School of Population Health and Environmental Sciences, King's College London, London, UK.
School of Population Health and Environmental Sciences, King's College London, London, UK
Sex Transm Infect. 2019 May;95(3):171-174. doi: 10.1136/sextrans-2018-053796. Epub 2019 Mar 5.
To describe the outcomes of user-led, choice of test within an online sexual health service.
We analysed routinely collected data from a free, online sexual health service in Essex, UK that enabled users to select their tests. The service website provided information on all sexually transmitted infections, recommended a testing package based on sexuality and ethnicity, and invited users to modify this if they chose. Data on orders were analysed for the 6 months before (May-October 2016) and after (October-April 2017) implementation.
We compared 7550 orders from 6253 users before and 9785 orders from 7772 users after implementation. There was no difference in the proportion of chlamydia (p=0.57) or gonorrhoea (p=0.79) tests that were positive between the two periods. HIV and syphilis positives were too few in our sample during both periods for analysis. During implementation, men who have sex with men (530 users) were offered genital, rectal and oral chlamydia and gonorrhoea testing plus HIV and syphilis testing. In 17.2% of orders, users removed tests. Black or ethnic minority users excluding those who reported as men who have sex with men (805 users) were offered chlamydia, gonorrhoea and HIV testing. In 77.9% of orders, users added a test. All other users were offered chlamydia and gonorrhoea tests only. In 65.2% of orders, users added tests. We observed a reduction in orders of 3083 blood tests (31%).
Users engaged with the 'choose to test' intervention. Although a majority added tests, the intervention was cost saving by reducing the HIV and syphilis tests ordered.
描述在线性健康服务中用户主导、测试选择的结果。
我们分析了英国埃塞克斯免费在线性健康服务中常规收集的数据，该服务允许用户选择他们的测试。服务网站提供了所有性传播感染的信息，根据性别和种族推荐了测试包，并邀请用户根据自己的选择进行修改。对实施前 6 个月（2016 年 5 月至 10 月）和实施后 6 个月（2017 年 10 月至 4 月）的订单数据进行了分析。
我们比较了实施前后分别为 6253 名用户的 7550 个订单和 7772 名用户的 9785 个订单。两个时期的衣原体（p=0.57）或淋病（p=0.79）阳性测试比例没有差异。在两个时期，我们的样本中艾滋病毒和梅毒阳性病例都太少，无法进行分析。在实施期间，男男性行为者（530 名用户）提供了生殖器、直肠和口腔衣原体和淋病检测以及艾滋病毒和梅毒检测。在 17.2%的订单中，用户删除了测试。黑人或少数民族用户（不包括报告为男男性行为者的用户，共 805 名）提供了衣原体、淋病和艾滋病毒检测。在 77.9%的订单中，用户添加了测试。所有其他用户仅提供了衣原体和淋病检测。在 65.2%的订单中，用户添加了测试。我们观察到 3083 次血液检测订单减少（31%）。
用户参与了“选择检测”干预。尽管大多数用户增加了检测，但通过减少艾滋病毒和梅毒检测的订单，该干预节省了成本。
