{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T22:52:42Z","timestamp":1761519162869,"version":"build-2065373602"},"reference-count":32,"publisher":"CSIRO Publishing","issue":"2","license":[{"start":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:00:00Z","timestamp":1756425600000},"content-version":"vor","delay-in-days":3542,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,4,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>In response to the high prevalence of sexually transmissible infections (STIs) in many central Australian Aboriginal communities, a community-wide screening program was implemented to supplement routine primary health care (PHC) clinic testing. The uptake and outcomes of these two approaches were compared. Methods:Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) community and clinic screening data for Aboriginal people aged 15\u201334 years, 2006\u20132009, were used. Regression analyses assessed predictors of the first test occurring in the community screen, positivity and repeat testing. Results: A total of 2792 individuals had 9402 tests (median: four per person) over 4 years. Approximately half of the individuals (54%) were tested in the community and clinic approaches combined, 29% (n = 806) in the community screen only and 18% (n = 490) in the clinic only. Having the first test in a community screen was associated with being male and being aged 15\u201319 years. There was no difference between community and clinic approaches in CT or NG positivity at first test. More than half (55%) of individuals had a repeat test within 2\u201315 months and of these, 52% accessed different approaches at each test. The only independent predictor of repeat testing was being 15\u201319 years. Conclusions: STI screening is an important PHC activity and the findings highlight the need for further support for clinics to reach young people. The community screen approach was shown to be a useful complementary approach; however, cost and sustainability need to be considered.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/sh15077","type":"journal-article","created":{"date-parts":[[2015,12,18]],"date-time":"2015-12-18T05:18:42Z","timestamp":1450415922000},"page":"140-147","source":"Crossref","is-referenced-by-count":5,"title":["Community and clinic-based screening for curable sexually transmissible infections in a high prevalence setting in Australia: a retrospective longitudinal analysis of clinical service data from 2006 to 2009"],"prefix":"10.1071","volume":"13","author":[{"given":"Bronwyn","family":"Silver","sequence":"first","affiliation":[{"name":"AEpidemiology and Health Systems Division, Menzies School of Health Research, Charles Darwin University, PO Box 41096 Casuarina, NT 0811, Australia."},{"name":"BThe Kirby Institute, UNSW Australia (University of New South Wales), Sydney, NSW 2052, Australia."},{"name":"HCorresponding author. Email: bronwyn.silver@internode.on.net"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John M.","family":"Kaldor","sequence":"additional","affiliation":[{"name":"BThe Kirby Institute, UNSW Australia (University of New South Wales), Sydney, NSW 2052, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alice","family":"Rumbold","sequence":"additional","affiliation":[{"name":"AEpidemiology and Health Systems Division, Menzies School of Health Research, Charles Darwin University, PO Box 41096 Casuarina, NT 0811, Australia."},{"name":"CRobinson Research Institute, The University of Adelaide, Adelaide, SA 5005, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Ward","sequence":"additional","affiliation":[{"name":"DSouth Australian Health and Medical Research Institute, PO Box 11060, Adelaide, SA 5001, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kirsty","family":"Smith","sequence":"additional","affiliation":[{"name":"BThe Kirby Institute, UNSW Australia (University of New South Wales), Sydney, NSW 2052, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amalie","family":"Dyda","sequence":"additional","affiliation":[{"name":"BThe Kirby Institute, UNSW Australia (University of New South Wales), Sydney, NSW 2052, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nathan","family":"Ryder","sequence":"additional","affiliation":[{"name":"ECentre for Disease Control, Department of Health, PO Box 40596, Casuarina, NT 0811, Australia."},{"name":"FSchool of Medicine and Public Health, The University of Newcastle, Callaghan, NSW 2308, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teem-Wing","family":"Yip","sequence":"additional","affiliation":[{"name":"ECentre for Disease Control, Department of Health, PO Box 40596, Casuarina, NT 0811, Australia."},{"name":"GNorthern Territory Clinical School, Flinders University, PO Box 4066, Alice Springs, NT 0870, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiunn-Yih","family":"Su","sequence":"additional","affiliation":[{"name":"ECentre for Disease Control, Department of Health, PO Box 40596, Casuarina, NT 0811, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca J.","family":"Guy","sequence":"additional","affiliation":[{"name":"BThe Kirby Institute, UNSW Australia (University of New South Wales), Sydney, NSW 2052, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"67","published-online":{"date-parts":[[2015,12,18]]},"reference":[{"key":"2025102617122311300_R1"},{"key":"2025102617122311300_R2"},{"key":"2025102617122311300_R3","doi-asserted-by":"publisher","first-page":"1792","DOI":"10.1016\/S0140-6736(03)13398-3","article-title":"Genital Chlamydia trachomatis infection in a subgroup of young men in the UK.","volume":"361","author":"McKay","year":"2003","journal-title":"Lancet"},{"key":"2025102617122311300_R4","doi-asserted-by":"publisher","first-page":"666","DOI":"10.1258\/0956462001915039","article-title":"Asymptomatic gonorrhoea and chlamydial infection in a population-based and work-site based sample of men in Kilimanjaro, Tanzania.","volume":"11","author":"Klouman","year":"2000","journal-title":"Int J STD AIDS"},{"key":"2025102617122311300_R5","doi-asserted-by":"publisher","first-page":"c1642","DOI":"10.1136\/bmj.c1642","article-title":"Randomised controlled trial of screening for Chlamydia trachomatis to prevent pelvic inflammatory disease: the POPI (prevention of pelvic infection) trial.","volume":"340","author":"Oakeshott","year":"2010","journal-title":"BMJ"},{"key":"2025102617122311300_R6","unstructured":"Northern Territory Department of Health. Sexual health and blood borne viruses unit surveillance update 2000-2014 [1\/3\/2015]. 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A longitudinal study.","volume":"39","author":"Heijne","year":"2010","journal-title":"Am J Prev Med"},{"key":"2025102617122311300_R27","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1471-2334-13-425","article-title":"STI in remote communities: improved and enhanced primary health care (STRIVE) study protocol: a cluster randomised controlled trial comparing \u2018usual practice\u2019 STI care to enhanced care in remote primary health care services in Australia.","volume":"13","author":"Ward","year":"2013","journal-title":"BMC Infect Dis"},{"key":"2025102617122311300_R28","doi-asserted-by":"publisher","first-page":"A336","DOI":"10.1136\/sextrans-2013-051184.1054","article-title":"Annual repeat Chlamydia trachomatis and Neisseria gonorrhoea testing in an endemic setting: the role of client and health centre characteristics.","volume":"89","author":"Hengel","year":"2013","journal-title":"Sex Transm Infect"},{"key":"2025102617122311300_R29"},{"key":"2025102617122311300_R30"},{"key":"2025102617122311300_R31"},{"key":"2025102617122311300_R32","doi-asserted-by":"publisher","first-page":"316","DOI":"10.1111\/1753-6405.12078","article-title":"The young person check: screening for sexually transmitted infections and chronic disease risk in remote Aboriginal and Torres Strait Islander youth.","volume":"37","author":"Fagan","year":"2013","journal-title":"Aust N Z J Public Health"}],"container-title":["Sexual Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/connectsci.au\/sh\/article-pdf\/13\/2\/140\/1255208\/sh15077.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/connectsci.au\/sh\/article-pdf\/13\/2\/140\/1255208\/sh15077.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T21:12:30Z","timestamp":1761513150000},"score":1,"resource":{"primary":{"URL":"https:\/\/connectsci.au\/sh\/article\/13\/2\/140\/184973\/Community-and-clinic-based-screening-for-curable"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,12,18]]},"references-count":32,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2016,4,7]]}},"URL":"https:\/\/doi.org\/10.1071\/sh15077","relation":{},"ISSN":["1448-5028","1449-8987"],"issn-type":[{"type":"print","value":"1448-5028"},{"type":"electronic","value":"1449-8987"}],"subject":[],"published":{"date-parts":[[2015,12,18]]}}}