First call, home: perception and practice around health among South Asian migrants in Melbourne, Australia

• Published in: Australian journal of primary health 2022-02, Vol.28 (1), p.40-48
• Main Authors: Subedi, Rajan, Kaphle, Sabitra, Adhikari, Manju, Dhakal, Yamuna, Khadka, Mukesh, Duwadi, Sabina, Tamang, Sunil, Shakya, Sonu
• Format: Article
• Language: English
• Subjects: Asian people; Beliefs; Chronic illnesses; Community; Coronaviruses; COVID-19; Cultural competence; Cultural groups; Data collection; Economic factors; Epidemics; Health behavior; Health beliefs; Health care policy; Health services utilization; Health status; Home remedies; Influence; Interviews; Medical research; Mental health; Mental health services; Migrants; Mixed methods research; Participation; Perceptions; Population; Researchers; Self evaluation; Social networks; Social norms; Sociocultural factors
• ISSN: 1448-7527; 1836-7399
• DOI: 10.1071/PY21036

The socio-cultural context of populations has a significant effect on health outcomes across every stage of life. In Australia, South Asian migrants have a comparatively higher incidence of chronic disease and less use of health services. Often overlooked are community views of health, cultural traits and belief systems. This study aimed to explore the factors that influence health perception and practice of South Asian migrants. The study used a mixed method approach with both a survey and interviews. A total of 62 participants between the age of 18 and 64 years were surveyed and 14 participants completed interviews. Data were analysed descriptively and thematically. South Asians share a common perception and practice around health and illness. This paper highlights two key findings. First, these groups take a broad view of health encompassing physical, mental, emotional, social and economic aspects of life. Second, these cultural groups do not seek medical help as their first choice, but have a high level of trust in family for providing health advice and share a belief in the effectiveness of home remedies for managing health conditions. Participants shared their expectation that the Australian health system should consider their socio-cultural construct to make services culturally safe and engaging to enhance service utilisation.