年轻女性接受衣原体筛查的决策：污名和医患互动的影响。
Young women's decisions to accept chlamydia screening: influences of stigma and doctor-patient interactions.
机构信息
Department of Epidemiology and Public Health, Royal College of Surgeons in Ireland, Dublin, Ireland.
出版信息
BMC Public Health. 2010 Jul 19;10:425. doi: 10.1186/1471-2458-10-425.
BACKGROUND
An understanding of the factors that encourage young women to accept, and discourage them from accepting, STI (sexually transmitted infection) testing is needed to underpin opportunistic screening programs for the STI Chlamydia trachomatis (opportunistic screening involves healthcare professionals offering chlamydia tests to people while they are attending health services for reasons that are usually unrelated to their sexual health). We conducted a qualitative study to identify and explore: how young women would feel about being offered opportunistic tests for chlamydia?; how young women would like to be offered screening, and who they wanted to be offered screening by?; and what factors would influence young women's partner notification preferences for chlamydia (who they would notify in the event of a positive diagnosis of chlamydia, how they would want to do this).
METHODS
Semi-structured interviews with 35 young women between eighteen and twenty nine years of age. The study was conducted in the Dublin and Galway regions of the Republic of Ireland. Young adults were recruited from General Practice (GP) practices, Third Level College health services, Family Planning clinics and specialist STI treatment services.
RESULTS
Respondents were worried that their identities would become stigmatised if they accepted screening. Younger respondents and those from lower socio-economic backgrounds had the greatest stigma-related concerns. Most respondents indicated that they would accept screening if it was offered to them, however; accepting screening was seen as a correct, responsible action to engage in. Respondents wanted to be offered screening by younger female healthcare professionals. Respondents were willing to inform their current partners about positive chlamydia diagnoses, but were more ambivalent about informing their previous partners.
CONCLUSIONS
If an effort is not put into reducing young women's stigma-related concerns the population coverage of Chlamydia screening might be reduced.
背景
为了支持针对沙眼衣原体（性传播感染）的机会性筛查计划（机会性筛查是指医疗保健专业人员在人们因通常与性健康无关的原因就诊时向他们提供衣原体检测），我们需要了解促使年轻女性接受和不接受性传播感染检测的因素。我们进行了一项定性研究，以确定并探讨以下问题：年轻女性对接受衣原体机会性检测有何感受？年轻女性希望如何接受筛查，以及她们希望由谁来提供筛查？哪些因素会影响年轻女性对衣原体伙伴通知偏好（如果诊断出衣原体阳性，她们会通知谁，以及她们希望如何通知）。
方法
对 35 名年龄在 18 至 29 岁之间的年轻女性进行了半结构化访谈。该研究在爱尔兰共和国的都柏林和戈尔韦地区进行。从全科医生（GP）诊所、第三级学院保健服务、计划生育诊所和性传播感染治疗专科服务中招募了年轻成年人。
结果
受访者担心如果接受筛查，他们的身份会受到污名化。年轻的受访者和来自社会经济地位较低背景的受访者最担心与污名相关的问题。大多数受访者表示，如果向他们提供筛查，他们会接受，但接受筛查被视为一种正确、负责任的参与行为。受访者希望由年轻的女性医疗保健专业人员提供筛查。受访者愿意告知其当前伴侣阳性衣原体诊断，但对告知其以前的伴侣则更加犹豫不决。
结论
如果不努力减少年轻女性与污名相关的担忧，衣原体筛查的人群覆盖率可能会降低。
Zotero 插件