Blake Diane R, Kearney Margaret H, Oakes J Michael, Druker Susan K, Bibace Roger
Departments of Pediatrics and Medicine, University of Massachusetts Medical School, Worcester.
Arch Pediatr Adolesc Med. 2003 Jun;157(6):523-9. doi: 10.1001/archpedi.157.6.523.
Many young people at highest risk for chlamydial infection do not use chlamydia screening services.
To describe young people's beliefs and opinions about obstacles to and motivators for obtaining testing and to provide recommendations for how to improve youth participation in chlamydia screening programs.
Eight focus group interviews (4 male and 4 female groups) were conducted with young people using a semistructured interview guide. Thirty-two male and 23 female volunteers (mean age, 18.2 years; age range, 15-24 years) were recruited from Job Corps and Department of Youth Services sites. The main outcome measure was categorization of textual data using content analysis techniques. Data were coded by 2 investigators into categories of responses based on research questions and spontaneously offered comments. Satisfactory intercoder agreement was achieved.
Participants described many obstacles to testing, including concern that someone will know they were tested or tested positive, fear about discovering they have a sexually transmitted disease, and fear of acquired immunodeficiency syndrome. Many participants were unsure what physical effects chlamydia produced or thought it was possible to die of a chlamydial infection. Participants recommended providing more information about the effects of chlamydia, availability of urine testing, and ease of treatment to motivate more young people to seek testing. They also emphasized the need to make sexually transmitted disease screening services more private and confidential. There was an overwhelming interest in using a home Chlamydia test (much like a home pregnancy test) if one were available.
To increase youth participation in screening programs, it will be necessary to address their concerns, dispel misconceptions, and provide more information about chlamydia. A home Chlamydia test might be one way to increase screening.
许多衣原体感染风险最高的年轻人未使用衣原体筛查服务。
描述年轻人对于进行检测的障碍和动机的信念及观点，并就如何提高年轻人参与衣原体筛查项目提供建议。
采用半结构化访谈指南，对年轻人进行了八次焦点小组访谈（4个男性组和4个女性组）。从职业培训团和青年服务部场所招募了32名男性和23名女性志愿者（平均年龄18.2岁；年龄范围15 - 24岁）。主要结局指标是使用内容分析技术对文本数据进行分类。由两名研究人员根据研究问题和自发提供的评论将数据编码为反应类别。编码者间达成了满意的一致性。
参与者描述了许多检测障碍，包括担心有人会知道他们接受了检测或检测呈阳性，害怕发现自己患有性传播疾病，以及害怕感染获得性免疫缺陷综合征。许多参与者不确定衣原体有哪些身体影响，或者认为有可能死于衣原体感染。参与者建议提供更多关于衣原体影响、尿液检测可用性和治疗便利性的信息，以促使更多年轻人寻求检测。他们还强调需要使性传播疾病筛查服务更加私密和保密。如果有家用衣原体检测（类似于家用妊娠检测），人们对此有极大兴趣。
为了提高年轻人参与筛查项目的比例，有必要解决他们的担忧，消除误解，并提供更多关于衣原体的信息。家用衣原体检测可能是增加筛查的一种方式。
