Notification of STI test results by text messaging: Why do patients refuse? Cross-sectional study in a Parisian sexual health centre
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1 mars 2022
info:eu-repo/semantics/openAccess , http://creativecommons.org/licenses/by-nc/
Mots-clés
SEXUALLY_TRANSMITTED_DISEASES SCREENING HEALTH_SERVICES INFORMATION_AND_COMMUNICATION_TECHNOLOGY REPRODUCTIVE_HEALTH FRANCE PARISSujets proches
Mechanical properties testing Populations, Human Human populations Population growth Human population Hygiene, Social Hygiene, Sexual Social hygiene Sex hygiene Sexual hygiene Methods of analysis Analysis and chemistry Analytical methods Chemical analysis Analysis methods Analysis and examination Demography DemographicsCiter ce document
Jalal Charron et al., « Notification of STI test results by text messaging: Why do patients refuse? Cross-sectional study in a Parisian sexual health centre », Archined : l'archive ouverte de l'INED, ID : 10.1177/09564624211048555
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Résumé
Text messaging has been used to notify patients of results after sexually transmitted infection (STI) testing. This study aimed to characterise the population who refused notification of results by short message services (SMS) and to explore their reasons for refusing. From January to August 2018, 1180 patients coming for STI testing in a Parisian sexual health centre were offered SMS notification of their results, completed a self-administered questionnaire and were included in the study. Factors associated with refusal of SMS notification were explored using logistic regression models. Reasons for refusal were analysed following a qualitative content analysis methodology. In the study population, 7.3% [95% CI 5.8–8.8] of patients refused SMS notification. In the multivariate logistic regression model, male gender and older age were associated with refusal, as were non-French nationality, having forgone health care for economic reasons and being unemployed. Qualitative analysis showed that preferring face-to-face medical contact (32%) and anxiety about the test result (29%) were the main reasons given by patients for refusal. Socially disadvantaged patients may have more limited access to technology and be less at ease using it in a health context. Preference for face-to-face medical contact may reflect the need for human support in vulnerable populations.