ABSTRACT:
Men represent more than half of the world’s migrant population, yet their healthcare challenges remain under researched. Evidence highlights that culturally and linguistically diverse (CALD) men face substantial barriers to healthcare access post-migration, particularly in sexual and reproductive health (SRH). This study aimed to analyse healthcare access, including SRH, amongst Australian-born and CALD men, using data from the Ten to Men 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 healthcare in the last 12 months compared to non-CALD men, including specialist, allied and mental health care. CALD men were more likely to encounter socio-economic (OR:1.17; 95% CI: 0. 69, 1.97) and COVID-19 barriers (2.01; 95% CI: 1.22, 3.34) when accessing healthcare. 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 healthcare or seek medical professionals for SRH and were more likely to face socioeconomic barriers than non-CALD men. The findings underscore the urgent need for increased accessibility to culturally sensitive healthcare 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 healthcare systems.