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RESEARCH ARTICLE

Access to sexual health advice using an automated, internet-based risk assessment service

David M. Lee A B , Christopher K. Fairley A B , Jun Kit Sze B , Tim Kuo B , Rosey Cummings B , Jade Bilardi A and Marcus Y. Chen A B C
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- Author Affiliations

A School of Population Health, University of Melbourne, 580 Swanston Street, Vic. 3053, Australia.

B Melbourne Sexual Health Centre, Alfred Hospital, 580 Swanston Street, Vic. 3053, Australia.

C Corresponding author. Email: mchen@mshc.org.au

Sexual Health 6(1) 63-66 https://doi.org/10.1071/SH08046
Submitted: 25 June 2008  Accepted: 21 October 2008   Published: 23 February 2009

Abstract

Background: The present study aimed to determine the sexual risk profile of people using an automated, internet-based service that allows internet users to receive recommendations on sexually transmissible infection screening (‘Check your risk’ (CYR), http://www.checkyourrisk.org.au/), and to compare this with that of patients attending the Melbourne Sexual Health Centre (MSHC) for the first time over the same 6-month period: January–June 2006. Methods: The characteristics of those who used CYR and those who attended MSHC were compared using a χ2-test for categorical variables and the Mann–Whitney U-test for non-parametric data. Results: There were 2492 users who accessed CYR and 2735 who attended MSHC over the period. The age of CYR users was similar to that of MSHC patients when compared according to risk groups. The median number of recent sexual partners reported by CYR users was similar to and not significantly lower than that reported by MSHC patients. Of the 309 CYR users who provided a rating for the CYR site, 215 (70%) rated it as being ‘useful’ to ‘very useful’. Conclusions: Individuals who accessed an automated, internet-based sexual risk assessment service were at substantial risk for sexually transmitted infections, similar to those attending a sexual health service.

Additional keywords: screening, sexual history, STI risk, testing.


Acknowledgements

We wish to thank all nursing, medical, allied health and administrative staff at Melbourne Sexual Health Centre for their input into the design of CYR. MC is supported by NHMRC Fellowship no. 400399.


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