- Internet-accessed (e) sexually transmitted infection (STI) testing services delivered with usual care appear to increase uptake, reduce time-to-test in community-based, young, never-testers aged 16-30 years.
- Strategies to manage additional demand of e-testing unclear.
Why this matters
- Offering e-testing services alongside usual care increases overall STI testing among vulnerable and test-averse adolescents, young adults.
- Ensure that STI testing includes sexual health information, access to condoms/other contraception, understanding/direction to additional, face-to-face services.
- 437 patients included (213/244 intervention group, 224/284 control).
- At 6 weeks, 45.3% vs 24.1%, intervention, controls, respectively, completed ≥1 STI test (relative risk [RR], 1.88, P<.001>
- For chlamydia/gonorrhea testing combined, 44.3% vs 24.1%, intervention, controls, respectively, completed a test (RR, 1.84, P<.001>
- Over 42 days, time to test was 29.0 vs 36.3 days, intervention, controls, respectively, difference, 7.3 (95% CI, 4.5-10.1) days (P<.001>
- Among test completers, 4.3% (n=4) vs 2.3% (n=1), intervention, controls, respectively, tested positive for an STI.
- Secondary analysis of RCT data evaluating effects of e-STI testing on uptake of any STI test, chlamydia/gonorrhea tests, and time to test among a subgroup of young (16-30 years) English never-testers.
- Funding: Guy’s and St. Thomas’ Charity.
- Insufficiently powered to assess outcomes in later-care cascade.
- Recruitment/exposure bias.