Self-administered sample collection for screening of sexually transmitted infection among reservation-based American Indian youth

Research output: Contribution to journalArticlepeer-review

Abstract

American Indians suffer a disproportionate burden of sexually transmitted infection, particularly adolescents. Screening access barriers in rural and reservation-based communities necessitate alternatives to clinic-based options. Self-administered screening for three sexually transmitted infections was piloted among 32 American Indian adolescents aged 18 to 19. Participants self-collected in a private location; specimens were processed by trained, American Indian paraprofessionals and analysis was conducted by an outside laboratory. Participants testing positive were treated by a Public Health Nurse from the Indian Health Service. Results suggest high overall acceptability: 69% preferred a self-administered method over clinic-based screening, 75% would encourage their friends to use this method and 100% would use it again. A self-administered screening method has the ability to reach this and other high-risk populations that might not otherwise access screening, with added potential within the Indian Health Services system for uptake and dissemination in rural, reservation communities facing significant screening barriers.

Original languageEnglish (US)
Pages (from-to)661-666
Number of pages6
JournalInternational Journal of STD and AIDS
Volume26
Issue number9
DOIs
StatePublished - Aug 11 2015

Keywords

  • American Indians
  • North America
  • Sexually transmitted infection
  • adolescents
  • chlamydia
  • diagnosis
  • gonorrhea
  • gonorrhoea
  • screening
  • trichomoniasis

ASJC Scopus subject areas

  • Dermatology
  • Public Health, Environmental and Occupational Health
  • Pharmacology (medical)
  • Infectious Diseases

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