ABSTRACT Background National-level data suggest that STI testing rates among young adults are low. The purpose of this study was to evaluate the acceptability of an STI self-testing program at a university health center. Few evaluations have been conducted on the acceptability of collegiate self-testing programs and their effect on testing uptake. Methods To assess acceptability and uptake of self-testing (urine and SCVS), we conducted a brief self-administered survey of students accessing a large US-based university health center from January – December 2015. Results In 2015, University Health Services experienced a 28.5% increase in CT/GC testing for males and 13.7% increase in testing for females compared to 2013 (baseline). In 2015, 12.4% of males and 4.8% of females tested positive for CT/GC via clinician testing, while 12.9% of males and 12.4% of females tested positive via self-testing. Females were more likely to test positive for CT/GC when selected to test via self-test versus a clinician test, X2(1, N = 3068) = 36.54, p<.01; no significant difference in testing type was observed for males. Overall, 22.5% of students who opted for the self-test option completed the acceptability survey; 63% reported their main reason for testing was unprotected sex. In the past year, 42% reported 4≥ partners. The majority were very satisfied and likely to use the service again (82%). Conclusions Self-testing may be an efficient and effective way to provide STI testing for students, and increase testing uptake. Self-reports of multiple partners, unprotected sex, and detected infections suggest that at-risk students are using the service.
Sexually Transmitted Diseases – Wolters Kluwer Health
Published: Apr 1, 2017
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