'Catching chlamydia': combining cash incentives and community pharmacy access for increased chlamydia screening, the view of young people

'Catching chlamydia': combining cash incentives and community pharmacy access for increased chlamydia screening, the view of young people
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DOI:
10.1071/py12135
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发表时间:
2015-01-01
影响因子:
1.3
通讯作者:
Bowden, Francis J.
Bowden, Francis J.
中科院分区:
医学4区
文献类型:
--
作者:
Parker, Rhian M.;Bell, Allison;Bowden, Francis J.

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在澳大利亚和其他地方,16 至 30 岁人群的衣原体筛查率仍然很低。需要采取适合年龄的创新方法来增加这一目标群体的衣原体筛查,以预防感染的短期和长期后果,如盆腔炎、慢性盆腔疼痛、宫外孕和不孕症。研究表明,在社区药房提供衣原体筛查可能是当前筛查服务的有用辅助手段。大约 90% 的澳大利亚人每年至少去一次药房。作为国家衣原体筛查计划的一部分,社区药房的有偿衣原体筛查和教育可能为机会性检测提供另一种选择。补偿是研究领域公认的做法,并已被证明可以提高对健康促进活动的依从性。 111 2011 年,在澳大利亚首都地区进行了一项基于社区药房的衣原体筛查横断面研究,并提供 10 澳元的现金奖励。作为这项研究的一部分,年轻人被问及他们对基于药房的衣原体筛查的经验和看法。使用一页调查问卷收集同意的参与者的观点,该调查问卷包含 10 个封闭式问题和 1 个开放式问题。参与者在返回尿液样本时和获得现金奖励之前完成了调查问卷。总体而言,参与者对基于药房的衣原体筛查服务非常满意。超过 60% 的受访者认为付费确实影响了他们进行衣原体检测的决定,23% 的受访者表示没有影响。年轻人报告说,基于药房的筛查是可以接受且方便的。可及性和小额现金奖励在提高参与度方面发挥了重要作用。
In Australia and elsewhere, chlamydia screening rates for those aged between 16 and 30 years continue to be low. Innovative, age-appropriate approaches are necessary to increase chlamydia screening among this target group to prevent short- and long-term consequences of the infection such as pelvic inflammatory disease, chronic pelvic pain, ectopic pregnancy and infertility. Studies have demonstrated that offering chlamydia screening in community pharmacies may be a useful adjunct to current screening services. Approximately 90% of Australians visit a pharmacy at least once a year. Chlamydia screening and education in community pharmacies with remuneration may provide another option for opportunistic testing as part of a national chlamydia screening scheme. Compensation is an accepted practice in the field of research and has been demonstrated to improve adherence to health promotion activities. 111 2011, a cross-sectional study of community pharmacy-based chlamydia screening offered in conjunction with an A$10 cash incentive to participate was conducted in the Australian Capital Territory. As part of this study young people were asked about their experience of, and views about, pharmacy-based chlamydia screening. The views of consented participants were collected using the one-page questionnaire consisting of 10 closed questions and one open-ended question. Participants completed the questionnaire when they returned their urine sample and before being given the cash incentive. Overall participants were highly satisfied with the pharmacy-based chlamydia screening service. Over 60% of questionnaire respondents felt that the payment did affect their decision to have the chlamydia test, and 23% stated that it made no difference. Young people reported that pharmacy-based screening is acceptable and convenient. Accessibility and the small cash incentive played significant roles in increasing participation.