What are the facilitators and barriers for Asian-born gay and bisexual men to access sexual health services in Australia: an integrative review.

This integrative qualitative review examines barriers and facilitators affecting sexual health service access among Asian-born men who are gay, bisexual, or who have sex with men in Australia. Despite advancements in HIV prevention, this group remains under-represented in research and health care, contributing to health disparities. The analysis identified a 'socioecological cascade' where external, structural-level forces such as pervasive stigma and perceived threat of health-related visa requirements are progressively internalised, culminating in individual-level barriers to care. On the positive side, a supportive attitude from the clinic's staff and the connection to the gay community improve access. Findings highlight the need for culturally sensitive outreach, clinician training, and policy reforms.