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Özgün Makale

No. 13 (2025)

African Women in the Migration Process to Turkey: An Updated Perspective on Sexual Health and Sexually Transmitted Infections in 2009 and 2021

Submitted
February 6, 2025
Published
2025-02-24

Abstract

This research is based on a reanalysis of data from African women interviewed in the two studies. Specifically, interviews with 7 women from the 2009 study and 30 women from the 2021 study were utilized. The analysis focused on impressions and concepts related to "sexual health and STIs" rather than generalizations.

Most participants in both study periods indicated that they were unfamiliar with the concepts of sexual health and STIs but demonstrated knowledge in these areas after explanations were provided. Women generally defined sexual health in terms of safe sex, reproductive organs, family planning, and protection against sexually transmitted infections. Notably, knowledge levels about diseases such as HIV, gonorrhea, and herpes varied. Barriers such as language, cultural differences, and social stigma became apparent in accessing sexual health services. Additionally, survivors of sexual violence expressed concerns about the traumatic effects of their experiences and the risk of STI transmission.

Unlike 2009, women in the 2021 study reported the use of the internet and online information-seeking methods. However, participants expressed concerns about acquiring misinformation from online sources, such as Google.

Access to sexual and reproductive health services remains a significant issue, particularly for undocumented migrant women. Language barriers, economic constraints, and cultural differences hinder access to healthcare services, contributing to increased rates of unintended pregnancies, maternal and infant mortality, and STIs. The importance of language support, cultural sensitivity, and financial assistance in improving migrant women’s access to sexual health services remains critical and unchanged over time.

References

  1. Alemi, Q., Stempel, C., Koga, P. M., Smith, V., Danis, D., Baek, K., & Montgomery, S. (2017). Determinants of health care services utilization among first generation afghan migrants in Istanbul. International journal of environmental research and public health, 14(2), 201.
  2. Barbaros, H. (2009). Düzensiz göç sürecinde kadın göçmenler: istanbuldan bir kesit Sağlık Bilimleri Enstitüsü].
  3. Bora, A. (2008). Sivil toplum kuruluşlari için toplumsal cinsiyet rehberi. Sivil Toplum Geliştirme Merkezi.
  4. Canova, C., Dansero, L., Destefanis, C., Benna, C., & Rosato, I. (2024). Assessing the health status of migrants upon arrival in Europe: a systematic review of the adverse impact of migration journeys. Globalization and Health, 20(1), 69.
  5. Castles, S., Miller, M. J., Bal, B. U., & Akbulut, İ. (2008). Göçler çağı: Modern dünyada uluslararası göç hareketleri. İstanbul Bilgi Üniversitesi.
  6. Cordel, H., Tantet, C., Stempak, T., Billaud, E., Mosnier, E., Huber, F., Florence, S., Leclerc, D., Freire-Maresca, A., & de Champs Léger, H. (2022). Addressing sexuality and sexual health with migrants. Practice guidelines. Infectious Diseases Now, 52(2), 61-67.
  7. Dias, S., Fronteira, I., Gama, A., Gróz, A. P., Mardin, D., Simões, J., Roxo, L., & Barros, P. P. (2018). Health policies, patterns and barriers to migrants’ access to primary health care. Access to primary care and preventative health services of migrants, 99-109.
  8. do Nascimento, I. J. B., Weerasekara, I., Marquez, J., Abdulazeem, H. M., Vasanthan, L. T., Deeken, G., Morgan, R., Tan, H.-L., Aguirre, I. Y., & Østengaard, L. (2024). The role of digital health technologies in women’s health, empowerment and gender equality: project report.
  9. Glasier, A., Gülmezoglu, A. M., Schmid, G. P., Moreno, C. G., & Van Look, P. F. (2006). Sexual and reproductive health: a matter of life and death. The Lancet, 368(9547), 1595-1607.
  10. Iddris, R. (2023). İstanbul'daki Afrikalı göçmen kadınların cinsel sağlık ve üreme sağlığı hizmetlerine erişimi: Fırsatlar ve zorluklar [Master Thesis, İstanbul Üniversity]. İstanbul.
  11. IOM. (2024). Migration Health 2023 Impact Overview (I. O. f. Migration, Ed.). International Organization for Migration. www.iom.int/migration-health
  12. Mandroiu, A., Alsubahi, N., Groot, W., & Pavlova, M. (2024). Sexual and reproductive health rights and service use among undocumented migrants in the EU: a systematic literature review. Healthcare,
  13. Manirankunda, L., Loos, J., Alou, T. A., Colebunders, R., & Nöstlinger, C. (2009). “It's better not to know”: perceived barriers to HIV voluntary counseling and testing among sub-Saharan African migrants in Belgium. AIDS Education & Prevention, 21(6), 582-593.
  14. Mardin, F. D., & Özgülnar, N. (2019). Access To Healthcare For Asylum-Seekers In Turkey. Healthcare Mobilities & National Health Systems, 45.
  15. McAuliffe, M., & Oucho, L. A. (2024). Report Overview: Migration Continues To Be Part Of The Solution In A Rapidly Changing World, But Key Challenges Remain. World Migration Report, 2024(1), e00033.
  16. Mora, C., & Piper, N. (2021). The Palgrave handbook of gender and migration. Springer.
  17. Özgülnar, N. (2016). Kadinlarin Sağlik Sorunlari. Savaş, Göç ve Sağlık, 52, Türk Tabipler Birliği Yayını.
  18. Ponthieux, S., & Meurs, D. (2015). Gender inequality. In Handbook of income distribution (Vol. 2, pp. 981-1146). Elsevier.
  19. Raben, L. A., & Van Den Muijsenbergh, M. E. (2018). Inequity in contraceptive care between refugees and other migrant women?: a retrospective study in Dutch general practice. Family practice, 35(4), 468-474.
  20. Sundewall, J., & Kaiser, H. (2019). Sexual and Reproductive Health and Rights:: An Essential Element of Universal Health Coverage. Background document for the Nairobi Summit on ICPD25-Accelerating the promise.
  21. Umami, A., Paulik, E., Molnár, R., & Murti, B. (2022). The relationship between genital hygiene behaviors and genital infections among women: A systematic review. Jurnal Ners, 17(1), 89-101.
  22. Vatandaş, C. (2007). Toplumsal cinsiyet ve cinsiyet rollerinin algilanişi. Istanbul Journal of Sociological Studies(35), 29-56.
  23. WHO. (2003). WHO ethical and safety recommendations for interviewing trafficked women. World Health Organization Geneva: WHO, 37.
  24. WHO. (2010). Measuring sexual health: Conceptual and practical considerations and related indicators.
  25. WHO. (2016). Action Plan for Sexual and Reproductive Health: Towards achieving the 2030 Agenda for Sustainable Development in Europe–leaving no one behind. In W. H. Organization (Ed.), Action Plan for Sexual and Reproductive Health: towards achieving the 2030 Agenda for Sustainable Development in Europe–leaving no one behind.
  26. Zimmerman, C., Hossain, M., Yun, K., Roche, B., Morison, L., & Watts, C. (2006). Stolen smiles: a summary report on the physical and psychological health consequences of women and adolescents trafficked in Europe.
  27. Zimmerman, C., Yun, K., Shvab, I., Watts, C., Trappolin, L., Treppete, M., Bimbi, F., Adams, B., Jiraporn, S.-t., & Beci, L. (2003). The health risks and consequences of trafficking in women and adolescents: Findings from a European study. London School of Hygiene & Tropical Medicine.