The Role of Social and Sexual Networks in Connecting to Sexual Health Services: Findings from a Qualitative Study Among Migrant Gay, Bisexual, and Other Men Who Have Sex with Men in Australia
摘要
Migrant gay, bisexual, and other men who have sex with men (GBMSM) are a priority population in HIV prevention in Australia. This study sought to understand how social and sexual networks influence sexual health behaviours among migrant GBMSM.
MethodsSemi-structured interviews were conducted with 27 migrant GBMSM who moved to Australia from 2017 onwards. Interviews were conducted between November 2022 and September 2023. Interviews were analysed thematically.
ResultsSocial and sexual networks impacted participants’ sexual health via two main pathways. Firstly, peers were a source of practical information, such as locations of sexual health services and connecting to LGBTQ+ community health organisations. Secondly, peers and sexual partners modelled HIV/STI testing norms, partner notification of STIs, and use (or non-use) of HIV pre-exposure prophylaxis. Some participants valued having friends with shared identities or similar migration experiences. Others valued support from a diverse range of people after migration, not exclusively linked to LGBTQ+ communities.
Conclusion and Policy ImplicationsParticipants described various influences in accessing sexual health services, including receiving information through peer networks and influences from norms modelled from peers. However, migrant GBMSM also valued diversity within their peer networks, including peers with various sexual identities, migration experiences, or racial backgrounds. Policymakers and community-based LGBTQ+ organisations should continue working with migrant communities to develop resources that promote the importance of sexual health services. Health promotion and interventions require further adaptation to reach migrant GBMSM who face barriers to connecting with Australian LGBTQ+ communities and networks.