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This is the published version of a paper published in European Journal of Public Health.

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Briones-Vozmediano, E., Stjärnfeldt, J., Larson, F., Nielsen, A., Eriksson, M. et al. (2020) Young men's discourses of health service utilization for Chlamydia infection testing in Stockholm European Journal of Public Health, 30(Issue Supplement_5): ckaa166.854 https://doi.org/10.1093/eurpub/ckaa166.854

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Permanent link to this version: http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-179521 16th World Congress on Public Health 2020 2020–01 v847 reported genital cancers as complication to STD, 32.7% Young men’s discourses of health service utilization infertility. Some minorities (2.7%) thought that STD could for Chlamydia infection testing in Stockholm be complicated by blindness. Erica Briones-Vozmediano

Conclusions: 1,2 2 2 2 Despite the high prevalence of STD among young adults, most E Briones-Vozmediano , J Stja¨ rnfeldt , F Larson , A Nielsen , M Eriksson3, M Salazar2 students knew very little about those infections. Implementing 1Department of Nursing and Physiotherapy, University of Lleida, Lleida, sexual educational programs and measuring their effectiveness Spain should be a priority. 2Department of Global Public Health, Karolinska Institut, Stockholm, Key messages: Sweden 3Department of Social Work, University of Umea˚ , Umea˚ , Sweden  There is a huge lack of knowledge about sexually Contact: [email protected] Downloaded from https://academic.oup.com/eurpub/article/30/Supplement_5/ckaa166.854/5915222 by Umea universitet user on 03 February 2021 Transmitted diseases among Tunisian college students. Background:  Implementing sexual educational programs and measuring Chlamydia Trachomatis (CT) infection is the most commonly their effectiveness should be a priority. reported sexually transmitted bacterial disease in Sweden, other European countries, as well as globally. CT is often asymptomatic and if it goes untreated it can cause severe Notification of sexually transmitted infections: the tip reproductive health issues. In Sweden, men test for CT in a of the iceberg? much lesser extent than women. The aim of this study is to Sara Duarte identify factors influencing Swedish young men to use Health S Duarte1, F Abreu Gomes1, D Lopes1, M Braganc¸a Pereira1, care for CT detection. A Moreira1, I Cunha1, M Machado Gil1, C Sousa Pinto2,1 Methods: 1Public Health Unit Loures-Odivelas, ACES Loures-Odivelas, Loures, Portugal 2 Qualitative study based on 18 semi-structured interviews with Servic¸os Partilhados do Ministe´ rio da Sau´ de, Ministe´ rio da Sau´ de, Lisbon, young men (18-30 years old) in Stockholm during 2018. A Portugal Contact: [email protected] Situational Analysis was conducted (a development of Background: Constructivist Grounded Theory) of the interviews’ transcrip- Sexually transmitted infections (STIs) are a major public tions, using Open Code as the software for qualitative analysis health problem in Europe and in Portugal, their incidence has in order to code and organize the information obtained. We been increasing since the 90s. Although STIs are among the constructed a situational map to illustrate the positions taken most frequently reported infections globally, they still go often by Swedish young men according to their discourses. underdiagnosed. Their under notification is also a problem in Results: Portugal. The aim of this study is to describe STIs’ Three ideal types of Swedish young men with different notifications in the area of the groups of primary healthcare discourses and behaviors towards CT testing were identified: centers of Loures-Odivelas (ACES LO), between 2015-2019. unconcerned men are indifferent about CT and other sexual Methods: transmitted infections (STI) and therefore not testing; An observational, descriptive, quantitative study was per- ambivalent men only test when suspect suffering from an formed. Data was collected in January 2020, from the National STI and/or are influenced by their social network; Whereas, System of Epidemiological Surveillance Database. Variables proactive men test regularly as a way to know they are healthy. included for each STIs notification were age and sex. The differences between the ideal types are explained by their Univariate descriptive analysis and evolution trends were risk perception, the role of health services, and the positive or performed for each variable. negative influence of their social network. Results: Conclusions: A total of 638 cases of STIs were reported from 2015 to 2019. The ideal types of young men identified in this study show a The number of reported cases increased from 87 to 197 cases range of discourses linked to their risk perception, the role of (126.4%). The annual mean incidence of HBV and HCV health services, and the influence of their social network, which notifications were 8 and 4, respectively. There was an increase in practice is translated into different behaviours adopted for in reported cases of syphilis (33 to 57), HIV (13 to 29), CT testing. Testing should be encouraged as an important part chlamydia (13 to 46) and gonorrhea (18 to 51). In 2019, 30.9% of CT prevention by educating groups of unconcerned young of the notified cases were syphilis infections, 23.5% gonorrhea men about both the consequences of untreated CT and the free infections, 22.1% chlamydia infections and 13.2% HIV testing options available in Sweden. infections.Males comprised 460 cases (72.1%), and, in patients Key messages: aged between 15 and 44 years old, 484 cases (75.9%) were  Swedish young men have different discourses towards CT reported. From 2015 to 2019, the co-infections of gonorrhea testing depending on their risk perception, the strategies and chlamydia increased from 2 to 10 cases (25.0%). In 2019, adopted to test and the positive or negative role of their 17.5% of the notified cases of gonorrhea were co-infections. social network. Conclusions:  The role of health services and the social support emerged as The modification of risk behaviors and the appropriate key factors to promoting testing among Swedish Young treatment of infected people, including infected partners, are men. determinant to prevent recurrent infections and to interrupt the transmission cycle. Increasing notification should facilitate the monitoring of STIs’ trends, contributing to the imple- Knowledge, attitudes, and susceptibility on HIV/AIDS mentation of appropriate interventions and for better in university students decision-making in public health. Kevin Herna´ ndez Blanco Key messages:  K Herna´ ndez Blanco1, A Jime´ nez Triana1, C Caporal Taffoya1, Campaigns about sexual health promotion are important to 1 23 increase safer sexual health practices. C Romero Montero ,FGMa´ rquez Celedonio , JE Villegas Domı´nguez1,2,3  More notifications contribute to better data quality and 1Facultad de Medicina, Universidad Veracruzana, Veracruz, Mexico more robust decision-making. 2Facultad de Medicina, Universidad del Valle de Mexico, Veracruz, Mexico 3Investigacio´ n, Instituto David Sackett, Veracruz, Mexico Contact: [email protected] Background: Veracruz is Mexico’s second state with the highest number of HIV / AIDS cases. Identifying the factors that facilitate greater knowledge, a better attitude, self-efficacy and susceptibility