The C-project: use of self-collection kits to screen for Chlamydia trachomatis in young people in a community-based health promotion project

被引:16
作者
Martin, Lynne [1 ]
Freedman, Eleanor [1 ]
Burton, Leanne [1 ]
Rutter, Scott [1 ]
Knight, Vickie [1 ]
D'Amato, Alfa [2 ]
Murray, Carolyn [2 ]
Drysdale, Jackie [2 ]
Harvey, Sophie [3 ]
McNulty, Anna [1 ,4 ]
机构
[1] Sydney & Sydney Eye Hosp, Sydney Sexual Hlth Ctr, Sydney, NSW 2000, Australia
[2] Prince Wales Hosp, SESIAHS HIV AIDS & Related Programs Unit, Randwick, NSW 2031, Australia
[3] Waverley Act Youth Serv, Bondi Jct, NSW 2026, Australia
[4] Univ New S Wales, Sch Publ Hlth & Community Med, Sydney, NSW 2052, Australia
关键词
outreach; sexually transmissible infections; STI testing; youth; CARE;
D O I
10.1071/SH08039
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: The present study aimed to ascertain the acceptability to at-risk young people of self-collected urine samples as a means of testing for Chlamydia trachomatis (chlamydia); to determine the effectiveness of drop-off and outreach collection methods as a means of detecting and treating chlamydia; and to determine the rate of positive chlamydia tests in a sample of the target group. Methods: Participants requested postal testing kits from the project website, the NSW Sexual Health Infoline or at an outreach event and either returned urine samples at selected drop-off locations or directly to the researchers during active outreach events. Results: A total of 413 kits were requested - 196 (47.5%) via email, 204 (49.4%) during outreach events and nine (2.2%) via the NSW Sexual Health Infoline. A total of 195 samples (47.2% of ordered kits) were returned. Participants were less likely to return samples if they had been requested by email (odds ratio = 9.6; 95% confidence interval: 6.0-15.0) or via telephone (odds ratio = 22.0; 95% confidence interval: 2.7-181.0) compared with directly obtaining a kit at an outreach event. The number of specimens positive for chlamydia in the targeted age range was 4, giving a 3.1% positive rate (95% confidence interval: 1.0-8.0). Conclusions: This study identified that free testing kits and online communication worked well as a means of engaging young people and raising awareness of sexual health. However, the requirement to drop-off urine samples at selected locations was not well accepted.
引用
收藏
页码:157 / 162
页数:6
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