Perceptions and attitudes in relation to reproductive tract infections including sexually transmitted infections in rural Vietnam: A qualitative study
Perceptions and attitudes in relation to reproductive tract infections including sexually transmitted infections in rural Vietnam: A qualitative study
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DOI：
10.1016/j.healthpol.2007.11.007
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发表时间：
2008-05-01
期刊：
影响因子：
3.3
通讯作者：
Lundborg, Cecilia Stalsby
中科院分区：
文献类型：
--
作者：
Pham Thi Lan;Faxelid, Elisabeth;Lundborg, Cecilia Stalsby
目的：探讨越南农村男性和女性对包括性传播感染（RTI/STI）在内的生殖道感染的认知、态度和就医模式。方法：对越南北部巴维地区15-49岁的46名女性和27名男性进行10次焦点小组讨论（fgd）。讨论期间使用了预先设计的讨论指南。数据分析采用内容分析法。每个句子/段落都编了代码。相似的代码被聚类并分解成子类别和类别。基于类别之间的关系，创建了两个主要主题“社区对RTI/STI的看法”和“对RTI/STI的态度”。研究结果：参与者使用复杂的术语和许多不同的术语来描述和讨论RTI/STI。“炎症”（RTI）、淋病、梅毒被描述为性传播感染的三个阶段。据报告，性传播感染/性传播感染的求医模式在男性和女性之间有所不同：自我药疗被认为是女性的一种常见做法，而男性则更有可能向私人提供者求医。对临床医生对RTI/STI患者的消极态度表达了抱怨。结论：越南某地区的农村居民表达了对RTI/STI的各种误解。迫切需要设计健康教育策略，向社区提供全面的性传播感染信息，并改善性传播感染患者与临床医生之间的沟通。2007爱思唯尔爱尔兰有限公司版权所有。
Objective: To explore perceptions, attitudes and health-seeking patterns for reproductive tract infections including sexually transmitted infections (RTI/STI) among men and women in rural Vietnam.Method: Ten focus group discussions (FGDs) were conducted with 46 women and 27 men aged 15-49 in Bavi district, northern Vietnam. A pre-designed discussion guide was used during the discussions. Content analysis was applied for data analysis. Each sentence/paragraph was coded. Similar codes were clustered and collapsed into sub-categories and categories. Two main themes 'community perceptions of RTI/STI' and 'attitudes towards RTI/STI' were created, based on the relationship between categories.Findings: Complex terminology with many different terms was used by participants to describe and discuss RTI/STI. "Inflammation" [RTI], Gonorrhoea, Syphilis was described as three stages of STI. Health-seeking patterns for RTI/STI were reported to differ between men and women: self-medication was mentioned as a common practice among women, while men were more likely to seek health care from private providers. Complaints were voiced about clinicians' negative attitudes towards RTI/STI patients.Conclusion: Rural dwellers in a district of Vietnam expressed a variety of misconceptions regarding RTI/STI. Designing health education strategies to provide comprehensive RTI/STI information to the community and improving communication between RTI/STI patients and clinicians are urgently needed. (c) 2007 Elsevier Ireland Ltd. All rights reserved.