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Young Low-Risk Heterosexual Clients Prefer a Chlamydia Home Collection Test to a Sexually Transmitted Infection Clinic Visit in Amsterdam, the Netherlands, A Cross-Sectional Study
- Source :
- Sexually transmitted diseases, 43(11), 710-716. Lippincott Williams and Wilkins
- Publication Year :
- 2016
-
Abstract
- BACKGROUND Home-based self-collection of specimens for urogenital and anorectal chlamydia testing has been proven feasible and acceptable. We studied the efficiency of chlamydia home collection kits for young low-risk persons to optimize care at the Amsterdam sexually transmitted infection (STI) clinic. METHODS Low-risk heterosexual persons under 25 years submitting an appointment request online were offered 3 different ways of chlamydia testing: (1) receiving a home collection kit, (2) coming to the clinic without, or (3) with sexual health counseling. The collection kit was sent to the client by surface mail and was used to self-collect a vaginal swab or urine sample (men). This sample was sent back to the laboratory for testing and the results could be retrieved online. Testing for gonorrhea, syphilis, and human immunodeficiency virus was indicated after testing chlamydia-positive. RESULTS Between September 2012 until July 2013, from 1804 online requests, 1451 (80%) opted for the home collection kit, 321 (18%) preferred an appointment at the clinic without, and 32 (2%) with sexual health counseling. Of the requested home collection kits, 88% were returned. Chlamydia was diagnosed in 6.0% of the clients receiving a home collection kit, and none of the chlamydia-positive clients tested positive for other STI. CONCLUSIONS Home collection is the preferred method for most young low-risk heterosexual clients who seek STI care. With a high compliance to collect and return the samples, home collection can be used as a tool to increase efficiency and dedicate STI clinic workers efforts to those at highest risk.
- Subjects :
- Microbiology (medical)
Male
Pediatrics
medicine.medical_specialty
Adolescent
Cross-sectional study
Gonorrhea
Sexually Transmitted Diseases
HIV Infections
Dermatology
Chlamydia testing
urologic and male genital diseases
03 medical and health sciences
Young Adult
0302 clinical medicine
Ambulatory Care
Medicine
Humans
030212 general & internal medicine
Syphilis
Heterosexuality
Reproductive health
Netherlands
030505 public health
Chlamydia
business.industry
Public Health, Environmental and Occupational Health
medicine.disease
Test (assessment)
Clinic visit
Self Care
Infectious Diseases
Cross-Sectional Studies
Family medicine
Female
Reagent Kits, Diagnostic
0305 other medical science
business
Subjects
Details
- Language :
- English
- ISSN :
- 01485717
- Database :
- OpenAIRE
- Journal :
- Sexually transmitted diseases, 43(11), 710-716. Lippincott Williams and Wilkins
- Accession number :
- edsair.doi.dedup.....d404743c2235032aca5c9572542e1deb