Text Messaging After HIV and Sexually Transmitted Infection Screening: Do Patients' Profiles Matter?

Autor: Christophe Segouin, Marc Shelly, Christelle Duteil, P. Troude, Elise de La Rochebrochard
Přispěvatelé: Institut national d'études démographiques (INED), Droit médical et de la santé, Université Paris 8 Vincennes-Saint-Denis (UP8), Hôpitaux Universitaires Saint-Louis, Lariboisière, Fernand-Widal
Rok vydání: 2019
Předmět:
Male
Multivariate analysis
Human immunodeficiency virus (HIV)
HIV Infections
medicine.disease_cause
Original Studies
Hospitals
University
0302 clinical medicine
Surveys and Questionnaires
Mass Screening
030212 general & internal medicine
Young adult
media_common
Age Factors
Middle Aged
3. Good health
AIDS
Infectious Diseases
Text messaging
Female
0305 other medical science
Adult
Microbiology (medical)
Paris
medicine.medical_specialty
Short Message Service
Patients
Sexual Behavior
media_common.quotation_subject
MEDLINE
Black People
Dermatology
Screening strategy
Young Adult
03 medical and health sciences
Risk-Taking
Asian People
Sexually transmitted infections
medicine
Humans
Mass screening
030505 public health
business.industry
Public Health
Environmental and Occupational Health
HIV
SCREENING
Logistic Models
Socioeconomic Factors
HIV / AIDS
Family medicine
[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie
business
Delivery of Health Care
Seriousness
Zdroj: Sexually Transmitted Diseases
Sexually Transmitted Diseases, Lippincott, Williams & Wilkins, 2019, 46 (3), pp.159-164. ⟨10.1097/olq.0000000000000941⟩
ISSN: 1537-4521
0148-5717
Popis: Participation in a short message service program after sexually transmitted infection/HIV screening seemed quite good but varied according to patient profile. Several options should be proposed for delivering the results of sexually transmitted infection screening.
Background Text messaging after sexually transmitted infection (STI)/HIV screening may be a cost-effective means of improving patient care, but it may not be appropriate for all patients. This study aimed to explore the profiles of patients who did not participate in a short message service (SMS) program after STI/HIV testing. Methods In October 2016, 396 patients in Paris were screened for STI/HIV and were invited to complete an anonymous self-administered questionnaire. Patients were offered the possibility of being notified by SMS after testing, 68% accepted (SMS group) and 32% did not (no-SMS group). Each of the 100 patients from the no-SMS group who had completed the questionnaire was matched with the next patient from the SMS group. Factors associated with nonparticipation in the SMS program were studied using conditional logistic regression models. Results Participation in the SMS program was not related to STI screening characteristics (screening results and seriousness of the diseases screened) but seemed to be related to patient characteristics. In multivariate analysis, compared with patients in the SMS group, those in the no-SMS group were more often older, socially less favored (born in Africa or Asia, no university diploma, living outside Paris). They also more often declined to answer sexual questions, which could reflect a need for privacy and discretion. Conclusions Although SMS after STI/HIV screening is well accepted, it does not suit all patients. Several contact options should be proposed to comply with patients' preferences and to reduce the risk of nondelivery of STI screening results.
Databáze: OpenAIRE
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