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Curr Opin Infect Dis. 2011 Feb;24(1):78-84. doi: 10.1097/QCO.0b013e32834204a8.

Screening for sexually transmitted infections at home or in the clinic?

Author information

1
Division of Clinical Research, Department of Obstetrics and Gynecology, Washington University in St. Louis School of Medicine, St. Louis, Missouri, USA.

Abstract

PURPOSE OF REVIEW:

The aim is to assess the evidence in support of home-based versus clinic-based screening for sexually transmitted infections.

RECENT FINDINGS:

Home-based screening for sexually transmitted infections has been shown to be a feasible approach for men and women from a variety of settings, including high-risk, low-income, and resource-poor communities. In recent studies, the testing rate with home-based screening was up to 11 times greater than the testing rate with clinic-based screening. For most individuals, self-collection and testing of urine or vaginal specimens at home was considered to be easy, acceptable, and often preferred over testing at a clinic. There is limited evidence with regard to the cost effectiveness of home-based versus clinic-based screening for sexually transmitted infections. However, a study from the United States concluded that home-based screening is cost saving.

SUMMARY:

Improvements in screening rates for sexually transmitted infections can be achieved with home-based screening methods. Making low-cost home test kits available may encourage at-risk young individuals with less access to clinic care, who may not otherwise be screened, to self-test for sexually transmitted infections.

PMID:
21124216
PMCID:
PMC3125396
DOI:
10.1097/QCO.0b013e32834204a8
[Indexed for MEDLINE]
Free PMC Article
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