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Type: Journal article
Title: Patient, staffing and health centre factors associated with annual testing for sexually transmissible infections in remote primary health centres
Author: Hengel, B.
Wand, H.
Ward, J.
Rumbold, A.
Garton, L.
Taylor-Thomson, D.
Silver, B.
McGregor, S.
Dyda, A.
Mein, J.
Knox, J.
Maher, L.
Kaldor, J.
Guy, R.
McDermott, R.
Skov, S.
Boffa, J.
Ah Chee, D.
Law, M.
Fairley, C.
et al.
Citation: Sexual Health, 2017; 14(3):274-281
Publisher: CSIRO Publishing
Issue Date: 2017
ISSN: 1448-5028
Statement of
Belinda Hengel, Handan Wand, James Ward, Alice Rumbold, Linda Garton, Debbie Taylor-Thomson, Bronwyn Silver, Skye McGregor, Amalie Dyda, Jacqueline Mein, Janet Knox, Lisa Maher, John Kaldor, Rebecca Guy and on behalf of the STRIVE Investigators
Abstract: 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.
Keywords: Aboriginal; annual screening; chlamydia; gonorrhoea; guidelines; re-testing; primary health care
Rights: Journal compilation © CSIRO 2017
DOI: 10.1071/SH16123
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