From: Implementing chlamydia screening: what do women think? A systematic review of the literature
Research question | Number of studies asking question | Location of studies and number of women in combined studies from each location | Median and range of responses (median calculated by placing the response percentages in value order and finding the middle value) | Ref |
---|---|---|---|---|
Number of women accepting urine screening for chlamydia | 4 | UK (n = 27470) | 71–83% (median 76%) of women accepted screening for chlamydia by urine | [20, 25, 28, 34] |
Readiness to seek chlamydia screening on partner change | 3 | USA (n = 736) | 28–57% (median 47%) of women reported they currently seek chlamydia screening with partner change; 28–50% reported they are ready to screen on partner change; 11–15% are thinking about being ready to seek screening on partner change and 4–7% are not ready to seek screening on partner change | [13, 16, 22] |
Knowledge of chlamydia | 3 | UK (n = 737) | 60–93% of women had heard of chlamydia, 26–86% knew chlamydia could be asymptomatic and 68–82% were not aware of the consequences of untreated infection. | [17, 19, 38] |
Acceptability of chlamydia screening in different healthcare settings: general practice, family planning clinics, termination of pregnancy clinics, colposcopy clinics, antenatal clinics, youth clinics, infertility clinics, genitourinary medicine clinics, gynaecology clinics | 2 | UK (n = 22126) | Acceptability of chlamydia screening in these healthcare settings ranged from 38–100% (median 82%) | [19, 20] |
Acceptability of self administered swab (SAS) vs. first void urine (FVU) vs. pelvic exam and clinician-collected swab for chlamydia screening | 3 | USA (n = 2093) | All 3 studies showed FVU was the preferred method of chlamydia screening over SAS and pelvic examination but FVU and SAS were similar in ease and acceptability. | [27, 29, 30] |
Participation in home screening for chlamydia and preferred test (urine or vaginal swab) | 3 | UK (n = 208), USA (n = 98), Holland (n = 189) | Participation rate in home testing ranged from 31–52% (median 39%). Urine testing was more often accepted than vaginal swab testing: 47–63% relative to 32–37%. | [31–33] |
Rates of partner notification following a diagnosis of chlamydia | 2 | UK (n = 73), USA (n = 55) | Both studies report a 75% rate of partner notification | [24, 25] |