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Bracebridge, Samantha, Bachmann, Max 
ORCID: https://orcid.org/0000-0003-1770-3506, Ramkhelawon, Krishna and Woolnough, Alison
(2012)
Evaluation of a systematic postal screening and treatment service for genital Chlamydia trachomatis, with remote clinic access via the internet: a cross-sectional study, East of England.
Sexually Transmitted Infections, 88 (5).
pp. 375-381.
Abstract
Objective England's National Chlamydia Screening Programme provides opportunistic testing for all 15–24-year-olds in healthcare and non-healthcare settings. The authors undertook an evaluation of a population service-based postal chlamydia screening and treatment service, with registration and access to the service via the internet, in order to target screening interventions more effectively in future. Methods Individuals aged between 18 and 24 years, within the North East Essex Primary Care Trust, were identified for chlamydia screening by the service between 1 December 2008 and 31 January 2009. Associations between test uptake and positivity, and individuals' personal characteristics, were examined. The efficacy of partner notification was estimated, and the costs of screening were compared with the national average. Results Uptake of chlamydia screening was 11.5%, with lower response rates among men, individuals older than 20 years and those living in more deprived areas. The chlamydia positivity was 4.4% and higher in those reporting multiple sexual partners, individuals older than 20 years and those living in more deprived areas. The proportion of partners notified per index case was 0.17. The service contributed to 3431 of the overall 11?209 annual chlamydia screens of the Primary Care Trust in 2008–2009, at a cost of £78 per screening test completed and £1764 per case detected. Conclusions Our evaluation shows that this service model can contribute substantially to the overall coverage of chlamydia screening tests. However, the costs of service provision per case detected and treated, using this model, were high compared to the National Chlamydia Screening Programme.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | young adult,humans,chlamydia trachomatis,england,cross-sectional studies,mass screening,self administration,adult,lymphogranuloma venereum,adolescent,postal service,contact tracing,female,internet,male |
| Faculty \ School: | Faculty of Medicine and Health Sciences > Norwich Medical School |
| UEA Research Groups: | Faculty of Medicine and Health Sciences > Research Groups > Health Services and Primary Care Faculty of Science > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Centres > Population Health |
| Depositing User: | Pure Connector |
| Date Deposited: | 26 Jun 2013 11:05 |
| Last Modified: | 19 Oct 2023 01:08 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/42506 |
| DOI: | 10.1136/sextrans-2011-050267 |
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