{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T03:20:59Z","timestamp":1789701659077,"version":"4.0.1"},"reference-count":33,"publisher":"CSIRO Publishing","issue":"2","license":[{"start":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T00:00:00Z","timestamp":1757030400000},"content-version":"vor","delay-in-days":533,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"Lotteries Health Research Grant","award":["LHR-2022-185437"],"award-info":[{"award-number":["LHR-2022-185437"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,4,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>M\u0101ori and Pacific young people are disproportionately impacted by sexually transmitted infections (STIs). Access to STI screening is important to reduce transmission and reproductive health complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between November 2022 and May 2023, we held four w\u0101nanga (workshops) with M\u0101ori and Pacific participants (15\u201324\u00a0years old) to find out what barriers they encounter to STI testing, and hear their ideas about how to overcome these. Participants were recruited via youth-focused community organisations in the Wellington region of Aotearoa New Zealand. Inductive thematic analysis was used to understand data generated from discussions, drawing on M\u0101ori and Pacific models of wellbeing to frame themes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirty-eight participants were involved in the w\u0101nanga. Barriers to STI testing related to five themes: (1) differences in cultural values and expression; (2) family\/friends; (3) educational gaps; (4) psychological factors; and (5) structural obstacles. Suggested strategies to improve access to sexual health care included the need for free, flexible services, education and health promotion activities to reach young people in their spaces (e.g. church, marae, social media). Participants stressed the need for approaches to be community-based, delivered by trusted individuals using culturally appropriate messages, and saw participation in STI testing as beneficial for wh\u0101nau\/family and communities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>To improve access to STI testing, participants described the need for free services, together with education and health promotion to improve inter-generational sexual health knowledge. Reframing messages around STIs to align with M\u0101ori and Pacific models of wellbeing was identified as a way to normalise conversations, in turn reducing the stigma surrounding STI testing.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/sh23186","type":"journal-article","created":{"date-parts":[[2024,3,20]],"date-time":"2024-03-20T18:53:11Z","timestamp":1710960791000},"source":"Crossref","is-referenced-by-count":5,"title":["\u2018Every strategy needs to be contributing to erasing the stigma\u2019: M\u0101ori and Pacific young people talk about overcoming barriers to testing for sexually transmitted infections"],"prefix":"10.1071","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5626-5142","authenticated-orcid":true,"given":"Sally B.","family":"Rose","sequence":"first","affiliation":[{"name":"ADepartment of Primary Health Care and General Practice, University of Otago, Wellington, Wellington 6242, New Zealand."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abby","family":"Dunlop","sequence":"additional","affiliation":[{"name":"ADepartment of Primary Health Care and General Practice, University of Otago, Wellington, Wellington 6242, New Zealand."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracey","family":"Gardiner","sequence":"additional","affiliation":[{"name":"ADepartment of Primary Health Care and General Practice, University of Otago, Wellington, Wellington 6242, New Zealand."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marama","family":"Cole","sequence":"additional","affiliation":[{"name":"ADepartment of Primary Health Care and General Practice, University of Otago, Wellington, Wellington 6242, New Zealand."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan M.","family":"Garrett","sequence":"additional","affiliation":[{"name":"ADepartment of Primary Health Care and General Practice, University of Otago, Wellington, Wellington 6242, New Zealand."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eileen M.","family":"McKinlay","sequence":"additional","affiliation":[{"name":"ADepartment of Primary Health Care and General Practice, University of Otago, Wellington, Wellington 6242, New Zealand."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"67","published-online":{"date-parts":[[2024,3,21]]},"reference":[{"key":"2025102617205830900_R1","unstructured":"Family Planning New Zealand. The sexual and reproductive health and rights of young people in Aotearoa New Zealand; 2022. Available at https:\/\/sexualwellbeing.org.nz\/about\/equity-in-aotearoa\/position-statements\/reproductive-rights\/ [verified 1 November 2023]"},{"key":"2025102617205830900_R2","unstructured":"Tipene J, Green A. He Pukenga Korero: Rangatahi and STIs in the Waikato. Online report; 2017. Available at http:\/\/tewhariki.org.nz\/assets\/He-Pukenga-Korero-Final-Report-31-Aug-2017.pdf [verified 1 November 2023]"},{"key":"2025102617205830900_R3","unstructured":"New Zealand Sexual Health Society. STI management guidelines for use in primary care; 2021. 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To Tatou Hokakatanga: Action and Intervention in Sexual and Reproductive Health. A Report Prepared for the Health Research Council of New Zealand; 2007. Available at https:\/\/teatawhai.maori.nz\/research-projects\/to-tatou-hokakatanga-action-and-intervention-in-sexual-and-reproductive-health\/ [verified 11 March 2024]"},{"key":"2025102617205830900_R10","unstructured":"Institute of Environmental Science and Research Limited. Sexually transmitted infections in New Zealand: supplementary annual surveillance report; 2023. Available at www.esr.cri.nz\/digital-library\/sexually-transmitted-infections-annual-surveillance-report-2022\/ [verified 1 November 2023]"},{"key":"2025102617205830900_R11","unstructured":"Health Quality & Safety Commission. 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