Abstract
Background
Northeastern British Columbia is undergoing rapid in-migration of young, primarily male workers in response to the “boom” in the oil/gas industries. Accompanying the boom is a rise in Chlamydia rates among youth, which exceed the provincial average by 22%. STI testing reduces the disease burden, contributing to STI prevention.
Objectives
1) To document youths’ perceptions regarding the socio-cultural and structural forces that affect young oil/gas workers’ access to STI testing; 2) to gather service providers’ perspectives on sexual health service delivery for workers; and 3) to develop recommendations to improve the accessibility of STI testing.
Methods
We conducted ethnographic fieldwork (8 weeks) in a remote oil/gas community, including in-depth interviews with 25 young people (ages 15-25) and 14 health and social service providers.
Results
Participants identified limited opportunities to access testing, geographic isolation, and ‘rigger’ culture as three key categories inhibiting STI testing among oil/gas workers.
Discussion
These results suggest the need for place-based approaches to STI control. Innovative outreach strategies are suggested to address oil/gas workers’ needs, including a locally tailored STI awareness campaign, condom distribution, expanded clinic hours, and onsite STI testing.
Key words: Sexually transmitted infections, testing, oil and gas workers, youth, sexual health, British Columbia
Résumé
Contexte
Le Nord-Est de la Colombie-Britannique reçoit une forte vague d’immigration de jeunes travailleurs, principalement des hommes, en réponse à la forte expansion de l’industrie pétrolière et gazière. Cette expansion s’accompagne chez les jeunes d’une hausse des chlamydioses, dont le taux est supérieur de 22 % à la moyenne provinciale. Comme ils réduisent la charge de morbidité, les tests de détection d’infections transmissibles sexuellement (ITS) sont un outil de prévention à ne pas négliger.
Objectifs
1) Rendre compte des perceptions, chez les jeunes, des forces socioculturelles et structurelles qui influent sur l’accès des travailleurs de l’industrie pétrolière et gazière aux tests de détection d’ITS; 2) recueillir l’opinion des dispensateurs de services quant à la prestation des services de santé sexuelle à ces travailleurs; et 3) élaborer des recommandations afin d’améliorer l’accessibilité des tests de détection d’ITS.
Méthode
Nous avons effectué un travail ethnographique sur le terrain (8 semaines) dans une localité pétrolière et gazière éloignée, en menant des entretiens en profondeur avec 25 jeunes gens (de 15 à 25 ans) et 14 dispensateurs de soins de santé et de services sociaux.
Résultats
Selon nos répondants, le manque d’accès aux tests, l’isolement géographique et la culture machiste du milieu de travail étaient les trois principaux obstacles aux tests de détection d’ITS dans l’industrie pétrolière et gazière.
Discussion
Ces résultats montrent que la lutte contre les ITS exige une approche liée au lieu. Nous proposons des stratégies d’approche novatrices pour répondre aux besoins des travailleurs de l’industrie pétrolière et gazière, dont une campagne d’information adaptée aux conditions locales, la distribution de condoms, le prolongement des heures d’ouverture des cliniques et la prestation de tests de détection d’ITS sur place.
Mots clés: infections transmissibles sexuellement, tests, travailleurs de l’industrie pétrolière et gazière, jeunes, santé sexuelle, Colombie-Britannique
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