Nielsen Anna, de Costa Ayesha, Gemzell-Danielsson Kristina, Boman Jens, Salazar M
Global Public Health, Karolinska Institutet, Stockholm, Sweden
Global Public Health, Karolinska Institutet, Stockholm, Sweden.
BMJ Open. 2020 Aug 5;10(8):e034179. doi: 10.1136/bmjopen-2019-034179.
is a public health problem. Widespread testing and re-testing after a sexually transmitted infection (STI) is recommended to contain the epidemic and has been adopted by many countries. A recent study in Stockholm found that serial testing was used as a substitute for condom use by youth presenting at the Youth Health Clinics (YHC). The objectives of this study are to explore frontline healthcare provider's perception of youth testing repeatedly for as a substitute for condom use and their views on how this might be addressed.
Qualitative study, in-depth interviews and analysed using content analysis.
YHC in Stockholm County, Sweden.
Healthcare providers (HCPs) working at the YHC.
Testing used as a method of prevention of STIs by youth has been a well-known phenomenon observed by HCPs at the YHC. Despite frustration regarding this behaviour, attitudes towards youth visiting the clinics repeatedly were overall positive. It is seen as an opportunity to reach youth with primary prevention strategies. Time for in-depth conversations with the youth is considered essential to understand the various reasons behind sexual risk-taking and to tailor counselling accordingly. Introducing concepts of self-compassion and self-respect in relation to sex is thought of as an effective intervention to improve sexual health among youth.
HCPs' views on testing repeatedly for as means of prevention, range widely from seeing this as 'a positive strategy for prevention' to 'a waste of healthcare resources'. There was a more unified view on how this should be addressed. Testing without having time to problematise sexual risk-taking was seen as meaningless. In depth, one-on-one counselling was deemed important. While scaling up accessibility to testing services, primary prevention strategies must not be neglected.
是一个公共卫生问题。建议在性传播感染（STI）后进行广泛检测和重新检测以控制疫情，许多国家已采用这一做法。斯德哥尔摩最近的一项研究发现，在青年健康诊所（YHC）就诊的年轻人将系列检测用作不使用避孕套的替代方式。本研究的目的是探讨一线医疗服务提供者对年轻人反复检测以替代使用避孕套的看法，以及他们对如何解决这一问题的观点。
定性研究，采用深入访谈并通过内容分析进行分析。
瑞典斯德哥尔摩县的青年健康诊所。
在青年健康诊所工作的医疗服务提供者（HCPs）。
青年将检测用作预防性传播感染的一种方法，这是青年健康诊所的医疗服务提供者所熟知的现象。尽管对这种行为感到沮丧，但对年轻人反复就诊的总体态度是积极的。这被视为向年轻人推行一级预防策略的一个机会。与年轻人进行深入交谈的时间被认为对于理解性行为冒险背后的各种原因并据此调整咨询至关重要。引入与性相关的自我同情和自尊概念被认为是改善青年性健康的有效干预措施。
医疗服务提供者对反复检测作为预防手段的看法差异很大，从将其视为“预防性传播感染的积极策略”到“浪费医疗资源”。在如何解决这一问题上有更统一的看法。在没有时间对性行为冒险进行质疑的情况下进行检测被视为毫无意义。深入的一对一咨询被认为很重要。在扩大检测服务可及性的同时，一级预防策略绝不能被忽视。
