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首页> 外文期刊>Sexually Transmitted Infections >Does internet-accessed STI (e-STI) testing increase testing uptake for chlamydia and other STIs among a young population who have never tested? Secondary analyses of data from a randomised controlled trial
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Does internet-accessed STI (e-STI) testing increase testing uptake for chlamydia and other STIs among a young population who have never tested? Secondary analyses of data from a randomised controlled trial

机译：互联网访问的STI（E-STI）测试是否在从未测试过的年轻人中增加了衣原体和其他STI的测试？ 来自随机对照试验的数据分析

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To assess the effectiveness of an internet-accessed STI (e-STI) testing and results service on testing uptake among young adults (16–30 years) who have never tested for STIs in London, England.We conducted secondary analyses on data from a randomised controlled trial. In the trial, participants were randomly allocated to receive a text message with the web link of an e-STI testing and results service (intervention group) or a text message with the link of a website listing the locations, contact details and websites of seven local sexual health clinics (control group). We analysed a subsample of 528 trial participants who reported never testing for STIs at baseline. Outcomes were self-reported STI testing at 6 weeks, verified by patient record checks, and time from randomisation to completion of an STI test.Uptake of STI testing among ‘never testers’ almost doubled. At 6 weeks, 45.3% of the intervention completed at least one test (chlamydia, gonorrhoea, syphilis and HIV), compared with 24.1% of the control (relative risk [RR] 1.88, 95%?CI 1.47 to 2.40, p<0.001). For chlamydia and gonorrhoea testing combined, uptake was 44.3% in the intervention versus 24.1% in controls (RR 1.84, 95%?CI 1.44 to 2.36, p<0.001). The intervention reduced time to any STI test (restricted mean survival time: 29.0 days vs 36.3 days, p<0.001) at a time horizon of 42 days.e-STI testing increased uptake of STI testing and reduced time to test among a young population of ‘never testers’ recruited in community settings. Although encouraging, questions remain on how best to manage the additional demand generated by e-STI testing in a challenging funding environment. Larger studies are required to assess the effects later in the cascade of care, including STI diagnoses and cases treated.
机译：评估互联网访问的STI（E-STI）测试的有效性（E-STI）测试和结果服务在英国伦敦伦敦斯蒂斯从未测试过的年轻成年人（16-30岁）的效果。我们对来自A的数据进行了次要分析随机对照试验。在试验中，随机分配参与者以接收带有E-STI测试和结果服务（干预组）的Web链接的短信，或者与网站的链接列出位置，联系方式和七个网站局部性健康诊所（对照组）。我们分析了一个528名试验参与者的子样本，他们报告了在基线上没有测试STI。结果是在6周内自我报告的STI测试，通过患者记录检查验证，从随机化到完成STI测试的时间。“从不测试者”几乎翻了一番STI测试。在6周内，45.3％的干预完成至少一次测试（衣原体，淋病，梅毒和艾滋病毒），与24.1％的对照（相对风险[RR] 1.88,95％？CI 1.47至2.40，P <0.001 ）。对于衣原体和淋病检测，介入的摄影为44.3％，对照组24.1％（RR 1.84,95％？CI 1.44至2.36，P <0.001）。干预减少了任何STI测试的时间（限制平均存活时间：29.0天与36.3天，P <0.001）在42天的时间。 - STI测试增加了STI测试的摄取，并减少了年轻人的测试时间'从不测试者'在社区设置中招募。虽然令人鼓舞，但问题仍然是如何最好地管理E-STI测试在充满挑战的资金环境中产生的额外需求。需要更大的研究来评估稍后在级联的级联中的效果，包括STI诊断和治疗病例。

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