Factors Leading to Health Exclusion among African Refugees in Australia: The Case of Blood Donation
Developed countries that accept refugees are obligated, under the UN Convention for Refugees, to integrate refugees into host communities, with inclusion in the health system being pivotal. Integration programs can be difficult, as many refugees’ home countries have different health systems, they have lower health literacy, and different expectations of health services. Country health system differences, require cultural adaption of host country services when designing targeted inclusive health care programs. Using a sample of 317 Australian-based African refugees, this study examines how refugees’ acculturation, perceptions of discrimination, past behavior, objective knowledge and medical mistrust influence their health inclusion, based on their blood donation intentions. The results indicate that perceived discrimination and objective blood donation knowledge directly affect donation intentions. Perceived discrimination mediates the relationship between acculturation and intentions, and between medical mistrust and donation intentions; and objective knowledge mediates the relationship between past behavior and donation intentions. Recommendations are made for policymakers designing social inclusion programs and health service providers designing and delivering targeted initiatives, to better facilitate refugee participation in host country health systems.
Professor Michael Jay Polonsky is the Chair in Marketing at Deakin University. He has been researching environmental and social issues in marketing for over 20 years. He has published over 120 journal articles, with many of these focusing on environmental marketing issues. In 2010 he was awarded the Elsevier Distinguished Scholar by the Society for marketing advances in the US for this work. He has also been involved in a number of conferences serving as the environmental/social marketing tracks as past AMA, ANZMAC, KAMS and AMS conferences.
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