Literature DB >> 10817064

Home screening for chlamydial genital infection: is it acceptable to young men and women?

J Stephenson1, C Carder, A Copas, A Robinson, G Ridgway, A Haines.   

Abstract

OBJECTIVES: To determine the acceptability, to young men and women, of home screening for chlamydial infection.
METHODS: We wrote to a random sample of 208 women aged 18-25 years and 225 men aged 18-35 years from three general practices, inviting them to undergo home screening for chlamydial infection. They were asked to return, by normal post, a urine specimen (for men and half of the women) or a vulval swab (other half of the women) for ligase chain reaction (LCR) testing for chlamydial infection. They were also asked to return a short questionnaire about risk status and the acceptability of this approach.
RESULTS: The participation rate among the available sample was 39% for women and 46% for men (p = 0.3). However, among women, the rate was slightly higher (p = 0.05) for urine samples (47%) than for vulval swabs (32%). Six per cent of women and 9% of men declined to take part, while 42% of women and 33% of men failed to respond. Two men objected to receiving the package at home. We received few other comments, positive and negative in about equal measure.
CONCLUSION: Home screening for chlamydial infection is a potentially efficient method of reaching young people who may have little contact with health services. Men were at least as likely as women to respond to this screening approach. Home screening might form a useful component of a future chlamydial screening programme in the United Kingdom.

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Year:  2000        PMID: 10817064      PMCID: PMC1760558          DOI: 10.1136/sti.76.1.25

Source DB:  PubMed          Journal:  Sex Transm Infect        ISSN: 1368-4973            Impact factor:   3.519


  4 in total

1.  Comparison of two methods of screening for genital chlamydial infection in women attending in general practice: cross sectional survey.

Authors:  L Grun; J Tassano-Smith; C Carder; A M Johnson; A Robinson; E Murray; J Stephenson; A Haines; A Copas; G Ridgway
Journal:  BMJ       Date:  1997-07-26

2.  Efficacy of home sampling for screening of Chlamydia trachomatis: randomised study.

Authors:  L Ostergaard; B Andersen; F Olesen; J K Moller
Journal:  BMJ       Date:  1998-07-04

3.  Vulval swabs as alternative specimens for ligase chain reaction detection of genital chlamydial infection in women.

Authors:  A Stary; B Najim; H H Lee
Journal:  J Clin Microbiol       Date:  1997-04       Impact factor: 5.948

4.  Diagnosis of urogenital Chlamydia trachomatis infection in women based on mailed samples obtained at home: multipractice comparative study.

Authors:  L Ostergaard; J K Møller; B Andersen; F Olesen
Journal:  BMJ       Date:  1996-11-09
  4 in total
  22 in total

1.  Association between bacterial vaginosis or chlamydial infection and miscarriage before 16 weeks' gestation: prospective community based cohort study.

Authors:  Pippa Oakeshott; Phillip Hay; Sima Hay; Frances Steinke; Elizabeth Rink; Sally Kerry
Journal:  BMJ       Date:  2002-12-07

2.  Detection of Chlamydia trachomatis infection in early pregnancy using self-administered vaginal swabs and first pass urines: a cross-sectional community-based survey.

Authors:  Pippa Oakeshott; Phillip Hay; Sima Hay; Frances Steinke; Elizabeth Rink; Brenda Thomas; Penny Oakeley; Sally Kerry
Journal:  Br J Gen Pract       Date:  2002-10       Impact factor: 5.386

3.  Detection of Chlamydia trachomatis and Neisseria gonorrhoeae by strand displacement amplification and relevance of the amplification control for use with vaginal swab specimens.

Authors:  Lisa A Cosentino; Daniel V Landers; Sharon L Hillier
Journal:  J Clin Microbiol       Date:  2003-08       Impact factor: 5.948

4.  Current Issues in Screening for Chlamydia trachomatis.

Authors:  Robert L. Cook; Lars ØStergaard
Journal:  Curr Infect Dis Rep       Date:  2003-04       Impact factor: 3.725

5.  Barriers to effective STI screening in a post-Soviet society: results from a qualitative study.

Authors:  A Uusküla; K Kangur; L A McNutt
Journal:  Sex Transm Infect       Date:  2006-08       Impact factor: 3.519

6.  Chlamydia trachomatis infections in multi-ethnic urban youth: a pilot combining STI health education and outreach testing in Rotterdam, Netherlands.

Authors:  H M Götz; I K Veldhuijzen; J M Ossewaarde; O de Zwart; J H Richardus
Journal:  Sex Transm Infect       Date:  2006-04       Impact factor: 3.519

7.  Repeat chlamydia screening by mail, San Francisco.

Authors:  P J Bloomfield; K C Steiner; C K Kent; J D Klausner
Journal:  Sex Transm Infect       Date:  2003-02       Impact factor: 3.519

8.  Opportunistic screening for genital chlamydial infection. I: acceptability of urine testing in primary and secondary healthcare settings.

Authors:  J M Pimenta; M Catchpole; P A Rogers; E Perkins; N Jackson; C Carlisle; S Randall; J Hopwood; G Hewitt; G Underhill; H Mallinson; L McLean; T Gleave; J Tobin; V Harindra; A Ghosh
Journal:  Sex Transm Infect       Date:  2003-02       Impact factor: 3.519

9.  A randomized trial of home versus clinic-based sexually transmitted disease screening among men.

Authors:  Mary M Reagan; Hanna Xu; Shirley L Shih; Gina M Secura; Jeffrey F Peipert
Journal:  Sex Transm Dis       Date:  2012-11       Impact factor: 2.830

Review 10.  Chlamydia trachomatis in the United Kingdom: a systematic review and analysis of prevalence studies.

Authors:  E J Adams; A Charlett; W J Edmunds; G Hughes
Journal:  Sex Transm Infect       Date:  2004-10       Impact factor: 3.519

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