Marcell Arik V, Morgan Anthony R, Sanders Renata, Lunardi Nicole, Pilgrim Nanlesta A, Jennings Jacky M, Page Kathleen R, Loosier Penny S, Dittus Patricia J
Department of Pediatrics, The Johns Hopkins University, School of Medicine, Baltimore, Maryland; Department of Population, Family, and Reproductive Health, The Johns Hopkins University, Bloomberg School of Public Health, Baltimore, Maryland.
Department of Pediatrics, The Johns Hopkins University, School of Medicine, Baltimore, Maryland.
J Adolesc Health. 2017 Apr;60(4):402-410. doi: 10.1016/j.jadohealth.2016.11.014. Epub 2017 Jan 5.
To explore perceptions of facilitators/barriers to sexual and reproductive health (SRH) care use among an urban sample of African-American and Hispanic young men aged 15-24 years, including sexual minorities.
Focus groups were conducted between April 2013 and May 2014 in one mid-Atlantic U.S. city. Young men aged 15-24 years were recruited from eight community settings to participate in 12 groups. Moderator guide explored facilitators/barriers to SRH care use. A brief pregroup self-administered survey assessed participants' sociodemographics and SRH information sources. Content analysis was conducted, and three investigators independently verified the themes that emerged.
Participants included 70 males: 70% were aged 15-19 years, 66% African-American, 34% Hispanic, 83% heterosexual, and 16% gay/bisexual. Results indicated young men's perceptions of facilitators/barriers to their SRH care use come from multiple levels of their socioecology, including cultural, structural, social, and personal contexts, and dynamic inter-relationships existed across contexts. A health care culture focused on women's health and traditional masculinity scripts provided an overall background. Structural level concerns included cost, long visits, and confidentiality; social level concerns included stigma of being seen by community members and needs regarding health care provider interactions; and personal level concerns included self-risk assessments on decisions to seek care and fears/anxieties about sexually transmitted infection/HIV testing. Young men also discussed SRH care help-seeking sometimes involved family and/or other social network members and needs related to patient-provider interactions about SRH care.
Study findings provide a foundation for better understanding young men's SRH care use and considering ways to engage them in care.
探讨年龄在15 - 24岁的非裔美国人和西班牙裔城市年轻男性（包括性少数群体）对性与生殖健康（SRH）护理使用的促进因素/障碍的看法。
2013年4月至2014年5月在美国中大西洋地区的一个城市进行了焦点小组访谈。从八个社区环境中招募了15 - 24岁的年轻男性参与12个小组。主持人指南探讨了SRH护理使用的促进因素/障碍。一份简短的小组前自我管理调查问卷评估了参与者的社会人口统计学特征和SRH信息来源。进行了内容分析，三名研究人员独立核实了出现的主题。
参与者包括70名男性：70%的年龄在15 - 19岁之间，66%为非裔美国人，34%为西班牙裔，83%为异性恋，16%为男同性恋/双性恋。结果表明，年轻男性对其SRH护理使用的促进因素/障碍的看法来自其社会生态的多个层面，包括文化、结构、社会和个人背景，并且不同背景之间存在动态的相互关系。以女性健康为重点的医疗保健文化和传统的男性气质脚本提供了一个总体背景。结构层面的担忧包括成本、就诊时间长和保密性；社会层面的担忧包括被社区成员看到的耻辱感以及与医疗保健提供者互动的需求；个人层面的担忧包括对寻求护理决定的自我风险评估以及对性传播感染/艾滋病毒检测的恐惧/焦虑。年轻男性还讨论了寻求SRH护理有时涉及家庭和/或其他社会网络成员，以及与患者 - 提供者关于SRH护理互动相关的需求。
研究结果为更好地理解年轻男性的SRH护理使用情况以及考虑促使他们接受护理的方法提供了基础。
