Barriers to sexually transmitted infection testing in New Zealand: a qualitative study.

Barriers to sexually transmitted infection testing in New Zealand: a qualitative study.
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新西兰性传播感染检测的障碍:一项定性研究。

DOI:
10.1111/1753-6405.12680
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发表时间:
2017-08
影响因子:
3.5
通讯作者:
Jutel A
Jutel A
中科院分区:
医学3区
文献类型:
--
作者:
Denison HJ;Bromhead C;Grainger R;Dennison EM;Jutel A

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调查阻止或延迟人们寻求性传播感染(STI)检测的障碍。定性深入访谈进行了24名大学生,谁是一组倾向于行为,使他们处于性传播感染的风险,了解的因素,阻止或延迟他们去一个STI测试在过去。采用定性内容分析方法对所得数据进行了专题分析,并确定了最后一组专题。对性传播感染检测的障碍主要有三种。这些是:个人因素(低估风险、认为性传播感染不严重、害怕侵入性手术、在生殖器检查时自觉和过于忙碌);结构因素(检查的经济成本和临床医生的属性和态度);以及社会因素(担心被污名化)。这些数据将有助于卫生服务提供者和政策制定者提供最大限度地减少障碍的服务,并制定有效的战略来提高STI检测率。这项研究的结果表明,需要采取全面的方法来鼓励检测,其中包括解决个人信仰,与医疗保健提供者合作,以尽量减少结构性障碍,并制定措施来改变社会对性传播感染的看法。
To investigate the barriers that prevent or delay people seeking a sexually transmitted infection (STI) test. Qualitative in-depth interviews were conducted with 24 university students, who are a group prone to behaviours putting them at risk of STIs, to understand the factors that had prevented or delayed them from going for an STI test in the past. Resulting data were thematically analysed employing a qualitative content analysis method, and a final set of themes identified. There were three main types of barrier to STI testing. These were: personal (underestimating risk, perceiving STIs as not serious, fear of invasive procedure, self-consciousness in genital examination and being too busy); structural (financial cost of test and clinician attributes and attitude); and social (concern of being stigmatised). These data will help health providers and policy-makers provide services that minimise barriers and develop effective strategies for improving STI testing rates. The results of this study suggest a holistic approach to encouraging testing is required, which includes addressing personal beliefs, working with healthcare providers to minimise structural barriers and developing initiatives to change social views about STIs.
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