芝加哥公共卫生部性传播感染专科诊所客户自我管理和在家检测的偏好和可接受性

IF 1.7 4区 医学 Q3 INFECTIOUS DISEASES
Sexually transmitted diseases Pub Date : 2025-11-01 Epub Date: 2025-07-04 DOI:10.1097/OLQ.0000000000002200
Michael Wasz, Jeremy Grey, Grace Kadubeck, Van Quach, David Kern, Tammy Rutledge, Irina Tabidze, Supriya D Mehta
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引用次数: 0

摘要

背景:芝加哥的性传播感染率很高,对弱势群体的影响尤为严重。自我管理的家庭检测(SAAHT)可以改善获得性传播感染检测的机会。在芝加哥公共卫生部STI诊所提供SAAHT服务之前,了解可能不太可能使用SAAHT的人的特征可以帮助CDPH预测哪些地方需要额外的努力来提高服务的利用率。方法:于2023年7月至9月在Lakeview和South Austin的CDPH STI专科诊所进行横断面调查。参与者(≥18岁)完成SAAHT可接受性调查。因子分析和修正泊松回归确定了与不使用SAAHT的可能性相关的因素。结果:不可能使用SAAHT方法的报告在男性、异性恋者、非西班牙裔黑人/非洲裔美国人、失业者或没有受过高等教育的人中更为普遍。不太可能使用SAAHT方法与SAAHT的便利性、结果可信度和使用SAAHT方法的自信心呈负相关。讨论:研究结果表明,CDPH患者普遍接受SAAHT,受访者报告至少有可能使用SAAHT,无论所涉及的程序如何。使用SAAHT方法的不可能性与人口统计学特征和对SAAHT的认知有关,并且根据收集方法、返回试剂盒的物流和接收结果的模式而有所不同。解决具体的方法问题,提供与文化相关的教育,并提供可选择的抽样技术可以提高可接受性。未来的工作应该探索偏好,以更好地定制干预措施,最终提高城市环境中SAAHT的使用和STI检测的可及性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Preferences and Acceptability Related to Self-Administered and At-Home Testing Among Clients at Chicago Department of Public Health STI Specialty Clinics.

Background: Chicago has high rates of sexually transmitted infections (STIs), disproportionately affecting vulnerable populations. Self-administered at-home testing (SAAHT) may improve access to STI testing. Before SAAHT services are made available at Chicago Department of Public Health (CDPH) STI clinics, understanding characteristics of persons who might be less likely to use SAAHT can help CDPH anticipate where extra effort might be needed to improve service utilization.

Methods: A cross-sectional survey was conducted from July to September 2023 at CDPH STI Specialty Clinics in Lakeview and South Austin. Participants (≥18 years of age) completed surveys on SAAHT acceptability. Factor analysis and modified Poisson regression identified factors associated with the likelihood of not using SAAHT.

Results: Reported unlikelihood of using SAAHT methods was more prevalent among person who were male, heterosexual, and non-Hispanic Black/African American, and those unemployed or without postsecondary education. Being unlikely to use SAAHT methods was inversely related to perceptions of SAAHT convenience, result trustworthiness, and self-confidence in using SAAHT methods.

Discussion: Findings indicate a general acceptability of SAAHT among CDPH clients, with respondents reporting being at least somewhat likely to use SAAHT regardless of the procedures involved. Unlikelihood of using SAAHT methods was related to demographic characteristics and perceptions of SAAHT, and associations differed according to method of collection, logistics of returning test kits, and mode of receiving results. Addressing method-specific concerns, providing culturally relevant education, and offering alternative sampling techniques could improve acceptability. Future efforts should explore preferences to better tailor interventions, ultimately enhancing SAAHT uptake and STI testing access in urban settings.

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来源期刊
Sexually transmitted diseases
Sexually transmitted diseases 医学-传染病学
CiteScore
4.00
自引率
16.10%
发文量
289
审稿时长
3-8 weeks
期刊介绍: ​Sexually Transmitted Diseases, the official journal of the American Sexually Transmitted Diseases Association​, publishes peer-reviewed, original articles on clinical, laboratory, immunologic, epidemiologic, behavioral, public health, and historical topics pertaining to sexually transmitted diseases and related fields. Reports from the CDC and NIH provide up-to-the-minute information. A highly respected editorial board is composed of prominent scientists who are leaders in this rapidly changing field. Included in each issue are studies and developments from around the world.
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