Reactions to Self-Sampling for Ano-Rectal Sexually Transmitted Infections Among Men Who Have Sex with Men: A Qualitative Study
Reactions to Self-Sampling for Ano-Rectal Sexually Transmitted Infections Among Men Who Have Sex with Men: A Qualitative Study
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DOI：
10.1007/s10508-009-9569-4
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发表时间：
2011-04-01
影响因子：
3.8
通讯作者：
Fortenberry, J. Dennis
中科院分区：
文献类型：
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作者：
Rosenberger, Joshua G.;Dodge, Brian;Fortenberry, J. Dennis
人们对男性与特定的性传播感染(STI)检测方法相关的潜在动机和障碍知之甚少。在这项研究中，我们调查了美国中西部社区男男性行为者(MSM)的肛门直肠性传播感染的自我采样经验。总共从印第安纳州印第安纳波利斯的社区场所招募了75名MSM。参与者完成了半结构化访谈，被要求在私人洗手间获取肛门直肠自检样本，并被问及关于他们在性传播感染中进行肛门直肠自检的经验的开放式问题。参与者包括35名白人、27名黑人和13名拉丁裔MSM，年龄从18岁到57岁不等。不考虑性行为，大多数获得肛门直肠自检的参与者(68/75)报告说，抽样过程相对无痛，身体上也很容易。然而，不管之前有过接受性肛交，参与者也表达了对测试性质的担忧(即在直肠中插入一些东西)，与收集尿样相比，这要求更高的隐私和清洁度。自我采样是一种可行的、可接受的男男性接触者肛门直肠性传播感染标本采集方法。在MSM中增加肛门直肠性传播感染的检测可能需要解决采样和检测点的位置、现有的对肛门直肠自我采样的负面看法以及为促进隐私和清洁而采取的措施。
Little is known about men's potential motivations and barriers associated with specific sexually transmitted infections (STI) testing methods. In this study, we examined experiences of self-sampling for ano-rectal STI among men who have sex with men (MSM) in a midwestern community in the U. S. A total of 75 MSM were recruited from community venues throughout Indianapolis, Indiana. Participants completed semi-structured interviews, were asked to obtain ano-rectal self-sample in a private restroom, and were asked open-ended questions about their experiences with ano-rectal self-sampling for STI. Participants included 35 White, 27 Black, and 13 Latino MSM who ranged in age from 18 to 57 years. Regardless of sexual practices, most participants who obtained an ano-rectal self-sample (68/75) reported that the sampling procedure was relatively painless and physically easy. However, regardless of previous receptive anal sex, participants also expressed concerns about the nature of the test (i.e., inserting something into their rectum), which required increased levels of privacy and cleanliness compared to collection of urine samples. Self-sampling proved to be a feasible and acceptable method of collecting anorectal STI specimens among MSM. Increased testing for anorectal STI among MSM may require addressing the location of sampling and testing sites, existing negative perceptions of anorectal self-sampling, and the measures in place to promote privacy and cleanliness.