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Int. J. Environ. Res. Public Health 2015, 12(8), 9889-9906; doi:10.3390/ijerph120809889

A Web—Based Respondent Driven Sampling Pilot Targeting Young People at Risk for Chlamydia Trachomatis in Social and Sexual Networks with Testing: A Use Evaluation

1
Department of Sexual Health, Infectious Diseases and Environmental Health, South Limburg Public Health Services, 6160 HA, Geleen, The Netherlands
2
Department of Medical Microbiology, School for Public Health and Primary Care (CAPHRI), Maastricht University Medical Centre (MUMC+), 6202 AZ Maastricht, The Netherlands
3
Department of Work & Social Psychology, Maastricht University, 6200 MD Maastricht, The Netherlands
4
Department of Health Promotion, School for Public Health and Primary Care (CAPHRI), Maastricht University Medical Centre (MUMC), Maastricht 6202 AZ, The Netherlands
5
Faculty of Engineering and Informatics. University of Bradford, Bradford BD7 1DP, UK
6
Centre for Infectious Disease Control, RIVM National Institute of Public Health and the Environment, Bilthoven 3720 BA, The Netherlands
7
STI AIDS Netherlands, Amsterdam 1016 GB, The Netherlands
8
Department of General Practice, AMC-University of Amsterdam, Amsterdam 1105 AZ, The Netherlands
9
In-Fact, Bradford BD17 7DB, UK
10
Julius Centre for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht 3508 GA, The Netherlands
*
Authors to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Received: 30 June 2015 / Revised: 7 August 2015 / Accepted: 13 August 2015 / Published: 20 August 2015
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Abstract

Background: With the aim of targeting high-risk hidden heterosexual young people for Chlamydia trachomatis (CT) testing, an innovative web-based screening strategy using Respondent Driven Sampling (RDS) and home-based CT testing, was developed, piloted and evaluated. Methods: Two STI clinic nurses encouraged 37 CT positive heterosexual young people (aged 16–25 years), called index clients, to recruit peers from their social and sexual networks using the web-based screening strategy. Eligible peers (young, living in the study area) could request a home-based CT test and recruit other peers. Results: Twelve (40%) index clients recruited 35 peers. Two of these peers recruited other peers (n = 7). In total, 35 recruited peers were eligible for participation; ten of them (29%) requested a test and eight tested. Seven tested for the first time and one (13%) was positive. Most peers were female friends (80%). Nurses were positive about using the strategy. Conclusions: The screening strategy is feasible for targeting the hidden social network. However, uptake among men and recruitment of sex-partners is low and RDS stopped early. Future studies are needed to explore the sustainability, cost-effectiveness, and impact of strategies that target people at risk who are not effectively reached by regular health care. View Full-Text
Keywords: Chlamydia trachomatis; web-based respondent driven sampling; peer-referral; social networks; sexual networks; partner notification; home-based test kits Chlamydia trachomatis; web-based respondent driven sampling; peer-referral; social networks; sexual networks; partner notification; home-based test kits
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Theunissen, K.; Hoebe, C.; Kok, G.; Crutzen, R.; Kara-Zaïtri, C.; de Vries, N.; van Bergen, J.; Hamilton, R.; Sande, M.; Dukers-Muijrers, N. A Web—Based Respondent Driven Sampling Pilot Targeting Young People at Risk for Chlamydia Trachomatis in Social and Sexual Networks with Testing: A Use Evaluation. Int. J. Environ. Res. Public Health 2015, 12, 9889-9906.

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Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
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