Your browser doesn't support javascript.
loading
Patient, staffing and health centre factors associated with annual testing for sexually transmissible infections in remote primary health centres.
Hengel, Belinda; Wand, Handan; Ward, James; Rumbold, Alice; Garton, Linda; Taylor-Thomson, Debbie; Silver, Bronwyn; McGregor, Skye; Dyda, Amalie; Mein, Jacqueline; Knox, Janet; Maher, Lisa; Kaldor, John; Guy, Rebecca.
Afiliación
  • Hengel B; Apunipima Cape York Health Council, Cairns, PO Box 12045, Earlville, Qld 4870, Australia.
  • Wand H; Kirby Institute, UNSW Australia, Wallace Wurth Building, Kensington, NSW 2052, Australia.
  • Ward J; South Australian Health and Medical Research Institute, North Terrace Adelaide, SA 5000, Australia.
  • Rumbold A; Menzies School of Health Research, Darwin, NT 0810, Australia.
  • Garton L; NT Department of Health, Sexual Health and Blood Borne Virus Unit, Casuarina, NT 0811, Australia.
  • Taylor-Thomson D; Menzies School of Health Research, Darwin, NT 0810, Australia.
  • Silver B; Menzies School of Health Research, Darwin, NT 0810, Australia.
  • McGregor S; Kirby Institute, UNSW Australia, Wallace Wurth Building, Kensington, NSW 2052, Australia.
  • Dyda A; Kirby Institute, UNSW Australia, Wallace Wurth Building, Kensington, NSW 2052, Australia.
  • Mein J; Apunipima Cape York Health Council, Cairns, PO Box 12045, Earlville, Qld 4870, Australia.
  • Knox J; Lismore Sexual Health Service, NSW Health, Sydney, NSW, 2480, Australia.
  • Maher L; Kirby Institute, UNSW Australia, Wallace Wurth Building, Kensington, NSW 2052, Australia.
  • Kaldor J; Kirby Institute, UNSW Australia, Wallace Wurth Building, Kensington, NSW 2052, Australia.
  • Guy R; Kirby Institute, UNSW Australia, Wallace Wurth Building, Kensington, NSW 2052, Australia.
Sex Health ; 14(3): 274-281, 2017 06.
Article en En | MEDLINE | ID: mdl-28445684
BACKGROUND: In high-incidence Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) settings, annual re-testing is an important public health strategy. Using baseline laboratory data (2009-10) from a cluster randomised trial in 67 remote Aboriginal communities, the extent of re-testing was determined, along with the associated patient, staffing and health centre factors. METHODS: Annual testing was defined as re-testing in 9-15 months (guideline recommendation) and a broader time period of 5-15 months following an initial negative CT/NG test. Random effects logistic regression was used to determine factors associated with re-testing. RESULTS: Of 10559 individuals aged ≥16 years with an initial negative CT/NG test (median age=25 years), 20.3% had a re-test in 9-15 months (23.6% females vs 15.4% males, P<0.001) and 35.2% in 5-15 months (40.9% females vs 26.5% males, P<0.001). Factors independently associated with re-testing in 9-15 months in both males and females were: younger age (16-19, 20-24 years); and attending a centre that sees predominantly (>90%) Aboriginal people. Additional factors independently associated with re-testing for females were: being aged 25-29 years, attending a centre that used electronic medical records, and for males, attending a health centre that employed Aboriginal health workers and more male staff. CONCLUSIONS: Approximately 20% of people were re-tested within 9-15 months. Re-testing was more common in younger individuals. Findings highlight the importance of recall systems, Aboriginal health workers and male staff to facilitate annual re-testing. Further initiatives may be needed to increase re-testing.
Asunto(s)
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones por Chlamydia / Gonorrea / Enfermedades de Transmisión Sexual / Servicios de Salud del Indígena Tipo de estudio: Clinical_trials / Prognostic_studies / Risk_factors_studies / Screening_studies Límite: Adolescent / Adult / Female / Humans / Male País/Región como asunto: Oceania Idioma: En Revista: Sex Health Asunto de la revista: DOENCAS SEXUALMENTE TRANSMISSIVEIS Año: 2017 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Australia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones por Chlamydia / Gonorrea / Enfermedades de Transmisión Sexual / Servicios de Salud del Indígena Tipo de estudio: Clinical_trials / Prognostic_studies / Risk_factors_studies / Screening_studies Límite: Adolescent / Adult / Female / Humans / Male País/Región como asunto: Oceania Idioma: En Revista: Sex Health Asunto de la revista: DOENCAS SEXUALMENTE TRANSMISSIVEIS Año: 2017 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Australia