Sparrow Margaret, Lewis Hazel, Brown Pauline, Bromhead Collette, Fernando Dinusha, Maitra Alokananda
Family Planning Association, Wellington.
N Z Med J. 2007 Apr 13;120(1252):U2490.
To demonstrate that enhanced screening for Chlamydia over and above the usual opportunistic screening in family planning (FPA) clinics is feasible, practical, and acceptable.
Over a 6-month period from November 2004 to May 2005, all under-25-year-olds attending three Wellington FPA clinics in New Zealand were offered Chlamydia urine testing. Staff interviews before and after the study were carried out to assess the impact of enhanced screening on clinic routines. Interviews were conducted with 50 clients to assess the acceptability to young persons. Additional questions were asked of 22 Chlamydia-positive clients to ascertain the acceptability of the procedures for follow up.
From a total of 4674 participants, a valid urine test was carried out on 2533 (54%). The most common reason for exclusion was having passed urine in the last hour. Positive tests were detected in 212 (8%). A positive result was more likely in those with a history of partner change or in Māori and Pacific ethnic groups; it was least likely in those who always used condoms. For the staff, time constraints were the most important barrier to screening. The procedures were acceptable to clients.
We demonstrated that improvements in Chlamydia screening are feasible, practical and acceptable to clients
证明在计划生育（FPA）诊所常规机会性筛查基础上加强衣原体筛查是可行、实用且可接受的。
在2004年11月至2005年5月的6个月期间，为所有前往新西兰惠灵顿三家FPA诊所就诊的25岁以下人群提供衣原体尿液检测。在研究前后对工作人员进行访谈，以评估加强筛查对诊所日常工作的影响。对50名客户进行访谈，以评估年轻人的接受程度。对22名衣原体检测呈阳性的客户提出额外问题，以确定后续程序的可接受性。
在总共4674名参与者中，2533人（54%）进行了有效的尿液检测。排除的最常见原因是在过去一小时内已排尿。检测出212例阳性（8%）。有性伴侣更换史者、毛利族和太平洋族裔人群检测呈阳性的可能性更高；一直使用避孕套者检测呈阳性的可能性最低。对工作人员而言，时间限制是筛查的最重要障碍。这些程序对客户来说是可接受的。
我们证明了衣原体筛查的改进对客户来说是可行、实用且可接受的。
