Implementing chlamydia screening: what do women think? A systematic review of the literature.
Implementing chlamydia screening: what do women think? A systematic review of the literature.
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DOI：
10.1186/1471-2458-6-221
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发表时间：
2006-09-01
影响因子：
4.5
通讯作者：
Hocking, Jane
中科院分区：
文献类型：
--
作者：
Pavlin, Natasha L;Gunn, Jane M;Parker, Rhian;Fairley, Christopher K;Hocking, Jane
沙眼衣原体是一种常见的性传播感染，可造成严重后果。人们普遍认为，应向性活跃的年轻女性提供衣原体感染筛查。我们进行了一项文献综述，以记录妇女对沙眼衣原体筛查、检测和诊断的看法、态度和意见。在线数据库（MEDLINE, Meditext, PsycINFO, Web of Science）和参考文献列表检索到2005年8月。搜索词：衣原体，态度，对健康的态度，采访，定性，女性。入选标准：关于衣原体，包括妇女，参与访谈/调查/焦点小组，看妇女的观点/意见/态度，以英文出版。主题分析确定了从文献中出现的主要和反复出现的主题。我们将我们的专题分析与计划行为理论进行比较，以提供一个可以帮助计划衣原体筛查计划的模型。从561篇确定的文章中，25篇符合纳入标准并进行了审查。22：美国、英国；荷兰、瑞典、澳大利亚。确定的主要主题：对知识和信息的需求、选择和支持；对保密、成本、恐惧、焦虑和耻辱的担忧。如果女性认为衣原体是一种严重的常见疾病，可能导致不孕，并且如果她们了解衣原体感染可能是无症状的，那么她们更有可能接受衣原体筛查/检测。妇女希望有一系列衣原体检测的选择，包括尿液检测、自我使用的拭子、盆腔检查和临床收集的拭子、家庭检测和社区检测。测试应该是免费的、简单的和快速的。妇女需要支持来处理衣原体诊断的影响，她们认为衣原体诊断需要正常化和去污名化，她们需要在通知伴侣方面得到帮助。女性需要知道她们的隐私会得到保护。我们的回顾发现，来自不同国家和种族背景的妇女对衣原体筛查、检测和诊断有着相似的看法。本综述详细介绍了妇女意见的性质和复杂性，并考虑了其可能产生的影响，从而扩大了妇女意见在规划有效衣原体筛查方案中公认的重要性。
Chlamydia trachomatis is a common sexually transmitted infection that can have serious consequences. It is universally agreed that screening for chlamydia infection should be offered to sexually active young women. We undertook a literature review to document the views, attitudes and opinions of women about being screened, tested and diagnosed with Chlamydia trachomatis. Online databases (MEDLINE, Meditext, PsycINFO, Web of Science) and reference lists searched up to August 2005. Search terms: chlamydia, attitude, attitude to health, interview, qualitative, women. Eligibility criteria: about chlamydia, included women, involved interviews/surveys/focus groups, looked at women's views/opinions/attitudes, published in English. Thematic analysis identified the main and recurrent themes emerging from the literature. We compared our thematic analysis with the Theory of Planned Behaviour to provide a model that could assist in planning chlamydia screening programs. From 561 identified articles, 25 fulfilled inclusion criteria and were reviewed. 22: USA, UK; 3: Holland, Sweden, Australia. Major themes identified: need for knowledge and information, choice and support; concerns about confidentiality, cost, fear, anxiety and stigma. Women are more likely to find chlamydia screening/testing acceptable if they think chlamydia is a serious, common condition which can cause infertility and if they understand that chlamydia infection can be asymptomatic. Women want a range of options for chlamydia testing including urine tests, self-administered swabs, pelvic exams and clinician-collected swabs, home-testing and community-based testing. Tests should be free, easy and quick. Women want support for dealing with the implications of a chlamydia diagnosis, they feel chlamydia diagnoses need to be normalised and destigmatised and they want assistance with partner notification. Women need to know that their confidentiality will be maintained. Our review found that women from various countries and ethnic backgrounds share similar views regarding chlamydia screening, testing and diagnosis. The acknowledged importance of women's views in planning an effective chlamydia screening program is expanded in this review which details the nature and complexity of such views and considers their likely impact.