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dc.contributor.authorHengel, B.
dc.contributor.authorWand, H.
dc.contributor.authorWard, J.
dc.contributor.authorRumbold, A.
dc.contributor.authorGarton, L.
dc.contributor.authorTaylor-Thomson, D.
dc.contributor.authorSilver, B.
dc.contributor.authorMcGregor, S.
dc.contributor.authorDyda, A.
dc.contributor.authorMein, J.
dc.contributor.authorKnox, J.
dc.contributor.authorMaher, L.
dc.contributor.authorKaldor, J.
dc.contributor.authorGuy, R.
dc.contributor.authorMcDermott, R.
dc.contributor.authorSkov, S.
dc.contributor.authorBoffa, John
dc.contributor.authorAh Chee, D.
dc.contributor.authorLaw, M.
dc.contributor.authorFairley, C.
dc.contributor.authorDonovan, B.
dc.contributor.authorGlance, D.
dc.date.accessioned2017-07-27T05:20:41Z
dc.date.available2017-07-27T05:20:41Z
dc.date.created2017-07-26T11:11:23Z
dc.date.issued2017
dc.identifier.citationHengel, 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.
dc.identifier.urihttp://hdl.handle.net/20.500.11937/54362
dc.identifier.doi10.1071/SH16123
dc.description.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.

dc.publisherC S I R O Publishing
dc.titlePatient, staffing and health centre factors associated with annual testing for sexually transmissible infections in remote primary health centres
dc.typeJournal Article
dcterms.source.volume14
dcterms.source.number3
dcterms.source.startPage274
dcterms.source.endPage281
dcterms.source.issn1448-5028
dcterms.source.titleSexual Health
curtin.departmentNational Drug Research Institute (NDRI)
curtin.accessStatusFulltext not available


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