Returning home sampling kits for STI and HIV testing in people using a digital health HIV-PrEP pathway (PrEP-EmERGE)

Russell, Annie C. J.; Tasker, Sarah; Nichols, Kayleigh; Tweed, Marc; Darking, Mary; Whetham, Jennifer; Richardson, Daniel

doi:10.1136/sextrans-2022-055724

Cited by 2 publications

(4 citation statements)

References 8 publications

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“…While some studies show that posted self-collection kits are cost-effective, administrative and mailing costs can be a concern, especially when uptake rates are low. 5,34 Alternatives, such as community drop-off and pickup locations for self-sampling kits, may help offset some of the costs and time delays associated with mailing and should be investigated further alongside other innovative strategies to support rural uptake. Without targeted strategies to reach CALD and rurally located users, online service offerings may reinforce existing service divides.…”

Section: Discussionmentioning

confidence: 99%

“…Postal delivery options for at-home self-sampling kits and oral treatment, as offered in some services could play a role in improving rural access. While some studies show that posted self-collection kits are cost-effective, administrative and mailing costs can be a concern, especially when uptake rates are low 5,34 . Alternatives, such as community drop-off and pickup locations for self-sampling kits, may help offset some of the costs and time delays associated with mailing and should be investigated further alongside other innovative strategies to support rural uptake.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4] Furthermore, increased uptake of preexposure prophylaxis and its accompanying requirement for regular STI screening place increased demand on existing testing services. 5 Sexually transmitted infection testing services are struggling to meet ever-increasing demand. 6 Consequently, many countries are shifting to online service platforms to expand capacity and access to STI testing services.…”

mentioning

confidence: 99%

“…Many high-income countries are facing rising sexually transmitted infection (STI) notifications, particularly among young people 1–4 . Furthermore, increased uptake of preexposure prophylaxis and its accompanying requirement for regular STI screening place increased demand on existing testing services 5 . Sexually transmitted infection testing services are struggling to meet ever-increasing demand 6 .…”

mentioning

confidence: 99%

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Moving towards online-based STI testing and treatment services for young people: Who will use it and what do they want?

Ludwick,

Walsh,

Cardwell

et al. 2023

Sexual Trans Dis

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Introduction The market for online STI services is rapidly expanding. Online health services often have unequal uptake among different demographics of the population. There is a need to understand how different online delivery options for STI testing may appeal to different groups of young people, particularly young people who have higher rates of STI diagnoses or access barriers. Materials and methods An online survey of young Australians aged 16-29 was conducted to understand service preferences regarding: consultation (telehealth, fully automated questionnaire); testing (electronic pathology form, at-home self-sampling); treatment (e-prescriptions, mailed oral tablets); and partner notification (web tools). Multivariable multinomial logistic regression examined associations between user characteristics and service preferences and adjusted relative risk ratios (aRRR) and 95% confidence intervals are presented. Results Among 905 respondents, rural youth were more likely to prefer fully automated questionnaires (aRRR = 1.9; 95% CI 1.0 to 3.5) over telehealth consultations, whereas culturally and linguistically diverse youth (CALD) were less likely (aRRR = 0.4; 95% CI 0.2 to 0.7). Rural youth preferred at-home self-sampling kits (aRRR = 1.9; 95% CI 1.3, 2.7) over electronic forms for on-site collection at pathology centres, with the opposite for CALD youth (aRRR = 0.7; 95% CI 0.5,1.0). Receiving oral antibiotics by mail was preferred by rural youth (aRRR:2.3 95% CI 1.1, 4.6) over for in-clinic treatment, but not for CALD youth (aRRR = 0.5; 95% CI 0.4, 0.8). Discussion Our findings suggest that rural youth tend to prefer self-navigated and automated options whereas CALD prefer options with greater provider engagement. Online STI service providers should consider how different service options may affect equitable uptake across the population, and implications for addressing disparities in testing and treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%