Gold Judy, Hocking Jane, Hellard Margaret
MacFarlane Burnet Institute for Medical Research and Public Health, Melbourne, Victoria.
Aust N Z J Public Health. 2007 Jun;31(3):243-6. doi: 10.1111/j.1467-842x.2007.00055.x.
To investigate the feasibility of recruiting young men from rural football clubs for screening for sexually transmitted infections (STIs).
Young men aged 16 to 29 were recruited from four football clubs outside of metropolitan areas in Victoria, Australia, and completed a questionnaire about sexual activity, knowledge and history of STIs, and alcohol and drug use, and provided a urine sample for STI testing.
One hundred and eight participants completed the questionnaire and 92 (85.2%) also provided a urine sample. More than 90% of eligible players present at the clubs on the night of the study participated. Eighty-seven participants (80.6%) had ever had penetrative sex, with 33 (39.3%) reporting a new sexual partner in the past three months. Among those who had ever had sex, the prevalence of chlamydia was 3.9% (95% Cl 0.8-11.0). While the majority of participants visited their doctor in the past year (78.7%) and were comfortable with the idea of an annual STI screen, few had ever discussed sex or STIs with their doctor or had a previous STI test.
Young men from rural areas may be at considerable risk of STIs and many have not been previously tested. However, most are willing to participate in screening programs and the high participation rate achieved in this pilot project demonstrates the potential for screening to be successfully extended into non-medical settings such as sporting clubs.
Young people at risk of STIs can be successfully recruited for STI screening from community settings.
探讨从农村足球俱乐部招募年轻男性进行性传播感染(STIs)筛查的可行性。
从澳大利亚维多利亚州大城市以外的四个足球俱乐部招募年龄在16至29岁之间的年轻男性,他们完成了一份关于性活动、性传播感染的知识和病史以及酒精和药物使用情况的问卷,并提供了一份尿液样本用于性传播感染检测。
108名参与者完成了问卷,92名(85.2%)还提供了尿液样本。在研究当晚俱乐部中符合条件的球员中,超过90%的人参与了。87名参与者(80.6%)曾有过插入式性行为,其中33名(39.3%)报告在过去三个月有新的性伴侣。在那些有过性行为的人中,衣原体感染率为3.9%(95%可信区间0.8 - 11.0)。虽然大多数参与者在过去一年看过医生(78.7%),并且对每年进行一次性传播感染筛查的想法感到放心,但很少有人曾与医生讨论过性或性传播感染,也没有进行过性传播感染检测。
农村地区的年轻男性可能面临相当大的性传播感染风险,而且许多人以前没有接受过检测。然而,大多数人愿意参加筛查项目,并且在这个试点项目中实现的高参与率表明,筛查有可能成功扩展到非医疗场所,如体育俱乐部。
可以成功地从社区环境中招募有性传播感染风险的年轻人进行性传播感染筛查。