The views of general practitioners and practice nurses towards the barriers and facilitators of proactive, internet-based chlamydia screening for reaching young heterosexual men
The views of general practitioners and practice nurses towards the barriers and facilitators of proactive, internet-based chlamydia screening for reaching young heterosexual men
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DOI：
10.1186/1471-2296-15-127
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发表时间：
2014-06-27
影响因子：
2.9
通讯作者：
McDaid, Lisa M.
中科院分区：
文献类型：
--
作者：
Lorimer, Karen;Martin, Susan;McDaid, Lisa M.
背景：沙眼衣原体是一种常见的细菌性传播感染（STI），主要影响25岁以下的年轻人。通常，接受筛查的女性比男性多。本研究收集全科医生和执业护士对网络筛查的看法，并评估他们对发展针对年轻异性恋男性的网络主动筛查的支持程度。方法：对苏格兰中部地区10名全科医生和8名执业护士进行半结构化电话访谈。主题包括：对异性恋男性进行衣原体筛查的经验，对使用互联网作为接触年轻男性进行衣原体筛查的方式的看法，对基于互联网的筛查的潜在障碍和促进因素的看法。使用QSR NVivo10对录音文本进行框架分析。结果：由于咨询的性质和容易向女性患者提出性健康问题，衣原体筛查的经验几乎完全是女性；很少有执业护士报告在咨询期间看到男性。所有与会者都赞成对年轻男子进行网上筛选。与会者报告说，易于访问和方便是基于互联网的方法的潜在促进因素，但匿名性和保密性可能是互联网筛选方法取得成功的潜在障碍和促进因素。与会者提出了对实际问题以及与性别和社会文化问题有关的问题的关切。结论：对关键障碍和促进因素的认识，如保密性、实用性和社会文化影响，将为基于互联网的筛查方法的发展提供信息。然而，这种方法在能够解决更广泛的社会和文化障碍以及年轻人和卫生专业人员对筛查态度的转变方面可能有其局限性。然而，需要采用创新努力作为多方面办法的一部分，以确保有效的干预措施达到政策议程。
Background: Chlamydia trachomatis is a common bacterial sexually transmitted infection (STI), which disproportionately affects young people under 25 years. Commonly, more women are offered screening than men. This study obtained the views of general practitioners and practice nurses towards Internet-based screening and assessed levels of support for the development of proactive screening targeting young heterosexual men via the Internet.Methods: Semi-structured telephone interviews with 10 general practitioners and 8 practice nurses, across Central Scotland. Topics covered: experience of screening heterosexual men for chlamydia, views on the use of the Internet as a way to reach young men for chlamydia screening, beliefs about the potential barriers and facilitators to Internet-based screening. Transcripts from audio recordings were analysed with Framework Analysis, using QSR NVivo10.Results: Experiences of chlamydia screening were almost exclusively with women, driven by the nature of consultations and ease of raising sexual health issues with female patients; few practice nurses reported seeing men during consultations. All participants spoke in favour of Internet-based screening for young men. Participants reported ease of access and convenience as potential facilitators of an Internet-based approach but anonymity and confidentiality could be potential barriers and facilitators to the success of an Internet approach to screening. Concerns over practical issues as well as those pertaining to gender and socio-cultural issues were raised.Conclusions: Awareness of key barriers and facilitators, such as confidentiality, practicality and socio-cultural influences, will inform the development of an Internet-based approach to screening. However, this approach may have its limits in terms of being able to tackle wider social and cultural barriers, along with shifts in young people's and health professionals' attitudes towards screening. Nevertheless, employing innovative efforts as part of a multi-faceted approach is required to ensure effective interventions reach the policy agenda.