title: Barriers to STI testing among youth in a Canadian oil and gas community.
abstract: Northeastern British Columbia, Canada, is undergoing in-migration of young people attracted by jobs in the oil/gas sectors. Chlamydia rates among youth ages 15-24 are increasing and exceed the provincial average by 22%. Testing for sexually transmitted infections (STIs) reduces the disease burden, contributing to prevention. We conducted ethnographic fieldwork, including interviews with 25 youth and 14 service providers, to document their perceptions regarding youth's access to STI testing. Five key barriers to access were identified: limited opportunities for access, geographic inaccessibility, local social norms, limited information, and negative interactions with providers. To address youths' needs, we recommend active STI prevention and testing service delivery models that incorporate a locally tailored public awareness campaign, outreach to oil/gas workers, condom distribution, expanded clinic hours and drop-in STI testing, specialized training for health care providers, and inter-sectoral partnerships between public health, non-profit organizations, and industry.
authors.affiliation: Department of Health Care and Epidemiology, University of British Columbia, Vancouver, BC, Canada. shiragol@interchange.ubc.ca
authors.forename: Shira
authors.initials: S
authors.lastname: Goldenberg
authors.forename: Jean
authors.initials: J
authors.lastname: Shoveller
authors.forename: Mieke
authors.initials: M
authors.lastname: Koehoorn
authors.forename: Aleck
authors.initials: A
authors.lastname: Ostry
mesh_terms: D000293:Adolescent; D000328:Adult; D001955:British Columbia; D005260:Female; D005579:Fossil Fuels; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D006801:Humans; D007221:Industry; D008297:Male; D008403:Mass Screening / Q000706:statistics & numerical data*; D010342:Patient Acceptance of Health Care; D012749:Sexually Transmitted Diseases / Q000175:diagnosis*
chemical_list: D005579:Fossil Fuels