Department of Health, Medicine and Caring Sciences, Division of Society and Health, Linköping University, SE-581 83 Linköping, Sweden; Region Västra Götaland, Knowledge Centre for Sexual Health, Kungsgatan 11, SE-411 19 Gothenburg, Sweden.
Centre for Sexology and Sexuality Studies, Faculty of Health and Society, Malmö University, SE-205 06 Malmö, Sweden.
Sex Reprod Healthc. 2021 Sep;29:100643. doi: 10.1016/j.srhc.2021.100643. Epub 2021 Jun 21.
Young people are disproportionally burdened by sexual ill health. The SEXual health Identification Tool (SEXIT) was developed for use at youth clinics, to facilitate identification of visitors exposed to or at risk of sexual ill health. The aim of this study was to explore experiences of using SEXIT among youth clinic staff who participated in a pilot implementation, with a focus on usefulness, implementation determinants, and feasibility of implementing SEXIT at Swedish youth clinics.
Four focus group discussions were conducted with youth clinic staff from three clinics. The clinics had used SEXIT systematically in consultations with all visitors for one month. Data were analysed using qualitative analysis designed for focus groups.
Most participants experienced that the SEXIT routines were well functioning and that using SEXIT gave a comprehensive picture of the visitor and resulted in more concrete answers, which facilitated the risk assessment. The medical staff experienced that they identified more youth at risk with SEXIT, while the psychosocial staff were less convinced. Existing challenges related to the routines at the clinics and heavy workload during drop-in hours.
Staff experience SEXIT as useful for identifying young people exposed to or at risk of sexual ill health. Systematic use ensures consistency and quality in assessing the visitors, which may facilitate implementation. The use of SEXIT is challenged by heavy workload, conflicting routines, and the experience that some visitors identified through SEXIT decline further care. Implementation of SEXIT in Swedish youth clinics is considered feasible.
年轻人在性健康方面承受着不成比例的负担。SEXual health identification Tool（SEXIT）是为青年诊所开发的，用于识别接触或有性健康风险的来访者。本研究旨在探讨参与试点实施的青年诊所工作人员对 SEXIT 的使用体验，重点关注其有用性、实施决定因素以及在瑞典青年诊所实施 SEXIT 的可行性。
对来自三家诊所的青年诊所工作人员进行了四次焦点小组讨论。这些诊所已在一个月内对所有来访者系统地使用 SEXIT 进行咨询。使用专为焦点小组设计的定性分析方法对数据进行分析。
大多数参与者认为 SEXIT 程序运行良好，使用 SEXIT 可以全面了解来访者的情况，并得出更具体的答案，从而有助于风险评估。医务人员认为他们通过 SEXIT 发现了更多有风险的年轻人，而心理社会工作人员则不太相信。现有的挑战与诊所的常规工作以及高峰时段的繁重工作量有关。
工作人员认为 SEXIT 有助于识别接触或有性健康风险的年轻人。系统使用可确保评估来访者的一致性和质量，从而可能促进实施。由于工作量大、常规工作冲突以及一些通过 SEXIT 识别的来访者拒绝进一步护理的经历，使用 SEXIT 具有挑战性。在瑞典青年诊所实施 SEXIT 被认为是可行的。
