Knowledge, perceived stigma, and care-seeking experiences for sexually transmitted infections: a qualitative study from the perspective of public clinic attendees in Rio de Janeiro, Brazil.
Knowledge, perceived stigma, and care-seeking experiences for sexually transmitted infections: a qualitative study from the perspective of public clinic attendees in Rio de Janeiro, Brazil.
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从巴西里约热内卢的公共诊所与会者的角度来看，知识，感知到的性传播感染的污名和寻求护理的经历：定性研究。
DOI：
10.1186/1471-2458-7-18
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发表时间：
2007-02-01
影响因子：
4.5
通讯作者：
Kerrigan, Deanna
中科院分区：
文献类型：
--
作者：
Malta, Monica;Bastos, Francisco I.;Strathdee, Steffanie A.;Cunnigham, Shayna D.;Pilotto, Jose Henrique;Kerrigan, Deanna
据估计，巴西每年有1 200万例性传播感染病例。考虑到这一公共卫生挑战的范围以及及时治疗和后续咨询对减少未来STI/HIV相关风险行为的重要性，我们试图定性地探索通过巴西里约热内卢的公共诊所诊断为STI的个人的STI诊所经验。本研究主要探讨门诊使用者对于影响其性病就医决定的因素，以及在就诊期间所接受的健康教育与谘询的观点。30个半结构化的采访进行了异性恋的男人和女人和男人谁与男性发生性关系的性病在两个公共诊所。内容分析是通过对感兴趣的关键领域的录音采访的录音记录进行编码，并比较和综合参与者和分组的代码输出。然后根据每个研究亚组编写主题叙述。与会者陈述中出现的突出主题包括，对性传播感染相关知识的了解不足和对性传播感染相关和其他类型的社会耻辱感的高度认知对性传播感染求医延误的重要性。然而，有迹象表明，在数据中，性传播感染相关的知识水平和耻辱的数量和类型的经验不同的研究小组，这表明需要进一步研究的意义和这些潜在的差异的方案相关性。访谈结果还表明，这种寻求护理的障碍没有通过公共性传播感染诊所正在进行的健康教育和咨询工作得到充分解决，反过来，目前正在错过预防性传播感染/艾滋病毒的关键机会。应发展关于性传播感染的早期识别和及时寻求治疗的信息、交流和教育，同时考虑是否可能针对具体的亚群体提供有针对性的信息。为了促进及时寻求治疗，干预措施还必须解决可能限制获得护理的性传播感染和其他形式的社会耻辱问题。还需要努力进一步评估和应对与在公共性传播感染诊所提供优质健康教育和咨询有关的障碍。
An estimated 12 million sexually transmitted infections (STIs) are documented in Brazil per year. Given the scope of this public health challenge and the importance of prompt treatment and follow-up counseling to reduce future STI/HIV-related risk behavior, we sought to qualitatively explore STI clinic experiences among individuals diagnosed with STIs via public clinics in Rio de Janeiro, Brazil. The study focused on eliciting the perspective of clinic users with regard to those factors influencing their STI care-seeking decisions and the health education and counseling which they received during their clinic visit. Thirty semi-structured interviews were conducted with heterosexual men and women and men who have sex with men presenting with STIs at two public clinics. Content analysis was conducted by coding transcripts of audio-taped interviews for key domains of interest and comparing and synthesizing code output across participants and sub-groups. Thematic narratives were then developed per each of the study sub-groups. Salient themes that emerged from participant narratives included the importance of low STI-related knowledge and high perceived stigma, both STI-related and other types of social stigma, on STI care-seeking delays. However, there are indications in the data that the level of STI-related knowledge and the amount and types of stigma experienced vary across the study sub-groups suggesting the need for further research on the significance and program relevance of these potential differences. Interview findings also suggest that such barriers to care seeking are not adequately addressed through ongoing health education and counseling efforts at public STI clinics and in turn critical opportunities for STI/HIV prevention are currently being missed. Information, communication and education regarding early recognition and prompt care-seeking for STIs should be developed, with consideration given to the possibility of tailoring messages tailored to specific sub-groups. To promote prompt treatment-seeking, interventions must also address both STI-specific and other forms of social stigma which may limit access to care. Efforts to further assess and respond to barriers related to the delivery of quality health education and counseling within the context of public STI clinics are also needed.
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影响因子：
5.4
作者：
Giffin, K;Lowndes, CM
通讯作者：
Lowndes, CM
影响因子：
3.6
作者：
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12.7
作者：
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