Pavlin Natasha L, Gunn Jane M, Parker Rhian, Fairley Christopher K, Hocking Jane
Department of General Practice, Melbourne University, 200 Berkeley St, Carlton, Melbourne, Australia.
BMC Public Health. 2006 Sep 1;6:221. doi: 10.1186/1471-2458-6-221.
Chlamydia trachomatis is a common sexually transmitted infection that can have serious consequences. It is universally agreed that screening for chlamydia infection should be offered to sexually active young women. We undertook a literature review to document the views, attitudes and opinions of women about being screened, tested and diagnosed with Chlamydia trachomatis.
Online databases (MEDLINE, Meditext, PsycINFO, Web of Science) and reference lists searched up to August 2005. Search terms: chlamydia, attitude, attitude to health, interview, qualitative, women.
about chlamydia, included women, involved interviews/surveys/focus groups, looked at women's views/opinions/attitudes, published in English. Thematic analysis identified the main and recurrent themes emerging from the literature. We compared our thematic analysis with the Theory of Planned Behaviour to provide a model that could assist in planning chlamydia screening programs.
From 561 identified articles, 25 fulfilled inclusion criteria and were reviewed. 22: USA, UK; 3: Holland, Sweden, Australia. Major themes identified: need for knowledge and information, choice and support; concerns about confidentiality, cost, fear, anxiety and stigma. Women are more likely to find chlamydia screening/testing acceptable if they think chlamydia is a serious, common condition which can cause infertility and if they understand that chlamydia infection can be asymptomatic. Women want a range of options for chlamydia testing including urine tests, self-administered swabs, pelvic exams and clinician-collected swabs, home-testing and community-based testing. Tests should be free, easy and quick. Women want support for dealing with the implications of a chlamydia diagnosis, they feel chlamydia diagnoses need to be normalised and destigmatised and they want assistance with partner notification. Women need to know that their confidentiality will be maintained.
Our review found that women from various countries and ethnic backgrounds share similar views regarding chlamydia screening, testing and diagnosis. The acknowledged importance of women's views in planning an effective chlamydia screening program is expanded in this review which details the nature and complexity of such views and considers their likely impact.
沙眼衣原体是一种常见的性传播感染疾病，可导致严重后果。普遍认为，应对性活跃的年轻女性进行衣原体感染筛查。我们进行了一项文献综述，以记录女性对于沙眼衣原体筛查、检测和诊断的看法、态度和意见。
检索截至2005年8月的在线数据库（MEDLINE、Meditext、PsycINFO、科学网）及参考文献列表。检索词：衣原体、态度、对健康的态度、访谈、定性研究、女性。
关于衣原体，纳入女性群体，涉及访谈/调查/焦点小组，关注女性的观点/意见/态度，以英文发表。主题分析确定了文献中出现的主要和反复出现的主题。我们将主题分析与计划行为理论进行比较，以提供一个有助于规划衣原体筛查项目的模型。
从561篇已识别的文章中，25篇符合纳入标准并进行了综述。22篇来自美国、英国；3篇来自荷兰、瑞典、澳大利亚。确定的主要主题：对知识和信息的需求、选择和支持；对保密性、成本、恐惧、焦虑和污名化的担忧。如果女性认为衣原体是一种严重的常见疾病，可导致不孕，并且了解衣原体感染可能无症状，她们更有可能认为衣原体筛查/检测是可接受的。女性希望有多种衣原体检测选择，包括尿液检测、自行采集拭子、盆腔检查和临床医生采集拭子、家庭检测和社区检测。检测应免费、简便且快速。女性希望在应对衣原体诊断的影响方面得到支持，她们认为衣原体诊断需要正常化并消除污名化，并且希望在通知伴侣方面获得帮助。女性需要知道她们的隐私将得到保护。
我们的综述发现，来自不同国家和种族背景的女性对衣原体筛查、检测和诊断有相似的看法。本综述扩展了女性观点在规划有效的衣原体筛查项目中的公认重要性，详细阐述了这些观点的性质和复杂性，并考虑了其可能的影响。
