Improving Chlamydia trachomatis retesting rates by mailed self-collection kit
Monika Buhrer-Skinner A B D , Reinhold Muller A , Petra G. Buettner A , Rose Gordon B and Joseph Debattista CA Anton Breinl Centre for Public Health and Tropical Medicine, James Cook University, Townsville, Qld 4811, Australia.
B Townsville Sexual Health Service, Institute of Primary Health and Ambulatory Care, Queensland Health, North Ward Health Campus, PO Box 5224, Townsville, Qld 4810, Australia.
C Sexual Health and AIDS Service, North Side Health Service District, Queensland Health, Brisbane, Qld 4000, Australia.
D Corresponding author. Email: Monika.BuhrerSkinner@jcu.edu.au
Sexual Health 8(2) 248-250 https://doi.org/10.1071/SH10064
Submitted: 3 June 2010 Accepted: 14 October 2010 Published: 18 May 2011
Abstract
Background: To assess a mailed self-collection kit for chlamydia testing as an intervention to increase post-treatment retesting rates. Methods: This prospective intervention study took place at a sexual health clinic in Townsville, North Queensland (Australia) between 2006 and 2008. The intervention consisted of offering to mail a self-collection kit for retesting 3 months after treatment. The achieved retesting rates were compared to those from the previous year and to concurrent controls who did not participate in the intervention. Both control groups received standard advice on retesting. Results: Of the 46 participants in the intervention group, 34.8% returned the sample for retesting 3 to 4 months after initial treatment, in comparison to 6.8% of the historic control groups (n = 206) and 1.4% of the concurrent control group (n = 142) (P < 0.001, respectively). Conclusions: Retesting rates for Chlamydia trachomatis were substantially and significantly improved using the mailed self-collection kit evidencing that the kit could deliver a much needed intervention to improve notoriously low retesting rates.
Additional keywords: Australia, non-clinic based testing, postal kit.
References
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