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Landscape Review of Mail-in Self-Collection, Programs for Sexually Transmitted Infections.

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Mail-in sexually transmitted infection (STI) testing is widely available across the US, offering a convenient option for sexual health. However, most services are fee-based, and regulatory oversight is lacking.

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Area of Science:

  • Public Health
  • Infectious Diseases
  • Health Services Research

Background:

  • Mail-in self-collection for sexually transmitted infection (STI) testing is a feasible and effective method.
  • Commercial, fee-for-service mail-in STI testing websites are increasingly popular.
  • These unregulated services are not overseen by the US Food and Drug Administration.

Purpose of the Study:

  • To identify and list organizations in the United States that provide mail-in testing for STIs and HIV.
  • To understand the landscape of available mail-in STI testing services.

Main Methods:

  • Searched for "mail-in STI testing" and "home STI testing" online.
  • Collected supplementary data via email and website contact forms from organizations.

Main Results:

  • 20 US organizations offer mail-in STI self-collection testing.
  • Only 25% of these services are free; 30% offer fixed testing kits.
  • Extragenital testing availability varied, and laboratory information was often undisclosed.

Conclusions:

  • Mail-in STI testing services are widely accessible nationwide.
  • Free public health programs are less common, highlighting a gap in accessible testing.
  • Mail-in testing is a significant component of modern sexual health services, complementing traditional clinics.