TP 148 Acceptability and Perceived Accuracy of Rapid and Standard Sexually Transmitted Infection (STI) Screening and Self-Collection of Samples on a Mobile Health Van

Tuesday, June 10, 2014
Exhibit Hall
Sherine Patterson-Rose, MD, MPH1, Elizabeth Hesse, BS1, Charlotte Gaydos, MS, MPH, DrPH2 and Lea Widdice, MD1, 1Division of Adolescent Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 2Department of Medicine, Division of Infectious Diseases, Johns Hopkins University, Baltimore, MD

Background: To assess attitudes about STI screening on a mobile health van.    

Methods: Confidential, written questionnaires were offered to men and women (≥14 years) visiting a van during a family-oriented community event. Questionnaires assessed (1) acceptability of van-based STI testing given five different turn-around times, (2) acceptability of self-collected samples for STI testing on a van, doctor’s office, and home, and (3) perceived accuracy of rapid versus standard (turn-around time 2-14 days) STI tests. Acceptability was rated using a 5-point Likert-like scale (1=very acceptable, 5=very unacceptable). Analyses included descriptive statistics and t-tests.

Results: Twenty women and 11 men completed questionnaires. A majority reported that getting tested on a van was acceptable for each of the five different turn-around times; the proportion reporting that getting tested for an STI on a van was somewhat to very acceptable increased with decreasing turn-around time: 4-14 days (40%), 1-3 days (57%), more than 2 hours but on the same day (70%), 1-2 hours (80%), <1 hour (93%). Women rated van and office as equally acceptable locations to collect urine (van: median (M) =1.58, office: M=1.32, p=ns) and vaginal samples (van: M=1.45, office: M=1.30, p=ns). Van was more acceptable than home to collect urine (home: M=2.11, p=.05) and vaginal samples (home: M=2.17, p=<.01). Men rated van and home as equally acceptable locations to collect urine (van: M=2.38, home: M=2.38, p=ns) and penile samples (van: M=2.31, home: M=2.62, p=ns). Van, however, was less acceptable than office to collect urine (office: M=1.68, p=.02) and penile samples (office: M=1.77, p=.05). All respondents perceived rapid testing to be either as accurate (men: 78%, women: 79%) or more accurate (men: 22%, women: 21%) than standard testing.

Conclusions: STI screening on health vans using rapid or standard tests with urine or self-collected swabs may be accepted by community-event attendees.