A mixed methods approach to assess the likelihood of testing for STI using self-collected samples among behaviourally bisexual women

Vanessa Schick, Barbara Van Der Pol, Brian Dodge, Aleta Baldwin, J. Fortenberry

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Objectives Behaviourally bisexual women (women who have sex with women and men (WSWM)) are more likely to report a history of sexually transmitted infections (STI) than women who have sex exclusively with men or exclusively with women. Barriers to care may prohibit WSWM from seeking STI testing. The present study investigated participant willingness to self-collect oral, vaginal and anal samples for STI testing. Methods Eighty WSWM were recruited from two midwestern locations. After completing an online questionnaire, a subset of the participants were interviewed (n=54) and provided the option to selfcollect oral, vaginal and/or anal samples to screen for Chlamydia trachomatis, Neisseria gonorrhoeae and Trichomonas vaginalis. Results Over two-thirds (67.5%, n=54) of the participants completed the baseline scheduled and attended the interview. The majority of these participants provided vaginal (87.0%, n=47), oral (85.2%, n=46) and/or anal (61.1%, n=33) samples. Participants with a history of anal play were significantly more likely to provide an anal sample. C. trachomatis infection was identified in the samples of 6.8% (n=3) of the participants including 4.5% (n=2) of the vaginal samples and 3.3% (n=1) of the anal samples. None of the samples were positive for N. gonorrhoeae or T. vaginalis. Participants who reported a recent history of anal sexual behaviour with a male partner were significantly more likely to self-collect an anal sample. Conclusions Given the comparatively high STI rates among WSWM, self-sampling in non-traditional settings may present a unique opportunity to provide needed care to this underserved population of women.

Original languageEnglish
Pages (from-to)329-333
Number of pages5
JournalSexually Transmitted Infections
Volume91
Issue number5
DOIs
StatePublished - Aug 1 2015

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Sexually Transmitted Diseases
Trichomonas vaginalis
Neisseria gonorrhoeae
Chlamydia trachomatis
Sexual Minorities
Chlamydia Infections
Vulnerable Populations
Sexual Behavior
Interviews

ASJC Scopus subject areas

  • Dermatology
  • Infectious Diseases

Cite this

A mixed methods approach to assess the likelihood of testing for STI using self-collected samples among behaviourally bisexual women. / Schick, Vanessa; Van Der Pol, Barbara; Dodge, Brian; Baldwin, Aleta; Fortenberry, J.

In: Sexually Transmitted Infections, Vol. 91, No. 5, 01.08.2015, p. 329-333.

Research output: Contribution to journalArticle

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abstract = "Objectives Behaviourally bisexual women (women who have sex with women and men (WSWM)) are more likely to report a history of sexually transmitted infections (STI) than women who have sex exclusively with men or exclusively with women. Barriers to care may prohibit WSWM from seeking STI testing. The present study investigated participant willingness to self-collect oral, vaginal and anal samples for STI testing. Methods Eighty WSWM were recruited from two midwestern locations. After completing an online questionnaire, a subset of the participants were interviewed (n=54) and provided the option to selfcollect oral, vaginal and/or anal samples to screen for Chlamydia trachomatis, Neisseria gonorrhoeae and Trichomonas vaginalis. Results Over two-thirds (67.5{\%}, n=54) of the participants completed the baseline scheduled and attended the interview. The majority of these participants provided vaginal (87.0{\%}, n=47), oral (85.2{\%}, n=46) and/or anal (61.1{\%}, n=33) samples. Participants with a history of anal play were significantly more likely to provide an anal sample. C. trachomatis infection was identified in the samples of 6.8{\%} (n=3) of the participants including 4.5{\%} (n=2) of the vaginal samples and 3.3{\%} (n=1) of the anal samples. None of the samples were positive for N. gonorrhoeae or T. vaginalis. Participants who reported a recent history of anal sexual behaviour with a male partner were significantly more likely to self-collect an anal sample. Conclusions Given the comparatively high STI rates among WSWM, self-sampling in non-traditional settings may present a unique opportunity to provide needed care to this underserved population of women.",
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