Improving participation in chlamydia screening programs - Perspectives of high-risk youth
Improving participation in chlamydia screening programs - Perspectives of high-risk youth
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DOI：
10.1001/archpedi.157.6.523
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发表时间：
2003-06-01
影响因子：
--
通讯作者：
Bibace, R
中科院分区：
文献类型：
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作者：
Blake, DR;Kearney, MH;Bibace, R
背景：许多衣原体感染高危青年没有使用衣原体筛查服务。目的：描述年轻人对衣原体筛查障碍和动机的看法和看法，并就如何提高青年参与衣原体筛查项目提供建议。方法：采用半结构访谈指南，对8名年轻人(4名男性和4名女性)进行焦点小组访谈。32名男性和23名女性志愿者(平均年龄18.2岁；年龄范围15-24岁)我们是从就业队和青年服务部网站招募的。主要结果衡量标准是使用内容分析技术对文本数据进行分类。数据由2名调查人员根据研究问题和自发提供的评论编码成不同的回答类别。结果：参与者描述了测试的许多障碍，包括担心有人会知道他们被测试或测试呈阳性，害怕被发现自己患有性传播疾病，以及害怕获得性免疫缺陷综合征。许多参与者不确定衣原体会产生什么物理影响，或者认为有可能死于衣原体感染。与会者建议提供更多关于衣原体影响、尿检可获得性和治疗便捷性的信息，以激励更多的年轻人寻求检测。他们还强调，有必要使性传播疾病筛查服务更加私密和保密。如果有的话，人们对使用家庭衣原体检测(很像家庭怀孕测试)非常感兴趣。结论：为了增加年轻人对筛查项目的参与，有必要解决他们的担忧，消除误解，并提供更多关于衣原体的信息。家庭衣原体检测可能是增加筛查的一种方法。
Background: Many young people at highest risk for chlamydial infection do not use chlamydia screening services.Objectives: To describe young people's beliefs and opinions about obstacles to and motivators for obtaining testing and to provide recommendations for how to improve youth participation in chlamydia screening programs.Methods: Eight focus group interviews (4 male and 4 female groups) were conducted with young people using a semistructured interview guide. Thirty-two male and 23 female volunteers (mean age, 18.2 years; age range, 15-24 years) we're recruited from Job Corps and Department of Youth Services sites. The main outcome measure was categorization of textual data using content analysis techniques. Data were coded by 2 investigators into categories of responses based on research questions and spontaneously offered comments. Satisfactory intercoder agreement was achieved.Results: Participants described many obstacles to testing, including concern that someone will know they were,tested or tested positive, fear about discovering they have a sexually transmitted disease, and fear of acquired immunodeficiency syndrome. Many participants were unsure what physical effects chlamydia produced or thought it was possible to die of a chlamydial infection. Participants recommended providing more information about the effects of chlamydia, availability of urine testing, and ease of treatment to motivate more young people to seek testing. They also emphasized the need to make sexually transmitted disease screening services more private and confidential. There was an overwhelming interest in using a home Chlamydia test (much like a home pregnancy test) if one were available.Conclusions: To increase youth participation in screening programs, it will be necessary to address their concerns, dispel misconceptions, and provide more information about chlamydia. A home Chlamydia test might be one way to increase screening.