TITLE

Knowledge, perceived stigma, and care-seeking experiences for sexually transmitted infections: a qualitative study from the perspective of public clinic attendees in Rio de Janeiro, Brazil

AUTHOR(S)
Malta, Monica; Bastos, Francisco I.; Strathdee, Steffanie A.; Cunnigham, Shayna D.; Pilotto, Jose Henrique; Kerrigan, Deanna
PUB. DATE
January 2007
SOURCE
BMC Public Health;2007, Vol. 7, p18
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: An estimated 12 million sexually transmitted infections (STIs) are documented in Brazil per year. Given the scope of this public health challenge and the importance of prompt treatment and follow-up counseling to reduce future STI/HIV-related risk behavior, we sought to qualitatively explore STI clinic experiences among individuals diagnosed with STIs via public clinics in Rio de Janeiro, Brazil. The study focused on eliciting the perspective of clinic users with regard to those factors influencing their STI care-seeking decisions and the health education and counseling which they received during their clinic visit. Methods: Thirty semi-structured interviews were conducted with heterosexual men and women and men who have sex with men presenting with STIs at two public clinics. Content analysis was conducted by coding transcripts of audio-taped interviews for key domains of interest and comparing and synthesizing code output across participants and sub-groups. Thematic narratives were then developed per each of the study sub-groups. Results: Salient themes that emerged from participant narratives included the importance of low STI-related knowledge and high perceived stigma, both STI-related and other types of social stigma, on STI care-seeking delays. However, there are indications in the data that the level of STI-related knowledge and the amount and types of stigma experienced vary across the study sub-groups suggesting the need for further research on the significance and program relevance of these potential differences. Interview findings also suggest that such barriers to care seeking are not adequately addressed through ongoing health education and counseling efforts at public STI clinics and in turn critical opportunities for STI/HIV prevention are currently being missed. Conclusion: Information, communication and education regarding early recognition and prompt care-seeking for STIs should be developed, with consideration given to the possibility of tailoring messages tailored to specific subgroups. To promote prompt treatment-seeking, interventions must also address both STI-specific and other forms of social stigma which may limit access to care. Efforts to further assess and respond to barriers related to the delivery of quality health education and counseling within the context of public STI clinics are also needed.
ACCESSION #
29361919

 

Related Articles

  • STI/HIV Co-Infections in UCH, Ibadan, Nigeria. Kehinde, A. O.; Lawoyin, T. O. // African Journal of Reproductive Health;Apr2005, Vol. 9 Issue 1, p42 

    Sexually transmitted infections (STIs) are poorly recognised and inadequately treated in Nigeria in spite of the fact that it constitutes a major risk for HIV transmission. This study was carried out to ascertain STI/HIV co-infection rate and to obtain relevant socio-demographic and reproductive...

  • Experiences of HIV Positive Mothers From Rural South India during Intra-Natal Period. SUBRAMANIYAN, ANBARASI; SARKAR, SONALI; ROY, GAUTAM; LAKSHMINARAYANAN, SUBITHA // Journal of Clinical & Diagnostic Research;Oct2013, Vol. 7 Issue 10, p2203 

    Context: Tamil Nadu comes under group I high prevalence state, with less than 1% prevalence of HIV infection in antenatal women but above 5% prevalence in high risk group. One of the ways to control HIV/AIDS in India is through Prevention of Parent to Child Transmission (PPTCT), the success of...

  • Gay men's estimates of the likelihood of HIV transmission in sexual behaviours. Gold, R. S.; Skinner, M. J. // International Journal of STD & AIDS;Apr2001, Vol. 12 Issue 4, p245 

    In 3 studies we recorded gay men's estimates of the likelihood that HIV would be transmitted in various sexual behaviours. In Study 1 (data collected 1993, n=92), the men were found to believe that transmissibility is very much greater than it actually is; that insertive unprotected anal...

  • Syphilis. French, Partick // BMJ: British Medical Journal (International Edition);1/20/2007, Vol. 334 Issue 7585, p143 

    The article presents an overview of the causes, symptoms, diagnosis and treatment options available for the sexually transmitted disease syphillis. The disease, in 2007, remains common worldwide, with an estimated 10-12 million cases appearing each year. It has re-emerged as an important disease...

  • Sexually Transmitted Infections among Adolescents and Young Adults in India. Sarkar, Narendra Nath // International Medical Journal;Jul2008, Vol. 15 Issue 3, p205 

    Objectives: The aim of this study is to enumerate and elucidate the type and nature of sexually transmitted infections (RTI) including HIV/AIDS affecting people in India. Methods: Data were extracted from the literature using MEDLINE database service for years 2002-07. The original articles,...

  • What Behavior Puts You At Risk?  // Public Health Reports;May/Jun88, Vol. 103 Issue 3, p331 

    The article reports on behavior that puts people at risk of acquiring AIDS. It reveals that a person is at risk of being infected with the AIDS virus if he or she has sex with someone who is infected, or if that person shares drug needles and syringes with someone who is infected. Any exchange...

  • High Indigenous HIV Rates. Luntz, Stephen // Australasian Science;Sep2005, Vol. 26 Issue 8, p6 

    Focuses on the high rates and difference of the pattern of HIV infection among indigenous Western Australians compared with the general population according to a study published in the "Medical Journal of Australia." Influence of other untreated sexually transmitted infections (STI) on HIV...

  • Changes in condom use behaviours among clients of female sex workers in China. Lau, J. T. F.; Wan, S. P.; Yu, X. N.; Cheng, F.; Zhang, Y.; Wang, N.; Zhang, L.; Zhang, J. // Sexually Transmitted Infections;Sep2009, Vol. 85 Issue 5, p376 

    Background: Clients of female sex workers (CFSWs) are at risk for HIV transmission; relevant surveillance and interventions for this vulnerable group are scarce. The China-UK HIV/AIDS Prevention and Care Project launched an enhanced intervention programme involving peer education, seminars,...

  • Introduction. Hazra, Rohan; Siberry, George K. // Journal of the Pediatric Infectious Diseases Society;Sep2014 Supplement, Vol. 3 Issue suppl_1, pS1 

    The author reflects on the efforts of the Pediatric Adolescent and Maternal AIDS Branch in supporting and conducting domestic and international research in pediatric human immunodeficiency virus (HIV). Topics discussed include studies that led to further decrease mother-to-child transmission,...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics