Patient, staffing and health centre factors associated with annual testing for sexually transmissible infections in remote primary health centres
Background: In high-incidence Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) settings, annual re-testing is an important public health strategy. Using baseline laboratory data (2009–10) from a cluster randomised trial in 67 remote Aboriginal communities, the extent of re-testing was deter...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Journal Article |
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C S I R O Publishing
2017
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| Online Access: | http://hdl.handle.net/20.500.11937/54362 |
| _version_ | 1848759353138479104 |
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| author | Hengel, B. Wand, H. Ward, J. Rumbold, A. Garton, L. Taylor-Thomson, D. Silver, B. McGregor, S. Dyda, A. Mein, J. Knox, J. Maher, L. Kaldor, J. Guy, R. McDermott, R. Skov, S. Boffa, John Ah Chee, D. Law, M. Fairley, C. Donovan, B. Glance, D. |
| author_facet | Hengel, B. Wand, H. Ward, J. Rumbold, A. Garton, L. Taylor-Thomson, D. Silver, B. McGregor, S. Dyda, A. Mein, J. Knox, J. Maher, L. Kaldor, J. Guy, R. McDermott, R. Skov, S. Boffa, John Ah Chee, D. Law, M. Fairley, C. Donovan, B. Glance, D. |
| author_sort | Hengel, B. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Background: In high-incidence Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) settings, annual re-testing is an important public health strategy. Using baseline laboratory data (2009–10) from a cluster randomised trial in 67 remote Aboriginal communities, the extent of re-testing was determined, along with the associated patient, staffing and health centre factors. Methods: Annual testing was defined as re-testing in 9–15 months (guideline recommendation) and a broader time period of 5–15 months following an initial negative CT/NG test. Random effects logistic regression was used to determine factors associated with re-testing. Results: Of 10 559 individuals aged ≥16 years with an initial negative CT/NG test (median age = 25 years), 20.3% had a re-test in 9–15 months (23.6% females vs 15.4% males, P < 0.001) and 35.2% in 5–15 months (40.9% females vs 26.5% males, P < 0.001). Factors independently associated with re-testing in 9–15 months in both males and females were: younger age (16–19, 20–24 years); and attending a centre that sees predominantly (>90%) Aboriginal people. Additional factors independently associated with re-testing for females were: being aged 25–29 years, attending a centre that used electronic medical records, and for males, attending a health centre that employed Aboriginal health workers and more male staff. Conclusions: Approximately 20% of people were re-tested within 9–15 months. Re-testing was more common in younger individuals. Findings highlight the importance of recall systems, Aboriginal health workers and male staff to facilitate annual re-testing. Further initiatives may be needed to increase re-testing. |
| first_indexed | 2025-11-14T09:58:32Z |
| format | Journal Article |
| id | curtin-20.500.11937-54362 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T09:58:32Z |
| publishDate | 2017 |
| publisher | C S I R O Publishing |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-543622017-11-07T01:38:23Z Patient, staffing and health centre factors associated with annual testing for sexually transmissible infections in remote primary health centres Hengel, B. Wand, H. Ward, J. Rumbold, A. Garton, L. Taylor-Thomson, D. Silver, B. McGregor, S. Dyda, A. Mein, J. Knox, J. Maher, L. Kaldor, J. Guy, R. McDermott, R. Skov, S. Boffa, John Ah Chee, D. Law, M. Fairley, C. Donovan, B. Glance, D. Background: In high-incidence Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) settings, annual re-testing is an important public health strategy. Using baseline laboratory data (2009–10) from a cluster randomised trial in 67 remote Aboriginal communities, the extent of re-testing was determined, along with the associated patient, staffing and health centre factors. Methods: Annual testing was defined as re-testing in 9–15 months (guideline recommendation) and a broader time period of 5–15 months following an initial negative CT/NG test. Random effects logistic regression was used to determine factors associated with re-testing. Results: Of 10 559 individuals aged ≥16 years with an initial negative CT/NG test (median age = 25 years), 20.3% had a re-test in 9–15 months (23.6% females vs 15.4% males, P < 0.001) and 35.2% in 5–15 months (40.9% females vs 26.5% males, P < 0.001). Factors independently associated with re-testing in 9–15 months in both males and females were: younger age (16–19, 20–24 years); and attending a centre that sees predominantly (>90%) Aboriginal people. Additional factors independently associated with re-testing for females were: being aged 25–29 years, attending a centre that used electronic medical records, and for males, attending a health centre that employed Aboriginal health workers and more male staff. Conclusions: Approximately 20% of people were re-tested within 9–15 months. Re-testing was more common in younger individuals. Findings highlight the importance of recall systems, Aboriginal health workers and male staff to facilitate annual re-testing. Further initiatives may be needed to increase re-testing. 2017 Journal Article http://hdl.handle.net/20.500.11937/54362 10.1071/SH16123 C S I R O Publishing restricted |
| spellingShingle | Hengel, B. Wand, H. Ward, J. Rumbold, A. Garton, L. Taylor-Thomson, D. Silver, B. McGregor, S. Dyda, A. Mein, J. Knox, J. Maher, L. Kaldor, J. Guy, R. McDermott, R. Skov, S. Boffa, John Ah Chee, D. Law, M. Fairley, C. Donovan, B. Glance, D. Patient, staffing and health centre factors associated with annual testing for sexually transmissible infections in remote primary health centres |
| title | Patient, staffing and health centre factors associated with annual testing for sexually transmissible infections in remote primary health centres |
| title_full | Patient, staffing and health centre factors associated with annual testing for sexually transmissible infections in remote primary health centres |
| title_fullStr | Patient, staffing and health centre factors associated with annual testing for sexually transmissible infections in remote primary health centres |
| title_full_unstemmed | Patient, staffing and health centre factors associated with annual testing for sexually transmissible infections in remote primary health centres |
| title_short | Patient, staffing and health centre factors associated with annual testing for sexually transmissible infections in remote primary health centres |
| title_sort | patient, staffing and health centre factors associated with annual testing for sexually transmissible infections in remote primary health centres |
| url | http://hdl.handle.net/20.500.11937/54362 |