Chlamydia screening practices among physicians and community nurses in Yukon, Canada
| العنوان: | Chlamydia screening practices among physicians and community nurses in Yukon, Canada |
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| المؤلفون: | Karolina Machalek, Paula E. Pasquali, Brendan E. Hanley, Joy N. Kajiwara, Cathy J. Stannard |
| المصدر: | International Journal of Circumpolar Health, Vol 72, Iss 0, Pp 1-11 (2013) International Journal of Circumpolar Health International Journal of Circumpolar Health; Vol 72 (2013) |
| بيانات النشر: | Taylor & Francis Group, 2013. |
| سنة النشر: | 2013 |
| مصطلحات موضوعية: | Adult, Male, Gerontology, medicine.medical_specialty, Canada, Health (social science), lcsh:Arctic medicine. Tropical medicine, Epidemiology, Cross-sectional study, sexually transmitted diseases, physicians, lcsh:RC955-962, Infectious Disease, chlamydia, Young Adult, Sex Factors, general practitioners, Surveys and Questionnaires, Yukon Territory, Supplement 1, 2013, medicine, Humans, Mass Screening, screening, public health nursing, adolescent, Practice Patterns, Physicians', Young adult, Risk factor, Mass screening, Aged, Reproductive health, Chlamydia, business.industry, Age Factors, Public Health, Environmental and Occupational Health, Public health nursing, General Medicine, Chlamydia Infections, Middle Aged, Community Health Nursing, medicine.disease, Test (assessment), Cross-Sectional Studies, Health Care Surveys, Family medicine, Female, business |
| الوصف: | Background. Yukon, a territory in northern Canada, has one of the highest reported sexually transmitted chlamydia infection rates in the country. Objective. We examined screening practices among physicians and community nurses to elucidate factors that may be contributing to the high rates. Design. Cross-sectional survey. Methods. A questionnaire was distributed to all physicians in Yukon and all community nurses in Yukon’s communities. We surveyed sexual health assessment frequency, chlamydia testing frequency and barriers to screening. Comparison of physician testing practices was performed to another Canadian jurisdiction, which previously undertook a similar survey. Survey results were compared to the available laboratory data in Yukon. Results. Eligible physicians and nurses, 79% and 77%, respectively, participated in the survey. Physicians tested 15 to 24-year-old females more frequently than 15 to 24-year-old males for chlamydia (p0.007). Physicians who asked sexual health assessment questions were more likely to test for chlamydia in both females (pB0.001) and males (p0.032). More physicians screened females based on risk factors compared to males. General practice physicians in Yukon were more likely to test females for chlamydia than general practice physicians in Toronto, Canada (pB0.001). Community nurses had different testing patterns than physicians, with a lower overall frequency of testing, equal frequency of testing males and females, and in applying risk factor-based screening to both males and females. Barriers to screening included testing causing patient discomfort, patients reluctant to discuss screening, health provider uncomfortable conducting sexually transmitted infection tests and sexual health assessments, among others. Laboratory data in Yukon appear to confirm provider screening patterns. Conclusions. This survey provides valuable information on health provider screening patterns. We have some evidence which suggests that chlamydia testing rates may be higher among patients seen by physicians in Yukon in comparison to another Canadian jurisdiction. However, more consistent application of optimal screening methods with support to ‘‘start the conversation’’ around sexual health may assist in overcoming barriers to screening and in addressing Yukon’s high rate of chlamydia. Keywords: chlamydia; Yukon Territory; Canada; sexually transmitted diseases; screening; physicians; general practitioners; public health nursing; adolescent (Published: 5 August 2013) This paper is part of Supplement 1, 2013, ICCH15 Proceedings . More papers from this Supplement can be found here . Citation: Int J Circumpolar Health 2013, 72 : 21607 - http://dx.doi.org/10.3402/ijch.v72i0.21607Test |
| وصف الملف: | application/pdf; text/html; application/epub+zip; text/plain |
| اللغة: | English |
| تدمد: | 2242-3982 1797-237X 1239-9736 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::000be605dd489a1108a9fbbdd95a51d0Test http://www.circumpolarhealthjournal.net/index.php/ijch/article/download/21607/pdf_1Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....000be605dd489a1108a9fbbdd95a51d0 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 22423982 1797237X 12399736 |
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