Factors associated with screening for sexually transmitted infections

Published:February 29, 2012DOI:


      The purpose of this study was to determine predictors of the completion of free annual sexually transmitted infection screening among sexually active young women of ≤25 years old.

      Study Design

      We analyzed survey data from 2607 sexually active women who were enrolled in the Contraceptive CHOICE Project, a prospective cohort study. We evaluated demographic characteristics, sexual risk behaviors, relationship characteristics, and contraceptive methods. Receipt of a home- or clinic-based test kit within 56 days of the 12-month survey constituted a completed screen. A multivariable model to predict screening completion was created with the use of Poisson regression with robust error variance.


      Fifty-seven percent of the women completed the screening. Screening completion was associated most strongly with a college education or higher (adjusted relative risk, 1.2; 95% confidence interval, 1.1–1.3) and home-based testing (adjusted relative risk, 1.3; 95% confidence interval, 1.2–1.5).


      Free and home-based testing increased screening rates among young women. To meet annual testing guidelines, the availability and use of home-based testing kits should increase.

      Key words

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