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    Patient, staffing and health centre factors associated with annual testing for sexually transmissible infections in remote primary health centres

    Access Status
    Fulltext not available
    Authors
    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, John
    Ah Chee, D.
    Law, M.
    Fairley, C.
    Donovan, B.
    Glance, D.
    Date
    2017
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Hengel, B. and Wand, H. and Ward, J. and Rumbold, A. and Garton, L. and Taylor-Thomson, D. and Silver, B. et al. 2017. Patient, staffing and health centre factors associated with annual testing for sexually transmissible infections in remote primary health centres. Sexual Health. 14 (3): pp. 274-281.
    Source Title
    Sexual Health
    DOI
    10.1071/SH16123
    ISSN
    1448-5028
    School
    National Drug Research Institute (NDRI)
    URI
    http://hdl.handle.net/20.500.11937/54362
    Collection
    • Curtin Research Publications
    Abstract

    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 10 559 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.

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