HIV-Related Knowledge and Practices among Asian and African Migrants Living in Australia: Results from a Cross-Sectional Survey and Qualitative Study

Daniel Vujcich (), Alison Reid, Graham Brown, Jo Durham, Rebecca Guy, Lisa Hartley, Limin Mao, Amy B. Mullens, Meagan Roberts and Roanna Lobo
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Daniel Vujcich: School of Population Health, Curtin University, Bentley, WA 6102, Australia
Alison Reid: School of Population Health, Curtin University, Bentley, WA 6102, Australia
Graham Brown: Centre for Social Impact, UNSW, Sydney, NSW 2052, Australia
Jo Durham: Centre for Healthcare Transformation, Australian Centre for Health Services Innovation, School of Public Health and Social Work, Queensland University of Technology, Kelvin Grove, QLD 4059, Australia
Rebecca Guy: Kirby Institute, UNSW, Sydney, NSW 2052, Australia
Lisa Hartley: Centre for Human Rights Education, Curtin University, Bentley, WA 6102, Australia
Limin Mao: Centre for Social Research in Health, UNSW, Sydney, NSW 2052, Australia
Amy B. Mullens: School of Psychology & Wellbeing, Centre for Health Research, Institute for Resilient Regions, University of Southern Qld, Ipswich, QLD 4305, Australia
Meagan Roberts: School of Population Health, Curtin University, Bentley, WA 6102, Australia
Roanna Lobo: School of Population Health, Curtin University, Bentley, WA 6102, Australia

IJERPH, 2023, vol. 20, issue 5, 1-18

Abstract: Australian HIV notification rates are higher for people born in Northeast Asia, Southeast Asia and sub-Saharan Africa compared to Australian-born people. The Migrant Blood-Borne Virus and Sexual Health Survey represents the first attempt to build the national evidence base regarding HIV knowledge, risk behaviors and testing among migrants in Australia. To inform survey development, preliminary qualitative research was conducted with a convenience sample of n = 23 migrants. A survey was developed with reference to the qualitative data and existing survey instruments. Non-probability sampling of adults born in Northeast Asia, Southeast Asia and sub-Saharan Africa was undertaken (n = 1489), and descriptive and bivariate analyses of data were conducted. Knowledge of pre-exposure prophylaxis was low (15.59%), and condom use at last sexual encounter was reported by 56.63% of respondents engaging in casual sex, and 51.80% of respondents reported multiple sexual partners. Less than one-third (31.33%) of respondents reported testing for any sexually transmitted infection or blood-borne virus in the previous two years and, of these, less than half (45.95%) tested for HIV. Confusion surrounding HIV testing practices was reported. These findings identify policy interventions and service improvements critically needed to reduce widening disparities regarding HIV in Australia.

Keywords: HIV; sexual health; Australia; Africa; Asia; migrants; ethnic groups; surveys and questionnaires; interviews; focus group discussions (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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