{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T22:54:04Z","timestamp":1761519244671,"version":"build-2065373602"},"reference-count":36,"publisher":"CSIRO Publishing","issue":"3","license":[{"start":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:00:00Z","timestamp":1756425600000},"content-version":"vor","delay-in-days":3046,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,6,5]]},"abstract":"<jats:p>Background: In high-incidence Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) settings, annual re-testing is an important public health strategy. Using baseline laboratory data (2009\u201310) from a cluster randomised trial in 67 remote Aboriginal communities, the extent of re-testing was determined, along with the associated patient, staffing and health centre factors. Methods: Annual testing was defined as re-testing in 9\u201315 months (guideline recommendation) and a broader time period of 5\u201315 months following an initial negative CT\/NG test. Random effects logistic regression was used to determine factors associated with re-testing. Results: Of 10 559 individuals aged \u226516 years with an initial negative CT\/NG test (median age = 25 years), 20.3% had a re-test in 9\u201315 months (23.6% females vs 15.4% males, P &amp;lt; 0.001) and 35.2% in 5\u201315 months (40.9% females vs 26.5% males, P &amp;lt; 0.001). Factors independently associated with re-testing in 9\u201315 months in both males and females were: younger age (16\u201319, 20\u201324 years); and attending a centre that sees predominantly (&amp;gt;90%) Aboriginal people. Additional factors independently associated with re-testing for females were: being aged 25\u201329 years, attending a centre that used electronic medical records, and for males, attending a health centre that employed Aboriginal health workers and more male staff. Conclusions: Approximately 20% of people were re-tested within 9\u201315 months. Re-testing was more common in younger individuals. Findings highlight the importance of recall systems, Aboriginal health workers and male staff to facilitate annual re-testing. Further initiatives may be needed to increase re-testing.<\/jats:p>","DOI":"10.1071\/sh16123","type":"journal-article","created":{"date-parts":[[2018,11,22]],"date-time":"2018-11-22T19:40:45Z","timestamp":1542915645000},"page":"274-281","source":"Crossref","is-referenced-by-count":7,"title":["Patient, staffing and health centre factors associated with annual testing for sexually transmissible infections in remote primary health centres"],"prefix":"10.1071","volume":"14","author":[{"given":"Belinda","family":"Hengel","sequence":"first","affiliation":[{"name":"AApunipima Cape York Health Council, Cairns, PO Box 12045, Earlville, Qld 4870, Australia."},{"name":"BKirby Institute, UNSW Australia, Wallace Wurth Building, Kensington, NSW 2052, Australia."},{"name":"HCorresponding author. 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