Evidence map›Paper›PMID 29437985›Full record

ArticleSexually transmitted infections2018

Comparing the characteristics of users of an online service for STI self-sampling with clinic service users: a cross-sectional analysis.

Sharmani Barnard, Caroline Free, Ioannis Bakolis, Katy M E Turner, Katharine J Looker, Paula Baraitser

Abstract readComparative Study
In one paragraph

Article in Sexually transmitted infections, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  18. HIV and STI Testing Preferences for Men Who Have Sex with Men in High-Income Countries: A Scoping Review.International journal of environmental research and public health · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Sharmani BarnardSchool of Population Health and Environmental Sciences, Centre for Global Health and Health Partnerships, King's College London, London, UK.
Caroline FreeFaculty of Epidemiology, London School of Hygiene and Tropical Medicine, London, UK.
Ioannis BakolisDepartment of Biostatistics and Health Services Research, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Katy M E TurnerDepartment of Veterinary Sciences, Bristol Vet School, University of Bristol, Bath, UK.ORCID 0000-0002-8152-6017
Katharine J LookerDepartment of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Paula BaraitserSchool of Population Health and Environmental Sciences, Centre for Global Health and Health Partnerships, King's College London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesOnline services for self-sampling at home could improve access to STI testing; however, little is known about those using this new modality of care. This study describes the characteristics of users of online services and compares them with users of clinic services.

methodsWe conducted a cross-sectional analysis of routinely collected data on STI testing activity from online and clinic sexual health services in Lambeth and Southwark between 1January 2016 and 31March 2016. Activity was included for chlamydia, gonorrhoea, HIV and syphilis testing for residents of the boroughs aged 16 years and older. Logistic regression models were used to explore potential associations between type of service use with age group, gender, ethnic group, sexual orientation, positivity and Index of Multiple Deprivation (IMD) quintiles. We used the same methods to explore potential associations between return of complete samples for testing with age group, gender, ethnic group, sexual orientation and IMD quintiles among online users.

results6456 STI tests were carried out by residents in the boroughs. Of these, 3582 (55.5%) were performed using clinic services and 2874 (44.5%) using the online service. In multivariate analysis, online users were more likely than clinic users to be aged between 20 and 30 years, female, white British, homosexual or bisexual, test negative for chlamydia or gonorrhoea and live in less deprived areas. Of the individuals that ordered a kit from the online service, 72.5% returned sufficient samples. In multivariate analysis, returners were more likely than non-returners to be aged >20 years and white British.

conclusionNearly half (44.5%) of all basic STI testing was done online, although the characteristics of users of clinic and online services differed and positivity rates for those using the online service for testing were lower. Clinics remain an important point of access for some groups.

Indexed as

Diagnostic Self EvaluationSpecimen HandlingAdolescentAdultAgedAged, 80 and overAmbulatory Care FacilitiesChlamydia InfectionsCross-Sectional StudiesFemaleGonorrheaHealth ServicesHIV InfectionsHumansInternetLogistic Modelsepidemiology (general)health serv researchsexual healthtesting

Identifiers

PMID29437985
PMCPMC6204942

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.