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

Detalhes bibliográficos
Autor(a) principal: Malta, Monica Siqueira
Data de Publicação: 2007
Outros Autores: Bastos, Francisco Inácio Pinkusfeld Monteiro, Strathdee, Steffanie Anne, Cunnigham, Shayna D., Pilotto, Jose Henrique da Silva, Kerrigan, Deanna
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/1302
Resumo: Oswaldo Cruz Foundation. Sergio Arouca School of Public Health. Social Science Department. Rio de Janeiro, RJ, Brazil.
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spelling Malta, Monica SiqueiraBastos, Francisco Inácio Pinkusfeld MonteiroStrathdee, Steffanie AnneCunnigham, Shayna D.Pilotto, Jose Henrique da SilvaKerrigan, Deanna2010-11-08T18:15:59Z2010-11-08T18:15:59Z2007MALTA, Monica Siqueira et al. 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. BMC Public Health, n. 7, p. 1-18, 2007.1471-2458https://www.arca.fiocruz.br/handle/icict/130210.1186/1471-2458-7-18porBioMed Central LtdDoenças Sexualmente TransmissíveisAssistência à SaúdeSaúde PúblicaSexually Transmitted InfectionsPublic Clinic AttendeesCare-SeekingKnowledgePublic HealthKnowledge, perceived stigma, and care-seeking experiences for sexually transmitted infections: a qualitative study from the perspective of public clinic attendees in Rio de Janeiro, Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleOswaldo Cruz Foundation. Sergio Arouca School of Public Health. Social Science Department. Rio de Janeiro, RJ, Brazil.Oswaldo Cruz Foundation. Center for Scientific and Technological Information. Health Information Department. Rio de Janeiro, RJ, Brazil.University of California. Division of International Health and Cross Cultural Medicine. Department of Family and Preventive Medicine. San Diego, CA, USA.Johns Hopkins University. Department of International Health. Bloomberg School of Public Health. Baltimore, MD, USA.Oswaldo Cruz Foundation. Evandro Chagas Clinical Research Institute.Rio de Janeiro, RJ, Brazil.Johns Hopkins University. Department of International Health. Bloomberg School of Public Health. Baltimore, MD, USA.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.info:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZORIGINALknowledge perceived stigma.pdfknowledge perceived stigma.pdfapplication/pdf259365https://www.arca.fiocruz.br/bitstream/icict/1302/1/knowledge%20perceived%20stigma.pdfa550f3034b15e66f65116eb0e9a37cb1MD51LICENSElicense.txtlicense.txttext/plain; charset=utf-81748https://www.arca.fiocruz.br/bitstream/icict/1302/2/license.txt8a4605be74aa9ea9d79846c1fba20a33MD52TEXTknowledge perceived stigma.pdf.txtknowledge perceived stigma.pdf.txtExtracted texttext/plain41095https://www.arca.fiocruz.br/bitstream/icict/1302/5/knowledge%20perceived%20stigma.pdf.txt751497b417642d40333504d8a7e0288fMD55THUMBNAILknowledge perceived stigma.pdf.jpgknowledge perceived stigma.pdf.jpgGenerated Thumbnailimage/jpeg2462https://www.arca.fiocruz.br/bitstream/icict/1302/4/knowledge%20perceived%20stigma.pdf.jpg071802a39f2e9cb259a43f86e01f8e04MD54icict/13022023-08-01 16:55:15.579oai:www.arca.fiocruz.br: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Repositório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352023-08-01T19:55:15Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.pt_BR.fl_str_mv 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
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
spellingShingle 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
Malta, Monica Siqueira
Doenças Sexualmente Transmissíveis
Assistência à Saúde
Saúde Pública
Sexually Transmitted Infections
Public Clinic Attendees
Care-Seeking
Knowledge
Public Health
title_short 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_sort 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 Malta, Monica Siqueira
author_facet Malta, Monica Siqueira
Bastos, Francisco Inácio Pinkusfeld Monteiro
Strathdee, Steffanie Anne
Cunnigham, Shayna D.
Pilotto, Jose Henrique da Silva
Kerrigan, Deanna
author_role author
author2 Bastos, Francisco Inácio Pinkusfeld Monteiro
Strathdee, Steffanie Anne
Cunnigham, Shayna D.
Pilotto, Jose Henrique da Silva
Kerrigan, Deanna
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Malta, Monica Siqueira
Bastos, Francisco Inácio Pinkusfeld Monteiro
Strathdee, Steffanie Anne
Cunnigham, Shayna D.
Pilotto, Jose Henrique da Silva
Kerrigan, Deanna
dc.subject.other.none.fl_str_mv Doenças Sexualmente Transmissíveis
Assistência à Saúde
Saúde Pública
topic Doenças Sexualmente Transmissíveis
Assistência à Saúde
Saúde Pública
Sexually Transmitted Infections
Public Clinic Attendees
Care-Seeking
Knowledge
Public Health
dc.subject.en.pt_BR.fl_str_mv Sexually Transmitted Infections
Public Clinic Attendees
Care-Seeking
Knowledge
Public Health
description Oswaldo Cruz Foundation. Sergio Arouca School of Public Health. Social Science Department. Rio de Janeiro, RJ, Brazil.
publishDate 2007
dc.date.issued.fl_str_mv 2007
dc.date.accessioned.fl_str_mv 2010-11-08T18:15:59Z
dc.date.available.fl_str_mv 2010-11-08T18:15:59Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.citation.fl_str_mv MALTA, Monica Siqueira et al. 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. BMC Public Health, n. 7, p. 1-18, 2007.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/1302
dc.identifier.issn.pt_BR.fl_str_mv 1471-2458
dc.identifier.doi.pt_BR.fl_str_mv 10.1186/1471-2458-7-18
identifier_str_mv MALTA, Monica Siqueira et al. 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. BMC Public Health, n. 7, p. 1-18, 2007.
1471-2458
10.1186/1471-2458-7-18
url https://www.arca.fiocruz.br/handle/icict/1302
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dc.publisher.none.fl_str_mv BioMed Central Ltd
publisher.none.fl_str_mv BioMed Central Ltd
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
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