Longitudinal study, collected across four waves (2013-2022), including 12,661 non-CALD and 1,106 CALD men. Cross-sectional analyses of data from the first and last waves compared access to SRH and health care between these men, with longitudinal analyses conducted for outcomes measured across multiple waves. Overall, CALD men were less likely to have accessed health care in the last 12 months compared with non-CALD men, including specialist, allied and mental health care. CALD men were more likely to encounter socio-economic (odds ratio OR: 1.17; 95% confidence interval CI: 0.69, 1.97) and COVID-19 barriers (2.01; 95% CI: 1.22, 3.34) when accessing health care. Similar patterns were observed in SRH access, where CALD men were less likely to seek medical help (OR: 0.59; 95% CI: 0.28, 1.21) than non-CALD men, consistent with longitudinal findings. CALD men were less likely to seek health care or seek medical professionals for SRH and were more likely to face socio-economic barriers than non-CALD men. The findings underscore the urgent need for increased accessibility to culturally sensitive health care immediately post-migration. Tailoring information and services to diverse languages and cultural needs, alongside policy reforms addressing socio-cultural barriers, is essential to ensure equitable and inclusive health care systems.
Castleton et al. (Fri,) studied this question.