Perceived barriers to the uptake of health services among first-year university students in Johannesburg, South Africa.
Perceived barriers to the uptake of health services among first-year university students in Johannesburg, South Africa.
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DOI：
10.1371/journal.pone.0245427
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Evans D
中科院分区：
文献类型：
--
作者：
Musakwa NO;Bor J;Nattey C;Lönnermark E;Nyasulu P;Long L;Evans D
年轻人在获得适当的医疗保健服务（包括艾滋病毒和结核病筛查）方面面临许多障碍。该研究旨在确定南非年轻人进入高等教育系统时接受卫生服务的障碍。我们于 2017 年对南非约翰内斯堡三所大学之一注册的 18-25 岁一年级学生进行了一项横断面研究。参与者填写了一份自填式纸质问卷。我们描述了获得卫生服务的已知障碍，按性别和最近参与结核病或艾滋病毒服务分层，以及有关艾滋病毒和结核病的信息来源。该研究纳入了七百九十二 (792) 名学生，其中 54.8% 是女性。获得服务的感知障碍包括等待时间长（n = 342,43.2%）、卫生工作者的态度（n = 263,33.2%）、缺乏足够的信息/健康素养差（n = 148,18.7%）以及无法离开/远离学习（n = 137,17.3%）。在过去 6 个月内接受过 HIV 检测的参与者中（n = 400，50.5%），医护人员的等待时间和态度被认为是获得服务的障碍。与男性相比，女性更有可能将卫生工作者的态度（40.3% vs. 25.0%；p = 0.001）和无法离开/远离研究（20.5% vs.13.4%；p = 0.025）视为潜在障碍。虽然本研究中超过一半的学生 (50.5%; 400/792) 在过去 6 个月内获得了医疗服务，但很少人 (15.0%) 选择使用校园医疗服务，甚至更少 (5%) 报告从大学本身收到有关艾滋病毒和结核病的信息。尽管人们认为在校外获得艾滋病毒和结核病服务存在障碍，但只有不到五分之一的大学新生选择使用校园医疗服务。校园卫生服务可以解决大学生特有的许多障碍。
Young people face many barriers to accessing appropriate health care services including screening for HIV and tuberculosis (TB). The study aimed to identify perceived barriers to the uptake of health services among young adults entering the tertiary education system in South Africa. We conducted a cross-sectional study among first-year students aged 18–25 years, registered at one of three universities in Johannesburg, South Africa, in 2017. Participants completed a self-administered paper-based questionnaire. We describe perceived barriers to accessing health services, stratified by gender and recent engagement in TB or HIV services, together with sources of information about HIV and TB. Seven hundred and ninety-two (792) students were included in the study of which 54.8% were female. Perceived barriers to accessing services included long waiting time (n = 342,43.2%), attitude of health workers (n = 263,33.2%), lack of sufficient information/poor health literacy (n = 148,18.7%), and inability to leave/stay away from studies (n = 137,17.3%). Among participants who tested for HIV in the past 6 months (n = 400, 50.5%), waiting time and attitude of health care workers were perceived as barriers to accessing services. Compared to males, females were more likely to view attitudes of health workers (40.3% vs. 25.0%; p = 0.001) and inability to leave/stay away from studies (20.5% vs.13.4%; p = 0.025) as potential barriers. While just over half of the students (50.5%; 400/792) in this study had accessed health services in the past 6 months, very few (15.0%) opted to use campus health services, and even less (5%) reported receiving information about HIV and TB from the university itself. Despite perceived barriers to accessing HIV and TB services off campus, fewer than one in five students starting out at university opted to use campus health services. Campus health services could address many of the barriers unique to university students.
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影响因子：
3.2
作者：
Lekas HM;Siegel K;Leider J
通讯作者：
Leider J
影响因子：
3.5
作者：
Filmer, D;Pritchett, LH
通讯作者：
Pritchett, LH
影响因子：
2.8
作者：
Goudge J;Gilson L;Russell S;Gumede T;Mills A
通讯作者：
Mills A
影响因子：
1.3
作者：
Earnshaw VA;Quinn DM;Park CL
通讯作者：
Park CL
DOI：
10.1097/qai.0000000000001819
发表时间：
2018-11-01
影响因子：
3.6
作者：
Kose, Judith;Tiam, Appolinaire;Rakhmanina, Natella
通讯作者：
Rakhmanina, Natella