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Factors associated with screening for sexually transmitted infections

Published:February 29, 2012DOI:https://doi.org/10.1016/j.ajog.2012.02.020

      Objective

      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.

      Results

      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).

      Conclusion

      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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      References

        • Centers for Disease Control and Prevention
        Chlamydia screening among sexually active young female enrollees of health plans: United States, 2000-2007.
        MMWR Morb Mortal Wkly Rep. 2009; 58: 362-365
        • Centers for Disease ControlPrevention
        Infertility & STDs: STD information from CDC [CDC STD Web site]: July 21, 2011.
        (Accessed Aug. 11, 2011)
        • Centers for Disease ControlPrevention
        Chlamydia and Gonorrhea: two most commonly reported infectious diseases in the United States [CDC Data & Statistics Feature Web site]: April 22, 2011.
        (Accessed Aug. 11, 2011)
        • Tilson E.C.
        • Sanchez V.
        • Ford C.L.
        • et al.
        Barriers to asymptomatic screening and other STD services for adolescents and young adults: focus group discussions.
        BMC Public Health. 2004; 4: 21
        • Blake D.R.
        • Lemay C.A.
        • Indurkhya A.
        Correlates of readiness to receive Chlamydia screening among 2 populations of youths.
        Arch Pediatr Adolesc Med. 2007; 161: 1088-1094
        • Chacko M.R.
        • von Sternberg K.
        • Velasquez M.M.
        • et al.
        Young women's perspective of the pros and cons to seeking screening for Chlamydia and Gonorrhea: an exploratory study.
        J Pediatr Adolesc Gynecol. 2008; 21: 187-193
        • Chacko M.R.
        • Wiemann C.M.
        • Smith P.B.
        Chlamydia and Gonorrhea screening in asymptomatic young women.
        J Pediatr Adolesc Gynecol. 2004; 17: 169-178
        • Centers for Disease Control and Prevention
        CDC grand rounds: Chlamydia prevention: challenges and strategies for reducing disease burden and sequelae.
        MMWR Morb Mortal Wkly Rep. 2011; 60: 370-373
        • Secura G.M.
        • Allsworth J.E.
        • Madden T.
        • Mullersman J.L.
        • Peipert J.F.
        The Contraceptive CHOICE Project: reducing barriers to long-acting reversible contraception.
        Am J Obstet Gynecol. 2010; 203: 115.e1-115.e7
        • Phillips K.A.
        • Kerlikowske K.
        • Baker L.C.
        • et al.
        Factors associated with women's adherence to mammography screening guidelines.
        HSR: Health Serv Res. 1998; 33: 29-53
        • Ata A.
        • Elzey J.D.
        • Insaf T.Z.
        • et al.
        Colorectal cancer prevention: adherence patterns and correlates of tests done for screening purposes within United States populations.
        Cancer Detect Prev. 2006; 30: 134-143
        • Graseck A.S.
        • Secura G.M.
        • Allsworth J.E.
        • et al.
        Home compared with clinic-based screening for sexually transmitted infections: a randomized controlled trial.
        Obstet Gynecol. 2010; 116: 1311-1318
        • Cook R.L.
        • Østergaard L.
        • Hillier S.L.
        • et al.
        Home screening for sexually transmitted diseases in high-risk young women: randomized controlled trial.
        Sex Transm Infect. 2007; 83: 286-291
        • Wiehe S.E.
        • Rosenman M.B.
        • Wang J.
        • et al.
        Chlamydia screening among young women: individual- and provider-level differences in testing.
        Pediatrics. 2011; 127: 336-344
        • Heijne J.C.
        • Tao G.
        • Kent C.K.
        • et al.
        Uptake of regular Chlamydia testing by US women: a longitudinal study.
        Am J Prev Med. 2010; 39: 243-250