{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T06:32:16Z","timestamp":1775197936701,"version":"3.50.1"},"reference-count":45,"publisher":"CSIRO Publishing","issue":"4","license":[{"start":{"date-parts":[[2025,8,17]],"date-time":"2025-08-17T00:00:00Z","timestamp":1755388800000},"content-version":"vor","delay-in-days":1843,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,8,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The advent of fully automated nucleic acid amplification test (NAAT) technology brings new public health opportunities to provide Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) point-of-care testing (POCT) in non-traditional settings. Methods: This pilot study evaluated the integration of the CT\/NG Xpert diagnostic assay into an urban peer-led community setting providing HIV and syphilis POCT. A comprehensive protocol of testing, result notification, referral and follow up, managed by peer test facilitators, was undertaken. Results: Over 67 weeks, there were 4523 occasions of CT\/NG testing using urine, oropharyngeal and anorectal samples with 25.7% (803) of the 3123 unique participants returning for repeat testing. The prevalence of CT and NG was 9.5% and 5.4% respectively. Where CT and or NG infection was detected, 98.4% (604\/614) of participants were successfully notified of detected infection and referred for treatment. Evaluation Survey responses (11.4%, 516\/4523) indicated a substantial proportion of respondents (27.1%, 140\/516) \u2018would not have tested anywhere else\u2019. Of note, 17.8% (92\/516) of participants reported no previous CT\/NG test and an additional 17.8% (92\/516) reported testing more than 12 months ago. A total of 95.9% (495\/516) of participants \u2018Strongly agreed\u2019 or \u2018Agreed\u2019 to being satisfied with the service. Conclusion: The project successfully demonstrated an acceptable and feasible model for a peer-delivered community-led service to provide targeted molecular CT\/NG POCT. This model offers capacity to move beyond the traditional pathology and STI testing services and establish community-led models that build trust and increase testing rates for key populations of epidemiological significance.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/sh19233","type":"journal-article","created":{"date-parts":[[2020,7,30]],"date-time":"2020-07-30T23:00:47Z","timestamp":1596150047000},"page":"359-367","source":"Crossref","is-referenced-by-count":10,"title":["Peer-delivered point-of-care testing for Chlamydia trachomatis and Neisseria gonorrhoeae within an urban community setting: a cross-sectional analysis"],"prefix":"10.1071","volume":"17","author":[{"given":"Sara F. E.","family":"Bell","sequence":"first","affiliation":[{"name":"ASchool of Public Health, The University of Queensland, Herston Campus, 288 Herston Road, Herston, Qld 4006, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luke","family":"Coffey","sequence":"additional","affiliation":[{"name":"BRAPID, Queensland Positive People, 21 Manilla Street, East Brisbane, Qld 4169, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Debattista","sequence":"additional","affiliation":[{"name":"CMetro North Public Health Unit, Metro North Hospital and Health Service, Bryden Street, Windsor, Qld 4030, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven G.","family":"Badman","sequence":"additional","affiliation":[{"name":"DKirby Institute, L6, Wallace Wurth Building, High Street, The University of New South Wales Sydney, Randwick, NSW 2032, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew M.","family":"Redmond","sequence":"additional","affiliation":[{"name":"BRAPID, Queensland Positive People, 21 Manilla Street, East Brisbane, Qld 4169, Australia."},{"name":"ERoyal Brisbane and Women\u2019s Hospital, Metro North Hospital and Health Service, Butterfield St, Herston, Qld 4029, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David M.","family":"Whiley","sequence":"additional","affiliation":[{"name":"FCentre for Clinical Research, The University of Queensland, Building 71\/918, Royal Brisbane and Women\u2019s Hospital Campus, Herston, Qld 4029, Australia."},{"name":"GPathology Queensland, Block 7, Royal Brisbane and Women's Hospital, Herston, Qld 4029, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jime","family":"Lemoire","sequence":"additional","affiliation":[{"name":"BRAPID, Queensland Positive People, 21 Manilla Street, East Brisbane, Qld 4169, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Owain D.","family":"Williams","sequence":"additional","affiliation":[{"name":"ASchool of Public Health, The University of Queensland, Herston Campus, 288 Herston Road, Herston, Qld 4006, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chris","family":"Howard","sequence":"additional","affiliation":[{"name":"BRAPID, Queensland Positive People, 21 Manilla Street, East Brisbane, Qld 4169, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles F.","family":"Gilks","sequence":"additional","affiliation":[{"name":"ASchool of Public Health, The University of Queensland, Herston Campus, 288 Herston Road, Herston, Qld 4006, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2513-2013","authenticated-orcid":true,"given":"Judith A.","family":"Dean","sequence":"additional","affiliation":[{"name":"ASchool of Public Health, The University of Queensland, Herston Campus, 288 Herston Road, Herston, Qld 4006, Australia."},{"name":"HCorresponding author. 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