"尿杯法": 在爱尔兰共和国的学生人群中对现场衣原体筛查的可接受性和接受度。
"Pee-in-a-Pot": acceptability and uptake of on-site chlamydia screening in a student population in the Republic of Ireland.
机构信息
National University of Ireland Galway, Galway, Ireland.
出版信息
BMC Infect Dis. 2010 Nov 11;10:325. doi: 10.1186/1471-2334-10-325.
BACKGROUND
The aim of the study was to explore the acceptability and uptake of on-campus screening using a youth friendly approach in two Third Level higher education institutions (HEIs). This study is part of wider research exploring the optimal setting for chlamydia screening in Ireland.
METHODS
Male and female students were given the opportunity to take a free anonymous test for chlamydia during a one week programme of "pee-in-a-pot" days at two HEI campuses in the West of Ireland. The study was set up after extensive consultation with the two HEIs and advertised on the two campuses using a variety of media in the two weeks preceding the screening days. Screening involved the provision and distribution of testing packs at communal areas and in toilet facilities. In Ireland, chlamydia notifications are highest amongst 20-29 year olds and hence the screening criterion was aimed at 18-29 year olds. Urine samples were tested using a nucleic acid amplification test (NAAT). Following the screening days, qualitative in-depth interviews were conducted with participants about their experiences of the event.
RESULTS
Out of 1,249 test kits distributed in two HEIs, 592 specimens were collected giving a return rate of 47.5%. Tests excluded (54) were due to labelling errors or ineligibility of participants' age. Two thirds of those tested were females and the mean age was 21 years. Overall, 3.9% (21/538) of participants tested positive, 5% (17/336) among females and 2% (4/191) among males. Participant interviews identified factors which enhanced student participation such as anonymity, convenience, accessibility of testing, and the informal and non-medical approach to testing.
CONCLUSIONS
Screening for chlamydia using on-campus "pee-in-a-pot" days is an acceptable strategy in this population. This model can detect and treat asymptomatic cases of chlamydia and avoid many of the barriers associated with testing for sexually transmitted infections (STIs) in clinical settings.
背景
本研究旨在探索在爱尔兰，采用一种对年轻人友好的方式，在两所高等教育机构（HEI）内开展校园筛查的可接受性和参与度。本研究是探索爱尔兰衣原体筛查最佳场所的更广泛研究的一部分。
方法
在爱尔兰西部的两所 HEI 校园内，为期一周的“尿杯检测”活动中，男女生都有机会接受免费匿名衣原体检测。在开展该研究之前，与这两所 HEI 进行了广泛的协商，并在筛查前两周内，通过多种媒体在这两所校园内进行了宣传。筛查包括在公共区域和厕所设施内提供和分发检测包。在爱尔兰，20-29 岁人群的衣原体通报率最高，因此筛查标准针对的是 18-29 岁人群。尿液样本使用核酸扩增检测（NAAT）进行检测。在筛查日结束后，对参与者进行了有关其活动经历的深入定性访谈。
结果
在两所 HEI 共发放了 1249 个检测试剂盒，其中 592 个标本被采集，回收率为 47.5%。因标签错误或参与者年龄不合格而被排除的测试（54 个）。接受测试的人中，三分之二为女性，平均年龄为 21 岁。总体而言，3.9%（21/538）的参与者检测结果呈阳性，女性为 5%（17/336），男性为 2%（4/191）。参与者访谈确定了增强学生参与度的因素，例如匿名性、便利性、检测的可及性，以及对检测的非正式和非医疗方法。
结论
在该人群中，采用校园内“尿杯检测”的方式筛查衣原体是一种可接受的策略。这种模式可以发现和治疗无症状的衣原体病例，并避免了在临床环境中进行性传播感染（STI）检测所涉及的许多障碍。
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