{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T03:20:47Z","timestamp":1773112847667,"version":"3.50.1"},"reference-count":19,"publisher":"Royal College of General Practitioners","issue":"660","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Gen Pract"],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Opportunistic chlamydia screening is actively encouraged in English general practices. Based on recent policy changes, Public Health England piloted 3Cs and HIV in 2013\u20132014, integrating the offer of chlamydia testing with providing condoms, contraceptive information, and HIV testing (referred to as 3Cs and HIV) according to national guidelines.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To determine young adults\u2019 opinions of receiving a broader sexual health offer of 3Cs and HIV at their GP practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design and setting<\/jats:title><jats:p>Qualitative interviews were conducted in a general practice setting in England between March and June 2013.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Thirty interviews were conducted with nine male and 21 female patients aged 16\u201324 years, immediately before or after a routine practice attendance. Data were transcribed verbatim and analysed using a thematic framework.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants indicated that the method of testing, timing, and the way the staff member approached the topic were important aspects to patients being offered 3Cs and HIV. Participants displayed a clear preference for 3Cs and HIV to be offered at the GP practice over other sexual health service providers. Participants highlighted convenience of the practice, assurance of confidentiality, and that the sexual health discussion was appropriate and routine. Barriers identified for patients were embarrassment, unease, lack of time, religion, and patients believing that certain patients could take offence. Suggested facilitators include raising awareness, reassuring confidentiality, and ensuring the offer is made in a professional and non-judgemental way at the end of the consultation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>General practice staff should facilitate patients\u2019 preferences by ensuring that 3Cs and HIV testing services are made available at their surgery and offered to appropriate patients in a non-judgemental way.<\/jats:p><\/jats:sec>","DOI":"10.3399\/bjgp17x691325","type":"journal-article","created":{"date-parts":[[2017,5,23]],"date-time":"2017-05-23T00:40:37Z","timestamp":1495500037000},"page":"e490-e500","source":"Crossref","is-referenced-by-count":9,"title":["Chlamydia and HIV testing, contraception advice, and free condoms offered in general practice: a qualitative interview study of young adults\u2019 perceptions of this initiative"],"prefix":"10.3399","volume":"67","author":[{"given":"Leah Ffion","family":"Jones","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ellie","family":"Ricketts","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katy","family":"Town","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claire","family":"Rugman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donna","family":"Lecky","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kate","family":"Folkard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony","family":"Nardone","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas Nathan","family":"Hartney","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cliodna","family":"McNulty","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1987","published-online":{"date-parts":[[2017,5,22]]},"reference":[{"key":"2020081209303033000_67.660.e490.1","unstructured":"European Centre for Disease Prevention and Control (2015) Annual epidemiological report. Sexually transmitted infections, including HIV and blood-borne viruses. 2014 (ECDC, Stockholm)."},{"issue":"523","key":"2020081209303033000_67.660.e490.2","first-page":"99","article-title":"Opportunistic and systematic screening for chlamydia: a study of consultations by young adults in general practice","volume":"56","author":"Salisbury","year":"2006","journal-title":"Br J Gen Pract"},{"key":"2020081209303033000_67.660.e490.3","unstructured":"Public Health England (2015) Health Protection Report, Sexually transmitted infections and chlamydia screening in England, 2014. https:\/\/www.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/441554\/hpr2215.pdf (accessed 9 May 2017). 9, 22."},{"issue":"Suppl 1","key":"2020081209303033000_67.660.e490.4","doi-asserted-by":"crossref","first-page":"A56","DOI":"10.1136\/sextrans-2012-050601c.140","article-title":"P140 Setting up a young person\u2019s contraception and sexual health (CaSH) service in a semi-rural GP practice \u2014 the first year","volume":"88","author":"Hum","year":"2012","journal-title":"Sex Transm Infect"},{"key":"2020081209303033000_67.660.e490.5","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-10-616"},{"key":"2020081209303033000_67.660.e490.6","unstructured":"British HIV Association, British Association of Sexual Health and HIV, British Infection Society (2008) UK national guidelines for HIV testing, http:\/\/www.bhiva.org\/documents\/guidelines\/testing\/glineshivtest08.pdf (accessed 9 May 2017)."},{"key":"2020081209303033000_67.660.e490.7","doi-asserted-by":"crossref","unstructured":"Glew S Pollard A Hughes L Llewellyn C (2014) Br J Gen Pract, Public attitudes towards opt-out testing for HIV in primary care: a qualitative study. DOI: https:\/\/doi.org\/10.3399\/bjgp14X677103.","DOI":"10.3399\/bjgp14X677103"},{"key":"2020081209303033000_67.660.e490.8","doi-asserted-by":"publisher","DOI":"10.1016\/0749-5978(91)90020-T"},{"key":"2020081209303033000_67.660.e490.9","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2013-051029"},{"key":"2020081209303033000_67.660.e490.10","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2013-051029"},{"key":"2020081209303033000_67.660.e490.11","doi-asserted-by":"publisher","DOI":"10.1111\/j.1559-1816.2002.tb00236.x"},{"issue":"7","key":"2020081209303033000_67.660.e490.12","doi-asserted-by":"crossref","first-page":"1607","DOI":"10.1111\/jsm.12593","article-title":"Sexual health and religion: a primer for the sexual health clinician (CME)","volume":"11","author":"Kellogg Spadt","year":"2014","journal-title":"J Sex Med"},{"key":"2020081209303033000_67.660.e490.13","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2004.03.007"},{"key":"2020081209303033000_67.660.e490.14","unstructured":"National Institue for Health and Care Excellence (2016) HIV testing: increasing uptake among people who may have undiagnosed HIV. NG60 (ICE, London) https:\/\/www.nice.org.uk\/guidance\/ng60 (accessed 9 May 2017)."},{"key":"2020081209303033000_67.660.e490.15","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-6-221"},{"key":"2020081209303033000_67.660.e490.16","doi-asserted-by":"crossref","first-page":"794","DOI":"10.1186\/1471-2458-10-794","article-title":"Knowledge of Chlamydia trachomatis among men and women approached to participate in community-based screening, Scotland, UK","volume":"10","author":"Lorimer","year":"2010","journal-title":"BMC Public Health"},{"key":"2020081209303033000_67.660.e490.17","unstructured":"National AIDS Trust HIV: public knowledge and attitudes in 2014 (Ipsos MORI research for the National Aids Trust), https:\/\/www.ipsos-mori.com\/researchpublications\/publications\/1713\/HIV-Public-Knowledge-and-Attitudes-in-2014.aspx (accessed 9 May 2017)."},{"key":"2020081209303033000_67.660.e490.18","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.2628"},{"key":"2020081209303033000_67.660.e490.19","doi-asserted-by":"crossref","first-page":"1055","DOI":"10.1186\/1471-2458-14-1055","article-title":"Factors perceived to influence risky sexual behaviours among university students in the United Kingdom: a qualitative telephone interview study","volume":"14","author":"Chanakira","year":"2014","journal-title":"BMC Public Health"}],"container-title":["British Journal of General Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.3399\/bjgp17X691325","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,2,25]],"date-time":"2022-02-25T19:46:11Z","timestamp":1645818371000},"score":1,"resource":{"primary":{"URL":"https:\/\/bjgp.org\/lookup\/doi\/10.3399\/bjgp17X691325"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,5,22]]},"references-count":19,"journal-issue":{"issue":"660","published-online":{"date-parts":[[2017,6,29]]},"published-print":{"date-parts":[[2017,7]]}},"alternative-id":["10.3399\/bjgp17X691325"],"URL":"https:\/\/doi.org\/10.3399\/bjgp17x691325","relation":{},"ISSN":["0960-1643","1478-5242"],"issn-type":[{"value":"0960-1643","type":"print"},{"value":"1478-5242","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,5,22]]}}}