Self-sampled multi-anatomic site testing for uncovering the community burden of undiagnosed Chlamydia trachomatis and Neisseria gonorrhoeae infection in men who have sex with men.
Purpose: To detect otherwise undiagnosed asymptomatic sexually transmitted infection (STI), and for estimating prevalence among men who have sex with men (MSM). Methods: In this community-based study in Hong Kong, adult MSM were recruited. After completion of an online survey, free multi-anatomic si...
| Publicado en: | Infection Vol. 52; no. 2; pp. 491 - 503 |
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| Autores principales: | , , , , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Springer Nature
Apr2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=176180891&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 176180891 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03008126 NXO jtl: Infection issn: 03008126 maglogo: N pubinfo: dt: Apr2024 vid: 52 iid: 2 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 176180891 173072371 176180891 176180891 10.1007/s15010-023-02107-7 176180891 ppf: 491 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Self-sampled multi-anatomic site testing for uncovering the community burden of undiagnosed Chlamydia trachomatis and Neisseria gonorrhoeae infection in men who have sex with men. aug: au: Wong, Ngai Sze Chan, Denise Pui-Chung Chung, Sze Long Kwan, Tsz Ho Lee, Krystal Chi-Kei Kwan, Chi Keung Lee, Shui Shan affil: JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China sug: subj: Neisseria Infections Diagnosis Chlamydia Infections Diagnosis Self-Testing Methods Specimen Handling Methods Chlamydia Trachomatis Men Who Have Sex With Men Self-Diagnosis Human China Hong Kong Adolescence Young Adult Adult Prospective Studies Surveys Neisseria Infections Epidemiology Chlamydia Infections Epidemiology Prevalence Urine Specimen Collection Pharynx Microbiology Rectum Microbiology Logistic Regression Data Analysis Software Confidence Intervals Odds Ratio Descriptive Statistics Funding Source Adolescent: 13-18 years Adult: 19-44 years ab: Purpose: To detect otherwise undiagnosed asymptomatic sexually transmitted infection (STI), and for estimating prevalence among men who have sex with men (MSM). Methods: In this community-based study in Hong Kong, adult MSM were recruited. After completion of an online survey, free multi-anatomic sites self-sampling kits (urine specimens, pharyngeal and rectal swabs) for Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) tests were delivered to requesting participants. Factors associated with STI positivity were analyzed in logistic regression. Results: From September 2021 to October 2022, 712 MSM were recruited, with 86% aged 18–39, and 16% reported history of chemsex engagement. A majority (81%) had previously undergone HIV testing, 68% had ever tested for STI, and 35% previously diagnosed with STI. Totally 428 (60%) had requested self-sampling kits, and 276 (39%) returned collected samples. Among participants who returned the samples, about half had never been tested in the past and had no history of STI. Overall 21% tested positive for CT and/or NG (CT/NG)—CT positive 16% and NG positive 7%. By anatomic site, 16% of rectal swabs, 7% of pharyngeal swabs, but just 3% of urine specimens were CT/NG positive. The prevalence of CT/NG was not significantly different by history of STI diagnosis and testing. Conclusion: Self-sampled STI testing is a potentially useful means for enhancing uptake of screening in MSM in the community, which could uncover otherwise undiagnosed asymptomatic infections. Internet-based self-sampling for STI testing could complement the current clinic-based STI testing for supporting epidemiologic evaluation of STI control in the community. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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