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年至2007年间发表的研究进行了结构化的文献综述,该研究对无症状男性中沙眼衣原体尿液测试的接受度和接受度(摄取)进行了测量。研究被分为三种类型:(a)非性病诊所地点,在该地点亲自与男子接触并提供现场检测(紧急护理诊所,独立式诊所或健康检查场所,矫正场所,社区中心); (b)向男人的家中提供测试包; (c)与男性筛查经验有关的定性测量。如果在既定的非家庭环境(诊所,学校,教养所)中提供,男性的接受程度和随后接受的测试通常会很好(60%左右的范围)。但是,即使在这些环境中,接受率也有很大差异,并且受场所,提供者和其他多种因素的影响。接受家庭测试邀请(包括直接邮寄测试包)的比例要低得多。拒绝测试的男性的态度特征主要包括对症状无风险的自我感觉低以及提供测试样本的不便。鉴于这些发现,针对已建立社区和诊所环境中无症状男性的测试策略最有可能产生相对较高的接受率。但是,即使免费进行此类测试,实施和采用的障碍仍然存在。在开发和选择无症状男性中进行干预的方法时,应考虑潜在的沙眼衣原体人群的流行。

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