Hammarström Sofia, Nilsen Per, Lindroth Malin, Stenqvist Karin, Bernhardsson Susanne
a Department of Medical and Health Science, Division of Community Medicine , Linköping University , Linköping , Sweden.
b Närhälsan Knowledge Center for Sexual Health , Gothenburg , Sweden.
Eur J Contracept Reprod Health Care. 2019 Feb;24(1):45-53. doi: 10.1080/13625187.2018.1564815. Epub 2019 Feb 7.
We aimed to develop and pilot-implement an evidence-informed toolkit (SEXual health Identification Tool; SEXIT) for identifying young people exposed to or at risk of sexual ill health, at Swedish youth clinics, and to investigate SEXIT's potential to identify young people in need of special care and monitoring.
The SEXIT toolkit was developed, validated and pilot-implemented at three Swedish youth clinics. Pre-implementation staff readiness was assessed and youth clinic visitors' responses to SEXIT were analysed.
All staff perceived a need for screening for sexual risk-taking and exposure. The response rate from 268 youth clinic visitors (aged 15-24 years) was 86%. Half of the visitors had one or no variable associated with sexual ill health, a third had two or three, and 15% reported between four and seven variables. The most common variables were alcohol use, three or more sexual partners in the past year and previous chlamydia. Visitors rated SEXIT as important and not uncomfortable or difficult to answer.
The SEXIT toolkit was found to be feasible and highly acceptable in a clinical setting. The use of SEXIT may facilitate important questions on sexual risk-taking and sexual ill health to be raised with youth clinic visitors.
我们旨在开发并试点实施一个基于证据的工具包（性健康识别工具；SEXIT），用于在瑞典青少年诊所识别接触过性健康问题或有性健康问题风险的年轻人，并调查SEXIT识别需要特殊护理和监测的年轻人的潜力。
SEXIT工具包在瑞典的三家青少年诊所进行了开发、验证和试点实施。评估了实施前工作人员的准备情况，并分析了青少年诊所访客对SEXIT的反应。
所有工作人员都认为有必要筛查性冒险行为和性健康问题暴露情况。268名青少年诊所访客（年龄在15 - 24岁之间）的回复率为86%。一半的访客有一个或没有与性健康问题相关的变量，三分之一有两个或三个，15%报告有四到七个变量。最常见的变量是饮酒、过去一年有三个或更多性伴侣以及既往衣原体感染。访客认为SEXIT很重要，回答起来不会不舒服或困难。
SEXIT工具包在临床环境中被发现是可行且高度可接受的。使用SEXIT可能有助于向青少年诊所访客提出有关性冒险行为和性健康问题的重要问题。
