Goldenberg Shira, Shoveller Jean, Koehoorn Mieke, Ostry Aleck
Department of Health Care and Epidemiology, University of British Columbia, Vancouver, BC, Canada.
Health Place. 2008 Dec;14(4):718-29. doi: 10.1016/j.healthplace.2007.11.005. Epub 2007 Dec 3.
Northeastern British Columbia, Canada, is undergoing in-migration of young people attracted by jobs in the oil/gas sectors. Chlamydia rates among youth ages 15-24 are increasing and exceed the provincial average by 22%. Testing for sexually transmitted infections (STIs) reduces the disease burden, contributing to prevention. We conducted ethnographic fieldwork, including interviews with 25 youth and 14 service providers, to document their perceptions regarding youth's access to STI testing. Five key barriers to access were identified: limited opportunities for access, geographic inaccessibility, local social norms, limited information, and negative interactions with providers. To address youths' needs, we recommend active STI prevention and testing service delivery models that incorporate a locally tailored public awareness campaign, outreach to oil/gas workers, condom distribution, expanded clinic hours and drop-in STI testing, specialized training for health care providers, and inter-sectoral partnerships between public health, non-profit organizations, and industry.
加拿大不列颠哥伦比亚省东北部正吸引着年轻人因石油/天然气行业的工作而迁入。15至24岁青少年的衣原体感染率正在上升，超出该省平均水平22%。性传播感染（STI）检测可减轻疾病负担，有助于预防。我们开展了人种志实地调查，包括对25名青少年和14名服务提供者进行访谈，以记录他们对青少年获得性传播感染检测机会的看法。确定了五个关键的获取障碍：获取机会有限、地理位置不便、当地社会规范、信息有限以及与提供者的负面互动。为满足青少年的需求，我们建议采用积极的性传播感染预防和检测服务提供模式，其中包括针对当地情况开展公众宣传活动、向石油/天然气工人进行外展、分发避孕套、延长诊所营业时间并提供即时性传播感染检测、为医疗保健提供者提供专门培训，以及公共卫生、非营利组织和行业之间的跨部门伙伴关系。
