Exploring HIV risks, testing and prevention among sub-Saharan African community members in Australia

Mullens, Amy B. and Kelly, Jennifer and Debattista, Joseph and Phillips, Tania M. and Gu, Zhihong and Siggins, Fungisai (2018) Exploring HIV risks, testing and prevention among sub-Saharan African community members in Australia. International Journal for Equity in Health, 17.

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Background: Significant health disparities persist regarding new and late Human Immunodeficiency Virus (HIV)
diagnoses among sub-Saharan African (SSA) communities in Australia. Personal/cultural beliefs and practices
influence HIV (risk, prevention, testing) within Australia and during visits to home countries.

Method: A community forum was conducted involving 23 male and female adult African community workers,
members and leaders, and health workers; facilitated by cultural workers and an experienced clinician/researcher. The forum comprised small/large group discussions regarding HIV risk/prevention (responses transcribed verbatim; utilizing thematic analysis).

Results: Stigma, denial, social norms, tradition and culture permeated perceptions/beliefs regarding HIV testing,
prevention and transmission among African Australians, particularly regarding return travel to home countries.

Conclusions: International travel as a risk factor for HIV acquisition requires further examination, as does the role of the doctor in HIV testing and Pre-exposure Prophylaxis (PrEP). Further assessment of PrEP as an appropriate/feasible intervention is needed, with careful attention regarding negative community perceptions and potential impacts.

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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: © The Author(s). 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Faculty / Department / School: Current - Faculty of Health, Engineering and Sciences - School of Psychology and Counselling
Date Deposited: 23 May 2018 03:11
Last Modified: 30 May 2018 01:11
Uncontrolled Keywords: CALD, PREP, HIV screening, African community members, HIV risks
Fields of Research : 11 Medical and Health Sciences > 1117 Public Health and Health Services > 111712 Health Promotion
11 Medical and Health Sciences > 1103 Clinical Sciences > 110309 Infectious Diseases
17 Psychology and Cognitive Sciences > 1701 Psychology > 170106 Health, Clinical and Counselling Psychology
Identification Number or DOI: 10.1186/s12939-018-0772-6
URI: http://eprints.usq.edu.au/id/eprint/34145

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