Female users of internet-based screening for rectal STIs: descriptive statistics and correlates of positivity
Female users of internet-based screening for rectal STIs: descriptive statistics and correlates of positivity
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DOI：
10.1136/sextrans-2013-051167
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发表时间：
2014-09-01
影响因子：
3.6
通讯作者：
Gaydos, Charlotte A.
中科院分区：
文献类型：
--
作者：
Ladd, Jessica;Hsieh, Yu-Hsiang;Gaydos, Charlotte A.
基于互联网的阴道性传播感染（STI）筛查已被证明可以覆盖高危人群。需要发表基于互联网的女性直肠性传播感染筛查研究。我们的目标是描述女性用户的直肠互联网为基础的筛查干预和评估什么因素与直肠阳性STIs.Methods网站http://www.iwantthekit.org提供免费的STI测试通过家庭自我采样工具包。妇女可以订购阴道和直肠工具包，两者都包含问卷。使用核酸扩增试验检测直肠和阴道拭子中的沙眼衣原体、淋病奈瑟菌和阴道毛滴虫。分析了2009年1月至2011年2月期间205个直肠试剂盒的数据。自我报告的参与者的特点进行了检查，直肠STI阳性的相关因素进行了analysed.Results的205直肠样本返回，并有资格进行测试，38（18.5%）是积极的至少一个STI。这些妇女都很年轻（平均年龄25.8岁），大多数是非洲裔美国人（50.0%），只有14.0%的人总是使用避孕套。校正年龄和种族后，黑人种族（AOR=3.06）和阴道STI阳性（AOR=40.6）与直肠STI阳性显著相关。直肠性传播感染的女性检测阳性谁也提交阴道拭子，29.4%是阴性的阴道sample.Conclusions基于互联网的直肠筛查可以达到人群似乎是在直肠性传播感染的高风险（18.5%的患病率），并导致性病的女性谁不会被诊断阴道的诊断。黑人和阴道STI阳性与直肠STI阳性高度相关。
Background Internet-based screening for vaginal sexually transmitted infections (STI) has been shown to reach high-risk populations. Published studies of internet-based screening for rectal STIs in women are needed. Our objectives were to describe the female users of a rectal internet-based screening intervention and assess what factors correlated with rectal positivity for STIs.Methods The website http://www.iwantthekit.org offers free STI testing via home self-sampling kits. Women could order vaginal and rectal kits, both containing questionnaires. Rectal and vaginal swabs were tested for Chlamydia trachomatis, Neisseria gonorrhoeae and Trichomonas vaginalis using nucleic acid amplification tests. Data were analysed from 205 rectal kits from January 2009 through February 2011. Self-reported characteristics of participants were examined, and correlates of rectal STI positivity were analysed.Results Of the 205 rectal samples returned and eligible for testing, 38 (18.5%) were positive for at least one STI. The women were young (mean age 25.8 years), mostly African-American (50.0%), and only 14.0% always used condoms. After adjusting for age and race, Black race (AOR=3.06) and vaginal STI positivity (AOR=40.6) were significantly correlated with rectal STI positivity. Of women testing positive for rectal STIs who also submitted vaginal swabs, 29.4% were negative in the vaginal sample.Conclusions Internet-based rectal screening can reach populations that appear to be at high risk for rectal STIs (18.5% prevalence) and led to the diagnosis of STIs in women who would not have been diagnosed vaginally. Black race and vaginal STI positivity were highly correlated with rectal STI positivity.