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Background: According to the WHO reproductive tract infections are endemic in many developing countries; and control of RTIs, especially STIs, are an urgent priority for many countries where the incidence and prevalence rates are high. Within the research literature, there’s strong evidence that infertility in Africa is largely due to untreated RTIs. This is an area where the ability to have children is held in high regard among many cultures. Given the magnitude of reproductive health problems in Africa, specifically Nigeria, little is known about the reproductive health issues of Nigerian immigrants in the U.S.
Objectives: To conduct a descriptive analysis of the reproductive health knowledge, attitudes, beliefs, and health-seeking behaviors among Nigerian-born immigrant women in Atlanta, Georgia.
Methods: A cross-sectional mixed-method approach was conducted in three phases: the construction of the survey, two focus group discussions, and questionnaire dissemination among Nigerian-born immigrant women.
Results: Both focus groups responded positively to the initial questionnaire. However, focus group II gave more constructive belief and attitude themes around female gender roles, condom usage, STIs, and infertility that were included in the final version of the questionnaire. 180 respondents completed the 87-item questionnaire. Over 70% of respondents correctly answered 13 out of 14 knowledge questions, 41% indicated they had never received an STI test since migrating to the U.S., while majority disagreed with many socio-cultural belief statements presented on the questionnaire.
Conclusions: Cultural beliefs and practices that impact Nigerian immigrants health-seeking behaviors are still of important interest, especially if such practices and beliefs may have a negative impact on their health.
Implications for Programs, Policy, and Research: Future studies should focus on tailoring health education interventions to encourage STI testing among those that are married, since they may not perceive themselves as being at risk for STI infection.