Dataset Information

Testing for sexually transmitted infections among students: a discrete choice experiment of service preferences.

ABSTRACT:

Objectives

To assess preferences among students for sexually transmitted infection (STI) testing services, with a view to establishing strength of preference for different service attributes.

Design

Online discrete choice experiment (DCE) questionnaire.

Setting

South East of England.

Participants

A convenience sample of 233 students from two universities.

Outcomes

Adjusted ORs in relation to service characteristics.

Results

The study yielded 233 responses. Respondents' ages ranged from 16 to 34 years with a mean age of 22 years. Among this sample, the respondents demonstrated strong preferences for a testing service which provided tests for all STIs including syphilis, herpes and HIV (OR 4.1; 95% CI 3.36 to 4.90) and centres staffed by a doctor or nurse with specialist knowledge of STIs (OR 2.1; 95% CI 1.78 to 2.37). Receiving all test results, whether positive or negative, was also significantly preferable to not being notified when tests were all negative ('no news is good news'; OR 1.3; 95% CI 1.16 to 1.5). The length of time waiting for an appointment and the method by which results are received were not significant service characteristics in terms of preferences. Patient level characteristics such as age, sex and previous testing experience did not predict the likelihood of testing.

Conclusions

This study demonstrates that of the examined attributes, university students expressed the strongest preference for a comprehensive testing service. The next strongest preferences were for being tested by specialist STI staff and receiving negative as well as positive test results. However, it remains unclear how strong these preferences are in relation to characteristics which were not part of the study design and whether or not they are cost-effective.

SUBMITTER: Llewellyn CD

PROVIDER: S-EPMC3816231 | biostudies-literature | 2013 Oct

REPOSITORIES: biostudies-literature

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Publications

Testing for sexually transmitted infections among students: a discrete choice experiment of service preferences.

Llewellyn Carrie D CD Sakal Chloe C Lagarde Mylene M Pollard Alex A Miners Alec H AH

BMJ open 20131028 10

<h4>Objectives</h4>To assess preferences among students for sexually transmitted infection (STI) testing services, with a view to establishing strength of preference for different service attributes.<h4>Design</h4>Online discrete choice experiment (DCE) questionnaire.<h4>Setting</h4>South East of England.<h4>Participants</h4>A convenience sample of 233 students from two universities.<h4>Outcomes</h4>Adjusted ORs in relation to service characteristics.<h4>Results</h4>The study yielded 233 respons ...[more]

PMID: 24165028

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Project description:BACKGROUND:There is a deficiency of healthcare administrators in China as compared with other countries; furthermore, the distribution is unequal. To inform an effective policy intervention, it is crucial to understand healthcare administration students' career decision-making. This study aims to investigate the undergraduate students' stated preferences when choosing a job. METHODS:A discrete choice experiment (DCE) was conducted among a population-based multistage sample of 668 final year undergraduate healthcare administration students during April to June 2017 in eight universities of China to elicit their job preferences. Attributes include location, monthly income, bianzhi (which refers to the established posts and can be loosely regarded as state administrative staffing), training and career development opportunity, working environment and workload. Conditional and mixed logit models were used to analyze the relative importance of job attributes. RESULTS:All six attributes were statistically significant with the expected sign and demonstrated the existence of preference heterogeneity. Monthly income, workload and working environment were of most concern to healthcare administration students when deciding their future. Among the presented attributes bianzhi was of the least concern. Sub-group analysis showed that students who have an urban background and/or with higher annual family incomes were willing to pay more for working in the city. In addition, students from western and middle universities valued bianzhi higher than students from eastern universities. CONCLUSIONS:This is the first study focusing on the career decision-making of Chinese healthcare administration students at a critical career decision-making point. Both monetary and non-monetary interventions could be considered by policy-makers to attract students to work in health institutions, especially in rural and remote health institutions in China. There exists preference heterogeneity on healthcare administration students' job preferences, which should also be taken into account in developing more effective policy incentive packages.

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Dataset Information

Testing for sexually transmitted infections among students: a discrete choice experiment of service preferences.

Objectives

Design

Setting

Participants

Outcomes

Results

Conclusions

Publications

Testing for sexually transmitted infections among students: a discrete choice experiment of service preferences.

Similar Datasets

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