Article Text

Download PDFPDF
Original article
A mixed methods approach to assess the likelihood of testing for STI using self-collected samples among behaviourally bisexual women
  1. Vanessa Schick1,
  2. Barbara Van Der Pol2,
  3. Brian Dodge3,
  4. Aleta Baldwin3,
  5. J Dennis Fortenberry4
  1. 1Division of Management, Policy, and Community Health, University of Texas Health Science Center at Houston, Houston, Texas, USA
  2. 2Division of Infectious Diseases, University of Alabama at Birmingham, Birmingham, Alabama, USA
  3. 3Indiana University—Bloomington, Center for Sexual Health Promotion, Bloomington, Indiana, USA
  4. 4Division of Adolescent Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA
  1. Correspondence to Dr Vanessa R Schick, The University of Texas Health Science Center at Houston, School of Public Health, 1200 Pressler Street, Rm E-917, Houston, TX 77030, USA; Vanessa.Schick{at}


Objectives Behaviourally bisexual women (women who have sex with women and men (WSWM)) are more likely to report a history of sexually transmitted infections (STI) than women who have sex exclusively with men or exclusively with women. Barriers to care may prohibit WSWM from seeking STI testing. The present study investigated participant willingness to self-collect oral, vaginal and anal samples for STI testing.

Methods Eighty WSWM were recruited from two midwestern locations. After completing an online questionnaire, a subset of the participants were interviewed (n=54) and provided the option to self-collect oral, vaginal and/or anal samples to screen for Chlamydia trachomatis, Neisseria gonorrhoeae and Trichomonas vaginalis.

Results Over two-thirds (67.5%, n=54) of the participants completed the baseline scheduled and attended the interview. The majority of these participants provided vaginal (87.0%, n=47), oral (85.2%, n=46) and/or anal (61.1%, n=33) samples. Participants with a history of anal play were significantly more likely to provide an anal sample. C. trachomatis infection was identified in the samples of 6.8% (n=3) of the participants including 4.5% (n=2) of the vaginal samples and 3.3% (n=1) of the anal samples. None of the samples were positive for N. gonorrhoeae or T. vaginalis. Participants who reported a recent history of anal sexual behaviour with a male partner were significantly more likely to self-collect an anal sample.

Conclusions Given the comparatively high STI rates among WSWM, self-sampling in non-traditional settings may present a unique opportunity to provide needed care to this underserved population of women.

  • STI Diagnosis
  • Self-Sampling
  • Bisexual
  • Sexual Minority
  • Women who have sex with Women

Statistics from

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.