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https://hdl.handle.net/2440/106773
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dc.contributor.author | Hengel, B. | - |
dc.contributor.author | Wand, H. | - |
dc.contributor.author | Ward, J. | - |
dc.contributor.author | Rumbold, A. | - |
dc.contributor.author | Garton, L. | - |
dc.contributor.author | Taylor-Thomson, D. | - |
dc.contributor.author | Silver, B. | - |
dc.contributor.author | McGregor, S. | - |
dc.contributor.author | Dyda, A. | - |
dc.contributor.author | Mein, J. | - |
dc.contributor.author | Knox, J. | - |
dc.contributor.author | Maher, L. | - |
dc.contributor.author | Kaldor, J. | - |
dc.contributor.author | Guy, R. | - |
dc.contributor.author | McDermott, R. | - |
dc.contributor.author | Skov, S. | - |
dc.contributor.author | Boffa, J. | - |
dc.contributor.author | Ah Chee, D. | - |
dc.contributor.author | Law, M. | - |
dc.contributor.author | Fairley, C. | - |
dc.contributor.author | et al. | - |
dc.date.issued | 2017 | - |
dc.identifier.citation | Sexual Health, 2017; 14(3):274-281 | - |
dc.identifier.issn | 1448-5028 | - |
dc.identifier.issn | 1449-8987 | - |
dc.identifier.uri | http://hdl.handle.net/2440/106773 | - |
dc.description.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. | - |
dc.description.statementofresponsibility | 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 | - |
dc.language.iso | en | - |
dc.publisher | CSIRO Publishing | - |
dc.rights | Journal compilation © CSIRO 2017 | - |
dc.source.uri | http://healthbulletin.org.au/articles/patient-staffing-and-health-centre-factors-associated-with-annual-testing-for-sexually-transmissible-infections-in-remote-primary-health-centres/ | - |
dc.subject | Aboriginal; annual screening; chlamydia; gonorrhoea; guidelines; re-testing; primary health care | - |
dc.title | Patient, staffing and health centre factors associated with annual testing for sexually transmissible infections in remote primary health centres | - |
dc.type | Journal article | - |
dc.identifier.doi | 10.1071/SH16123 | - |
dc.relation.grant | http://purl.org/au-research/grants/nhmrc/568806 | - |
pubs.publication-status | Published | - |
dc.identifier.orcid | Rumbold, A. [0000-0002-4453-9425] | - |
Appears in Collections: | Aurora harvest 3 Public Health publications |
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