Young women's decisions to accept chlamydia screening: influences of stigma and doctor-patient interactions

Hdl Handle:
http://hdl.handle.net/10147/574381
Title:
Young women's decisions to accept chlamydia screening: influences of stigma and doctor-patient interactions
Authors:
Balfe, Myles; Brugha, Ruairi; O'Donovan, Diarmuid; O'Connell, Emer; Vaughan, Deirdre
Citation:
BMC Public Health. 2010 Jul 19;10(1):425
Issue Date:
19-Jul-2010
URI:
http://dx.doi.org/10.1186/1471-2458-10-425; http://hdl.handle.net/10147/574381
Abstract:
Abstract Background An understanding of the factors that encourage young women to accept, and discourage them from accepting, STI (sexually transmitted infection) testing is needed to underpin opportunistic screening programs for the STI Chlamydia trachomatis (opportunistic screening involves healthcare professionals offering chlamydia tests to people while they are attending health services for reasons that are usually unrelated to their sexual health). We conducted a qualitative study to identify and explore: how young women would feel about being offered opportunistic tests for chlamydia?; how young women would like to be offered screening, and who they wanted to be offered screening by?; and what factors would influence young women's partner notification preferences for chlamydia (who they would notify in the event of a positive diagnosis of chlamydia, how they would want to do this). Methods Semi-structured interviews with 35 young women between eighteen and twenty nine years of age. The study was conducted in the Dublin and Galway regions of the Republic of Ireland. Young adults were recruited from General Practice (GP) practices, Third Level College health services, Family Planning clinics and specialist STI treatment services. Results Respondents were worried that their identities would become stigmatised if they accepted screening. Younger respondents and those from lower socio-economic backgrounds had the greatest stigma-related concerns. Most respondents indicated that they would accept screening if it was offered to them, however; accepting screening was seen as a correct, responsible action to engage in. Respondents wanted to be offered screening by younger female healthcare professionals. Respondents were willing to inform their current partners about positive chlamydia diagnoses, but were more ambivalent about informing their previous partners. Conclusions If an effort is not put into reducing young women's stigma-related concerns the population coverage of Chlamydia screening might be reduced.
Language:
en
Keywords:
SEXUALLY TRANSMITTED INFECTION; WOMEN'S HEALTH; SCREENING

Full metadata record

DC FieldValue Language
dc.contributor.authorBalfe, Mylesen
dc.contributor.authorBrugha, Ruairien
dc.contributor.authorO'Donovan, Diarmuiden
dc.contributor.authorO'Connell, Emeren
dc.contributor.authorVaughan, Deirdreen
dc.date.accessioned2015-08-17T13:26:46Zen
dc.date.available2015-08-17T13:26:46Zen
dc.date.issued2010-07-19en
dc.identifier.citationBMC Public Health. 2010 Jul 19;10(1):425en
dc.identifier.urihttp://dx.doi.org/10.1186/1471-2458-10-425en
dc.identifier.urihttp://hdl.handle.net/10147/574381en
dc.description.abstractAbstract Background An understanding of the factors that encourage young women to accept, and discourage them from accepting, STI (sexually transmitted infection) testing is needed to underpin opportunistic screening programs for the STI Chlamydia trachomatis (opportunistic screening involves healthcare professionals offering chlamydia tests to people while they are attending health services for reasons that are usually unrelated to their sexual health). We conducted a qualitative study to identify and explore: how young women would feel about being offered opportunistic tests for chlamydia?; how young women would like to be offered screening, and who they wanted to be offered screening by?; and what factors would influence young women's partner notification preferences for chlamydia (who they would notify in the event of a positive diagnosis of chlamydia, how they would want to do this). Methods Semi-structured interviews with 35 young women between eighteen and twenty nine years of age. The study was conducted in the Dublin and Galway regions of the Republic of Ireland. Young adults were recruited from General Practice (GP) practices, Third Level College health services, Family Planning clinics and specialist STI treatment services. Results Respondents were worried that their identities would become stigmatised if they accepted screening. Younger respondents and those from lower socio-economic backgrounds had the greatest stigma-related concerns. Most respondents indicated that they would accept screening if it was offered to them, however; accepting screening was seen as a correct, responsible action to engage in. Respondents wanted to be offered screening by younger female healthcare professionals. Respondents were willing to inform their current partners about positive chlamydia diagnoses, but were more ambivalent about informing their previous partners. Conclusions If an effort is not put into reducing young women's stigma-related concerns the population coverage of Chlamydia screening might be reduced.en
dc.language.isoenen
dc.subjectSEXUALLY TRANSMITTED INFECTIONen
dc.subjectWOMEN'S HEALTHen
dc.subjectSCREENINGen
dc.titleYoung women's decisions to accept chlamydia screening: influences of stigma and doctor-patient interactionsen
dc.language.rfc3066enen
dc.rights.holderBalfe et al.en
dc.date.updated2015-08-14T13:22:23Zen
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