Acceptability of urine-based screening for Chlamydia trachomatis in asymptomatic young men: a systematic review

Sexually Transmitted Diseases
Jeanne M Marrazzo, Delia Scholes

Abstract

We performed a structured literature review of published studies from 2000-2007 that measured the acceptability and acceptance (uptake) of urine testing for C. trachomatis among asymptomatic men. Studies were categorized as three types: (a) non-STD clinic venues where men were approached in person and offered testing on site (urgent care clinics, freestanding clinics or health screening settings, corrections, community centers); (b) delivery of testing kits to men at their homes; and (c) qualitative measurement related to men's experience of screening. When offered in established nonhome-based settings (clinics, schools, corrections), acceptability and consequent uptake of testing by men is generally good (mid-60% range). However, acceptance rates even in these settings vary widely and are influenced by venue, provider, and a diversity of other factors. Acceptance of home-based testing invitations, including direct mailing of test kits, is considerably lower. Attitudinal characteristics of men who decline testing primarily include low self-perception of risk for asymptomatic infection and perceived inconvenience of providing test specimens. Given these findings, testing strategies targeting asymptomatic men in established commu...Continue Reading

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Citations

Apr 14, 2011·Journal of Public Health·Ruairi BrughaDiarmuid O'Donovan
Oct 16, 2012·Sexually Transmitted Diseases·Mary M ReaganJeffrey F Peipert
Jun 30, 2010·BMC Public Health·Rachel Sacks-DavisMargaret E Hellard
Oct 4, 2011·BMC Public Health·Laura W L SpauwenNicole H T M Dukers-Muijrers
Mar 8, 2013·Future Microbiology·Jane S HockingSepehr N Tabrizi
Mar 18, 2015·Perspectives on Sexual and Reproductive Health·Annie-Laurie McReePaul L Reiter
Dec 29, 2010·International Journal of STD & AIDS·E LanjouwW I van der Meijden
Aug 23, 2017·World Journal of Clinical Pediatrics·Megan E MaraynesShahriar Zehtabchi
Sep 4, 2012·The Medical Journal of Australia·Kellie S H KwanDonna B Mak

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