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• W3146088626 abstract "Background Universal gonorrhea and chlamydia (GC/CT) screening (offering GC/CT testing regardless of self-reported sexual activity) is a potentially effective method to address limitations of risk-based screening. No published studies have evaluated adolescents’ perspectives on universal GC/CT screening in a primary care setting. The purpose of this study is to describe previous GC/CT testing experiences among adolescents, and their intention to accept universal testing. Methods We conducted a cross-sectional quantitative survey study using convenience sampling at 2 academic center-affiliated primary care clinics in North Carolina. Eligible participants were English-speaking adolescents (13-23 years-old) seen within the past 3 years. Recruitment was via telephone. Variables of interest included age, sex, gender, sexual orientation, sexual behavior/activity, race, and factors related to acceptance of universal screening. History of GC/CT testing was examined in relation to variables of interest. The primary outcome was intention to be tested for GC/CT by universal screening in the future. Descriptive and bivariable statistics were calculated using χ2 and logistic regression. Results 68 adolescents have completed the survey and were included in this analysis. The majority of respondents self-identified as non-White (80%), heterosexual (77%), and female gender (59%). The mean age was 16.6 (range 13-21). 47% of the sample reported being sexually active, but only 40% had ever been tested for GC/CT. Sexual activity was not associated with a history of being tested (p=0.285). Of those tested in the past year (71%), most cited “because a healthcare provider recommended testing” as reason for testing (62%). The most common enabler for testing was physician recommendation (72%), and the most common barrier was not being sexually active (45%). The majority of respondents intend to be screened (81%). Those who do not intend to be screened (19%) were younger (mean 15.6 vs 16.8 years old, p=0.070), had never been tested for GC/CT (100%, p=0.003), and reported no sexual activity (92%, p=0.002). Of respondents who do not intend to be screened, 77% chose not being sexually active as a reason to not be comfortable testing. All respondents who identified as nonbinary gender or non-heterosexual reported intention to be screened. Conclusions Our findings suggest that many adolescents who are sexually active are not being screened for GC/CT. However, the majority of adolescents intend to be universally in the future. We found physician recommendation it is a key factor for adolescents agreeing to screening. Providers should foster open communication with adolescents about their personal risks and well-being. Universal gonorrhea and chlamydia (GC/CT) screening (offering GC/CT testing regardless of self-reported sexual activity) is a potentially effective method to address limitations of risk-based screening. No published studies have evaluated adolescents’ perspectives on universal GC/CT screening in a primary care setting. The purpose of this study is to describe previous GC/CT testing experiences among adolescents, and their intention to accept universal testing. We conducted a cross-sectional quantitative survey study using convenience sampling at 2 academic center-affiliated primary care clinics in North Carolina. Eligible participants were English-speaking adolescents (13-23 years-old) seen within the past 3 years. Recruitment was via telephone. Variables of interest included age, sex, gender, sexual orientation, sexual behavior/activity, race, and factors related to acceptance of universal screening. History of GC/CT testing was examined in relation to variables of interest. The primary outcome was intention to be tested for GC/CT by universal screening in the future. Descriptive and bivariable statistics were calculated using χ2 and logistic regression. 68 adolescents have completed the survey and were included in this analysis. The majority of respondents self-identified as non-White (80%), heterosexual (77%), and female gender (59%). The mean age was 16.6 (range 13-21). 47% of the sample reported being sexually active, but only 40% had ever been tested for GC/CT. Sexual activity was not associated with a history of being tested (p=0.285). Of those tested in the past year (71%), most cited “because a healthcare provider recommended testing” as reason for testing (62%). The most common enabler for testing was physician recommendation (72%), and the most common barrier was not being sexually active (45%). The majority of respondents intend to be screened (81%). Those who do not intend to be screened (19%) were younger (mean 15.6 vs 16.8 years old, p=0.070), had never been tested for GC/CT (100%, p=0.003), and reported no sexual activity (92%, p=0.002). Of respondents who do not intend to be screened, 77% chose not being sexually active as a reason to not be comfortable testing. All respondents who identified as nonbinary gender or non-heterosexual reported intention to be screened. Our findings suggest that many adolescents who are sexually active are not being screened for GC/CT. However, the majority of adolescents intend to be universally in the future. We found physician recommendation it is a key factor for adolescents agreeing to screening. Providers should foster open communication with adolescents about their personal risks and well-being." @default.
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• W3146088626 date "2021-04-01" @default.
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• W3146088626 title "53. Understanding Adolescent Acceptance of Universal Screening for Gonorrhea and Chlamydia" @default.
• W3146088626 doi "https://doi.org/10.1016/j.jpag.2021.02.057" @default.
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