Article Text

PDF
P4.106 Intention to re-test for sti as a predictor for sti
  1. Van Liere Gafs,
  2. Nicole Dukers-Muijrers,
  3. Christian Hoebe
  1. Public Health Service South Limburg, Medical Microbiology Maastricht University Medical Centre, Geleen, The Netherlands

Abstract

Introduction Guidelines advocate re-testing Chlamydia trachomatis(CT) and Neisseria gonorrhoeae(NG) positives within 3–12 months. Sexual risk behaviour is associated with CT/NG. Having a high intention to re-test could be a predictor for behaviour such as sexual risk behaviour. In this study we assess whether intention for re-testing before patients have received their test result is associated with CT or NG test result.

Methods Between 2014–2015, all STI clinic attendees answered the 5 point scale question “are you planning to return for testing the next year?” before CT/NG testing. Intention was categorised into very low(1), low(2), neutral(3) high(4) and very high(5). Patients were categorised in; women, heterosexual men and men who had sex with men in the past 6 months (MSM). The association between intention and CT/NG was assessed using backward logistic regression with determinants; age, warned by (ex)partner, symptoms and number of sex partners<6 months. Neutral intention was the reference category.

Results Intention to re-test was lower among women and heterosexual men (median 3, inter quartile range (IQR) 2–4) compared to MSM (5, IQR 4–5) (both p<0.001). Overall CT prevalence was 12.9%(n=359) in women, 13.7%(n=216) in heterosexual men and 10.5%(n=116) in MSM. For NG this was 1.5%(n=43), 1.8%(n=28) and 12.1% (n=134) respectively. In heterosexual men, having a high intention to re-test was associated with genital CT (OR1.5, 95% CI 1.03–1.3). In women, having a very high intention was associated with genital NG (OR3.5, 95% CI 1.3–9.0) and in MSM with anorectal NG (OR4.0, 95% CI 1.4–11.7). Of CT positives, 48.9%(n=338) had (very) high intention, for NG positives this was 81.5%(n=167).

Conclusion High intention to re-test was associated with genital CT/NG in heterosexuals and with anorectal NG in MSM. Healthcare providers could ask for and increase patients’ intention to re-test during the consultation by motivational interviewing, even without the CT/NG test result. Additionally re-testing should be promoted in diagnosed CT/NG positives, in accordance with guidelines.

Statistics from Altmetric.com

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.