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为南澳大利亚患有子宫颈的女同性恋、男同性恋、双性恋、跨性别者、间性人及其他性少数群体(LGBTIQ+)人群推广安全且包容的子宫颈筛查而开展的社区参与视频资源的设计与评估

The Design and Evaluation of Community-Informed Video Resources to Promote Safe and Inclusive Cervical Screening for South Australian LGBTIQ+ People With a Cervix.

作者信息

Baldock Jennifer, Shipley Tamara, Paterson Victoria

机构信息

College of Medicine and Public Health, Flinders University, Bedford Park, South Australia, Australia.

Cancer Council SA, Eastwood, South Australia, Australia.

出版信息

Health Promot J Austr. 2025 Jul;36(3):e70062. doi: 10.1002/hpja.70062.

Abstract

ISSUES ADDRESSED

Lesbian, Gay, Bisexual, Transgender, Intersex, Queer or Questioning, and/or other people with a cervix (LGBTIQ+ people with a cervix) face barriers to cervical screening, leading to lower participation rates. Our study aimed to report on the design and evaluation of community-informed video resources to promote safe and inclusive cervical screening for South Australian LGBTIQ+ people with a cervix.

METHODS

Two videos promoting inclusive cervical screening were developed by Cancer Council SA, SHINE SA and LGBTIQ+ people with a cervix for LGBTIQ+ people with a cervix (Video 1), and healthcare providers (Video 2). Evaluation involved two online surveys with LGBTIQ+ community members (n = 35) and healthcare providers (HCPs, n = 9) about their respective videos. Quantitative data were analysed descriptively in R; qualitative responses were thematically analysed using a general inductive approach.

RESULTS

The community-focused video (Video 1) received positive feedback, with LGBTIQ+ people with a cervix feeling represented and expressing increased likelihood and intention to undergo screening. Responding to Video 2, half of the healthcare providers reported increased confidence in interacting with LGBTIQ+ people with a cervix and offering self-collection.

CONCLUSIONS

Improving cervical screening participation among LGBTIQ+ people with a cervix is essential to achieving the National Cervical Screening Program targets. This study highlights a respectful, community-informed and relatively inexpensive approach to promote safe and inclusive cervical screening. The positive feedback from LGBTIQ+ people with a cervix underscores the value of inclusive messaging tailored to community needs. SO WHAT?: LGBTIQ+ people with a cervix face barriers to cervical screening participation, but self-collection may alleviate some barriers. Community-informed resources can effectively support this population to access inclusive cervical screening.

摘要

研究问题

女同性恋、男同性恋、双性恋、跨性别者、双性人、酷儿或性取向存疑者,以及/或者其他有子宫颈的人群(LGBTIQ+有子宫颈人群)在子宫颈筛查方面面临障碍,导致参与率较低。我们的研究旨在报告社区参与设计并评估视频资源,以促进南澳大利亚LGBTIQ+有子宫颈人群进行安全且包容的子宫颈筛查。

方法

南澳大利亚癌症理事会、南澳大利亚SHINE组织以及LGBTIQ+有子宫颈人群共同制作了两部宣传包容性子宫颈筛查的视频,一部面向LGBTIQ+有子宫颈人群(视频1),另一部面向医疗服务提供者(视频2)。评估包括对LGBTIQ+社区成员(n = 35)和医疗服务提供者(n = 9)进行两项关于各自视频的在线调查。定量数据在R软件中进行描述性分析;定性回答采用一般归纳法进行主题分析。

结果

以社区为重点的视频(视频1)获得了积极反馈,LGBTIQ+有子宫颈人群感到自己被呈现出来,并表示接受筛查的可能性和意愿增加。对于视频2,一半的医疗服务提供者表示在与LGBTIQ+有子宫颈人群互动并提供自我采样方面更有信心。

结论

提高LGBTIQ+有子宫颈人群的子宫颈筛查参与率对于实现国家子宫颈筛查计划目标至关重要。本研究强调了一种尊重社区意见、成本相对较低的方法,以促进安全且包容的子宫颈筛查。LGBTIQ+有子宫颈人群的积极反馈凸显了根据社区需求定制包容性信息的价值。那么又如何呢?:LGBTIQ+有子宫颈人群在参与子宫颈筛查方面面临障碍,但自我采样可能会减轻一些障碍。基于社区意见的资源可以有效支持这一人群获得包容性子宫颈筛查。

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