{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T01:14:38Z","timestamp":1793841278073,"version":"4.6.1"},"reference-count":29,"publisher":"BMJ","issue":"8","funder":[{"DOI":"10.13039\/501100000380","name":"Guy's and St. Thomas' Charity","doi-asserted-by":"crossref","award":["MAJ120505"],"award-info":[{"award-number":["MAJ120505"]}],"id":[{"id":"10.13039\/501100000380","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Sex Transm Infect"],"accepted":{"date-parts":[[2019,5,5]]},"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To assess the effectiveness of an internet-accessed STI (e-STI) testing and results service on testing uptake among young adults (16\u201330 years) who have never tested for STIs in London, England.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted secondary analyses on data from a randomised controlled trial. In the trial, participants were randomly allocated to receive a text message with the web link of an e-STI testing and results service (intervention group) or a text message with the link of a website listing the locations, contact details and websites of seven local sexual health clinics (control group). We analysed a subsample of 528 trial participants who reported never testing for STIs at baseline. Outcomes were self-reported STI testing at 6 weeks, verified by patient record checks, and time from randomisation to completion of an STI test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Uptake of STI testing among \u2018never testers\u2019 almost doubled. At 6 weeks, 45.3% of the intervention completed at least one test (chlamydia, gonorrhoea, syphilis and HIV), compared with 24.1% of the control (relative risk [RR] 1.88, 95%\u2009CI 1.47 to 2.40, p&lt;0.001). For chlamydia and gonorrhoea testing combined, uptake was 44.3% in the intervention versus 24.1% in controls (RR 1.84, 95%\u2009CI 1.44 to 2.36, p&lt;0.001). The intervention reduced time to any STI test (restricted mean survival time: 29.0 days vs 36.3 days, p&lt;0.001) at a time horizon of 42 days.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions\u00a0<\/jats:title><jats:p>e-STI testing increased uptake of STI testing and reduced time to test among a young population of \u2018never testers\u2019 recruited in community settings. Although encouraging, questions remain on how best to manage the additional demand generated by e-STI testing in a challenging funding environment. Larger studies are required to assess the effects later in the cascade of care, including STI diagnoses and cases treated.<\/jats:p><\/jats:sec>","DOI":"10.1136\/sextrans-2019-053992","type":"journal-article","created":{"date-parts":[[2019,6,7]],"date-time":"2019-06-07T21:15:42Z","timestamp":1559942142000},"page":"569-574","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":41,"title":["Does internet-accessed STI (e-STI) testing increase testing uptake for chlamydia and other STIs among a young population who have never tested? Secondary analyses of data from a randomised controlled trial"],"prefix":"10.1136","volume":"95","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7091-2417","authenticated-orcid":false,"given":"Emma","family":"Wilson","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4097-4577","authenticated-orcid":false,"given":"Cl\u00e9mence","family":"Leyrat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3354-6494","authenticated-orcid":false,"given":"Paula","family":"Baraitser","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Free","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,6,7]]},"reference":[{"key":"2024092304500711000_95.8.569.1","unstructured":"Public Health England . Sexually transmitted infections and screening for Chlamydia in England, 2017. Available: https:\/\/www.gov.uk\/government\/statistics\/sexually-transmitted-infections-stis-annual-data-tables [Accessed 03 Jan 2018]."},{"key":"2024092304500711000_95.8.569.2","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckp231"},{"key":"2024092304500711000_95.8.569.3","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1071\/SH13034","article-title":"Identifying and understanding barriers to sexually transmissible infection testing among young people","volume":"10","author":"Oliver de Visser","year":"2013","journal-title":"Sex Health"},{"key":"2024092304500711000_95.8.569.4","doi-asserted-by":"crossref","unstructured":"Minichiello V , Rahman S , Dune T , et al . E-health: potential benefits and challenges in providing and accessing sexual health services. 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Available: http:\/\/fingertips.phe.org.uk\/profile\/sexualhealth\/data [Accessed 29 Apr 2015]."},{"key":"2024092304500711000_95.8.569.12","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.1002479","article-title":"Internet-accessed sexually transmitted infection (e-STI) testing and results service: a randomised, single-blind, controlled trial","volume":"14","author":"Wilson","year":"2017","journal-title":"PLOS Medicine"},{"key":"2024092304500711000_95.8.569.13","doi-asserted-by":"publisher","DOI":"10.1002\/sim.4431"},{"key":"2024092304500711000_95.8.569.14","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(05)74813-3"},{"key":"2024092304500711000_95.8.569.15","doi-asserted-by":"crossref","unstructured":"Rubin D . Multiple imputation for nonresponse in surveys. 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