"That sort of place... where filthy men go... ":: a qualitative study of women's perceptions of genitourinary medicine services
"That sort of place... where filthy men go... ":: a qualitative study of women's perceptions of genitourinary medicine services
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DOI：
10.1136/sti.77.5.340
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发表时间：
2001-10-01
影响因子：
3.6
通讯作者：
Hart, G
中科院分区：
文献类型：
--
作者：
Scoular, A;Duncan, B;Hart, G
背景：耻辱是一种贬义的社会标签。污名化是一个过程，通过这个过程，个人会经历孤立和生活中机会的减少。有些疾病特别与污名化态度有关；这尤其适用于性传播感染。方法：这项定性的探索性研究调查了最近被诊断为性传播感染的年轻女性的耻辱经历，并考虑了这些经历对最大限度地获得牙床诊所的影响。结果：通过对在计划生育和泌尿生殖医学(GUM)诊所招募的妇女进行的访谈，确定了三个主题：将性传播感染视为“其他”条件的认知，牙床诊所的威胁性质，结论：应在一般人群水平上开展更多关于性健康服务和性传播感染的讨论和教育；应以包容各方的方式提高对性健康服务的认识，认为这与广泛的个人需求有关；应支持牙科诊所的医疗、护理和咨询工作人员努力减少耻辱的经历。最后，未来旨在改善获得性健康服务的干预措施应正式评估其对耻辱的影响。
Background: A stigma is a pejorative social label. Stigmatisation is a process by which individuals are made to experience isolation and reduced opportunities in life. Some diseases are particularly associated with stigmatising attitudes; this applies particularly to sexually transmitted infections. Although several studies report the effects of stigma, no study to date has attempted to investigate its nature, which is a prerequisite to designing health interventions.Methods: This qualitative, exploratory study investigated the experience of stigma among young women recently diagnosed with an STI and considered the implications of these experiences in terms of maximising access to GUM clinics.Results: Three themes were identified from interviews undertaken with women recruited in family planning and genitourinary medicine (GUM) clinics: the perception of STIs as a condition of "others," the threatening nature of the GUM clinic, and the evolution of the experience of stigma within the GUM clinic.Conclusion: More open discussion and education about sexual health services and STIs should take place at a general population level; awareness of sexual health services should be raised in inclusive ways, which are seen as relevant to the needs of a wide range of individuals; medical, nursing, and counselling staff in GUM clinics should be supported in their efforts to reduce the experience of stigma. Finally, future interventions designed to improve access to sexual health services should formally assess their impact on stigma.