Self-collection of vaginal swabs for the detection of chlamydia, gonorrhea, and trichomoniasis

Opportunity to encourage sexually transmitted disease testing among adolescents

Harold C. Wiesenfeld, Donna L B Lowry, R. Phillips Heine, Marijane A. Krohn, Heather Bittner, Kathleen Kellinger, Maryann Shultz, Richard L Sweet

Research output: Contribution to journalArticle

140 Citations (Scopus)

Abstract

Background: Many sexually transmitted diseases (STDs) are prevalent among adolescents, yet compliance to undergo STD testing by this population is suboptimal. Efforts to enhance compliance with testing among at-risk youth are needed. Goal: To determine the feasibility and acceptability of self-collection of vaginal swabs for the detection of Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis among high-school students attending a school health clinic. Study Design: Enrolled in the study were 228 female students between the ages of 15 and 19 years. Each student self-collected a single vaginal swab that was tested for C trachomatis, N gonorrhoeae, and T vaginalis by polymerase chain reaction amplification. Acceptability of self-collection of vaginal swabs was assessed. Results: The prevalence of any STD was 18%. Trichomoniasis, chlamydia, and gonorrhea were diagnosed in 10%, 8%, and 2% of students, respectively. Nearly 13% of females who had never previously had a gynecologic examination tested positive for an STD, and 51% of infected students would not have pursued testing by traditional gynecologic examination if self-collection was not offered. Self-collection of vaginal swabs was almost uniformly reported as easy to perform (99%) and preferable to a gynecologic examination (84%). Nearly all (97%) stated that they would undergo testing at frequent intervals if self-testing were available. Conclusions: Self-collected vaginal swabs for STD testing can be easily implemented in a high-school setting with high acceptability among students, enabling the detection of many STDs that would otherwise remain undetected and untreated.

Original languageEnglish (US)
Pages (from-to)321-325
Number of pages5
JournalSexually Transmitted Diseases
Volume28
Issue number6
StatePublished - 2001
Externally publishedYes

Fingerprint

Chlamydia
Gonorrhea
Sexually Transmitted Diseases
Students
Trichomonas vaginalis
School Health Services
Neisseria gonorrhoeae
Chlamydia trachomatis
Compliance
Polymerase Chain Reaction
Population

ASJC Scopus subject areas

  • Dermatology
  • Public Health, Environmental and Occupational Health
  • Microbiology (medical)

Cite this

Self-collection of vaginal swabs for the detection of chlamydia, gonorrhea, and trichomoniasis : Opportunity to encourage sexually transmitted disease testing among adolescents. / Wiesenfeld, Harold C.; Lowry, Donna L B; Heine, R. Phillips; Krohn, Marijane A.; Bittner, Heather; Kellinger, Kathleen; Shultz, Maryann; Sweet, Richard L.

In: Sexually Transmitted Diseases, Vol. 28, No. 6, 2001, p. 321-325.

Research output: Contribution to journalArticle

Wiesenfeld, Harold C. ; Lowry, Donna L B ; Heine, R. Phillips ; Krohn, Marijane A. ; Bittner, Heather ; Kellinger, Kathleen ; Shultz, Maryann ; Sweet, Richard L. / Self-collection of vaginal swabs for the detection of chlamydia, gonorrhea, and trichomoniasis : Opportunity to encourage sexually transmitted disease testing among adolescents. In: Sexually Transmitted Diseases. 2001 ; Vol. 28, No. 6. pp. 321-325.
@article{7699eb19d4d24e1c8b8767a80341b1f1,
title = "Self-collection of vaginal swabs for the detection of chlamydia, gonorrhea, and trichomoniasis: Opportunity to encourage sexually transmitted disease testing among adolescents",
abstract = "Background: Many sexually transmitted diseases (STDs) are prevalent among adolescents, yet compliance to undergo STD testing by this population is suboptimal. Efforts to enhance compliance with testing among at-risk youth are needed. Goal: To determine the feasibility and acceptability of self-collection of vaginal swabs for the detection of Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis among high-school students attending a school health clinic. Study Design: Enrolled in the study were 228 female students between the ages of 15 and 19 years. Each student self-collected a single vaginal swab that was tested for C trachomatis, N gonorrhoeae, and T vaginalis by polymerase chain reaction amplification. Acceptability of self-collection of vaginal swabs was assessed. Results: The prevalence of any STD was 18{\%}. Trichomoniasis, chlamydia, and gonorrhea were diagnosed in 10{\%}, 8{\%}, and 2{\%} of students, respectively. Nearly 13{\%} of females who had never previously had a gynecologic examination tested positive for an STD, and 51{\%} of infected students would not have pursued testing by traditional gynecologic examination if self-collection was not offered. Self-collection of vaginal swabs was almost uniformly reported as easy to perform (99{\%}) and preferable to a gynecologic examination (84{\%}). Nearly all (97{\%}) stated that they would undergo testing at frequent intervals if self-testing were available. Conclusions: Self-collected vaginal swabs for STD testing can be easily implemented in a high-school setting with high acceptability among students, enabling the detection of many STDs that would otherwise remain undetected and untreated.",
author = "Wiesenfeld, {Harold C.} and Lowry, {Donna L B} and Heine, {R. Phillips} and Krohn, {Marijane A.} and Heather Bittner and Kathleen Kellinger and Maryann Shultz and Sweet, {Richard L}",
year = "2001",
language = "English (US)",
volume = "28",
pages = "321--325",
journal = "Sexually Transmitted Diseases",
issn = "0148-5717",
publisher = "Lippincott Williams and Wilkins",
number = "6",

}

TY - JOUR

T1 - Self-collection of vaginal swabs for the detection of chlamydia, gonorrhea, and trichomoniasis

T2 - Opportunity to encourage sexually transmitted disease testing among adolescents

AU - Wiesenfeld, Harold C.

AU - Lowry, Donna L B

AU - Heine, R. Phillips

AU - Krohn, Marijane A.

AU - Bittner, Heather

AU - Kellinger, Kathleen

AU - Shultz, Maryann

AU - Sweet, Richard L

PY - 2001

Y1 - 2001

N2 - Background: Many sexually transmitted diseases (STDs) are prevalent among adolescents, yet compliance to undergo STD testing by this population is suboptimal. Efforts to enhance compliance with testing among at-risk youth are needed. Goal: To determine the feasibility and acceptability of self-collection of vaginal swabs for the detection of Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis among high-school students attending a school health clinic. Study Design: Enrolled in the study were 228 female students between the ages of 15 and 19 years. Each student self-collected a single vaginal swab that was tested for C trachomatis, N gonorrhoeae, and T vaginalis by polymerase chain reaction amplification. Acceptability of self-collection of vaginal swabs was assessed. Results: The prevalence of any STD was 18%. Trichomoniasis, chlamydia, and gonorrhea were diagnosed in 10%, 8%, and 2% of students, respectively. Nearly 13% of females who had never previously had a gynecologic examination tested positive for an STD, and 51% of infected students would not have pursued testing by traditional gynecologic examination if self-collection was not offered. Self-collection of vaginal swabs was almost uniformly reported as easy to perform (99%) and preferable to a gynecologic examination (84%). Nearly all (97%) stated that they would undergo testing at frequent intervals if self-testing were available. Conclusions: Self-collected vaginal swabs for STD testing can be easily implemented in a high-school setting with high acceptability among students, enabling the detection of many STDs that would otherwise remain undetected and untreated.

AB - Background: Many sexually transmitted diseases (STDs) are prevalent among adolescents, yet compliance to undergo STD testing by this population is suboptimal. Efforts to enhance compliance with testing among at-risk youth are needed. Goal: To determine the feasibility and acceptability of self-collection of vaginal swabs for the detection of Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis among high-school students attending a school health clinic. Study Design: Enrolled in the study were 228 female students between the ages of 15 and 19 years. Each student self-collected a single vaginal swab that was tested for C trachomatis, N gonorrhoeae, and T vaginalis by polymerase chain reaction amplification. Acceptability of self-collection of vaginal swabs was assessed. Results: The prevalence of any STD was 18%. Trichomoniasis, chlamydia, and gonorrhea were diagnosed in 10%, 8%, and 2% of students, respectively. Nearly 13% of females who had never previously had a gynecologic examination tested positive for an STD, and 51% of infected students would not have pursued testing by traditional gynecologic examination if self-collection was not offered. Self-collection of vaginal swabs was almost uniformly reported as easy to perform (99%) and preferable to a gynecologic examination (84%). Nearly all (97%) stated that they would undergo testing at frequent intervals if self-testing were available. Conclusions: Self-collected vaginal swabs for STD testing can be easily implemented in a high-school setting with high acceptability among students, enabling the detection of many STDs that would otherwise remain undetected and untreated.

UR - http://www.scopus.com/inward/record.url?scp=0035718292&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0035718292&partnerID=8YFLogxK

M3 - Article

VL - 28

SP - 321

EP - 325

JO - Sexually Transmitted Diseases

JF - Sexually Transmitted Diseases

SN - 0148-5717

IS - 6

ER -