{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T15:35:22Z","timestamp":1794065722887,"version":"4.8.0"},"reference-count":21,"publisher":"CSIRO Publishing","issue":"5","license":[{"start":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T00:00:00Z","timestamp":1746403200000},"content-version":"vor","delay-in-days":1266,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,11,26]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The \u2018Down to Test (DTT)\u2019 campaign is a sexually transmissible infection (STI) social marketing intervention delivered through outdoor music festival activations and supported by digital media communications in New South Wales, Australia. This paper investigates whether and how the tailored messages reached the intended audience.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data was collected through three annual rounds of online surveys post campaign exposure, targeting young people (aged 15\u201329\u00a0years) attending 14 music festivals in NSW from October 2017 to March 2020. Descriptive statistics, principal component analysis and multivariable logic regression were applied to identify the key client segment and factors associated with a strong intention for future STI screening.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 10\u00a0044 participants with a valid urine specimen submitted, 261 (2.8%) tested positive for chlamydia. Altogether, 1776 participants (median age\u00a0=\u00a022) self-completed the evaluation surveys online with more being female (73.4%) than male (26.2%). Participants were mostly Australian-born (89.5%), heterosexual (82.6%) and the majority being sexually active (96.7%). Rates of self-reported lifetime STI testing (70.4%) and intention for future STI screening (\u2018definitely yes\u2019 in the next 12\u00a0months, 39.0%) were also high. The most significant factor associated with future intention for STI testing is the Sexual Experience and Perception Factor (adjusted odds ratio [AOR]\u00a0=\u00a02.02; 95%CI 1.76\u20132.32; P\u00a0&amp;lt;\u00a00.001), followed by the Sexual Beliefs and Attitudes Factor (AOR\u00a0=\u00a01.14; 95% CI 1.01\u20131.30; P\u00a0&amp;lt;\u00a00.05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The NSW state-wide DTT campaign has largely reached sexually active youth who are attentive to sexual health promotion messages and contributed to enhanced STI screening in a fun and peer-supportive environment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/sh21101","type":"journal-article","created":{"date-parts":[[2021,11,16]],"date-time":"2021-11-16T02:13:46Z","timestamp":1637028826000},"page":"405-412","source":"Crossref","is-referenced-by-count":9,"title":["STI testing among young people attending music festivals in New South Wales, Australia: exploring the client segmentation concept in the \u2018Down to Test\u2019 program"],"prefix":"10.1071","volume":"18","author":[{"given":"Marty","family":"Janssen","sequence":"first","affiliation":[{"name":"ASTI Programs Unit, Centre for Population Health, NSW Health, Sydney, NSW, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9211-1813","authenticated-orcid":true,"given":"Sylvester","family":"Okeke","sequence":"additional","affiliation":[{"name":"BCentre for Social Research in Health, UNSW Sydney, NSW, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolyn","family":"Murray","sequence":"additional","affiliation":[{"name":"CCentre for Population Health, NSW Health, Sydney, NSW, 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