Barriers to STI testing among youth in a Canadian oil and gas community

被引：43

作者：

Goldenberg, Shira ^{[1
]}

Shoveller, Jean ^{[1
]}

Koehoorn, Micke ^{[1
]}

Ostry, Aleck ^{[2
]}

机构：

[1] Univ British Columbia, Dept Hlth Care & Epidemiol, Vancouver, BC V6T 1Z3, Canada

[2] Univ Victoria, Fac Social Sci, Victoria, BC V8W 2Y2, Canada

来源：

HEALTH & PLACE | 2008年 / 14卷 / 04期

关键词：

sexually transmitted infections; STI testing; barriers; youth sexual health; resource-extraction;

D O I：

10.1016/j.healthplace.2007.11.005

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Northeastern British Columbia, Canada, is undergoing in-migration of young people attracted by jobs in the oil/gas sectors. Chlamydia rates among youth ages 15-24 are increasing and exceed the provincial average by 22%. Testing for sexually transmitted infections (STIs) reduces the disease burden, contributing to prevention. We conducted ethnographic fieldwork, including interviews with 25 youth and 14 service providers, to document their perceptions regarding youth's access to STI testing. Five key barriers to access were identified: limited opportunities for access, geographic inaccessibility, local social norms, limited information, and negative interactions with providers. To address youths' needs, we recommend active STI prevention and testing service delivery models that incorporate a locally tailored public awareness campaign, outreach to oil/gas workers, condom distribution, expanded clinic hours and drop-in STI testing, specialized training for health care providers, and inter-sectoral partnerships between public health, non-profit organizations, and industry. (C) 2007 Elsevier Ltd. All rights reserved.

引用

页码：718 / 729

页数：12

共 74 条

[11] Evaluation of a peer provider reproductive health service model for adolescents [J].

Brindis, CD ;

Geierstanger, SP ;

Wilcox, N ;

Mccarter, V ;

Hubbard, A .

PERSPECTIVES ON SEXUAL AND REPRODUCTIVE HEALTH, 2005, 37 (02) :85-91

[12]

Brown R.B., 2003, IMPACT ASSESS PROJ A, V21, P205

[13] The boom-bust-recovery cycle: Dynamics of change in community satisfaction and social integration in Delta, Utah [J].

Brown, RB ;

Dorius, SF ;

Krannich, RS .

RURAL SOCIOLOGY, 2005, 70 (01) :28-49

[14] Beyond the biomedical and behavioural: towards an integrated approach to HIV prevention in the Southern African mining industry [J].

Campbell, C ;

Williams, B .

SOCIAL SCIENCE & MEDICINE, 1999, 48 (11) :1625-1639

[15]

*CANWEST NEWS SERV, 2007, FORT STJOHN STRUGGL

[16]

*CHEVR CORP, 2005, POL 260 HIV AIDS

[17]

*CIT SPAC CONS, 2007, HOUS CONS CHALL OPP

[18] Variations of HIV and STI prevalences within communities neighbouring new goldmines in Tanzania: importance for intervention design [J].

Clift, S ;

Anemona, A ;

Watson-Jones, D ;

Kanga, Z ;

Ndeki, L ;

Changalucha, J ;

Gavyole, A ;

Ross, DA .

SEXUALLY TRANSMITTED INFECTIONS, 2003, 79 (04) :307-312

[19]

Coates K., 2001, WRITING RURAL W GLOB, P109

[20] Home screening for sexually transmitted diseases in high-risk young women: randomised control led trial [J].

Cook, Robert L. ;

Ostergaard, Lars ;

Hillier, Sharon L. ;

Murray, Pamela J. ;

Chang, Chung-Chou H. ;

Comer, Diane M. ;

Ness, Roberta B. .

SEXUALLY TRANSMITTED INFECTIONS, 2007, 83 (04) :286-291

← 1 2 3 4 5 6 7 8 →