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Test Not Talk screening for asymptomatic men.

R Pittrof1, J McLellan

  • 1Department of Reproductive and Sexual Health Care, Town Clinic, Wenlock House, 33 Eaton Road, Enfield EN1 1NJ, UK. rudiger.pittrof@enfield.nhs.uk

International Journal of STD & AIDS
|May 19, 2007
PubMed
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Rapid screening clinics for sexually transmitted infections (STIs) and HIV are effective for asymptomatic men. These "Test Not Talk" services successfully identify infections like chlamydia and gonorrhoea, meeting men

Area of Science:

  • Sexual Health
  • Public Health
  • Infectious Diseases

Background:

  • Sexually transmitted infections (STIs) and HIV remain significant public health concerns.
  • Asymptomatic individuals often do not seek regular screening, contributing to transmission.
  • Integrated sexual health services are crucial for accessible and comprehensive care.

Purpose of the Study:

  • To audit the first year of a rapid, comprehensive STI and HIV screening program for asymptomatic men.
  • To evaluate the effectiveness of a 'Test Not Talk' approach in a community sexual health clinic.
  • To assess uptake, attendance, and diagnostic yield of STI/HIV screening in this population.

Main Methods:

  • A retrospective audit of a rapid screening service for asymptomatic men.

Related Experiment Videos

  • Offered symptom self-assessment, blood tests (syphilis, HIV), and urine tests (chlamydia, gonorrhoea).
  • Data collected on appointment booking, attendance, testing performed, and diagnoses.

    • Main Results:

    • High appointment uptake (72%) and attendance (80%) were observed.
    • The majority of attendees (87%) were first-time visitors to the clinic.
    • High rates of testing for chlamydia (97.4%) and gonorrhoea (97.4%), and syphilis/HIV (80.9%).
    • Diagnoses included 20 cases of chlamydia, one asymptomatic gonorrhoea, and one late latent syphilis.
    • No new HIV diagnoses were reported during the audit period.

    Conclusions:

    • Rapid 'Test Not Talk' clinics are a viable and effective model for screening asymptomatic men for STIs and HIV.
    • This approach successfully engages men, particularly first-time attendees, in sexual health services.
    • The service demonstrates a capacity to detect common STIs, contributing to early diagnosis and treatment.