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Home screening for sexually transmitted diseases in high-risk young women: randomised controlled trial

Cook, Robert L ; Østergaard, Lars ; Hillier, Sharon L ; Murray, Pamela J ; Chang, Chung-Chou H ; Comer, Diane M ; Ness, Roberta B

Sexually transmitted infections, 2007-07, Vol.83 (4), p.286-291 [Periódico revisado por pares]

London: BMJ Publishing Group Ltd

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Título:
Home screening for sexually transmitted diseases in high-risk young women: randomised controlled trial
Autor: Cook, Robert L ; Østergaard, Lars ; Hillier, Sharon L ; Murray, Pamela J ; Chang, Chung-Chou H ; Comer, Diane M ; Ness, Roberta B
Assuntos: Adolescent ; Adult ; Biological and medical sciences ; Chlamydia ; Chlamydia Infections - prevention & control ; Chlamydia Infections - psychology ; Chlamydia trachomatis ; Clinics ; Consent ; DAISY ; Detection Acceptability Intervention for SIDs in Youth ; Disease prevention ; Epidemiology. Vaccinations ; Female ; General aspects ; Gonorrhea ; Gonorrhea - prevention & control ; Health services ; Home Care Services - utilization ; Human infectious diseases. Experimental studies and models ; Humans ; Infections ; Infectious diseases ; Intervention ; Laboratories ; Mass Screening - psychology ; Mass Screening - standards ; Mass Screening - utilization ; Medical sciences ; Patient Acceptance of Health Care - statistics & numerical data ; Population ; Prevention and actions ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Questionnaires ; Reproductive health ; Risk Factors ; Screening ; Sensitivity and Specificity ; Sexually transmitted diseases ; STD ; Womens health
É parte de: Sexually transmitted infections, 2007-07, Vol.83 (4), p.286-291
Notas: istex:0F053EDCED9725D6DB579088BEF85936210AEA67
local:0830286
Correspondence to:  Dr R L Cook  Department of Epidemiology and Biostatistics and Medicine, University of Florida, Box 100231, Gainesville, FL 32610, Florida, USA; cookrl@phhp.ufl.edu
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PMID:17301105
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Descrição: Objective: Home screening tests could eliminate several barriers to testing sexually transmitted diseases (STDs). Aim: To determine whether offering repeated home screening tests would increase the rate of testing for chlamydia and gonorrhoea in a high-risk sample of young women. Methods: In this randomised controlled trial, 403 young women (mean age 18.9 years, 70% black) with a recent STD or with STD-related risk factors were enrolled. Participants were recruited from clinics and high-prevalence neighbourhoods and then randomly assigned to receive either a home testing kit or an invitation to attend a medical clinic for testing at 6, 12 and 18 months after enrollment. Over 80% of women were followed for 2 years. The trial is registered with ClinicalTrials.gov, number NCT 00177437. Results: Of 197 women in the intervention group, 140 (71%) returned at least one home test and 25 of 249 (10%) home tests were positive. Women who received home screening tests completed significantly more STD tests overall (1.94 vs 1.41 tests per woman-year, p<0.001) and more STD tests in the absence of symptoms (1.18 vs 0.75 tests per woman-year, p<0.001). More women in the intervention group completed at least one test when asymptomatic (162 (82.2%) vs 117 (61.3%), p<0.001). The intervention was most effective among women recruited outside medical clinics. There was no significant difference in the overall rate of STDs detected. Conclusions: Home screening significantly increased the utilisation of chlamydia and gonorrhoea testing in this sample of high-risk young women, and thus represents a feasible strategy to facilitate STD testing in young women.
Editor: London: BMJ Publishing Group Ltd
Idioma: Inglês

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Home screening for sexually transmitted diseases in high-risk young women: randomised controlled trial

Cook, Robert L ; Østergaard, Lars ; Hillier, Sharon L ; Murray, Pamela J ; Chang, Chung-Chou H ; Comer, Diane M ; Ness, Roberta B

London: BMJ Publishing Group Ltd

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