Sex Transm Dis. 2018 Apr;45(4):272-277. doi: 10.1097/OLQ.0000000000000733.
National-level data suggest that sexually transmitted infection (STI) testing rates among young adults are low. The purpose of this study was to evaluate the acceptability of an STI self-testing program at a university health center. Few evaluations on the acceptability of collegiate self-testing programs and their effect on testing uptake have been conducted.
To assess acceptability and uptake of self-testing (urine and self-collected vaginal swab), we conducted a brief self-administered survey of students accessing a large US-based university health center from January to December 2015.
In 2015, University Health Services experienced a 28.5% increase in chlamydia (CT)/gonorrhea (GC) testing for male individuals and 13.7% increase in testing for female students compared to 2013 (baseline). In 2015, 12.4% of male students and 4.8% of female students tested positive for CT/GC via clinician testing, whereas 12.9% of male students and 12.4% of female students tested positive via self-testing. Female students were more likely to test positive for CT/GC when electing to test via self-test versus a clinician test (χ(1, N = 3068) = 36.54, P < 0.01); no significant difference in testing type was observed for male students. Overall, 22.5% of students who opted for the self-test option completed the acceptability survey; 63% reported that their main reason for testing was unprotected sex. In the past year, 42% reported 4 or more partners. The majority were very satisfied and likely to use the service again (82%).
Self-testing may be an efficient and effective way to provide STI testing for students and increase testing uptake. Self-reports of multiple partners, unprotected sex, and detected infections suggest that at-risk students are using the service.
国家级数据表明,年轻人的性传播感染(STI)检测率较低。本研究旨在评估大学健康中心的 STI 自检计划的可接受性。目前,很少有关于大学生自检计划的可接受性及其对检测率的影响的评估。
为了评估自检(尿液和自我采集的阴道拭子)的可接受性和采用率,我们对 2015 年 1 月至 12 月期间访问美国一家大型大学健康中心的学生进行了简短的自我管理调查。
与 2013 年(基线)相比,2015 年,男性个体的衣原体(CT)/淋病(GC)检测量增加了 28.5%,女性学生的检测量增加了 13.7%。2015 年,12.4%的男性学生和 4.8%的女性学生通过临床医生检测呈 CT/GC 阳性,而 12.9%的男性学生和 12.4%的女性学生通过自检呈 CT/GC 阳性。与选择临床医生检测相比,女性学生通过自检检测呈 CT/GC 阳性的可能性更高(χ(1, N = 3068) = 36.54, P < 0.01);而男性学生则没有观察到检测类型的显著差异。总的来说,选择自检选项的学生中有 22.5%完成了可接受性调查;63%的人报告他们检测的主要原因是无保护性行为。在过去的一年中,42%的人报告有 4 个或更多的性伴侣。大多数人非常满意,并可能再次使用该服务(82%)。
自我检测可能是为学生提供性传播感染检测并提高检测率的一种有效且高效的方法。自我报告的多个性伴侣、无保护性行为和检测到的感染表明,高危学生正在使用该服务。