The objective of this study is to assess the effect of
reminder text messages 6 months after the initial treatment on retest and
chlamydia reinfection rates in young heterosexuals compared with a historical
control group and to assess factors associated with both outcomes.
Heterosexual people (aged 16-23 years), testing positive for
urogenital chlamydia, were offered a retest after 6 months. Participants
received a text message reminder at 6 months after the initial chlamydia
diagnosis. Rates of retest uptake and the result of the retest were analysed
using Cox regression. Prevalence ratios (PRs) were calculated to identify
factors associated with these outcomes. Furthermore, the retest rate was
compared with the retest rate of a historical control group.
30.6% (253/838) of the study group returned within
5-8 months compared with 9.2% (140/1530) in the historical control group. Women
and persons who were not notified for a sexually transmitted infection (STI) at
inclusion were more likely to return for a retest. 20.4% (56/275) of
participants had a chlamydia reinfection upon retesting. Reinfection was higher
in participants reporting STI-related symptoms and
in participants who were notified for an STI at retest.
A text message reminder appeared to have a clear, positive
impact on the resulting retest rate. These results also indicate that retesting
is necessary to identify chlamydia reinfections.
Via: http://ht.ly/SXXfr Purchase
full article at: http://goo.gl/7mULPH
By:
- 1Public Health Service Twente, Enschede, The Netherlands.
- 2Public Health Service West-Brabant, Breda, The Netherlands.
- 3Department of Primary and Community Care, Radboudumc University Medical Center, Nijmegen, The Netherlands.
- 4Centre for Infectious Disease Control, National Institute for Public Health and the Environment, Bilthoven, The Netherlands
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