Online Sexual Health Services: Examining Youth's Perspectives

Online Sexual Health Services: Examining Youth's Perspectives
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DOI:
10.1007/bf03404062
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发表时间:
2012-01-01
影响因子:
4.3
通讯作者:
Ogilvie, Gina
Ogilvie, Gina
中科院分区:
医学4区
文献类型:
--
作者:
Shoveller, Jean;Knight, Rod;Ogilvie, Gina

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目的:在加拿大不列颠哥伦比亚省,性传播感染(STI)很高,而且还在上升,15-24岁的年轻人占感染人数的比例不成比例。因此,新的公共卫生干预措施越来越多地转向互联网等媒体,以接触到有性传播感染/艾滋病毒风险的青年人群。方法:对38名15~24岁男性和14名女性进行深度访谈,讨论在线性病/艾滋病检测服务和在线咨询教育服务。结果:总体上,青少年对网络性健康服务较为熟悉、接受并具有亲和力。目前的研究表明,在线性传播感染/艾滋病毒风险评估和检测以及在线咨询和教育可以增加提供低门槛服务的机会。在线服务吸引了年轻人对便利、隐私以及便捷地获得检测和/或咨询的需求;然而,年轻人似乎对他们认为过时的技术(例如打印实验室申请表)的容忍度相对较低,这揭示了设计不会很快过时的在线方法的挑战。结论:在全球范围内,在线检测和性伴侣通知等基于互联网的性健康服务试点项目显示出良好的结果。随着加拿大这类干预措施的出现,对青年人口的研究可以提供相关的见解,帮助项目规划者发起有效的干预措施。
Objectives: Sexually transmitted infections (STIs) are high and rising in British Columbia, Canada, and youth ages 15-24 account for a disproportionate amount of the infections. As a result, new public health interventions have increasingly turned towards media such as the internet to reach youth populations at risk for STIs/HIV. We describe youth's perceptions about online sexual health services.Methods: We used data from in-depth, semi-structured interviews with 38 men and 14 women between the ages of 15 and 24 who discussed: online STI/HIV testing services and online counselling and education services.Results: In general, youth are familiar with, receptive to and have an affinity for online sexual health services. Youth in the current study suggested that online STI/HIV risk assessment and testing as well as online counselling and education could enhance opportunities for low-threshold service provision. Online services appealed to youth's needs for convenience, privacy, as well as expedient access to testing and/or counselling; however, youth also appear to have relatively low tolerance for technologies that they perceive to be antiquated (e.g., printing lab requisition forms), revealing the challenges of designing online approaches that will not quickly become outdated.Conclusion: Globally, pilot programs for Internet-based sexual health services such as online testing and partner notification have shown promising results. As Canadian interventions of this type emerge, research with youth populations can provide relevant insights to help program planners launch effective interventions.