{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T22:50:46Z","timestamp":1761519046257,"version":"build-2065373602"},"reference-count":45,"publisher":"CSIRO Publishing","issue":"1","license":[{"start":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:00:00Z","timestamp":1756425600000},"content-version":"vor","delay-in-days":4666,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2013,2,15]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Chlamydia trachomatis (chlamydia) is the most commonly notified sexually transmissible bacterial infection in Australia, where distance to health services can be a barrier. This study investigated the acceptability of a self-collection kit for chlamydia testing (sent by mail) and assessed the risk profiles of participants with respect to locality. Methods: In total, 2587 self-collection kits were distributed opportunistically or sent directly to participants upon request, as was a self-administered questionnaire. Results: The return rate was 13.2% (n = 341) for samples and questionnaires. The return rate did not differ with location (P = 0.522) but with mode of distribution (opportunistic: 9.7%; by request: 27.4%; P &amp;lt; 0.001). Although 37% of participants had previously been tested for chlamydia, 77.5% said that they would not have sought testing otherwise. The median age of participants was 22.6 years, 33.8% were male and 9.1% were of Aboriginal descent. Overall, 9.0% (95% confidence interval (CI) = 6.1\u201312.5) of participants were chlamydia-positive. Prevalence of chlamydia and Aboriginal participation increased with remoteness (P &amp;lt; 0.001), and self-reported condom use was significantly reduced for remote and very remote locations (P = 0.008). Within remote and very remote locations, 30.8% (95% CI = 9.1\u201361.4) of Aboriginal participants and 38.9% of nonIndigenous participants were chlamydia-positive (P = 0.718; 95% CI = 17.3\u201364.3). Discussion: Testing for chlamydia using a mailed self-collection kit opened access to a predominantly test-na\u00efve population. The proposed model was able to reach remote populations. Actively requested kits were more likely to be returned.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/sh11065","type":"journal-article","created":{"date-parts":[[2012,11,18]],"date-time":"2012-11-18T23:57:59Z","timestamp":1353283079000},"page":"32-38","source":"Crossref","is-referenced-by-count":10,"title":["Reducing barriers to testing for Chlamydia trachomatis by mailed self-collected samples"],"prefix":"10.1071","volume":"10","author":[{"given":"Monika","family":"Buhrer-Skinner","sequence":"first","affiliation":[{"name":"AAnton Breinl Centre for Public Health and Tropical Medicine, James Cook University, Townsville, QLD 4811, Australia."},{"name":"BTownsville Sexual Health Service, Townsville Hospital and Health Service, North Ward Health Campus, PO Box 5224, Townsville, QLD 4810, Australia."},{"name":"ECorresponding author. 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