Objectives: To assess the feasibility and acceptability of opportunistic Chlamydia trachomatis (CT) screening of asymptomatic men attending three different secondary healthcare settings and investigate CT positivity in these settings.
Methods: Men attending fracture, fertility, and family planning clinics were invited to be screened by first void urine and complete a questionnaire collecting demographic, sexual, and behavioural characteristics and their opinion of the screening process.
Results: A total of 1290 men were approached, with 80% participating. The number of men approached, number providing a satisfactory urine specimen and CT positivity rate (95% CI) for the family planning clinic was n = 401, n = 206, 14.6% (10.4-20.1), for the fracture clinic was n = 505, n = 328, 1.2% (0.5-3.2) and for the fertility clinic was n = 384, n = 319, 0.3% (0.1 -1.8) respectively. The highest rates of CT infection were found in men attending the family planning clinic aged between 20-24 years. The majority of men from all three clinics felt that the setting (87.9%) and specimen (97.7%) were acceptable.
Conclusion: Opportunistic chlamydial screening of asymptomatic males in three secondary healthcare settings found high positivity rates, but low uptake rates in a family planning setting compared with fertility and fracture clinics. Innovative and targeted intervention strategies are required to engage this high risk group of men in screening.