title: Future chlamydia screening preferences of men attending a sexually transmissible infection clinic.
abstract: BACKGROUND
  Despite years of public health efforts, Chlamydia trachomatis remains a highly prevalent disease suggesting that current control strategies are not sufficient. Asymptomatic men with chlamydial infections are under-identified and probably play an important role in sustaining the epidemic. Novel methods of actively screening asymptomatic men are needed to reduce the prevalence of chlamydia. This formative study explored the features of a sexually transmissible infection (STI) control program that would encourage annual testing among men.
  
  
  METHODS
  Using semi-structured interviews and focus group discussions, we explored issues related to health seeking behaviours and preferences for STI screening among men recruited from a public health STI clinic.
  
  
  RESULTS
  All 29 participants acknowledged the expertise of clinic staff and most men preferred speaking with a provider over using electronic informational resources. The clinic was the preferred venue for future screening, followed by self-collected home sampling with clinic drop-off. Men expressed a preference for receiving results via the telephone rather than electronic options, and preferred personalised reminders for future STI screening.
  
  
  CONCLUSIONS
  In this sample, there was high interest in utilising the expertise of STI clinic personnel and less in non-clinical options. While this may be due to recruiting from an STI clinic, the data serves as a reminder that service provision must be responsive to the needs of potential users. Our findings suggest that future non-clinic based screening strategies may require an initial educational component to address concerns about confidentiality and sample quality in order to be acceptable.
authors.affiliation: Departments of Pediatrics and Medicine, Indiana University School of Medicine, 410 W. 10th Street, Indianapolis, IN 46202, USA.
authors.forename: Alexis
authors.initials: A
authors.lastname: Roth
authors.forename: Barbara
authors.initials: B
authors.lastname: Van Der Pol
authors.forename: Brian
authors.initials: B
authors.lastname: Dodge
authors.forename: J Dennis
authors.initials: JD
authors.lastname: Fortenberry
authors.forename: Gregory
authors.initials: G
authors.lastname: Zimet
mesh_terms: D000293:Adolescent; D000328:Adult; D002690:Chlamydia Infections / Q000175:diagnosis* / Q000517:prevention & control / Q000523:psychology / Q000635:transmission*; D002692:Chlamydia trachomatis; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007196:Indiana; D007406:Interview, Psychological; D008297:Male; D008403:Mass Screening; D010342:Patient Acceptance of Health Care / Q000523:psychology; D017060:Patient Satisfaction; D055815:Young Adult