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Journal of Health Psychology, Vol. 12, No. 1, 17-31 (2007)
DOI: 10.1177/1359105306069098

Stigma, Sexually Transmitted Infections and Attendance at the GUM Clinic

An Exploratory Study with Implications for the Theory of Planned Behaviour

Ellen Mulholland

Anna Van Wersch

University of Teesside, UK

A gap in the literature regarding understanding of people's health care seeking behaviours in relation to sexually transmitted infections is identified. Employing both deductive and inductive methods, 10 patients (five female, five male) were interviewed to explore the psychosocial, motivational and attitudinal factors associated with attendance at a Genito-Urinary Medicine (GUM) clinic in a close-knit community in the north of England. Seven stigma-related themes were identified as salient issues surrounding perceptions of sexual health screening and included: (1)prejudice surrounding STIs; (2)fear of exposure; (3)isolation; (4)reluctance to attend; (5)contamination; (6)relationship issues; and (7)perceived invulnerability. Within these themes distinct gender differences were identified. Implications for the theory of planned behaviour (TPB) are discussed against the factors identified.

Key Words: contextual issues • qualitative methods • sexually transmitted infections • stigma • theory of planned behaviour


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