What influences university students to seek sexually transmitted infection testing?: A qualitative study in New Zealand.

What influences university students to seek sexually transmitted infection testing?: A qualitative study in New Zealand.
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DOI:
10.1016/j.srhc.2018.01.004
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发表时间:
2018-06
期刊:
Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives
影响因子:
--
通讯作者:
Jutel A
Jutel A
中科院分区:
其他
文献类型:
--
作者:
Denison HJ;Bromhead C;Grainger R;Dennison EM;Jutel A

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未经治疗的性传播感染可导致严重的健康并发症,增加进一步感染包括人类免疫特异性病毒(艾滋病毒)在内的性传播感染的易感性,并可传染给他人。因此,性传播感染的早期诊断和治疗对于性传播感染的全面管理和预防至关重要,但这取决于那些面临性传播感染风险的人前来接受检测。为了理解性传播感染检测行为的改善,本研究旨在阐明为什么人们寻求性传播感染检测。对24名最近接受过性传播感染测试的大学生进行了定性半结构化访谈。采用定性主题分析方法对所得数据进行分析,以产生最终的主题集。从数据中确定了性传播感染检测的五个驱动因素:危机、合作伙伴、临床医生、常规和以前的知识。最后一个驱动因素,先前的知识,与前面四个交叉,特别是与例程有关。许多与会者承认,他们对性传播感染了解得越多,就越有可能进行例行检查。然而,与此同时,许多受访者认为他们的性知识基础不足,学校的性教育也有所欠缺。这项研究突出了性传播感染检测的重要驱动因素,这可能有助于设计公共卫生运动。报告还强调,以学校为基础的教育可以为性传播感染及其预防提供更坚实的基础。
Untreated sexually transmitted infections (STIs) can lead to serious health complications, increase susceptibility to contracting further STIs including human immunodefiniceny virus (HIV), and can be transmitted to others. The early diagnosis and treatment of STIs is therefore central to comprehensive STI management and prevention, but this relies on those at risk of STIs presenting for testing. In order to understand STI testing behaviours in view of their improvement, this study aimed to elucidate why people seek STI testing. Qualitative semi-structured interviews were conducted with 24 university students who had recently had an STI test. Resulting data were analysed employing a qualitative thematic analysis method to produce a final set of themes. Five drivers for STI testing were identified from the data: crisis, partners, clinicians, routines, and previous knowledge. The final driver, previous knowledge, intersected with the previous four, particularly in relation to routines. Many participants acknowledged that the more they knew about STIs the more likely they were to undertake routine tests. However, at the same time, many participants felt they did not have a good knowledge base and that their school-based sex education had been lacking. This study highlights important drivers for STI testing, which may aid the design of public health campaigns. It also underlines that school-based education could provide stronger foundations with regards to STIs and their prevention.
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