Preferences for accessing sexual health services among middle-aged and older adults in the UK: a study protocol for a discrete choice experiment using mixed methods.

Preferences for accessing sexual health services among middle-aged and older adults in the UK: a study protocol for a discrete choice experiment using mixed methods.
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DOI:
10.1136/bmjopen-2022-066783
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发表时间:
2023-05-08
期刊:
影响因子:
2.9
通讯作者:
Wu, Dan
Wu, Dan
中科院分区:
医学3区
文献类型:
--
作者:
Kpokiri, Eneyi;Pan, Stephen W.;Ong, Jason J.;Greaves, Emily;Khan, Junead;Bowen, Sophie;Jannaway, Tracey;Terris-Prestholt, Fern;Tanton, Clare;Kuper, Hannah;Shakespeare, Thomas;Tucker, Joseph D.;Wu, Dan

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性健康对一般健康和福祉至关重要。中年和老年人的性健康服务没有得到优先考虑,为这一人群提供的服务的优化往往被忽视。关于中老年人对获得性健康服务的偏好或对现有服务的满意程度,我们所知不多。本研究的目的是探讨在英国的中年和老年人寻求性健康服务的偏好。本研究将使用离散选择实验(DCEs),包括最初的定性访谈,随后的调查,这已被用作一种工具,以探索各种卫生服务提供的偏好。该项目将分两个阶段进行。首先,我们将对20-30名成年人(45岁以上)进行深入的半结构化访谈,包括残疾人和居住在英国的性少数群体。访谈将探讨与获得性健康服务有关的指征、偏好和因素。从访谈分析中得出的主题和次主题将用于设计DCE的选择集和属性水平。在第二阶段,对于DCEs,我们将设计由性健康服务提供场景组成的选择集。软件Ngene将用于开发DCE的实验设计矩阵。我们将使用描述性统计来总结研究人群的关键社会人口统计学特征。将探讨多项logit,潜在类和混合logit模型,以评估性健康服务的偏好和偏好异质性。本研究的两个部分的伦理批准由伦敦卫生与热带医学学院的研究和伦理委员会授予。这项研究的结果将通过预定的会议、网络研讨会、介绍和期刊出版物向相关利益攸关方广泛传播。
Sexual health is essential for general health and well-being. Sexual health services for middle-aged and older adults are not prioritised and optimising available services for this population is often overlooked. Not much is known about preferences for accessing sexual health services among middle-aged and older people or level of satisfaction with current services. The aim of this study is to explore preferences for seeking sexual health services among middle-aged and older adults in the UK. This study will use discrete choice experiments (DCEs) including initial qualitative interviews followed by the survey, which have been used as a tool to explore preferences in various health service delivery. The project will be carried out in two phases. First, we will conduct in-depth semi-structured interviews with 20–30 adults (aged 45+), including disabled people, and those from sexual minority groups resident in the UK. Interviews will explore indications, preferences and factors related to accessing sexual health services. Themes and subthemes emerging from the analysis of the interviews will then be used to design the choice sets and attribute level for the DCEs. For the second phase, for the DCEs, we will design choice sets composed of sexual health service delivery scenarios. The software Ngene will be used to develop the experimental design matrix for the DCE. We will use descriptive statistics to summarise the key sociodemographic characteristics of the study population. Multinomial logit, latent class and mixed logit models will be explored to assess sexual health service preferences and preference heterogeneity. Ethical approval for both parts of this study was granted by the Research and Ethics Committee at the London School of Hygiene & Tropical Medicine. Findings from this study will be disseminated widely to relevant stakeholders via scheduled meetings, webinars, presentations and journal publications.
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