"...they should be offering it": a qualitative study to investigate young peoples' attitudes towards chlamydia screening in GP surgeries

Hogan, Angela; Howell-Jones, Rebecca; Pottinger, Elizabeth; Wallace, Louise; McNulty, Cliodna

doi:10.1186/1471-2458-10-616

Cited by 40 publications

(48 citation statements)

References 16 publications

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“…175,176,359,360 The barriers to achieving the chlamydia screening uptake required to impact on the infection's prevalence are fairly well researched. From the health professional point of view, the major barrier seems to be time.…”

Section: Chlamydia Screening Uptakementioning

confidence: 99%

“…176,362 From the service user perspective, qualitative research with young women and men supports the suggestion that the time constraint within routine consultations is a major barrier to increasing testing rates. 360,363 Furthermore, stigma associated with chlamydia is an important issue, and young people do not want to feel they have been 'singled out as "needing" a Chlamydia screen' (p. 7). 360 Opportunities may exist to tackle the time constraint by involving reception staff in the screening process.…”

Section: Chlamydia Screening Uptakementioning

confidence: 99%

“…360,363 Furthermore, stigma associated with chlamydia is an important issue, and young people do not want to feel they have been 'singled out as "needing" a Chlamydia screen' (p. 7). 360 Opportunities may exist to tackle the time constraint by involving reception staff in the screening process. 176,359 For example, one study reported receptionists identifying 16-to 24-year-old women attending the practice and making initial contact with a leaflet about chlamydia for them to read before their consultation.…”

Section: Chlamydia Screening Uptakementioning

confidence: 99%

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The organisation and delivery of health improvement in general practice and primary care: a scoping study

Peckham

Falconer

Gillam

et al. 2015

Health Serv Deliv Res

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BackgroundThis project examines the organisation and delivery of health improvement activities by and within general practice and the primary health-care team. The project was designed to examine who delivers these interventions, where they are located, what approaches are developed in practices, how individual practices and the primary health-care team organise such public health activities, and how these contribute to health improvement. Our focus was on health promotion and ill-health prevention activities.AimsThe aim of this scoping exercise was to identify the current extent of knowledge about the health improvement activities in general practice and the wider primary health-care team. The key objectives were to provide an overview of the range and type of health improvement activities, identify gaps in knowledge and areas for further empirical research. Our specific research objectives were to map the range and type of health improvement activity undertaken by general practice staff and the primary health-care team based within general practice; to scope the literature on health improvement in general practice or undertaken by health-care staff based in general practice and identify gaps in the evidence base; to synthesise the literature and identify effective approaches to the delivery and organisation of health improvement interventions in a general practice setting; and to identify the priority areas for research as defined by those working in general practice.MethodsWe undertook a comprehensive search of the literature. We followed a staged selection process involving reviews of titles and abstracts. This resulted in the identification of 1140 papers for data extraction, with 658 of these papers selected for inclusion in the review, of which 347 were included in the evidence synthesis. We also undertook 45 individual and two group interviews with primary health-care staff.FindingsMany of the research studies reviewed had some details about the type, process or location, or who provided the intervention. Generally, however, little attention is paid in the literature to examining the impact of the organisational context on the way services are delivered or how this affects the effectiveness of health improvement interventions in general practice. We found that the focus of attention is mainly on individual prevention approaches, with practices engaging in both primary and secondary prevention. The range of activities suggests that general practitioners do not take a population approach but focus on individual patients. However, it is clear that many general practitioners see health promotion as an integral part of practice, whether as individual approaches to primary or secondary health improvement or as a practice-based approach to improving the health of their patients. Our key conclusion is that there is currently insufficient good evidence to support many of the health improvement interventions undertaken in general practice and primary care more widely.Future ResearchFuture research on health improvement in general practice and by the primary health-care team needs to move beyond clinical research to include delivery systems and be conducted in a primary care setting. More research needs to examine areas where there are chronic disease burdens – cancer, dementia and other disabilities of old age. Reviews should be commissioned that examine the whole prevention pathway for health problems that are managed within primary care drawing together research from general practice, pharmacy, community engagement, etc.FundingThe National Institute for Health Research Health Services and Delivery Research programme.

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Section: Chlamydia Screening Uptakementioning

confidence: 99%

Section: Chlamydia Screening Uptakementioning

confidence: 99%

Section: Chlamydia Screening Uptakementioning

confidence: 99%

See 1 more Smart Citation

The organisation and delivery of health improvement in general practice and primary care: a scoping study

Peckham

Falconer

Gillam

et al. 2015

Health Serv Deliv Res

View full text Add to dashboard Cite

show abstract

“…Screening should be extended to other specialties , so that urine samples for testing are taken at all consultations, not just those of gynaecologists. A GP's surgery can be an ideal place for CT screening, as adolescents perceive it as a normal place to discuss health issues [59] and hence can particularly be used to increase testing in boys.…”

Section: Recommendationsmentioning

confidence: 99%

Risk factors for Chlamydia trachomatis infection in adolescents: results from a representative population-based survey in Germany, 2003–2006

et al. 2013

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Infections with Chlamydia trachomatis (CT) can lead to severe sequelae; however, they are not notifiable in Germany. We tested urine samples from participants of KiGGS (German Health Interview and Examination Survey for Children and Adolescents) for CT infections and linked the results to demographic and behavioural data from 1,925 participants (girls aged 15-17 years and boys aged 16-17 years) to determine a representative prevalence of CT infection in adolescents in Germany and to assess associated risk factors. Prevalence of CT infection was 2.2% (95% CI: 1.4-3.5) in girls and 0.2% (95% CI: 0.1-0.7) in boys. CT infection in girls was associated with higher use of alcohol, marijuana and cigarettes, lower social status, oral contraceptive use, pregnancy, repeated lower abdominal pain and higher rates of doctors' consultations within the preceding three months and consultation of gynaecologists within the last 12 months. In multiple logistic regression, we identified two predictors for CT infection: marijuana consumption often or several times within the last 12 months (F(1,164)=7.56; p<0.05) and general health status less than 'very good' (F(1,164)=3.83; p=0.052). Given our findings, we recommend enhancing sex education before sexual debut and promoting safe sex practices regardless of the contraceptive method used. Well-informed consumption of alcohol should be promoted, the risky behaviour of people intoxicated through consumption of marijuana highlighted and doctors' awareness of CT screening enhanced.

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“…Balfe et al [27] argue, that health care professionals need to monitor their own in-teraction style with patients, and that they should not use any moral surveillance methods in their interaction. Also, Hogan [28] emphasizes that a non-judge-mental attitude, when offering Chlamydia screening, could help minimizing barriers such as embarrassment.…”

Section: Discussionmentioning

confidence: 99%

Understanding young people’s barriers to sexually transmitted disease screening and meeting their needs: A focus group study

Trettin

Vestergaard

Stensgaard

2015

JNEP

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Background: Chlamydia is the most common bacterial sexually transmitted disease (STD) in adolescents, and may have severe consequences such as pelvic infections, cervical cancer and infertility if left untreated. Studies have determined that young people have several barriers towards getting tested for STD. This study seeks not only to address the barriers to STD testing but also to understand them and thereby improve the quality of care in an outpatient clinic and increase screening rates. Methods: The study uses a phenomenological, hermeneutical approach through qualitative interviews. Four focus groups with a total of 22 participants in the age between 16-25 years were conducted for this study. Results: It was found that testing for STD is still associated with stigmatization and our findings indicate that testing for STD should undergo normalization. At the same time health care providers face a major challenge in advising young people due to the lack of knowledge and the fear of being reprimanded. Conclusions: None of the participants were aware of our clinic. Changes were made in the outpatient clinic to consider the needs of the young people. We implemented non-invasive screening methods for those attending asymptomatic screening, introduced both nurse-led consultations and anonymous counseling regarding STDs and testing.

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"...they should be offering it": a qualitative study to investigate young peoples' attitudes towards chlamydia screening in GP surgeries

Cited by 40 publications

References 16 publications

The organisation and delivery of health improvement in general practice and primary care: a scoping study

The organisation and delivery of health improvement in general practice and primary care: a scoping study

Risk factors for Chlamydia trachomatis infection in adolescents: results from a representative population-based survey in Germany, 2003–2006

Understanding young people’s barriers to sexually transmitted disease screening and meeting their needs: A focus group study

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