Providing health information for culturally and linguistically diverse women: priorities and preferences of new migrants and refugees
Susan K. Lee A D , Cheryl M. R. Sulaiman-Hill B C and Sandra C. Thompson DA Women’s Health and Family Services, 227 Newcastle, Northbridge, WA 6003, Australia.
B Centre for International Health, Curtin University, GPO Box U1987, Perth, WA 6845, Australia.
C Combined Universities Centre for Rural Health, PO Box 109, Geraldton, WA 6531, Australia.
D Corresponding author. Email: slee@whfs.org.au
Health Promotion Journal of Australia 24(2) 98-103 https://doi.org/10.1071/HE12919
Submitted: 17 November 2012 Accepted: 5 July 2013 Published: 14 August 2013
Abstract
Issues addressed: Preferences for topics and means of access to health information among newly arrived, culturally and linguistically diverse women in Perth, Western Australia, were explored.
Methods: A mixed-methods approach was adopted. Qualitative material obtained from focus groups and interviews with 22 service providers and 26 migrant women was used to develop a questionnaire, which was then administered to 268 newly arrived migrant and refugee women from 50 countries. Participants’ information and support priorities were ascertained from a ranking exercise conducted in a non-threatening context. Responses of migrant and refugee women were compared quantitatively.
Results: Women’s top priorities for information and support included employment advice, as well as information regarding mental health issues, women’s health, exercise and nutrition, family violence and alcohol and other drug issues. Their preferred methods for receiving information were interactive talks or presentations, with written material support. Audiovisual and Web-based material were also considered useful. There were differences between refugee women’s and other migrants’ preferences for means of receiving information and topics of most concern.
Discussion: The use of a non-threatening ranking process encouraged women to prioritise sensitive topics, such as family violence, and revealed a need for such topics to be incorporated within general health information presentations. Internet-based technologies are becoming increasingly important methods for disseminating information to migrant women.
So what?: Differences between migrant and refugee women’s priority health issues and their preferred methods for receiving information highlight the desirability of tailoring information to particular groups. Although advice on employment pathways and mental health concerns were top priorities, the study revealed a need for more discussion on other sensitive topics, such as family violence and alcohol-related issues, and that ideally these should be incorporated into general information sessions to destigmatise attendance The increasing relevance of computer technology and social media for information dissemination was also of note.
Key words: Culturally and Linguistically Diverse people, health education, refugees, women.
References
[1] Davidson N, Skull SA, Burgner D, Kelly P, Raman S, Silove D, Steel Z, Vora R, Smith M (2004) An issue of access: delivering equitable health care for newly arrived refugee children in Australia. J Paediatr Child Health 40, 569–75.| An issue of access: delivering equitable health care for newly arrived refugee children in Australia.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD2cvlvFelsg%3D%3D&md5=7a8e0d16b85ba84f50d6578e3857e572CAS | 15367155PubMed |
[2] Community Information Whittlesea. The unmet health needs of new arrivals in Whittlesea: an analysis of the access barriers newly arrived migrants and refugees face within health services. Whittlesea, Victoria: Community Information Whittlesea; 2004.
[3] Sheikh M, MacIntyre CR (2009) The impact of intensive health promotion to a targeted refugee population on utilisation of a new refugee paediatric clinic at the children’s hospital at Westmead. Ethn Health 14, 393–405.
| The impact of intensive health promotion to a targeted refugee population on utilisation of a new refugee paediatric clinic at the children’s hospital at Westmead.Crossref | GoogleScholarGoogle Scholar | 19370438PubMed |
[4] Sheikh-Mohammed M, MacIntyre CR, Wood NJ, Leask J, Isaacs D (2006) Barriers to access to health care for newely resettled sub-Saharan refugees in Australia. Med J Aust 185, 594–7.
[5] Hua M, Rissel C, Orr N, Wen LM (2002) Effectiveness of a resource on the Australian health care system among the Sydney Chinese-speaking community. Promot Educ 9, 98–100, 117, 126.
[6] Porteous S. Access to mainstream services by culturally and linguistically diverse communities in Manningham, Whitehorse and Knox. Melbourne: Migrant Information Centre (Eastern Melbourne); 2004.
[7] Waxman P (1998) Service provision and the needs of newly arrived refugees in Sydney, Australia: a descriptive analysis. Int Migr Rev 32, 761–77.
| Service provision and the needs of newly arrived refugees in Sydney, Australia: a descriptive analysis.Crossref | GoogleScholarGoogle Scholar |
[8] Worthington Di Marzio and Cultural Partners Australia. Access to information about government services among culturally and linguistically diverse audiences. Report no. 00/10/2817. Melbourne: Victorian Department of Premier and Cabinet; 2001.
[9] Dolman J, Shackleton G, Ziaian T, Gay J, Yeboah D (1996) A survey of health agencies’ responses to non-English speaking women’s health needs in South Australia. Aust N Z J Public Health 20, 155–60.
| A survey of health agencies’ responses to non-English speaking women’s health needs in South Australia.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK28zpt1ejsA%3D%3D&md5=1f01aa84e35d0f0ae408125954dabb8eCAS | 8799090PubMed |
[10] Lee SK, Thompson SC, Amorin-Woods D (2009) One service, many voices: enhancing consumer participation in a primary health service for multicultural women. Qual Prim Care 17, 63–9.
[11] Bauer I (1995) Rank-ordering: a suitable method for nursing research. Aust J Adv Nurs 13, 32–6.
[12] Pittaway E. The ultimate betrayal: an examination of the experience of domestic and family violence in refugee communities. Sydney: University of New South Wales; 2004.
[13] Rees S, Pease B (2007) Domestic violence in refugee families in Australia. J Immigr Refugee Studies 5, 1–19.
| Domestic violence in refugee families in Australia.Crossref | GoogleScholarGoogle Scholar |
[14] Henderson S, Kendall E (2011) Culturally and linguistically diverse peoples’ knowledge of accessibility and utilisation of health services: exploring the need for improvement in health service delivery. Aust J Prim Health 17, 195–201.
| Culturally and linguistically diverse peoples’ knowledge of accessibility and utilisation of health services: exploring the need for improvement in health service delivery.Crossref | GoogleScholarGoogle Scholar | 21645477PubMed |
[15] Chan YF, Quine S (1997) Utilisation of Australian health care services by ethnic Chinese. Aust Health Rev 20, 64–77.
| Utilisation of Australian health care services by ethnic Chinese.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK2s3lvVenug%3D%3D&md5=c81684c5807553bcf8d7bad0418d99d2CAS | 10165945PubMed |