Does internet-accessed STI (e-STI) testing increase testing uptake for chlamydia and other STIs among a young population who have never tested? Secondary analyses of data from a randomised controlled trial
Does internet-accessed STI (e-STI) testing increase testing uptake for chlamydia and other STIs among a young population who have never tested? Secondary analyses of data from a randomised controlled trial
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DOI：
10.1136/sextrans-2019-053992
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发表时间：
2019-12-01
影响因子：
3.6
通讯作者：
Free, Caroline
中科院分区：
文献类型：
--
作者：
Wilson, Emma;Leyrat, Clemence;Free, Caroline
目的评价在英国伦敦开展的互联网STI(e-STI)检测和结果服务对未曾进行过STI检测的年轻人(16-30岁)检测吸收的有效性。在试验中，参与者被随机分配到一条带有e-STI检测和结果服务网站链接的短信(干预组)，或者一条带有网站链接的短信，其中列出了七家地方性健康诊所的地点、联系方式和网站(对照组)。我们分析了528名试验参与者的子样本，他们报告从未在基线时进行过性传播感染测试。结果是在6周时自我报告的STI测试，通过患者记录检查验证，以及从随机到完成STI测试的时间。结果在从不测试的人中，STI测试的摄入量几乎翻了一番。在6周时，45.3%的干预组完成了至少一项检测(衣原体、淋病、梅毒和艾滋病毒)，而对照组的这一比例为24.1%(相对风险[RR]1.88，95%可信区间1.47至2.40，P
Objectives To assess the effectiveness of an internet-accessed STI (e-STI) testing and results service on testing uptake among young adults (16-30 years) who have never tested for STIs in London, England.Methods We conducted secondary analyses on data from a randomised controlled trial. In the trial, participants were randomly allocated to receive a text message with the web link of an e-STI testing and results service (intervention group) or a text message with the link of a website listing the locations, contact details and websites of seven local sexual health clinics (control group). We analysed a subsample of 528 trial participants who reported never testing for STIs at baseline. Outcomes were self-reported STI testing at 6 weeks, verified by patient record checks, and time from randomisation to completion of an STI test.Results Uptake of STI testing among 'never testers' almost doubled. At 6 weeks, 45.3% of the intervention completed at least one test (chlamydia, gonorrhoea, syphilis and HIV), compared with 24.1% of the control (relative risk [RR] 1.88, 95%CI 1.47 to 2.40, p