What sexual and reproductive health issues do young people want to discuss with a doctor, and why haven’t they done so? Findings from an online survey

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-03-20 DOI:10.1016/j.srhc.2024.100966
H. Bittleston , J.S. Hocking , M. Temple-Smith , L. Sanci , J.L. Goller , J. Coombe
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Abstract

Objective

Young people are a priority group for sexual and reproductive health (SRH) care. We considered which SRH topics young Australians want to discuss with a general practitioner (GP) and explored barriers they encounter to discussing these issues.

Methods

We conducted an online survey (2nd May – 21st June 2022) of Australians aged 16–29 years. Participants were asked to identify from a list of SRH topics which they wanted to discuss, but never had, with a GP. Those who selected any topic/s (with ‘undiscussed SRH issues’) were asked a free-text follow-up question about what prevented them from discussing issues. We explored characteristics associated with having undiscussed issues using multivariate logistic regression. Free-text comments were analysed using content analysis.

Results

A total of 1887 people completed relevant survey questions. Most (67.1 %) were women and 48.5 % were heterosexual. Two-thirds (67.0 %) had a usual GP. Nearly half (45.6 %) had undiscussed issues. Most commonly, women wanted to discuss cervical screening and sexual problems, and men wanted to discuss sexual problems and STIs. Participants who were male, older, heterosexual, and with a usual GP were least likely to have undiscussed issues. Barriers to accessing care for SRH were identified from free-text comments, including discomfort, lack of opportunity, fear of negative outcomes, low priority of SRH issues, and perceptions about the role and expertise of GPs.

Conclusions

Many young people would welcome more preventative SRH care. Young people may be reassured that all issues, including sexual difficulties and dysfunction, are appropriate to discuss with a GP.

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年轻人希望与医生讨论哪些性健康和生殖健康问题?在线调查的结果
目标年轻人是性健康和生殖健康(SRH)护理的优先群体。我们研究了澳大利亚年轻人希望与全科医生(GP)讨论哪些性与生殖健康话题,并探讨了他们在讨论这些问题时遇到的障碍。方法我们对 16-29 岁的澳大利亚人进行了一次在线调查(2022 年 5 月 2 日至 6 月 21 日)。我们要求参与者从性健康和生殖健康话题列表中找出他们想讨论但从未与全科医生讨论过的话题。对于那些选择了任何话题(包括 "未讨论过的性健康和生殖健康问题")的人,我们向他们提出了一个自由文本后续问题,询问是什么阻碍了他们讨论这些问题。我们使用多变量逻辑回归法探讨了与未讨论问题相关的特征。我们使用内容分析法对自由文本评论进行了分析。大多数(67.1%)为女性,48.5%为异性恋。三分之二(67.0%)的人有固定的全科医生。近一半(45.6%)的人有未讨论过的问题。最常见的情况是,女性希望讨论宫颈筛查和性问题,男性希望讨论性问题和性传播感染。男性、年龄较大、异性恋、有固定全科医生的参与者最不可能有未讨论的问题。从自由文本评论中发现了获得性健康和生殖健康护理的障碍,包括不舒服、缺乏机会、害怕负面结果、性健康和生殖健康问题的优先级低以及对全科医生的角色和专业知识的看法。年轻人可以放心,所有问题,包括性困难和性功能障碍,都适合与全科医生讨论。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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