Central Cllinical School, Monash University, Melbourne, Victoria, Australia
Melbourne Sexual Health Centre, Alfred Health, Melbourne, Victoria, Australia.
Sex Transm Infect. 2022 Sep;98(6):408-413. doi: 10.1136/sextrans-2021-055182. Epub 2021 Sep 17.
As most chlamydia cases are asymptomatic, regular testing and timely management may be necessary for control. We aimed to determine the preferences of people living in Hong Kong for chlamydia testing and management services.
An online panel of sexually active individuals living in Hong Kong completed the survey with two discrete choice experiments (DCEs). The first DCE examined the preferred attributes of a chlamydia testing service (cost, location, appointment time, speed of results, delivery of results and availability of other STI testing). The second DCE examined the preferred attributes of a chlamydia management service (cost, access to patient-delivered partner therapy, location, travel time, type of person consulted and attitude of staff).
In total, 520 individuals participated: average age 36.8 years (SD 9.9), 40% males and 66% had a bachelor's degree or higher. Choosing to test was most influenced by cost, followed by speed of results, delivery of results, extra STI testing, appointment available and the least important was the location of testing. Choosing to attend for management was most influenced by staff's attitude, followed by cost, who they consult, access to patient-delivered partner therapy, travel time and the least important was treatment location.
To design effective chlamydia testing and management services, it is vital to respond to patient needs and preferences. For people living in Hong Kong, cost and staff attitude were the most important factors for deciding whether to test or be managed for chlamydia, respectively.
由于大多数衣原体病例无症状，因此可能需要定期检测和及时管理来进行控制。本研究旨在确定居住在香港的人群对衣原体检测和管理服务的偏好。
通过两项离散选择实验（DCE），对居住在香港的活跃性伴侣的在线样本进行了调查。第一项 DCE 考察了衣原体检测服务的首选属性（成本、地点、预约时间、检测结果速度、检测结果交付以及其他性传播感染检测的提供情况）。第二项 DCE 考察了衣原体管理服务的首选属性（成本、能否提供患者递诊的伴侣治疗、地点、出行时间、咨询的人员类型以及工作人员的态度）。
共 520 人参与了研究：平均年龄 36.8 岁（标准差 9.9），40%为男性，66%拥有学士学位或更高学历。选择进行检测主要受成本影响，其次是检测结果速度、检测结果交付、额外的性传播感染检测、可预约检测的时间，而检测地点的重要性最低。选择接受管理主要受工作人员态度影响，其次是成本、咨询人员类型、能否提供患者递诊的伴侣治疗、出行时间，而治疗地点的重要性最低。
为设计有效的衣原体检测和管理服务，满足患者的需求和偏好至关重要。对于居住在香港的人群而言，成本和工作人员态度分别是决定是否进行衣原体检测或管理的最重要因素。
