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

Hogan, Angela H.; Howell-Jones, Rebecca S.; Pottinger, Elizabeth; Wallace, Louise M.; McNulty, Cliodna A. M.
January 2010
BMC Public Health;2010, Vol. 10 Issue 1, p616
Academic Journal
Background: Despite the known health and healthcare costs of untreated chlamydia infection and the efforts of the National Chlamydia Screening Programme (NCSP) to control chlamydia through early detection and treatment of asymptomatic infection, the rates of screening are well below the 2010-2011 target rate of 35%. General Practitioner (GP) surgeries are a key venue within the NCSP however; previous studies indicate that GP surgery staff are concerned that they may offend their patients by offering a screen. This study aimed to identify the attitudes to, and preferences for, chlamydia screening in 15-24 year old men and women attending GP surgeries (the target group). Methods: We undertook 36 interviews in six surgeries of differing screening rates. Our participants were 15-24 year olds attending a consultation with a staff member. Data were analysed thematically. Results: GP surgeries are acceptable to young people as a venue for opportunistic chlamydia screening and furthermore they think it is the duty of GP surgery staff to offer it. They felt strongly that it is important for surgery staff to have a non-judgemental attitude and they did not want to be singled out as 'needing' a chlamydia screen. Furthermore, our sample reported a strong preference for being offered a screen by staff and providing the sample immediately at the surgery rather than taking home a testing kit. The positive attitude and subjective norms demonstrated by interviewees suggest that young peoples' behaviour would be to accept a screen if it was offered to them. Conclusion: Young people attending GP surgeries have a positive attitude towards chlamydia screening and given the right environment are likely to take up the offer in this setting. The right environment involves normalising screening by offering a chlamydia screen to all 15-24 year olds at every interaction with staff, offering screening with a non-judgemental attitude and minimising barriers to screening such as embarrassment. The GP surgery is the ideal place to screen young people for chlamydia as it is not a threatening place for them and our study has shown that they think it is the normal place to go to discuss health matters.


Related Articles

  • Screen young women for chlamydia yearly. Liddle, Rachel // GP: General Practitioner;10/27/2006, p8 

    The article focuses on a study of 1,971 women in England that suggested that all women aged 16 to 24 should have annual chlamydia screenings. Researchers said that retesting at six-month interval should be done for women testing positive for chlamydia. According to the study, women who were...

  • Young women"s decisions to accept chlamydia screening: influences of stigma and doctorpatient interactions. Balfe, Myles; Brugha, Ruairi; O'Donovan, Diarmuid; O'Connell, Emer; Vaughan, Deirdre // BMC Public Health;2010, Vol. 10 Issue 1, p425 

    Background: An understanding of the factors that encourage young women to accept, and discourage them from accepting, STI (sexually transmitted infection) testing is needed to underpin opportunistic screening programs for the STI Chlamydia trachomatis (opportunistic screening involves healthcare...

  • Hospital-Diagnosed Late Sequelae after Female Chlamydia trachomatis Infections in 1990-2006 in Turku, Finland. Kortekangas-Savolainen, Outi; Mäkinen, Juha; Koivusalo, Katariina; Mattila, Katariina // Gynecologic & Obstetric Investigation;Jun2012, Vol. 73 Issue 4, p299 

    Background: Rather little is known about the late sequelae of previously detected female Chlamydia infections. Methods: The late sequelae of previous female Chlamydia infections detected during a 15-year period in a south-western Finnish university hospital were surveyed. Hospital records of...

  • Combating the silent chlamydia epidemic. Walsh, Cathleen M.; Irwin, Kathleen L. // Contemporary OB/GYN;Apr2002, Vol. 47 Issue 4, p90 

    Discusses the importance of early diagnosis and treatment in the management of chlamydial infection. Techniques for early diagnosis of chlamydia; Prevention of long-term complications; Reasons behind the poor utilization of screening programs in diagnosing the presence of chlamydia.

  • Independent Nurse: Vital Statistics - Chlamydia screening.  // GP: General Practitioner;11/18/2005, p92 

    This article reports that 78,000 people in Great Britain have been screened for chlamydia since 2003. It is informed that the National Chlamydia Screening Programme will be rolled out across England in the next year. The latest figures from the programme show screening occurred in 21 types of...

  • Successful Chlamydia Screening. Klitsch, Michael // Family Planning Perspectives;May/Jun93, Vol. 25 Issue 3, p99 

    The article presents information on the chlamdiya screening program in the family planning clinics of Wisconsin. In 1986, 14 percent of women at an urban family planning clinic and 11 percent at four nonurban clinics were found to be infected with Chlamydia trachornatis. At the screening program...

  • COMMENTARY. Adams, E. J.; Turner, K. M. E. // Sexually Transmitted Infections;Jun2006, Vol. 82 Issue 3, p201 

    The article focuses on the cost effectiveness of chlamydia screening. There are several papers that highlight the lack of appropriate methods used in the majority of previous studies. It is stated that cost effectiveness studies have assumed the results of chlamydial infections. Since this has...

  • New insights into a persistent problem -- chlamydial infections. Morrison, Richard P. // Journal of Clinical Investigation;6/1/2003, Vol. 111 Issue 11, p1647 

    Tissue tropism of clinical ocular and genital Chlamydia trachomatis strains is shown to be linked to the tryptophan synthase genotype. It is suggested that, in the presence of IFN-gamma, which depletes available tryptophan, there exist unique host-parasite interactions that may contribute to...

  • NEW RAPID TEST DEVELOPED TO DETECT CHLAMYDIA.  // Clinical Infectious Diseases;3/1/2004, Vol. 38 Issue 5, piv 

    Describes the rapid test for Chlamydia developed by an international team of scientists.


Read the Article


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

Try another library?
Sign out of this library

Other Topics