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https://hdl.handle.net/2440/106773
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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 1449-8987 |
Statement of Responsibility: | 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 |
Grant ID: | http://purl.org/au-research/grants/nhmrc/568806 |
Published version: | http://healthbulletin.org.au/articles/patient-staffing-and-health-centre-factors-associated-with-annual-testing-for-sexually-transmissible-infections-in-remote-primary-health-centres/ |
Appears in Collections: | Aurora harvest 3 Public Health publications |
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