PMID: 15239912Jul 9, 2004Paper

Barriers to opportunistic chlamydia testing in primary care

The British Journal of General Practice : the Journal of the Royal College of General Practitioners
Cliodna A M McNultyKevin A Fenton

Abstract

Opportunistic testing and screening for genital chlamydia infection in sexually active women under the age of 25 years can lead to a reduction in chlamydia infection and its related morbidity. To explore the barriers to testing for genital chlamydial infection in primary care. Qualitative study with focus groups. Rural and urban general practice in Southwest England. Focus groups were held with randomly selected high- and lowtesting general practices in Herefordshire, Gloucestershire and Avon. The high- and low-testing practices did not differ in their age/sex make-up, or by deprivation indices. Open questions were asked about the management of genitourinary symptoms and opportunistic testing for chlamydia. Data were collected and analysed concurrently until saturation occurred. Although staff from high test rate practices were much more aware of the evidence for opportunistic chlamydia testing and screening, none of the practices were happy to discuss chlamydia in a consultation unrelated to sexual health. The greatest barriers to opportunistic chlamydia testing and screening were lack of knowledge of the benefits of testing, when and how to take specimens, lack of time, worries about discussing sexual health, and lack of guid...Continue Reading

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