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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

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Department of Sexual Health, Infectious Diseases and Environmental Health, South Limburg Public Health Services, 6160 HA, Geleen, The Netherlands
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Department of Medical Microbiology, School for Public Health and Primary Care (CAPHRI), Maastricht University Medical Centre (MUMC+), 6202 AZ Maastricht, The Netherlands
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Department of Work & Social Psychology, Maastricht University, 6200 MD Maastricht, The Netherlands
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Department of Health Promotion, School for Public Health and Primary Care (CAPHRI), Maastricht University Medical Centre (MUMC), Maastricht 6202 AZ, The Netherlands
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Faculty of Engineering and Informatics. University of Bradford, Bradford BD7 1DP, UK
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Centre for Infectious Disease Control, RIVM National Institute of Public Health and the Environment, Bilthoven 3720 BA, The Netherlands
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STI AIDS Netherlands, Amsterdam 1016 GB, The Netherlands
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Department of General Practice, AMC-University of Amsterdam, Amsterdam 1105 AZ, The Netherlands
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In-Fact, Bradford BD17 7DB, UK
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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
Int. J. Environ. Res. Public Health 2015, 12(8), 9889-9906; https://doi.org/10.3390/ijerph120809889
Received: 30 June 2015 / Revised: 7 August 2015 / Accepted: 13 August 2015 / Published: 20 August 2015
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
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Theunissen, K.; Hoebe, C.; Kok, G.; Crutzen, R.; Kara-Zaïtri, C.; De Vries, N.; Van Bergen, J.; Hamilton, R.; Sande, M.V.; 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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