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Practice nurses could be encouraged, supported and trained to contribute more to primary healthcare for young people 37 and to increase their involvement in sexual healthcare, 35 potentially assuaging any residual concerns among young people that their confidentiality could be compromised. There are several limitations to this study. Recruitment of a sample of migrant and refugee young people was purposely broad, as primary healthcare services do not limit their client groups by cultural background.

Finally, there will be limitations and influences relating to the role of the interviewer, who is female, in her late 20s and from an English-speaking background. There is an opportunity for GPs to better engage migrant and refugee young people and enhance communication regarding sexual and reproductive health. This could include initiating sexual health discussions during consultations, providing opportunistic sexual health information and support, and providing strong reassurances of confidentiality. It was clear that young people desired a GP who treated them with respect and empathy, was non-judgemental and took the time to listen to them.

There appears to be a lack of effective engagement in general practice of migrant and refugee young people in relation to sexual and reproductive health. Although GPs are well known and largely accessible and have the potential to reach and support a number of young people, they may be underused by migrant and refugee young people for sexual and reproductive healthcare. Developing strategies to assist GPs to improve their capacity, communication and understanding of these issues would be of considerable value.

Building the skills and confidence of GPs and other primary care staff to work with young people from diverse backgrounds and promote their sexual health and wellbeing should be emphasised.

Research and policy in young people's sexual health.

GPs should be supported in reaching and engaging diverse populations of young people and providing a welcoming and acceptable service for all. These may otherwise be missed opportunities to engage young people in critical conversations around sexuality and health and to provide them with the information, care and support they need to enjoy their entitlement to happy and healthy sexual and reproductive health lives. General practice is known to be an important setting for young people to access information and services to support their sexual and reproductive health.

This study highlights the importance of general practice for this subpopulation of young people from migrant and refugee backgrounds, many of whom find it very difficult to source information or support from family. Talking to migrant and refugee young people about sexual health in general practice. Background and objectives Young people are an important group to target with health promotion and preventive healthcare.

This paper focuses on the engagement of migrant and refugee young people with sexual and reproductive healthcare in general practice. Results The majority of participants had seen a general practitioner GP for general health issues. Most described negative experiences with GPs for sexual health matters, including not being listened to or being rushed through the appointment. Discussion There appears to be a lack of effective engagement with migrant and refugee young people by GPs in relation to sexual health.

Building the skills and confidence of GPs to work with this group and promote sexual health and wellbeing should be considered, and efforts should be made to communicate confidentiality and trustworthiness.

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  5. Results In total, 27 young people 16 female and 11 male participated in a first interview and nine six female and three male in a follow-up interview. Table 1. Liz, 21 years, African heritage I guess a GP just to start off, and then maybe ask them to refer me to other services. Denise, 20 years, African heritage Despite this general awareness and, in most cases, the previous use of at least one such service, many participants expressed a range of concerns regarding seeing a GP for sexual and reproductive health, as is discussed in the following two themes.

    David, 20 years, southeast Asian heritage His background is Arabic, so he will understand us more than other doctors. Amir, 24 years, Middle Eastern heritage For a few, sharing the same language as their family GP presented a barrier to initiating conversations about sexual health, even though for others this was seen as an advantage for general health concerns, as previously described.

    AJ, 19 years, Middle Eastern heritage Many participants, both male and female, expressed a preference to see a female clinician for sexual and reproductive health matters, although several said they would see a male clinician if needed. Conclusion There appears to be a lack of effective engagement in general practice of migrant and refugee young people in relation to sexual and reproductive health.

    Implications for general practice General practice is known to be an important setting for young people to access information and services to support their sexual and reproductive health.

    Promoting Young People's Sexual Health: International Perspectives - CRC Press Book

    Competing interests: None. Provenance and peer review: Not commissioned, externally peer reviewed. Acknowledgements We are grateful for the contributions of the young people interviewed, who so willingly shared their views and experiences, as well as for the young people who contributed as part of the Youth Advisory Group convened for the study. Acknowledgement of the many contributions to this research does not imply endorsement of the findings or recommendations of this paper by those named.

    Talking to migrant and refugee young people about sexual health in general practice

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      Lancet ; — Youth-friendly primary-care services: How are we doing and what more needs to be done? Cult Health Sex ;19 4 — Census reveals a fast changing, culturally diverse nation. Aust Fam Physician ;41 3 — Young migrants and sexual and reproductive health care. In: Thomas F, editor. Handbook of migration and health.

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      Melbourne: Refugee Health Research Centre, Purity, privacy and procreation: Constructions and experiences of sexual and reproductive health in Assyrian and Karen women living in Australia. Sex Cult ;16 4 — Sex, contraception and contradiction among young Filipinas in Australia. Cult Health Sex ;4 4 — Sex Education — Search PubMed Liamputtong P. Qualitative research methods. South Melbourne, Victoria: Oxford, Using thematic analysis in psychology. Qualitative Research in Psychology ;3 2 — Search PubMed Neale J.

      Iterative categorization IC : A systematic technique for analysing qualitative data. Addiction ; 6 — Engaging migrant and refugee young people with sexual health care: Does generation matter more than culture? Sex Res Social Policy — Sex Health ;11 3 — Search PubMed Department of Health. GP workforce statistics — —02 to — Canberra: DoH, Aust Fam Physician ;43 4 — Confidentiality is essential if young people are to access sexual health services.

      Sex Cult ;13 4 — It identifies five key domains in which action must take place if the sexual health of individuals and populations is to be promoted: laws, policies and human rights; education; society and culture; economics and health systems. Promoting sexual health requires coordinated action on a variety of fronts.

      Health systems have a key role to play in this respect, but action and intervention in this domain alone will not produce the benefits needed. Unless healthy options are safeguarded and promoted through policy and the law; unless people have access to the information, skills and services they need and unless positive attitudes and values are cultivated in relationships, families and the community, health professionals can do little by themselves to promote sexual health.

      The different papers that comprise this special issue of Health Education Research engage with these concerns in a variety of ways. We have chosen as our focus three major themes: changing sexual practices and cultures; innovation in education concerning sexuality, sex and relationships, and in service provision and gender-based violence GBV. Each theme points to the need to consider sexual health not as an isolated health issue, but as intimately connected to the manner in which people both as individuals and as communities live.

      Sometimes the relationships people enter into may be consensual, supportive and health promoting. On other occasions, they may be abusive and damaging. Sexual practices, and the sexual and broader cultures in which they are embedded, reflect and shape the outcomes of sexual health promotion.

      The first set of four papers included in this special issue of Health Education Research contribute new evidence and innovative approaches to strengthen sexual health promotion programmes in support of the development of healthy sexual practices and cultures. Reporting on recent and ongoing activities in settings as diverse as Malawi, Uganda and The Netherlands, as well as reviewing research conducted across countries and settings, these papers individually and jointly illustrate the importance of the collaborative, systematic development of sexual health promotion programmes that bring together the expertise and experiences of a range of stakeholders, including those for whom the programmes are intended.

      The importance of effective dissemination of sexual health programmes to ensuring the impact of sexual health promotion is often overlooked, and it is exciting to see that gap addressed in multiple papers. Despite successes in reducing HIV prevalence, young people, in particular young women, aged 15—24 years remain vulnerable to HIV in sub-Sahara Africa [ 4 ], and university students may experience particular risk factors, including being away from family and greater exposure to peer pressure in settings of high sexual activity [ 5 ].

      Jaganath et al. Drawing on interviews conducted 1 year after the project, this study finds that major themes related to trust and risk, equality of people with HIV and the possibility of a full life with HIV were most discussed in the community, with the project seen to contribute to empowering people with HIV and creating a supportive environment [ 5 ].

      A substantial body of theory and research has accumulated with respect to the development and evaluation of interventions encouraging safe sexual practices among young people [ 6 ].