Stephenson J, Carder C, Copas A, Robinson A, Ridgway G, Haines A
Department of Sexually Transmitted Diseases, Royal Free and University College Medical School, Mortimer Market Centre, London.
Sex Transm Infect. 2000 Feb;76(1):25-7. doi: 10.1136/sti.76.1.25.
To determine the acceptability, to young men and women, of home screening for chlamydial infection.
We wrote to a random sample of 208 women aged 18-25 years and 225 men aged 18-35 years from three general practices, inviting them to undergo home screening for chlamydial infection. They were asked to return, by normal post, a urine specimen (for men and half of the women) or a vulval swab (other half of the women) for ligase chain reaction (LCR) testing for chlamydial infection. They were also asked to return a short questionnaire about risk status and the acceptability of this approach.
The participation rate among the available sample was 39% for women and 46% for men (p = 0.3). However, among women, the rate was slightly higher (p = 0.05) for urine samples (47%) than for vulval swabs (32%). Six per cent of women and 9% of men declined to take part, while 42% of women and 33% of men failed to respond. Two men objected to receiving the package at home. We received few other comments, positive and negative in about equal measure.
Home screening for chlamydial infection is a potentially efficient method of reaching young people who may have little contact with health services. Men were at least as likely as women to respond to this screening approach. Home screening might form a useful component of a future chlamydial screening programme in the United Kingdom.
确定衣原体感染家庭筛查对年轻男女的可接受性。
我们从三家全科诊所随机抽取了208名年龄在18至25岁之间的女性和225名年龄在18至35岁之间的男性，写信邀请他们接受衣原体感染家庭筛查。要求他们通过普通邮寄方式返还一份尿液样本（男性和一半女性）或一份外阴拭子（另一半女性），用于衣原体感染的连接酶链反应（LCR）检测。还要求他们返还一份关于风险状况和这种筛查方法可接受性的简短问卷。
在可获得的样本中，女性的参与率为39%，男性为46%（p = 0.3）。然而，在女性中，尿液样本的参与率（47%）略高于外阴拭子（32%）（p = 0.05）。6%的女性和9%的男性拒绝参与，而42%的女性和33%的男性未回复。两名男性反对在家中收到包裹。我们收到的其他意见很少，正面和负面意见大致相当。
衣原体感染家庭筛查是一种潜在有效的方法，可覆盖那些可能很少与医疗服务机构接触的年轻人。男性对这种筛查方法的回应可能性至少与女性相同。家庭筛查可能会成为英国未来衣原体筛查计划的一个有用组成部分。
