A centralised statewide coaching program delivered by telephone and mail-out overcomes obstacles of distance and limited access to health services and facilitates a guideline-concordant decrease in cardiovascular risk.

Background A free online chlamydia and gonorrhoea urine testing service (Webtest) is available for people living in Queensland, Australia. There are two options to provide a urine sample: at a pathology collection centre or by using a home mailing kit. The study aimed to trial these two testing options designed for young people and describe which is the preferred testing choice. Methods: Data for online requests made from 3 August 2017 to 31 December 2019 provides information for age, gender, location of clients, results received, treatment and partner notification reported by people with positive results. Results: For 29 months, there were 4642 Webtest requests and 2906 valid results received. For young people (16–29 years), chlamydia positivity was 8.2% (172/2105; 95% CI, 7.1–9.4) versus 3.2% (26/801; 95% CI, 2.2–4.7) for people aged ≥30 years, and 6.8% (198/2906; 95% CI, 6.0–7.8) for all ages. Home mailing kits were the most popular testing choice, with 68.0% (1977/2906) of results received from urine submitted by post and 32.0% (929/2906) via pathology collection centre. Conclusions: The free online test request service engaged young people at risk of sexually transmissible infections and found home sample collection was most popular.

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Online options to request sexually transmissible infections testing are increasingly popular and a free online chlamydia and gonorrhoea urine testing service is available for people living in Queensland, Australia. Data from 3 August 2017 to 31 August 2019 provide information for 1316 reminder calls to young people (aged 16–29 years) to encourage sample submission. The reminder calls generated few additional samples for testing, suggesting young people may have changed their mind about using the service, sought testing elsewhere or were reluctant to talk further about their original decision to request a test online.

There is a need to establish standard occupational classification categories for the public health workforce.