Faculty Abstracts

Adolescent’s Access to Sexually Transmitted Disease Services in Duval County, Florida

Problem: The purpose of this study was to determine problems adolescents have with accessing STD services in Duval County, Florida.

Sample: Interviews were conducted with key informants. Chain sampling was used to find other informants for individual interviews, casual conversation and focus groups.

Method: Ethnography was used to determine the concerns of the community. When possible interviews were taped and transcribed. Field notes, historical data, statistical information and local documents were used in the data analysis.

Findings: Adolescents have specific needs for accessing services. The primary finding was that adolescents learn about STD services “word of mouth”. Additional findings include the absence of symptoms, being unsure of where, when and how to access health care services and the lack of transportation. Basic needs takes precedence over health care. Community values and the stigma surrounding STDs and sexuality education contribute to the problems. Failure to publicize, market and coordinate the services offered by numerous agencies available to provide care is a major obstacle.

Recommendations: Access can be improved by providing services at non-traditional hours and days. Primary care clinics in neighborhoods would also meet the needs of the community and eliminate the stigma of being seen at an “STD clinic”. Education regarding STDs and sexuality needs to be in the schools and involve the community. Non-judgmental education regarding sex, sexuality, refusal skills and protective skills should be delivered accurately to those who need it the most, adolescents, and young adults. STDs will continue to be a silent plague until the delivery system is changed to facilitate access across economic, age and gender lines.