Division of Primary Care and Public Health, Brighton and Sussex Medical School, Brighton, UK.
Cult Health Sex. 2011 Mar;13(3):343-53. doi: 10.1080/13691058.2010.535018.
The increasing prevalence of sexually transmitted infection (STI) and delays in access to sexual health care among men who have sex with men are a major public health concern in the UK. This qualitative study, involving semi-structured interviews with 24 men recruited from a genitourinary medicine clinic in Brighton, UK, explored their views towards the introduction of home sampling kits for STI into clinical practice. Participants had previously self-sampled for rectal and oropharyngeal specimens and completed a survey on the acceptability of self-sampling. Interviews were audio-recorded, transcribed and analyzed using a framework approach. Participants preferred to access home sampling kits from medical venues rather than gay social venues due to privacy concerns and fear of being ridiculed by peers. Perceived societal homophobia led to skepticism towards accessing home sampling kits in commercial venues. Assurance about specimen delivery and receiving test results from clinics was important. Views about using home sampling kits for HIV testing were mixed. Home sampling kits were viewed as an adjunct to clinics, but clinic attendance was preferred if symptomatic. Home sampling kits could be a viable alternative to meet the increasing demand for sexual health services, but to improve the home sampling kit uptake the method of service provision must be culturally sensitive and acceptable.
在英国，男男性行为者中性传播感染（STI）的患病率不断上升，以及获得性健康护理的延迟，是一个主要的公共卫生关注点。本定性研究，对 24 名从英国布莱顿的一家泌尿科诊所招募的男性进行了半结构化访谈，探讨了他们对将 STI 家庭采样试剂盒引入临床实践的看法。参与者之前曾自行采集直肠和口咽标本，并完成了一份关于自我采样可接受性的调查。访谈通过框架方法进行了录音、转录和分析。参与者由于隐私问题和担心被同龄人嘲笑，更愿意从医疗场所而不是同性恋社交场所获取家庭采样试剂盒。对社会恐同的感知导致对在商业场所获取家庭采样试剂盒持怀疑态度。确保标本交付和从诊所接收检测结果很重要。对使用家庭采样试剂盒进行 HIV 检测的看法不一。家庭采样试剂盒被视为诊所的辅助手段，但如果有症状，还是更倾向于去诊所就诊。家庭采样试剂盒可能是满足不断增长的性健康服务需求的可行替代方案，但要提高家庭采样试剂盒的使用率，服务提供方式必须具有文化敏感性和可接受性。
