Diverse group of happy LGBT men

Pathways to engaging with sexual health services and LGBTQ+ communities among recently arrived overseas-born gay, bisexual, and other men who have sex with men in Australia: A qualitative study

In this report, we outline the pathways through which overseas-born gay, bisexual, and other men who have sex with men (GBM) found and connected with sexual health services and LGBTQ+ communities in Australia. We took a strengths-based approach and deliberately recruited individuals who had already connected with sexual health services and/or LGBTQ+ communities to understand the how and why these connections were made. 

Findings in this report can provide information for the development of strategies to engage other overseas-born GBM in sexual health services and/or LGBTQ+ communities.

Key findings
  • Participants learnt about sexual health services through a broad range of pathways, including information online, large-scale HIV awareness campaigns, universities, and through social and sexual networks.
     
  • Social and sexual networks played an important role in shaping sexual health norms for some participants, including regular HIV/STI testing, pre-exposure prophylaxis (PrEP) use, and partner notification.
     
  • Alternative pathways to obtaining PrEP such as self-importation and when available, federally funded PrEP, were important avenues to PrEP access for those not eligible for Medicare.
     
  • The vast majority of participants reported positive experiences in publicly funded sexual health clinics, often emphasising the free, confidential, and respectful nature of these services as highly valued.