Patterns of general health care and STD services use among high-risk youth in denver participating in community-based urine Chlamydia screening

被引:34
作者
Rietmeijer, CA
Bull, SS
Ortiz, CG
Leroux, T
Douglas, JM
机构
[1] Univ Colorado, Hlth Sci Ctr, Dept Publ Hlth, Denver Hlth Med Ctr, Denver, CO USA
[2] Univ Colorado, Hlth Sci Ctr, Dept Prevent Med & Biometr, Denver, CO 80262 USA
[3] Univ Colorado, Hlth Sci Ctr, Dept Med, Denver, CO 80262 USA
[4] Univ Colorado, Dept Anthropol, Boulder, CO 80309 USA
关键词
D O I
10.1097/00007435-199810000-00003
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Background: In the United States, youth are at highest risk for STDs, and innovative programs have been called for to increase their access to essential STD-related ser,ices. To guide the development of such programs, locally relevant information is needed on current use of general health care and STD services in this population. Goal: To study access to and use of general health care and STD services in a purposive sample of high-risk youth in inner-city Denver. Study Design: An interview-based survey conducted as part of a community program for urine chlamydia screening targeting black and Hispanic youth 13 gears to 25 Sears. Results: Of 221 sexually experienced youth in the survey, 72% had accessed general health services in the past year and 39% reported an STD evaluation at any time in the past. Community and school clinics were reported by 50% as a source for general health care and by 62 % as a source for STD services, STD clinics were reported by only 14% as a source for STD services. Routine checkups were the most important reasons to seek general health care, yet of those who went for a routine checkup, only 34% reported an STD evaluation, Although few barriers appeared to exist in accessing general health care, anticipated anxiety about procedures and results formed the major barrier to accessing STD services. Conclusions: Use of general health services was common in this population of high-risk adolescents; however, the provision of STD services as part of general health care visits appeared to be low, On the basis of these findings, a comprehensive STD prevention strategy may be envisioned, which could include provider interventions to increase the provision of STD prevention services in general health care settings; community interventions to enhance access to general health care and STD services; and community-based screening programs for those not able or willing to seek clinic-based services.
引用
收藏
页码:457 / 463
页数:7
相关论文
共 20 条
  • [1] *AM AC FAM PHYS, 1994, AG CHARTS PER HLTH E
  • [2] *AM AC PED, 1994, 1994 RED BOOK REP CO
  • [3] *AM COLL OBST GYN, 1994, TECHN B AM COLL OBST, V190
  • [4] *AM MED ASS, 1994, AMA GUID AD PREV SER
  • [5] [Anonymous], 1996, Guide to Clinical Preventive Services, V2nd
  • [6] Use of health services by urban youth: A school-based survey to assess differences by grade level, gender, and risk behavior
    Aten, MJ
    Siegel, DM
    Roghmann, KJ
    [J]. JOURNAL OF ADOLESCENT HEALTH, 1996, 19 (04) : 258 - 266
  • [7] BRACKBILL R, 1996, 124 ANN C AM PUBL HL
  • [8] *CDC DIV STD HIV P, 1993, ANN REP 1992
  • [9] *CDC DIV STD HIV P, 1995, ANN REP 1994
  • [10] Patients attending STD clinics in an evolving health care environment - Demographics, insurance coverage, preferences for STD services, and STD morbidity
    Celum, CL
    Bolan, G
    Krone, M
    Code, K
    Leone, P
    Spaulding, C
    Henry, K
    Clarke, P
    Smith, M
    Hook, EW
    [J]. SEXUALLY TRANSMITTED DISEASES, 1997, 24 (10) : 599 - 605