Article ; Online: Attitudes and Preferences Regarding Non-Clinic-Based Self-Collection for Sexually Transmitted Infection Testing Among Clinic Attendees in British Columbia, Canada.
2021 Volume 49, Issue 1, Page(s) 15–21
Abstract: Background: Sexually transmitted infections (STIs) are a global epidemic; although screening programs reduce transmission, barriers, including access and stigma, hinder success. The World Health Organization highlights the ability to maintain health ... ...
| Abstract | Background: Sexually transmitted infections (STIs) are a global epidemic; although screening programs reduce transmission, barriers, including access and stigma, hinder success. The World Health Organization highlights the ability to maintain health without the direct support of a health care provider as one form of self-care, which can be applied to STI testing. Self-care through non-clinic-based self-collection for STI testing can address barriers while providing comprehensive care. Before implementation of innovative changes to screening approaches, it is important to understand if communities who rely on in-person care will self-collect outside of the clinic setting. This study investigated willingness to use non-clinic-based self-collection for STI testing among STI clinic attendees in British Columbia, Canada. Methods: Participants (n = 446) were recruited from STI clinics offering clinic-based self-collection for STI testing and completed a survey assessing self-care attitudes, including willingness to self-collect urine samples, throat swabs, and anogenital swabs outside of the clinic setting. Descriptive statistics, bivariable analyses, and multivariable models were conducted to investigate willingness to use non-clinic-based STI self-collection methods and associated correlates. Results: This population reported high willingness to use non-clinic-based self-collection methods for STI testing (urine samples, 73%; throat swabs, 67%; anogenital swabs, 65%). Those aged 35 to 54 years compared with 15 to 34 years were more likely to be willing (adjusted odds ratio, 1.87; 95% confidence interval, 1.03-3.50); those identifying as straight/mostly straight compared with gay/lesbian were less likely to be willing (adjusted odds ratio, 0.39; 95% confidence interval, 0.23-0.65). Conclusions: Non-clinic-based self-collection for STI testing can address barriers to testing while maintaining quality care. Those currently receiving in-person care find these methods highly acceptable. These findings reinforce that self-collection for STI testing used in British Columbia clinics is acceptable to clients and may be extended to collection performed outside of the clinical setting. |
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| MeSH term(s) | Adult ; Ambulatory Care Facilities ; British Columbia/epidemiology ; Female ; Humans ; Middle Aged ; Patient Acceptance of Health Care ; Sexual and Gender Minorities ; Sexually Transmitted Diseases/epidemiology |
| Language | English |
| Publishing date | 2021-07-06 |
| Publishing country | United States |
| Document type | Journal Article |
| ZDB-ID | 435191-5 |
| ISSN | 1537-4521 ; 0148-5717 |
| ISSN (online) | 1537-4521 |
| ISSN | 0148-5717 |
| DOI | 10.1097/OLQ.0000000000001513 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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