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A systematic search and narrative review of Aboriginal and Torres Strait Islander women and men pelvic health care: demonstrated need for improvement.
- Source :
- Australian Journal of Primary Health; 2024, Vol. 30 Issue 1, p1-12, 12p
- Publication Year :
- 2024
-
Abstract
- Warning: This article contains terms, descriptions and opinions that may be culturally sensitive for Aboriginal and Torres Strait Islander peoples. Background: Pelvic health conditions among Aboriginal and Torres Strait Islander women and men are under-recognised and under-reported despite indication of the significant burden of these conditions. Access to effective management provided in a culturally safe manner appears lacking. The study aims were to: (1) summarise the burden of pelvic health conditions among Aboriginal and Torres Strait Islander peoples; (2) explore barriers and enablers to Aboriginal and Torres Strait Islander peoples accessing pelvic healthcare services; and (3) provide considerations on how to implement culturally safe pelvic healthcare services for Aboriginal and Torres Strait Islander peoples. Methods: This study involved a systematic literature search informing a narrative review. Results: Fourteen specific articles were identified. Burden related to pelvic health conditions was identified for both women and men, noting high likelihood of under-reporting. Barriers to effective culturally safe treatment included racism, shame and stigma associated with women's and men's business, lack of culturally safe services and geographical distance. Enablers included building trust with local communities, using yarning principles and codesign of pelvic health services with Aboriginal health workers and services. Strategies to improve pelvic health care for Aboriginal and Torres Strait Islander peoples were described at the systems, health service and clinician levels. Conclusion: Efforts are needed to improve the diagnosis and management of pelvic health conditions for Aboriginal and Torres Strait Islander peoples. Actions are required to engage with local Aboriginal Community Controlled Aboriginal Community Controlled Health Organisations, professionals overseeing service provision and healthcare providers to address the burden of these conditions among Aboriginal and Torres Strait Islander peoples. Warning: This article contains terms, descriptions and opinions that may be culturally sensitive for Aboriginal and Torres Strait Islander peoples. Pelvic health conditions are under-recognised and under-reported by Aboriginal and Torres Strait Islander peoples. Access to effective conservative (non-surgical) management options provided in a culturally safe manner appear to be lacking. We provide strategies to improve pelvic health care of Aboriginal and Torres Strait Islander women and men by highlighting considerations that facilitate culturally safe pelvic health care at the systems, health service and clinician levels. [ABSTRACT FROM AUTHOR]
- Subjects :
- CONSERVATIVE treatment
CULTURAL identity
CINAHL database
ONLINE information services
ACCESS to primary care
TORRES Strait Islanders
HEALTH services accessibility
OUTPATIENT medical care
DISEASES in men
SYSTEMATIC reviews
TRANSCULTURAL medical care
SOCIAL stigma
COMMUNITY health services
INSTITUTIONAL racism
HUMAN services programs
GENITOURINARY diseases
QUALITY assurance
DESCRIPTIVE statistics
MEDLINE
SHAME
PELVIC floor disorders
MEDICAL care of indigenous peoples
TRUST
Subjects
Details
- Language :
- English
- ISSN :
- 14487527
- Volume :
- 30
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Australian Journal of Primary Health
- Publication Type :
- Academic Journal
- Accession number :
- 175503876
- Full Text :
- https://doi.org/10.1071/PY23167