title: Factors associated with screening for sexually transmitted infections.
abstract: OBJECTIVE
  The purpose of this study was to determine predictors of the completion of free annual sexually transmitted infection screening among sexually active young women of ≤ 25 years old.
  
  
  METHODS
  We analyzed survey data from 2607 sexually active women who were enrolled in the Contraceptive CHOICE Project, a prospective cohort study. We evaluated demographic characteristics, sexual risk behaviors, relationship characteristics, and contraceptive methods. Receipt of a home- or clinic-based test kit within 56 days of the 12-month survey constituted a completed screen. A multivariable model to predict screening completion was created with the use of Poisson regression with robust error variance.
  
  
  RESULTS
  Fifty-seven percent of the women completed the screening. Screening completion was associated most strongly with a college education or higher (adjusted relative risk, 1.2; 95% confidence interval, 1.1-1.3) and home-based testing (adjusted relative risk, 1.3; 95% confidence interval, 1.2-1.5).
  
  
  CONCLUSIONS
  Free and home-based testing increased screening rates among young women. To meet annual testing guidelines, the availability and use of home-based testing kits should increase.
authors.affiliation: Division of Clinical Research, Department of Obstetrics and Gynecology, Washington University in St. Louis School of Medicine, St. Louis, MO, USA.
authors.forename: Stephanie L
authors.initials: SL
authors.lastname: Skala
authors.forename: Gina M
authors.initials: GM
authors.lastname: Secura
authors.forename: Jeffrey F
authors.initials: JF
authors.lastname: Peipert
mesh_terms: D000293:Adolescent; D000328:Adult; D003273:Contraceptive Devices / Q000706:statistics & numerical data; D004522:Educational Status; D005260:Female; D006801:Humans; D017533:Marital Status; D008403:Mass Screening / Q000523:psychology*; D008954:Models, Biological; D015999:Multivariate Analysis; D011446:Prospective Studies; D012725:Sexual Behavior / Q000706:statistics & numerical data; D012749:Sexually Transmitted Diseases / Q000175:diagnosis* / Q000523:psychology*; D055815:Young Adult