Evidence map›Paper›PMID 41962005›Full record

ArticleJournal of medical Internet research2026

Health Equity Analysis of Awareness and Use of GetCheckedOnline, British Columbia's Digital Intervention for Sexually Transmitted and Blood-Borne Infection Testing in 5 Urban, Suburban, and Rural Communities: Cross-Sectional Survey Study.

Rodrigo Sierra Rosales, Aidan Ablona, Hsiu-Ju Chang, Devon Haag, Heather Pedersen, Catherine Worthington, Daniel Grace, Rod Knight, Devon Greyson, Mark Gilbert

Abstract read
In one paragraph

Article in Journal of medical Internet research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Rodrigo Sierra RosalesSchool of Population and Public Health, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.ORCID http://orcid.org/0009-0004-5088-5051
Aidan AblonaToronto Public Health, Toronto, ON, Canada.ORCID http://orcid.org/0000-0003-1436-6276
Hsiu-Ju ChangClinical Prevention Services, BC Centre for Disease Control, 655 West 12th Avenue, Vancouver, BC, V5Z 4R4, Canada, 1 778-879-2457, 1 604-707-2401.ORCID http://orcid.org/0000-0002-0369-2407
Devon HaagClinical Prevention Services, BC Centre for Disease Control, 655 West 12th Avenue, Vancouver, BC, V5Z 4R4, Canada, 1 778-879-2457, 1 604-707-2401.ORCID http://orcid.org/0000-0003-4955-1017
Heather PedersenClinical Prevention Services, BC Centre for Disease Control, 655 West 12th Avenue, Vancouver, BC, V5Z 4R4, Canada, 1 778-879-2457, 1 604-707-2401.ORCID http://orcid.org/0000-0003-3019-7011
Catherine WorthingtonSchool of Public Health & Public Policy, University of Victoria, Victoria, BC, Canada.ORCID http://orcid.org/0000-0003-3075-8229
Daniel GraceDalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.ORCID http://orcid.org/0000-0002-9032-3959
Rod KnightÉcole de Santé Publique, Université de Montréal, Montréal, QC, Canada.ORCID http://orcid.org/0000-0002-1464-1584
Devon GreysonSchool of Population and Public Health, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.ORCID http://orcid.org/0000-0003-4860-384X
Mark GilbertSchool of Population and Public Health, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.ORCID http://orcid.org/0000-0001-5978-6843

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Digital sexually transmitted and blood-borne infection (STBBIs) testing services are used to improve testing access, but might replicate existing social inequities. Previous research has shown that the digital STBBI testing service GetCheckedOnline has improved access to testing in British Columbia (BC), Canada. As part of the program's continuous evaluation, we examined awareness and use of the service in 5 urban, suburban, and rural communities where the program has expanded. Objective: This study aimed to determine if social location is associated with differences in awareness and use of the service in 5 communities outside Vancouver, BC. Methods: From July to September 2022, we conducted a cross-sectional survey recruiting (in-person and online) sexually active people aged 16 years or older in 5 urban, suburban, and rural communities where GetCheckedOnline had sample collection sites available at the time. We examined differences in awareness and use by age, gender identity, sexual identity, race/ethnicity, education, and income using logistic regression models informed by the Health Equity Measurement Framework. Results: Of the 1658 participants (n=1058, 63.8% in-person and n=600, 36.2% online), 35.3% (586/1658) were aware of GetCheckedOnline and 19.5% (324/1658) had used it. Awareness and use were lower in the first and last age quartiles compared to the second quartile (>38 years: awareness odds ratio [OR] 0.23, 95% CI 0.17-0.32; use OR 0.19, 95% CI 0.12-0.28; <25 years: awareness OR 0.39, 95% CI 0.28-0.53; use OR 0.28, 95% CI 0.18-0.41). Awareness and use were also lower in the lowest income group compared to the highest (awareness OR 0.39, 95% CI 0.24-0.65; use OR 0.36, 95% CI 0.20-0.65). Awareness and use were higher among genderfluid, genderqueer, and nonbinary participants compared to men (awareness OR 2.27, 95% CI 1.63-3.18; use OR 1.97, 95% CI 1.36-2.84), transgender compared to cisgender participants (awareness OR 2.17, 95% CI 1.54-3.06; use OR 2.15, 95% CI 0.46-3.13), and nonheterosexual compared to heterosexual participants (awareness OR 2.37, 95% CI 1.89-2.97; use OR 2.53, 95% CI 1.91-3.38). People of color had higher awareness and use vs White participants (awareness OR 1.74, 95% CI 1.34-2.26; use OR 2.01, 95% CI 1.48-2.72). Indigenous participants had higher awareness than White participants (OR 1.65, 95% CI 1.19-2.20) but no difference in use. Women had similar awareness but lower use compared to men (OR 0.68, 95% CI 0.50-0.92). Conclusions: GetCheckedOnline is an equitable means of access to STBBI testing for some but not all equity-owed groups in BC. Further adaptations should consider factors such as differences in material circumstances to improve its accessibility for all.

Indexed as

Health EquityHealth Knowledge, Attitudes, PracticeSexually Transmitted DiseasesAdolescentAdultBritish ColumbiaCross-Sectional StudiesDigital HealthFemaleHumansMaleMiddle AgedRural PopulationSuburban PopulationUrban PopulationYoung Adultdigital healthhealth equityhuman immunodeficiency virus (HIV)sexually transmitted infectionstesting

Identifiers

PMID41962005
PMCPMC13068189

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.