Community-Based Assessment to Inform a Chlamydia Screening Program for Women in a Rural American Indian Community.
Sex Transm Dis
; 43(6): 390-5, 2016 06.
Article
em En
| MEDLINE
| ID: mdl-27196261
ABSTRACT
BACKGROUND:
Rates of chlamydial infection in American Indian/Alaska Native women in the United States are approximately 4-fold those in non-Hispanic white women. We conducted a community-based survey of self-identified American Indian/Alaska Native women 14 to 25 years of age on a reservation in the Northwestern United States to inform a chlamydia screening strategy.METHODS:
The anonymous survey assessed respondents' knowledge, perceptions, and preferences related to chlamydia screening, results receipt, and partner notification. We recruited women using respondent-driven sampling, school-based sampling, and direct recruitment through social media and fliers. Participants in schools completed the survey as a paper-based, self-administered survey. Other participants could complete the survey in person, by phone as an interviewer-administered survey, or online.RESULTS:
We recruited 162 participants, most in schools (n = 83; 51%) or by peer referral (n = 55; 34%). Only 1 woman completed the survey online. Thirty-one respondents (19%) reported a history of an unplanned first pregnancy, and 19 (12%) reported a history of a diagnosed sexually transmitted disease. Most women (n = 98; 63%) recognized the potential impact of Chlamydia trachomatis on fertility. The preferred site for chlamydia screening was the Indian Health Service Clinic (n = 114; 70%), but 79 women (41%) would accept a C. trachomatis test at a nonclinical testing site. Of the 56 women (35%) who would accept home testing, most preferred to get the test kit from a clinic.CONCLUSIONS:
Our results suggest that Indian Health Service efforts to increase chlamydia screening in the clinic and through outreach may be more successful than promotion of home testing in this population.
Texto completo:
1
Temas:
ECOS
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Aspectos_gerais
Bases de dados:
MEDLINE
Assunto principal:
Infecções por Chlamydia
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Infecções Sexualmente Transmissíveis
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Chlamydia trachomatis
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Conhecimentos, Atitudes e Prática em Saúde
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Programas de Rastreamento
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Busca de Comunicante
Tipo de estudo:
Diagnostic_studies
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Prognostic_studies
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Qualitative_research
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Screening_studies
Limite:
Adolescent
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Adult
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Female
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Humans
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Pregnancy
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Sex Transm Dis
Ano de publicação:
2016
Tipo de documento:
Article