that were posted privately to the principal author. Results focused on the demographic details, the nature of the problem and an analysis of the content of the queries. The study discusses how the findings may be used to better understand the perceptions, concerns, and stated needs of people accessing online portals for sexual problems. This should also help equip counsellors interested in this field. Results: The study clearly brought out the gender differences among those accessing online health care portals for sexual issues. A majority of the queries were from men asking about issues related to size and curvature of penis, masturbation, premature ejaculation, erectile dysfunction. Many of these queries stemmed from the lack of correct scientific knowledge which led to health anxieties including frustration, depression, and low self-esteem.

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Sexual Health Help-Seeking Behavior among Migrants from Sub-Saharan Africa and South East Asia living in High Income Countries: A Systematic Review

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph15071311 ◽

2018 ◽

Vol 15 (7) ◽

pp. 1311 ◽

Cited By ~ 5

Author(s):

Donna Rade ◽

Gemma Crawford ◽

Roanna Lobo ◽

Corie Gray ◽

Graham Brown

Keyword(s):

Systematic Review ◽

Sexual Health ◽

East Asia ◽

Help Seeking ◽

High Income ◽

Sub Saharan Africa ◽

South East Asia ◽

Help Seeking Behavior ◽

Seeking Behavior ◽

Sub Saharan

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Father Absence: Exploring the Experiences of Young People in Regional Western Australia

Children Australia ◽

10.1017/cha.2012.38 ◽

2012 ◽

Vol 37 (4) ◽

pp. 170-176

Author(s):

Janette Kostos ◽

Catherine Flynn

Keyword(s):

Risk Factors ◽

Substance Use ◽

Young People ◽

Western Australia ◽

Help Seeking ◽

Coping Styles ◽

Father Absence ◽

Male And Female ◽

School Misconduct ◽

Participation In Research

This article describes the experiences of four young people aged 18 to 25 years whose fathers were absent during their adolescent years. The study, located in regional Western Australia, sought to investigate how young people experience father absence, their needs and preferences in regard to any help seeking, and their evaluation of the effectiveness of supports used. Participants were found to share a combination of risk factors which were linked to negative psychosocial outcomes. Problems identified by young people included no one to talk to about problems and a lack of available services. Participants disclosed involvement in substance use, school misconduct and anti-social behaviour, and all reported early home leaving. Male and female participants reported using similar coping styles and a hierarchy of preference in help-seeking was found with friends and family preferred over counselling. Counselling was considered helpful when offered online or via drop-in services not requiring an appointment. Ethical constraints, however, were found to limit young people's participation in research.

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A Qualitative Assessment to Understand the Barriers and Enablers Affecting Contraceptive Use Among Adolescent Male Emergency Department Patients

American Journal of Men s Health ◽

10.1177/1557988319825919 ◽

2019 ◽

Vol 13 (1) ◽

pp. 155798831982591 ◽

Cited By ~ 3

Author(s):

Lauren S. Chernick ◽

Jonathan Y. Siden ◽

David L. Bell ◽

Peter S. Dayan

Keyword(s):

Emergency Department ◽

Sexual Health ◽

Teenage Pregnancy ◽

Contraceptive Use ◽

The United States ◽

Sexual Relationships ◽

Adolescent Males ◽

Qualitative Assessment ◽

Adolescent Male ◽

Barriers And Enablers

Early fatherhood is common in the United States (U.S.). The emergency department (ED) plays a disproportionate role in serving patients with unmet reproductive and sexual health needs. With 8 million adolescent males visiting U.S. EDs annually, the ED is a potential site to implement interventions to minimize early fatherhood and unintended teenage pregnancy. Little is known about how adolescent male ED patients perceive and behave in sexual relationships and how they influence contraceptive decision making. The objective of this study was to identify the barriers and enablers affecting contraceptive and condom use among adolescent male ED patients. Semistructured interviews were conducted with males aged 14–19 in one urban ED. Enrollment continued until saturation of key themes. Interviews were recorded, transcribed, and coded based on thematic analysis using NVivo 10. The Social Ecological Model was used to organize and understand themes. Participants ( n = 24) were predominantly 18–19 years (63%) and Hispanic (92%). Most (71%) had sex ≤3 months prior but infrequently used a condom at last intercourse (42%). The primary barrier influencing contraceptive use was lack of knowledge of effective contraceptives. Other barriers consisted of perceived gender roles, poor partner communication, and little relationship with a primary provider. Enablers included intention not to get a partner pregnant, school-based sexual health education, normalcy to use condoms, and a trustworthy confidante. The identified barriers and enablers influencing adolescent males’ perspectives toward contraceptives should be addressed if designing future ED-based pregnancy prevention interventions targeting teen males.

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