rss
Sex Transm Infect doi:10.1136/sti.2006.020149

Opportunistic screening for chlamydia trachomatis in men attending three different secondary health care settings.

  1. Sreebala Sripada (ogy302{at}abdn.ac.uk)
  1. University of Aberdeen, United Kingdom
    1. Susan Logan (gs.logan{at}virgin.net)
    1. University of Aberdeen, United Kingdom
      1. Susan McGillivray (um2sm{at}abdn.ac.uk)
      1. University of Aberdeen, United Kingdom
        1. Hamish Mckenzie (h.mckenzie{at}abdn.ac.uk)
        1. University of Aberdeen, United Kingdom
          1. Alistair Sutherland (a.g.sutherland{at}abdn.ac.uk)
          1. University of Aberdeen, United Kingdom
            1. Mark Hamilton (m.hamilton{at}abdn.ac.uk)
            1. University of Aberdeen, United Kingdom
              1. Siladitya Bhattacharya (ogy162{at}abdn.ac.uk)
              1. University of Aberdeen, United Kingdom
                • Published Online First 21 February 2007

                Abstract

                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.

                Register for free content

                The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.

                Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.