{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T18:41:29Z","timestamp":1771008089695,"version":"3.50.1"},"reference-count":48,"publisher":"Public Library of Science (PLoS)","issue":"9","license":[{"start":{"date-parts":[[2021,9,30]],"date-time":"2021-09-30T00:00:00Z","timestamp":1632960000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"FORTE \u2013 Swedish Research Council for health Working Life and Welfare","award":["2016-00594"],"award-info":[{"award-number":["2016-00594"]}]},{"name":"mobility programme Jose Castillejo 2019"},{"name":"the Serra-Hunter University Programme of the Generalitat de Catalunya"},{"name":"University of Lleida Research Promotion Aid"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Introduction<\/jats:title>\n<jats:p><jats:italic>Chlamydia trachomatis (C<\/jats:italic>. <jats:italic>trachomatis<\/jats:italic>) infection is the most commonly reported sexually transmitted infection in Sweden and globally. <jats:italic>C<\/jats:italic>. <jats:italic>trachomatis<\/jats:italic> is often asymptomatic and if left untreated, could cause severe reproductive health issues. In Sweden, men test for <jats:italic>C<\/jats:italic>. <jats:italic>trachomatis<\/jats:italic> to a lesser extent than women.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Aim<\/jats:title>\n<jats:p>To explore factors facilitating and constraining Swedish young men\u2019s health care utilization for <jats:italic>C<\/jats:italic>. <jats:italic>trachomatis<\/jats:italic> detection and treatment.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Method<\/jats:title>\n<jats:p>A qualitative situational analysis study including data from 18 semi-structured interviews with men (21\u201330 years). Data collection took place in Stockholm County during 2018. A situational map was constructed to articulate the positions taken in the data within two continuums of variation representing men\u2019s risk perception and strategies to test for <jats:italic>C<\/jats:italic>. <jats:italic>trachomatis<\/jats:italic>.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Results<\/jats:title>\n<jats:p>Based on the informants\u2019 risk perception, strategies adopted to test and the role of social support, three different discourses and behaviours towards <jats:italic>C<\/jats:italic>. <jats:italic>trachomatis<\/jats:italic> testing were identified ranging from a) being <jats:italic>indifferent<\/jats:italic> about <jats:italic>C<\/jats:italic>. <jats:italic>trachomatis<\/jats:italic> -not testing, b) being <jats:italic>ambivalent<\/jats:italic> towards testing, to c) being <jats:italic>proactive<\/jats:italic> and testing regularly to assure disease free status. Several factors influenced young men\u2019s health care utilization for <jats:italic>C<\/jats:italic>. <jats:italic>trachomatis<\/jats:italic> detection, where the role of health services and the social support emerged as important factors to facilitate <jats:italic>C<\/jats:italic>. <jats:italic>trachomatis<\/jats:italic> testing for young men. In addition, endorsing traditional masculinity domains such as leaning on self-reliance, beliefs on invulnerability and framing men as more carefree with their sexual health than women delayed or hindered testing.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec005\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>Testing must be promoted among those young men with indifferent or ambivalent discourses. Health systems aiming to increase testing among those at risk should take into consideration the positive role that young men\u2019s social support have, especially the level of social support coming from their peers. Additionally, endorsement of traditional masculinity values may delay or hinder testing.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0257402","type":"journal-article","created":{"date-parts":[[2021,9,30]],"date-time":"2021-09-30T19:20:13Z","timestamp":1633029613000},"page":"e0257402","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":2,"title":["Indifferent, ambiguous, or proactive? 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