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- Title
Narrative Review of Barriers to the Secondary Prevention of Sexually Transmitted Infections: Implications for the Military Context and Current Research Gaps.
- Authors
Watkins, Kimberley; Lee, Jennifer E. C.
- Abstract
This paper presents a narrative review of research on barriers to the secondary prevention of sexually transmitted infections (STIs) in primary care, such as STI screening and treatment, from the perspective of individuals and health care providers. Limited work has been conducted on barriers to secondary prevention in the military context. However, research in other contexts shows that the success of secondary prevention may depend on knowledge about STIs, perceptions of risk or stigma attached to STIs, the availability of time and resources to seek testing and treatment, and the quality of exchanges between health care providers and their patients. For individuals, additional considerations may include their concern for health, fear of a positive diagnosis, and inconveniences associated with the screening process. As most studies in this area have been conducted in a civilian context, it is recommended that research be conducted on military personnel and health care providers to assess: knowledge and perceptions of STI risks, their impacts on health, and ways they can be prevented; the stigma and social norms associated with STIs; the availability and accessibility of testing; and the factors that influence the quality of patient-provider interactions in the military health care context.
- Subjects
HIV infection risk factors; INFECTION prevention; PELVIC inflammatory disease diagnosis; SEXUALLY transmitted disease diagnosis; PREVENTION of sexually transmitted diseases; EDUCATION of military personnel; AIDS; MEDICAL needs assessment; MEDICAL practice; PHYSICIANS; RISK-taking behavior; SERIAL publications; SEXUALLY transmitted diseases; WORLD Health Organization; NARRATIVES; CONTACT tracing; HEALTH literacy; DISEASE complications; PSYCHOLOGY
- Publication
Journal of Military & Veterans' Health, 2014, Vol 22, Issue 3, p44
- ISSN
1835-1271
- Publication type
Article