We performed a structured literature review of published studies from 2000-2007 that measured the acceptability and acceptance (uptake) of urine testing for C. trachomatis among asymptomatic men. Studies were categorized as three types: (a) non-STD clinic venues where men were approached in person and offered testing on site (urgent care clinics, freestanding clinics or health screening settings, corrections, community centers); (b) delivery of testing kits to men at their homes; and (c) qualitative measurement related to men's experience of screening. When offered in established nonhome-based settings (clinics, schools, corrections), acceptability and consequent uptake of testing by men is generally good (mid-60% range). However, acceptance rates even in these settings vary widely and are influenced by venue, provider, and a diversity of other factors. Acceptance of home-based testing invitations, including direct mailing of test kits, is considerably lower. Attitudinal characteristics of men who decline testing primarily include low self-perception of risk for asymptomatic infection and perceived inconvenience of providing test specimens. Given these findings, testing strategies targeting asymptomatic men in established community and clinic settings are most likely to yield relatively high acceptance rates. However, barriers to both implementation and uptake remain, even when such testing is free. Interventions to enhance uptake of testing in asymptomatic men should be developed and selected with underlying C. trachomatis population prevalence in mind.

译文

我们对2000-2007年发表的研究进行了结构化文献综述,这些研究测量了无症状男性中沙眼衣原体尿液检测的可接受性和接受度 (摄取)。研究分为三种类型 :( a) 非性病诊所,亲自接触男性并在现场提供测试 (紧急护理诊所、独立诊所或健康筛查环境、矫正、社区中心); (b) 向男性在家中提供测试包; (c) 与男性筛查经验相关的定性测量。当在既定的非家庭环境 (诊所,学校,矫正) 中提供时,男性对测试的可接受性和随之而来的接受程度通常是良好的 (60% 左右)。但是,即使在这些设置中,接受率也相差很大,并且受场地,提供商和其他多种因素的影响。接受家庭测试邀请,包括直接邮寄测试套件,要低得多。拒绝测试的男性的态度特征主要包括对无症状感染风险的低自我感知和提供测试样本的不便。鉴于这些发现,在既定的社区和诊所环境中针对无症状男性的测试策略最有可能产生相对较高的接受率。然而,即使这种测试是免费的,实施和实施的障碍仍然存在。应制定和选择干预措施,以提高无症状男性的测试水平,并考虑潜在的沙眼衣原体人群患病率。

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