RESEARCH ARTICLE


Acceptability and Opportunity for Chlamydia Screening in Acute Care



Kathleen Tebb*, Mary-Ann Shafer, Fay Chang, Emily Rosenfeld, Rosanna M. Sansone, Ralph Gonzales
University of California San Francisco, Division of Adolescent Medicine, 3333 California St, Suite 245, San Francisco, CA 94118, USA.


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Tebb et al.; Licensee Bentham Open

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the University of California San Francisco, Division of Adolescent Medicine, 3333 California St, Suite 245, San Francisco, CA 94118, USA; Tel: 415-514-0941; Fax: 415-476-6106; E-mails: tebbk@peds.ucsf.edu


Abstract

This study examined the acceptability of Chlamydia trachomatis screening among 138 young women in a university-based urgent care setting and the extent to which the urgent care setting represents a missed-opportunity for screening at-risk women. Most women (86%) in need of a chlamydial test found it acceptable to be screened at their urgent care visit – even though their visit was unrelated to a reproductive health issue. Women who were in need of a chlamydial test were significantly less likely to have a primary-care provider than those who were up-to-date (41% vs. 24%, respectively; X=4.2, df=1, p=0.04). This study found chlamydial screening acceptable to young women who are being seen for non-reproductive related health visits in the urgent care setting. Implementing such efforts in urgent care settings can successfully reach a substantial proportion of at risk women who would otherwise not be screened for chlamydial.

Keywords: Chlamydia trachomatis, screening , acute care , sexually transmitted infections , young adult women .