Help and Care Seeking for Sexually Transmitted Infections Among Youth in Low- and Middle-Income Countries.
Help and Care Seeking for Sexually Transmitted Infections Among Youth in Low- and Middle-Income Countries.
复制标题
DOI：
10.1097/olq.0000000000000607
复制
发表时间：
2017-06
影响因子：
3.1
通讯作者：
Chandra-Mouli V
中科院分区：
文献类型：
--
作者：
Newton-Levinson A;Leichliter JS;Chandra-Mouli V
对中低收入国家青少年寻求帮助和照顾行为的定性系统评价。补充数字内容可在文本中找到。寻求性传播感染帮助或医疗的能力对性活跃青年至关重要;然而，他们的需求往往得不到满足。我们对研究进行了定性系统回顾，以评估青年和提供者对低收入和中等收入国家年轻人寻求帮助和寻求STI服务的行为的看法。我们检索了2001年至2014年间发表的同行评议文献，研究人群为青年（年龄，10-24岁）和/或医疗服务提供者。从18个国家确定了18项研究供纳入。专题分析确定了各项研究的关键主题。大多数研究都讨论了青年不寻求治疗、自行治疗或等待获得护理的问题，这表明许多青年仍然没有及时寻求性传播感染护理。青年人希望获得更多关于性健康的信息，并提到在获得帮助或信息，特别是从提供者或父母那里获得帮助或信息时存在与恐惧或禁忌有关的障碍。许多人没有意识到症状或等到症状恶化。然而，许多青年人能够找到一些与性传播感染相关的护理来源，包括公共和私人诊所、药店、替代治疗师和非政府组织。青少年的寻求帮助和寻求照顾的偏好往往受到保密性，友好性和成本的愿望。低收入和中等收入国家的青年在寻求性传播感染帮助方面遇到重大障碍，他们往往不寻求或推迟医疗护理。提高接受率可能需要努力解决诊所系统，提供者的态度，保密性，以及与青年性行为有关的文化规范。
A qualitative systematic review of help and care seeking behaviors of youth in low- and middle-income countries. Supplemental digital content is available in the text. The ability to seek help or medical care for sexually transmitted infections (STIs) is vital for sexually active youth; yet, their needs are often unmet. We conducted a qualitative systematic review of studies to assess youth and provider views about the behaviors of young people in help seeking and care seeking for STI services in low- and middle-income countries. We searched peer-reviewed literature for studies published between 2001 and 2014 with a study population of youth (age, 10–24 years) and/or health service providers. Eighteen studies were identified for inclusion from 18 countries. Thematic analyses identified key themes across the studies. The majority of studies included discussion of youth not seeking treatment, resorting to self-treatment, or waiting to access care, suggesting that many youth still do not seek timely care for STIs. Youth desired more information on sexual health and cited barriers related to fear or taboos in obtaining help or information, especially from providers or parents. Many did not recognize symptoms or waited until symptoms worsened. However, many youth were able to identify a number of sources for STI related care including public and private clinics, pharmacies, alternative healers, and nongovernmental organizations. Youth's help seeking and care seeking preferences were frequently influenced by desires for confidentiality, friendliness, and cost. Youth in low- and middle-income countries experience significant barriers in help seeking for STIs and often do not seek or postpone medical care. Improving uptake may require efforts to address clinic systems, provider attitudes, confidentiality, and cultural norms related to youth sexuality.