Adolescent Male Receptivity of and Preferences for Sexual Health Interventions in the Emergency Department.
Adolescent Male Receptivity of and Preferences for Sexual Health Interventions in the Emergency Department.
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DOI：
10.1097/pec.0000000000002563
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发表时间：
2022-05-01
影响因子：
1.4
通讯作者：
Dayan, Peter S.
中科院分区：
文献类型：
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作者：
Chernick, Lauren S.;Wallace, Brendan K.;Potkin, Maxmoore T.;Bell, David L.;Dayan, Peter S.
目的男性青少年经常到急诊科就诊，许多青少年参与了增加其性传播感染和意外怀孕风险的行为。尽管ED访问可能是一次干预机会，但如何最好地设计和提供符合青少年男性用户偏好的性健康干预措施仍不清楚。目的了解青春期男性勃起功能障碍患者对性健康干预的接受度和偏好。方法采用定性研究的方法，对14~21岁性活跃的男性勃起功能障碍患者进行问卷调查，了解他们对性健康干预的态度和对干预方式的偏好。参与者与数字干预的早期原型互动，以收集具体的反馈。招生一直持续到关键主题饱和。访谈被记录、转录，并基于NVivo的主题分析进行编码。结果42名参与者主要是18至21岁(63%)和西班牙裔(79%)。尽管大多数人(71%)在前3个月内有过性行为，但45%的人在最后一次性行为中没有使用避孕套，17%的人让伴侣怀孕。参与者认为ED访问是未使用的时间，没有分心的影响，适合于教育性健康干预。他们认为基于ED的数字干预是可靠和保密的信息来源。参与式干预允许用户控制，并提供新的和相关的内容。结论青春期男性勃起功能障碍患者可以接受基于勃起功能障碍的数字化性健康干预。在为勃起功能障碍环境设计用户知情的未来性健康干预措施时，应考虑这些已确定的偏好。
ObjectiveMale adolescents frequently present to the emergency department (ED) and many participate in behaviors increasing their risk of sexually transmitted infections and unintended pregnancies. Although the ED visit may represent an intervention opportunity, how best to design and deliver a sexual health intervention matching the preferences of adolescent male users is unclear. Our objective was to explore receptivity to and preferences for sexual health interventions among adolescent male ED patients.MethodsIn this qualitative study, we asked sexually active male ED patients aged 14 to 21 years about their attitudes toward ED-based sexual health interventions and preferences for intervention modalities. Participants interacted with an early prototype of a digital intervention to gather specific feedback. Enrollment continued until saturation of key themes. Interviews were recorded, transcribed, and coded based on thematic analysis using NVivo.ResultsParticipants (n= 42) were predominantly 18 to 21 years (63%) and Hispanic (79%). Although most (71%) had sex in the prior 3 months, 45% did not use a condom at last intercourse and 17% had impregnated a partner. Participants viewed the ED visit as unused time without distracting influences, suitable for educational sexual health interventions. They considered ED-based digital interventions a reliable and confidential source of information. Engaging interventions allowed user control and provided novel and relatable content.ConclusionsAdolescent male ED patients are receptive to ED-based digital sexual health interventions. These identified preferences should be considered when designing future user-informed sexual health interventions for the ED setting.