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社会文化对性传播感染知识的影响:一项针对苏格兰异性恋中年成年人的定性研究。

Socio-cultural influences upon knowledge of sexually transmitted infections: a qualitative study with heterosexual middle-aged adults in Scotland.

作者信息

Dalrymple Jenny, Booth Joanne, Flowers Paul, Hinchliff Sharron, Lorimer Karen

机构信息

Clinical Academic Research Fellow, Glasgow Caledonian University and NHS Greater Glasgow and Clyde, Glasgow, UK.

Professor of Rehabilitation Nursing, School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK.

出版信息

Reprod Health Matters. 2016 Nov;24(48):34-42. doi: 10.1016/j.rhm.2016.10.003. Epub 2016 Nov 27.

DOI:10.1016/j.rhm.2016.10.003
PMID:28024675
Abstract

There has been a recent global increase in sexually transmitted infections (STIs) including HIV among adults aged over 45. Limited evidence exists regarding middle-aged adults' knowledge of STIs other than HIV. This qualitative study sought to understand middle-aged adults' knowledge of STIs within a socio-cultural context. Individual interviews, based on a life-course approach, were conducted with 31 recently sexually active heterosexual men and women. Participants were aged between 45 and 65 and of mixed relationship status (14 were single, 17 in a relationship). Thematic analysis identified four key findings, including: "engagement with STI-related knowledge"; "general knowledge of STIs"; "learning about STIs from children"; and "limited application of knowledge". The findings allow insight into a neglected area, and indicate that socio-cultural factors influence middle-aged adults' STI-related knowledge acquisition throughout the life course. These are important implications for the prevention of STIs, particularly in addressing the on-going stigmatisation of STIs in older age groups.

摘要

最近,全球45岁以上成年人的性传播感染(包括艾滋病毒)有所增加。除艾滋病毒外,关于中年成年人对性传播感染的了解的证据有限。这项定性研究旨在了解社会文化背景下中年成年人对性传播感染的了解。采用基于生命历程方法的个人访谈,对31名最近有性活动的异性恋男性和女性进行了访谈。参与者年龄在45岁至65岁之间,恋爱状况各异(14人单身,17人处于恋爱关系)。主题分析确定了四个主要发现,包括:“接触性传播感染相关知识”;“性传播感染的一般知识”;“从孩子那里了解性传播感染”;以及“知识应用有限”。这些发现有助于深入了解一个被忽视的领域,并表明社会文化因素在整个生命历程中影响中年成年人对性传播感染相关知识的获取。这些对性传播感染的预防具有重要意义,特别是在解决老年人群体中持续存在的性传播感染污名化问题方面。

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