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首页> 外文期刊>World Journal of Preventive Medicine >Health Care Service for the Upper Class? Equity in Utilization of an Internet-based Chlamydia trachomatis Infection Testing Service, Sweden: a Cross-Sectional Study
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Health Care Service for the Upper Class? Equity in Utilization of an Internet-based Chlamydia trachomatis Infection Testing Service, Sweden: a Cross-Sectional Study

机译：上层阶级的保健服务？瑞典基于互联网的沙眼衣原体感染检测服务的利用公平性：跨部门研究

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The utilization rate between social groups of a free Internet based Chlamydia trachomatis (C. trachomatis) testing service in Sweden is unknown. This study examined variations in use of this service according to the participants’ age, gender, educational levels and their parents’ educational levels. In 2004, Sweden introduced the first free Internet-based C. trachomatis testing service for both men and women of all ages. During three consecutive years (2005-2007), the questionnaire that accompanied the ordered test contained questions regarding participants’ level of education and other socio-demographic information. A total of 6025 participants completed the questionnaires and provided urine samples. The response rate was 77% (2256/2923) for men and 93% (3769/4055) for women. In both gender, about 46% tests were accessed by those with high education (≥ 14 years) as compared to only 2% by those with low education (≤ 9 years) (p <0.001). With one exception, a similar trend was seen when parental educational levels were used where 35% to 40% of the tests were taken by participants whose parents had a high level of education and 18% to 26% of the tests were taken by participants whose parents had a low level of education. No significant trend was seen in terms of proportion of men accessing the service according to their mothers’ education. This study demonstrates an existence of inequality in utilization of an Internet-based C. trachomatis infection testing service as more men and women with a high level of education utilized this service than men and women with a low level of education. Future studies should aim to find a reason for this discrepancy which will help researchers and policy makers to find ways to promote the equal utilization of Internet-based health service between different socio-economic groups.
机译：在瑞典，免费的基于互联网的沙眼衣原体（C. trachomatis）测试服务的社会群体之间的利用率未知。这项研究根据参与者的年龄，性别，受教育程度及其父母的受教育程度，研究了使用此服务的差异。 2004年，瑞典推出了首个针对所有年龄段的男性和女性的免费基于互联网的沙眼衣原体检测服务。在连续三年（2005年至2007年）中，伴随订购的测试的问卷调查表包含有关参与者的教育水平和其他社会人口统计学信息的问题。共有6025名参与者完成了问卷并提供了尿液样本。男性的回应率为77％（2256/2923），女性为93％（3769/4055）。在这两种性别中，高学历者（≥14岁）接受了约46％的测试，而低学历者（≤9岁）仅接受了2％的测试（p <0.001）。除了一个例外，当使用父母的教育水平时，观察到了类似的趋势，其中父母高学历的参与者参加了35％至40％的测试，而父母的教育程度较高的参与者参加了18％至26％的测试父母的教育水平较低。在根据其母亲的教育程度获得服务的男性比例方面，没有发现显着趋势。这项研究表明，基于互联网的沙眼衣原体感染测试服务的利用存在不平等现象，受教育程度较高的男女使用该服务的比例高于受教育程度较低的男性和女性。未来的研究应旨在找出造成这种差异的原因，这将有助于研究人员和政策制定者找到促进不同社会经济群体之间平等利用基于互联网的医疗服务的方法。

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