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Socioecological Factors Influencing Sexual Health Experiences and Health Outcomes of Migrant Asian Women Living in ‘Western’ High-Income Countries: A Systematic Review

Author

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  • Corie Gray

    (Collaboration for Evidence, Research and Impact in Public Health, School of Population Health, Curtin University, Bentley 6102, Australia)

  • Gemma Crawford

    (Collaboration for Evidence, Research and Impact in Public Health, School of Population Health, Curtin University, Bentley 6102, Australia)

  • Bruce Maycock

    (College of Medicine & Health, University of Exeter, Devon EX4 4PY, UK)

  • Roanna Lobo

    (Collaboration for Evidence, Research and Impact in Public Health, School of Population Health, Curtin University, Bentley 6102, Australia)

Abstract

Migrant health has been identified as one of the most pressing issues of the 21st century. Migration experiences are influenced by gender and gender norms and have important implications for the sexual health of migrant women. This systematic review explored socioecological factors influencing sexual health experiences and health outcomes of migrant Asian women living in “Western” high-income countries. PRISMA guidelines were followed and this study was registered with PROSPERO. Five academic databases were searched for peer-reviewed articles published between 2000 and 2019. Of 2415 studies retrieved, 17 met the selection criteria: 12 qualitative, 4 quantitative, and 1 mixed-methods study. The four levels of Bronfenbrenner’s socioecological model were applied to examine the individual, interpersonal, institutional, and societal factors of influence. Most studies ( n = 13) reported individual level factors, focusing on knowledge and use of contraceptives. At a societal level, host country sociocultural factors, including gender and cultural norms, influenced knowledge, ability to access and utilise contraceptives, and access to health services. Findings suggest that the public health policy, practice, and research to improve the sexual health of migrant women requires greater consideration of the intersecting factors of gender, culture, and the migration process.

Suggested Citation

  • Corie Gray & Gemma Crawford & Bruce Maycock & Roanna Lobo, 2021. "Socioecological Factors Influencing Sexual Health Experiences and Health Outcomes of Migrant Asian Women Living in ‘Western’ High-Income Countries: A Systematic Review," IJERPH, MDPI, vol. 18(5), pages 1-14, March.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:5:p:2469-:d:509301
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    References listed on IDEAS

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    6. Sajana Ghimire & Jonathan Hallett & Corie Gray & Roanna Lobo & Gemma Crawford, 2019. "What Works? Prevention and Control of Sexually Transmitted Infections and Blood-Borne Viruses in Migrants from Sub-Saharan Africa, Northeast Asia and Southeast Asia Living in High-Income Countries: A ," IJERPH, MDPI, vol. 16(7), pages 1-17, April.
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    10. Donna Angelina Rade & Gemma Crawford & Roanna Lobo & Corie Gray & Graham Brown, 2018. "Sexual Health Help-Seeking Behavior among Migrants from Sub-Saharan Africa and South East Asia living in High Income Countries: A Systematic Review," IJERPH, MDPI, vol. 15(7), pages 1-22, June.
    11. Gemma Crawford & Roanna Lobo & Graham Brown & Chloe Macri & Hannah Smith & Bruce Maycock, 2016. "HIV, Other Blood-Borne Viruses and Sexually Transmitted Infections amongst Expatriates and Travellers to Low- and Middle-Income Countries: A Systematic Review," IJERPH, MDPI, vol. 13(12), pages 1-22, December.
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    Cited by:

    1. Corie Gray & Gemma Crawford & Bruce Maycock & Roanna Lobo, 2022. "Exploring the Intersections of Migration, Gender, and Sexual Health with Indonesian Women in Perth, Western Australia," IJERPH, MDPI, vol. 19(20), pages 1-16, October.

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