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衣原体机会性筛查:一项关于英国某大学男性对衣原体筛查服务看法的试点研究。

Opportunistic screening for Chlamydia: a pilot study into male perspectives on provision of Chlamydia screening in a UK university.

作者信息

Chaudhary Rishika, Heffernan Catherine M, Illsley Amy L, Jarvie Laura K, Lattimer Catherine, Nwuba Anana E, Platford Edward W

机构信息

University of Leeds Medical School, UK.

出版信息

J Public Health (Oxf). 2008 Dec;30(4):466-71. doi: 10.1093/pubmed/fdn060. Epub 2008 Jul 23.

Abstract

BACKGROUND

Since 2003, the University of Leeds has been a pilot site for the National Chlamydia Screening Programme (NCSP), which offers opportunistic screening to asymptomatic people under the age of 25. Uptake among men is low. The purpose of this study is to explore perceptions and acceptability of the provision of Chlamydia screening in the University of Leeds among 18-25-year-old male students.

METHODS

Using a purposive sample of 15 male students aged between 19 and 24, two focus group sessions were conducted within university grounds.

RESULTS

Thematic analysis of the data revealed that male attitudes about Chlamydia screening were affected by: (1) lack of knowledge about Chlamydia and screening; (2) social embarrassment about Chlamydia; (3) reluctance to seek medical help; (4) perception that Chlamydia was a 'woman's disease' and (5) indifference about health promotion campaigns.

CONCLUSION

To encourage the uptake of opportunistic screening of Chlamydia, men under 25 years should be made aware of their responsibility for their own sexual health. Emphasis can also be placed on the non-invasiveness, ease and privacy of the test.

摘要

背景

自2003年以来,利兹大学一直是国家衣原体筛查计划(NCSP)的试点机构,该计划为25岁以下无症状人群提供机会性筛查。男性的参与率较低。本研究的目的是探讨利兹大学18至25岁男学生对衣原体筛查服务的看法和接受程度。

方法

采用目的抽样法,选取15名年龄在19至24岁之间的男学生,在大学校园内进行了两次焦点小组讨论。

结果

对数据的主题分析表明,男性对衣原体筛查的态度受到以下因素影响:(1)对衣原体和筛查缺乏了解;(2)对衣原体感到社交尴尬;(3)不愿寻求医疗帮助;(4)认为衣原体是“女性疾病”;(5)对健康促进活动漠不关心。

结论

为鼓励对衣原体进行机会性筛查,应让25岁以下男性意识到他们对自身性健康的责任。还可强调检测的非侵入性、简便性和隐私性。

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