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Optimizing Service Provision for Asian-Born Migrants Living With HIV in Australia: A Qualitative Study.
Donna Sombrea1,2,3,4,5,6,7,8, Thomas Norman1,2,3,4,5,6,7,8, Jennifer Power1,2,3,4,5,6,7,8
1Donna Sombrea, MS, RPsy, is a PhD candidate at the Australian Research Centre in Sex, Health and Society, La Trobe University, Victoria, Australia.
Summary
Migrants living with HIV in Australia face barriers like bureaucracy and stigma. Culturally sensitive, community-led HIV services can improve care and well-being for these individuals.
Area of Science:
- Public Health
- Sociology
- Health Services Research
Background:
- Significant disparities exist in HIV care and outcomes for migrants compared to non-migrants.
- Equitable access to psychosocial support for people living with HIV (PLWH) is a growing concern.
Purpose of the Study:
- To explore strategies for optimizing HIV services for Asian-born PLWH in Australia.
- To identify barriers and facilitators to effective HIV care among migrant populations.
Main Methods:
- Conducted semistructured in-depth interviews with 18 participants (9 Asian-born PLWH, 9 HIV sector workers).
- Employed reflexive thematic analysis to interpret participant experiences.
Main Results:
- Participants experienced a dichotomy of marginalization and empowerment within the Australian HIV care system.
- Structural barriers including bureaucracy, language, racism, and stigma impede access to support.
- Peer-led initiatives, holistic care, and transnational networks show promise for sustained engagement.
Conclusions:
- Community-driven approaches and leadership opportunities are crucial for transforming HIV service provision and policy.
- Addressing systemic barriers and promoting culturally affirming care can enhance health and well-being for migrants with HIV.
- Further research is needed to develop effective long-term support strategies for this population.
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