Use this URL to cite or link to this record in EThOS:
Title: The nature of decision-making in men who seek help in relation to a sexually transmitted infection
Author: Walls, Paula E.
ISNI:       0000 0004 2717 6014
Awarding Body: University of Ulster
Current Institution: Ulster University
Date of Award: 2010
Availability of Full Text:
Access from EThOS:
A review of the international literature shows that men are less likely to seek help and, are more likely to delay seeking help for sexually transmitted infections (STIs) than women. However, there is a lack of research into their process of decision-making in relation to seeking help for this condition. The aim of this study was to explore and to generate a substantive theory on male decision-making in relation to seeking help for an STI. A Glaserian grounded theory approach was deemed best suited to this area about which little is known. Face-to-face interviews with thirty-nine participants, selected by convenience, theoretical and snowball sampling took place. Documentary, media and literary sources were also compared as incoming data. Relevance, workability, fit, modifiability, parsimony and scope were applied to ensure the rigour of the study. The key psychosocial problems that emerged as 'relevant and problematic for those involved' (Glaser, 1978 p. 93), were: integrating the possibility of having an STI (negative) with the image of oneself (positive), managing disclosure and stigma. These were resolved through the core variable: 'Facing up to it'. This parsimonious theory describes and explains a five stage decision-making process consisting of the sub-core variables of decision-making. These were; 'becoming aware', 'seeking refuge in self, 'seeking refuge in referent sources', 'rationalising,' and 'reaching a decision'. The decision-making process was initiated when participants became aware they might have an STI and a range of strategies were employed to resolve their main concerns. The decision to seek help was found to be a complex and multifaceted process which was moderated by a number of intrinsic and extrinsic factors. Implications for education, practice, policy, and research are evident. Recommendations are made to facilitate prompt STI screening in men. This substantive theory should be implemented, tested and evaluated.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available