Māori and Pacific young people's perspectives on testing for sexually transmitted infections via an online service: a qualitative study.

IF 1.1 Q4 PRIMARY HEALTH CARE Journal of primary health care Pub Date : 2024-09-01 DOI:10.1071/HC23136
Sally B Rose, Tracey Gardiner, Abigail Dunlop, Marama Cole, Susan M Garrett, Eileen M McKinlay
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Abstract

Introduction International research suggests free online postal self-sampling for sexually transmitted infection (STI) testing is an acceptable alternative to clinic-based testing. A user-pays online STI testing service exists in Aotearoa New Zealand, but acceptability among priority populations is unknown. Aim To explore Māori and Pacific young people's perspectives on online postal self-sampling for STI testing (as prospective service users). Methods Four wānanga (knowledge-sharing forum) were held between November 2022 and May 2023 with Māori and Pacific participants aged 15-24 years who were recruited via youth-focused community organisations. Three facilitators guided discussions about STI testing and use of an online service. Inductive thematic analysis was used to analyse data generated from audio-recorded discussions, group work notes and facilitator field notes. Results None of the 38 participants were aware of online STI testing and all considered it cost-prohibitive. Perceptions of online testing were mixed, and discussion about concerns outweighed perceived benefits. Three themes were identified: (i) potential to support autonomy (perceived benefits and positive features of self-sample collection kits); (ii) barriers and process-related concerns; and (iii) tailoring online STI testing to young people's needs (facilitating engagement with online testing). Discussion For online STI testing to be an accessible alternative to clinic-based testing for priority populations, cost, low awareness and other barriers in the testing pathway need to be addressed. Clinician follow-up on positive results and free treatment would be critical to ensure the cycle of best practice care is completed. Regardless of where testing is accessed, investment is needed to support young people's knowledge of when, why and how to access a sexual health check.

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毛利和太平洋裔青少年对通过在线服务进行性传播感染检测的看法:一项定性研究。
导言:国际研究表明,免费在线邮寄性传播感染(STI)检测自我采样是一种可接受的替代诊所检测的方法。在新西兰奥特亚罗瓦,有一种用户付费的在线性传播感染检测服务,但重点人群的接受程度尚不清楚。目的 探讨毛利人和太平洋裔年轻人(作为未来的服务使用者)对在线邮寄自我取样进行性传播感染检测的看法。方法 在2022年11月至2023年5月期间举办了四次wānanga(知识分享论坛),参加者均为15-24岁的毛利族和太平洋裔青年,他们是通过以青年为重点的社区组织招募的。三位主持人主持了有关性传播感染检测和在线服务使用的讨论。归纳式主题分析法用于分析从讨论录音、小组工作笔记和主持人现场记录中获得的数据。结果 38 名参与者都不知道在线性传播感染检测,而且都认为费用过高。对在线检测的看法不一,对其担忧的讨论多于对其好处的看法。确定了三个主题(i) 支持自主性的潜力(自我样本采集工具包的好处和积极特征);(ii) 障碍和与过程相关的问题;以及 (iii) 根据年轻人的需要定制在线 STI 检测(促进参与在线检测)。讨论:要使在线性传播感染检测成为重点人群在诊所进行检测的替代方案,就必须解决检测过程中的成本、认知度低和其他障碍问题。临床医生对阳性结果的跟踪和免费治疗对于确保完成最佳实践护理周期至关重要。无论在哪里进行检测,都需要进行投资,以帮助年轻人了解何时、为何以及如何进行性健康检查。
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
Journal of primary health care
Journal of primary health care PRIMARY HEALTH CARE-
CiteScore
2.70
自引率
16.70%
发文量
79
审稿时长
28 weeks
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