Integrating gender and sex to unpack trends in sexually transmitted infection surveillance data in British Columbia, Canada: an ethno-epidemiological study.
Integrating gender and sex to unpack trends in sexually transmitted infection surveillance data in British Columbia, Canada: an ethno-epidemiological study.
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DOI：
10.1136/bmjopen-2016-011209
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发表时间：
2016-08-26
期刊：
影响因子：
2.9
通讯作者：
Shoveller J
中科院分区：
文献类型：
--
作者：
Knight R;Falasinnu T;Oliffe JL;Gilbert M;Small W;Goldenberg S;Shoveller J
监测数据经常表明，青年男女的性传播感染（STI）报告率很高，但差异很大，包括衣原体等细菌感染。我们研究了几个基于性别的（如生物）和基于性别的（如社会文化）因素如何相互作用，以影响STI监测数据的趋势。采用民族流行病学技术，我们分析了2006年至2013年期间收集的关于加拿大不列颠哥伦比亚省五个社区年轻人获得性传播感染检测服务的经验的横断面定性数据。这些数据包括对15-24岁的年轻男女以及39名提供性传播感染检测服务的临床医生进行的250次半结构化访谈。 研究结果强调了社会和医学鼓励年轻女性定期进行测试，而年轻男性很少提供类似的机会。相反，年轻男性倾向于寻求检测服务：（1）在性关系的开始或结束时;（2）在高风险的性接触之后;（3）在经历症状之后;或（4）基于对“异常”性解剖的担忧。我们的研究结果说明了机构和个人如何与有关性健康责任，性传播感染检测和性传播感染治疗的陈规定型性别规范保持一致。虽然这些模式反映了社会现象，但它们似乎也与基于性别的生物学经验交叉，这可能有助于进一步解释年轻男性和女性的性传播感染检测模式之间的系统差异。研究结果表明，必须从社会和生物学的角度来理解造成青年男女在常规性传播感染护理方面存在差距的因素。
Surveillance data frequently indicate that young men and women experience high—yet considerably different—reported rates of sexually transmitted infections (STIs), including bacterial infections such as chlamydia. We examined how several sex-based (eg, biological) and gender-based (eg, sociocultural) factors may interact to influence STI surveillance data trends. Employing ethno-epidemiological techniques, we analysed cross-sectional qualitative data collected between 2006 and 2013 about young people's experiences accessing STI testing services in five communities in British Columbia, Canada. These data included 250 semistructured interviews with young men and women aged 15–24 years, as well as 39 clinicians who provided STI testing services. The findings highlight how young women are socially and medically encouraged to regularly test, while young men are rarely offered similar opportunities. Instead, young men tend to seek out testing services: (1) at the beginning or end of a sexual relationship; (2) after a high-risk sexual encounter; (3) after experiencing symptoms; or (4) based on concerns about ‘abnormal’ sexual anatomy. Our results illustrate how institutions and individuals align with stereotypical gender norms regarding sexual health responsibilities, STI testing and STI treatments. While these patterns reflect social phenomena, they also appear to intersect with sex-based, biological experiences of symptomatology in ways that might help to further explain systematic differences between young men's and women's patterns of testing for STIs. The results point to the importance of taking a social and biological view to understanding the factors that contribute to the gap between young men's and women's routine engagement in STI care.
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影响因子：
3.1
作者：
Ciesielski, Carol A.
通讯作者：
Ciesielski, Carol A.
DOI：
10.1783/147118906776276440
发表时间：
2006-04-01
影响因子：
--
作者：
Lee, V;Tobin, JI;Foley, E
通讯作者：
Foley, E
影响因子：
2.9
作者：
Shoveller, Jean A.;Knight, Rod;Goldenberg, Shira
通讯作者：
Goldenberg, Shira
DOI：
10.1007/bf03404062
发表时间：
2012-01-01
影响因子：
4.3
作者：
Shoveller, Jean;Knight, Rod;Ogilvie, Gina
通讯作者：
Ogilvie, Gina
DOI：
10.1186/1472-6874-4-s1-s26
发表时间：
2004-08-25
期刊：
BMC women's health
影响因子：
--
作者：
Wong, Thomas;Singh, Ameeta;McMahon, Sharon
通讯作者：
McMahon, Sharon