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[Abstract] The SANTÉ project: attitude towards STI risk assessment, preferences for STI behavioural risk reduction interventions: service users perspectives

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posted on 2023-06-09, 02:54 authored by Anupama Roy, Catrina King, Alec Miners, Carrie LlewellynCarrie Llewellyn, Alex Pollard, Richard Gilson, Daniel Richardson, Laura Clark, Fiona Burns, Alison Rodgers, Julia Bailey, Maryam Shahmanesh
Background/introduction A variety of risk-reduction interventions may be suitable for sexual health clinic attendees. Aim(s)/objectives In the SANTE project, we explored service users’ (SU) perceptions of their STI risk, and experiences and preferences for risk reduction interventions. Methods Semi-structured interviews were conducted with 15 young people (YP) (16–25 years) and 20 MSM (=16 years) from two SH clinics. Data were analysed thematically. Based on these, a Discrete Choice Experiment (DCE) to quantitatively assess YP and MSM preferences for interventions was designed and conducted in three clinics (n = 371). Results Most participants, despite presenting with symptoms or concerned about STIs, did not perceive themselves to be at risk. Most reported receiving SH promotion but felt access to accurate information was lacking. While short advert-like videos were acceptable, onscreen material in waiting rooms was deemed inappropriate by some SUs. Opinions on group sessions were mixed. 1:1 sessions were favoured, with talking therapies acceptable if needed. Privacy around mobile apps was a concern while online materials from a reputable source were acceptable. DCE results demonstrated preferences for ‘talking interventions’, while all interventions were generally preferred to ‘nothing’. People strongly disliked peer-led interventions compared to others, and preferred 1:1 to group sessions. Latent class analysis identified three respondent groups, those that preferred talking (56%), email/text (29%) or nothing (15%). Discussion/conclusion Young people and MSM welcome SH promotion offered through SH clinics. Triangulation demonstrated strong preferences for 1:1 talking interventions. Awareness of sexual risk was not commensurate with actual risk, suggesting that providers need to direct service users to appropriate interventions.

History

Publication status

  • Published

File Version

  • Published version

Journal

Sexually Transmitted Infections

ISSN

1368-4973

Publisher

BMJ Publishing Group

Issue

Supp 1

Volume

92

Article number

A56-A57

Presentation Type

  • paper

Department affiliated with

  • Primary Care and Public Health Publications

Full text available

  • No

Peer reviewed?

  • Yes

Legacy Posted Date

2016-09-19

First Open Access (FOA) Date

2016-09-19

First Compliant Deposit (FCD) Date

2016-09-19

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