Preferred strategies of men and women for managing chlamydial infection
Article first published online: 21 JAN 2009
© 2009 The Authors Journal compilation © RCOG 2009 BJOG An International Journal of Obstetrics and Gynaecology
BJOG: An International Journal of Obstetrics & Gynaecology
Volume 116, Issue 3, pages 357–365, February 2009
How to Cite
Melvin, L., Cameron, S., Glasier, A., Scott, G., Johnstone, A. and Elton, R. (2009), Preferred strategies of men and women for managing chlamydial infection. BJOG: An International Journal of Obstetrics & Gynaecology, 116: 357–365. doi: 10.1111/j.1471-0528.2008.01977.x
- Issue published online: 21 JAN 2009
- Article first published online: 21 JAN 2009
- Accepted 4 June 2008.
- partner notification;
- patient-delivered partner medication;
- patient referral;
- postal testing
Objectives To determine men and women’s preferred strategies for managing chlamydial infection: partner notification (patient referral), postal testing kit (PTK) or patient-delivered partner medication (PDPM).
Design Interviewer-conducted questionnaires (women) and anonymous, self-administered questionnaires (men).
Population Women infected with chlamydia who were participating in a randomised study assigning partners to patient referral, PTK or PDPM. Men attending genitourinary medicine, family planning and fracture clinics in Edinburgh.
Methods Men and women were asked their preferred strategy for testing/treating sexual partners (patient referral, PTK or PDPM) if they or their partner had a positive chlamydia test. Women were also asked the reasons for their choice and whether partners were satisfied with the intervention received.
Main outcome measures Reported preferences of men and women for testing/treating partners.
Results Response rates were 97 and 81% for the women’s questionnaires at study entry and 6 months, respectively, and 81% for the men’s questionnaires. Of 174 women responding, 67% preferred PDPM for partners and 57% would prefer PDPM for themselves. The main reasons were that PDPM allows simpler, more convenient and faster treatment. Women reported that 65% of partners were satisfied with whichever intervention they received. Of 293 men responding, 70% would choose patient referral for partners and 53% would prefer patient referral for themselves. Men previously tested for chlamydia were significantly more likely to choose PDPM (n = 22) than those never tested (n = 7); P < 0.001. Only 3% of women and 9% of men preferred PTKs for partners.
Conclusion The results suggest that women prefer PDPM and men, at least hypothetically, prefer patient referral. PTK appears unpopular with both sexes.