What Sexually Transmitted Disease Screening Method Does the Adolescent Prefer?

Serlin, Michelle; Shafer, Mary–Ann; Tebb, Kathleen; Gyamfi, Afua-Adoma; Moncada, Jeanne; Schachter, Julius; Wibbelsman, Charles J.

doi:10.1001/archpedi.156.6.588

Cited by 75 publications

(29 citation statements)

References 14 publications

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“…Women are very interested in self-sampling techniques for the diagnosis of vaginal infections (Mercer, Taylor, Fricke, Baselski, & Sibai, 1995;Serlin et al, 2002). Diagnosis based on selfobtained vaginal samples has previously been reported for bacterial vaginosis, Chlamydia, group B Streptococcus infection, and human papillomavirus (Coutlee, Hankins, & Lapointe, 1997;Domeika & Drulyte, 2000;Domeika et al, 1999;Mercer et al, 1995;Sturm, Moodley, Nzimande, Balkistan, Connolly, & Sturm 2002;Wiesenfeld, Heine, Rideout, Macio, DiBiasi, & Sweet, 1996) However, these sampling procedures have not necessarily been practical for repeated samples by the patient, which could be stored and turned in at a later date or for mailed in specimens.…”

Section: Discussionmentioning

confidence: 99%

Acceptability of a self-sampling technique to collect vaginal smears for gram stain diagnosis of bacterial vaginosis

Boskey

Atherly-Trim

O’Campo

et al. 2004

Women's Health Issues

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To diagnose asymptomatic bacterial vaginosis (BV), self-sampled vaginal smears were collected during a study of risk factors for preterm birth in African American women. More than 90% of those women who were willing to participate in the interview portion of the study were also willing to provide a self-sampled vaginal smear. The smears are an acceptable and efficient way of detecting BV in an urban minority population.

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Section: Discussionmentioning

confidence: 99%

Acceptability of a self-sampling technique to collect vaginal smears for gram stain diagnosis of bacterial vaginosis

Boskey

Atherly-Trim

O’Campo

et al. 2004

Women's Health Issues

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“…20 While the diagnostic accuracy for NAAT may be highest with invasive testing methods, urine specimens for NAAT still produce improved accuracy over standard methods and may be warranted given the preference for this method among sexually active adolescents. 33 …”

Section: Discussionmentioning

confidence: 99%

Prevalence of 3 Sexually Transmitted Infections in a Pediatric Emergency Department

Miller

Dowd

Harrison

et al. 2015

Pediatric Emergency Care

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Objective To determine prevalence of Chlamydia trachomatis (CT), Neisseria gonorrheae (GC), and Trichomonas vaginalis (TV) and describe factors associated with sexually transmitted infection (STI) in a pediatric emergency department (ED). Methods Adolescents aged 14–19 years presenting to a Midwestern pediatric ED were asked to provide urine for STI testing and complete a survey about previous sexual activity (PSA), high-risk behaviors, demographics, and visit reason (reproductive = genital-urinary complaints, abdominal pain, or female with vomiting). Comparisons between subgroups were analyzed using Chi-square test. Results Among 200 subjects (64% of approached), mean age was 15.6 years; 63% were female. Eleven subjects (6%; 95% CI 2.3–8.7) tested positive for ≥1 STI: 10 for CT (one denied PSA), 3 for TV (all co-infected with CT), and 1 for GC. Half reported PSA; of these, 71% reported ≥1 high-risk behavior, most commonly first sex before age 15 years (51%) and no condom at last sex (42%). Among those with PSA and non-reproductive visit (N=73), 11.0% had ≥1 STI (95% CI 3.4–18.1). Two factors were associated with greater likelihood of positive STI test: reporting PSA vs. no PSA (10% vs. 1%, p=0.005) and last sex within ≤1 month vs. >1 month (20% vs. 0%, p=0.001). In this sample, none of the following characteristics were associated with STI: insurance, race, high-risk behaviors, age, or ED visit reason. Conclusion About 1 in 10 sexually active adolescent ED patients without reproductive complaints had ≥1 STI. This suggests the need for strategies to increase STI testing for this population.

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“…Because STI clinics yield many diagnoses (CDC, 2011), researchers have examined people's rationales for visiting such clinics (Hambly et al, 2006;Hitchings et al, 2009;Ross et al, 2006;Serlin et al, 2002). This research suggests that various factors are influential.…”

Section: Reasons For Accessing Sti Clinicsmentioning

confidence: 99%

“Express testing” in STI clinics: extant literature and preliminary implementation data

O’Byrne

Phillips

Campbell

et al. 2016

Applied Nursing Research

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What Sexually Transmitted Disease Screening Method Does the Adolescent Prefer?

Abstract: Most sexually active adolescents attending clinics for pelvic examination prefer to be screened for sexually transmitted diseases first by the FVU, second by the self-collected vaginal swab test, and last by the pelvic examination.

Cited by 75 publications

References 14 publications

Acceptability of a self-sampling technique to collect vaginal smears for gram stain diagnosis of bacterial vaginosis

Acceptability of a self-sampling technique to collect vaginal smears for gram stain diagnosis of bacterial vaginosis

Prevalence of 3 Sexually Transmitted Infections in a Pediatric Emergency Department

“Express testing” in STI clinics: extant literature and preliminary implementation data

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