Parental knowledge and attitudes of confidential STI services for teens

家长对青少年性传播感染保密服务的了解和态度

• 批准号: 7505440
• 负责人: MARY-ANN SHAFER
• 金额: $ 53.51万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-30 至 2010-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7505440
• 关键词: Abstinence; Address; Adolescence; Adolescent; Adult; Affect; Age; Attitude; Behavior; Behavioral; Caring; Characteristics; Child; Client; Confidentiality; Contraceptive Agents; Counseling; Cross-Sectional Studies; Data; Development; Diagnosis; Disclosure; Education; Employment; Epidemic; Ethnic Origin; Evaluation; Focus Groups; Fright; Gender; Goals; Health; Health Insurance; Health Personnel; Health Services; Health behavior; Healthcare; Healthcare Systems; Income; Infection prevention; Insurance Coverage; Intention; Intervention; Interview; Investigation; Knowledge; Learning; Mediation; Methods; Outcome; Parents; Phase; Policies; Prevention; Preventive; Primary Prevention; Privacy; Provider; Race; Range; Rate; Research; Research Design; Research Personnel; Risk Behaviors; Risk-Taking; Role; Route; Sampling; Screening procedure; Services; Sexually Transmitted Diseases; Source; Structure; Teenagers; Testing; Time; Transportation; Visit; Youth; base; design; desire; experience; follow-up; improved; information gathering; neglect; parental influence; parental role; payment; prevent; service utilization; skills; teenage parents; therapy design; transmission process

DESCRIPTION (provided by applicant): Teens' access to confidential services for sexually transmitted infections (STI's) has been assured over time by privacy protections established through statutory and policy routes. Yet, the STI epidemic among youth persists, in part, because many STI's are largely asymptomatic, remain undetected and continue to be transmitted unknowingly. Also, many teens are reluctant to obtain STI services due to embarrassment, fear of disclosure, lack of knowledge about STI diagnosis/treatment, and confidential STI services. How do we bridge the gap between availability and apparent lack of utilization by teens in need of confidential services to prevent STI's and their long term sequelae? One strategy that has been overlooked is the engagement of parents in a partnership with the teen and the provider to effectively guide the developing adolescent towards becoming a responsible and confident adult consumer of health services, especially regarding STI prevention and care including confidential services. Before developing the parental component to a broad-based effort aimed at decreasing the STI rate, especially C. trachomatis, it is important to examine parental knowledge and attitudes towards confidential STI health services for teens and how these might influence parental intention to facilitate their adolescent's accessing appropriate preventive care for STIs. We propose a multi-method research design in 2 phases. Phase 1 comprises a qualitative format (focus groups, 1:1 semi-structured interviews) designed to yield data on parental knowledge and attitudes about confidential STI related health care services for teens. Findings from Phase 1 will then inform Phase 2, a quantitative cross-sectional survey of a random sample of ethnically diverse parents of 12-17 yo teens designed to examine the following questions. First, how does parental knowledge and attitudes about STI confidential care for teens vary according: (a) the adolescent's age and gender; and (b) the specific parental characteristics, e.g., gender, race/ethnicity, insurance status, education, religiosity. Secondly, how does parental knowledge and attitudes about confidential care for teens affect parental behavioral intentions to facilitate their teen's gaining knowledge and skills to be able to access STI preventive confidential services. This research would inform investigations how to strengthen the role of parents and encourage partnerships between health care providers and parents to ultimately improve the health outcomes for teens.Project Narrative: This study will provide new and important information regarding parental knowledge and attitudes of confidential STI and related health care services (prevention, diagnosis and treatment) for teens that may be needed to address the STI epidemic. Using both qualitative and quantitative methods, this study will gather information necessary to develop effective interventions aimed at the often neglected parent component of the teen-parent health care provider partnership by giving parents knowledge and skills to help them facilitate their adolescent's access to confidential STI services as needed.

描述(由申请人提供)： 随着时间的推移，通过法定和政策途径建立的隐私保护，确保了青少年获得性传播感染(STI)的机密服务。然而，性传播感染在年轻人中的流行仍然存在，部分原因是许多性传播感染在很大程度上没有症状，仍然没有被发现，并继续在不知情的情况下传播。此外，由于尴尬、害怕被披露、缺乏关于性传播感染诊断/治疗的知识以及保密的性传播感染服务，许多青少年不愿获得性传播感染服务。我们如何弥合青少年在可获得性和明显缺乏利用之间的差距，这些青少年需要保密服务来预防性传播感染及其长期后遗症？一项被忽视的战略是，父母与青少年和提供者结成伙伴关系，有效地引导发育中的青少年成为负责任和自信的成年保健服务消费者，特别是在性传播感染预防和护理方面，包括机密服务。在将父母部分发展为旨在降低性病感染率，特别是沙眼衣原体感染率的广泛努力之前，必须审查父母对青少年保密的性传播感染卫生服务的知识和态度，以及这些服务如何影响父母促进其青少年获得适当的性传播感染预防护理的意向。我们提出了分两个阶段的多方法研究设计。第一阶段包括定性形式(焦点小组，1：1半结构访谈)，旨在产生关于父母对青少年保密的性传播感染相关卫生保健服务的知识和态度的数据。第一阶段的结果将为第二阶段提供信息，这是一项对12-17岁青少年的不同种族父母进行的随机抽样的定量横断面调查，旨在检查以下问题。首先，父母对青少年性传播感染保密照料的了解和态度如何，取决于：(A)青少年的年龄和性别；(B)具体的父母特征，例如性别、种族/族裔、保险状况、教育程度、宗教信仰。其次，父母对青少年保密照顾的知识和态度如何影响父母的行为意图，以促进他们的青少年获得能够获得性传播感染预防保密服务的知识和技能。这项研究将为研究如何加强父母的作用并鼓励医疗保健提供者和父母之间的伙伴关系，以最终改善青少年的健康结果提供信息。项目说明： 这项研究将提供有关父母对机密的性传播感染的知识和态度的新的重要信息，以及可能需要为青少年提供的相关卫生保健服务(预防、诊断和治疗)，以应对性传播感染流行。这项研究将利用定性和定量的方法，收集必要的信息，以制定针对青少年-父母保健提供者伙伴关系中经常被忽视的父母部分的有效干预措施，方法是向父母提供知识和技能，帮助他们根据需要促进青少年获得保密性传播感染服务。