St A - Screening and Prevention of STIs

Question 1

What are the serious complications of Chlamydia in women?

Answer 1

The infection can spread to the uterus or fallopian tubes and cause pelvic inflammatory disease which can lead to chronic pelvic pain, infertility and potentially fatal ectopic pregnancies

Question 2

What are serious complications of Chlamydia in men?

Answer 2

They are rare but sometimes it can spread to the epididymis causing pain, fever and rarely sterility.

Question 3

What are some of the issues of chlamydia screening?

Answer 3

If couples take the screening it can reveal infidelity

Question 4

What are some approaches to behaviour change?

Answer 4

• Motivational interviewing (increasing motivation when people are not thinking of change)
• Problem-focused counselling (identifies causing of problems that prevent change)
• Modelling and rehearsal of change (improves skills and self-efficacy to achieve change)
• Confrontation rarely works at all

Question 5

What are the stages of change?

Answer 5

• Precontemplation,
• Contemplation,
• Preparation,
• Action,
• Maintenance

Question 6

What are some issues of screening?

Answer 6

Society becomes dependant on experts and technology rather than taking precautions and thinking through health issues themselves = backlash

Question 7

Instead of screening what is being introduced?

Answer 7

Decisional aids. This gives people information (provides pros and cons) to make an informed choice