Internet-based screening for sexually transmitted infections to reach nonclinic populations in the community: risk factors for infection in men.

Sexually Transmitted Diseases
Shua J ChaiCharlotte A Gaydos

Abstract

Internet-based screening for sexually transmitted infections (STIs) has been acceptable to women, and can reach high-risk populations. No prior published data describe internet-based screening for Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis in men. We studied whether internet-based screening was acceptable and reached a high-risk population, and what risk factors were associated with STI positivity. The website, www.iwantthekit.org, encouraged men ≥14 years of age to request a home self-sampling kit and a questionnaire on risk factors and acceptability of internet-based screening. Penile swabs and urine samples were tested for C. trachomatis, N. gonorrhoeae, and T. vaginalis using a nucleic acid amplification test. Risk factors and acceptability were examined using chi squared tests and logistic regression. Of 501 samples received for testing, 106 (21%) were positive for at least one STI, 64 (13%) for chlamydia, 4 (1%) for gonorrhea, and 49 (10%) for trichomonas. In multivariable analyses, age, race, household income, and frequency of condom use were independently associated with infection with at least one STI. Of the total respondents, 34% had a prior STI; 29% reported having a partner with an STI,...Continue Reading

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Citations

Oct 16, 2012·Sexually Transmitted Diseases·Mary M ReaganJeffrey F Peipert
Jan 29, 2013·Sexually Transmitted Infections·Charlotte A GaydosYu-Hsiang Hsieh
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Apr 14, 2015·Sexually Transmitted Diseases·Margaret KuderCharlotte A Gaydos

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