title: Barriers to asymptomatic screening and other STD services for adolescents and young adults: focus group discussions.
abstract: BACKGROUND
  Sexually transmitted diseases (STDs) are a major public health problem among young people and can lead to the spread of HIV. Previous studies have primarily addressed barriers to STD care for symptomatic patients. The purpose of our study was to identify perceptions about existing barriers to and ideal services for STDs, especially asymptomatic screening, among young people in a southeastern community.
  
  
  METHODS
  Eight focus group discussions including 53 White, African American, and Latino youth (age 14-24) were conducted.
  
  
  RESULTS
  Perceived barriers to care included lack of knowledge of STDs and available services, cost, shame associated with seeking services, long clinic waiting times, discrimination, and urethral specimen collection methods. Perceived features of ideal STD services included locations close to familiar places, extended hours, and urine-based screening. Television was perceived as the most effective route of disseminating STD information.
  
  
  CONCLUSIONS
  Further research is warranted to evaluate improving convenience, efficiency, and privacy of existing services; adding urine-based screening and new services closer to neighborhoods; and using mass media to disseminate STD information as strategies to increase STD screening.
authors.affiliation: University of North Carolina School of Public Health, Chapel Hill, NC, 27599, USA. elizabeth.tilson@co.wake.nc.us
authors.forename: Elizabeth C
authors.initials: EC
authors.lastname: Tilson
authors.forename: Victoria
authors.initials: V
authors.lastname: Sanchez
authors.forename: Chandra L
authors.initials: CL
authors.lastname: Ford
authors.forename: Marlene
authors.initials: M
authors.lastname: Smurzynski
authors.forename: Peter A
authors.initials: PA
authors.lastname: Leone
authors.forename: Kimberley K
authors.initials: KK
authors.lastname: Fox
authors.forename: Kathleen
authors.initials: K
authors.lastname: Irwin
authors.forename: William C
authors.initials: WC
authors.lastname: Miller
mesh_terms: D000293:Adolescent; D016497:Adolescent Health Services / Q000592:standards; D000328:Adult; D001741:Black or African American / Q000523:psychology*; D005260:Female; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility / Q000592:standards; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000523:psychology / Q000706:statistics & numerical data*; D009657:North Carolina / Q000453:epidemiology; D010342:Patient Acceptance of Health Care / Q000208:ethnology* / Q000523:psychology; D010353:Patient Education as Topic; D011287:Prejudice; D012749:Sexually Transmitted Diseases / Q000175:diagnosis* / Q000208:ethnology / Q000517:prevention & control; D012938:Social Perception; D044465:White People / Q000523:psychology*