Sexually Transmitted Diseases

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Sexually Transmitted Diseases:
doi: 10.1097/OLQ.0b013e318275343b
The Real World of STD Prevention

Client Feedback and Satisfaction With an Express Sexually Transmissible Infection Screening Service at an Inner-City Sexual Health Center

Martin, Lynne MPH*; Knight, Vickie MHScEd*; Ryder, Nathan FAChSHM; Lu, Heng MCompSc*; Read, Phillip J. FAChSHM*‡; McNulty, Anna FAChSHM*‡

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Background: Sydney Sexual Health Centre (SSHC) commenced a fast-track sexually transmissible infection clinic, the Xpress Clinic (Xpress) pilot for asymptomatic clients in March 2010, using a computer-assisted self-interview and self-collected samples. This study examines client satisfaction and changes in intended screening frequency among clients of Xpress.

Methods: This was a cross-sectional study of all clients attending Xpress clinics during the initial 6 months. All clients were requested to complete a survey based on a previously validated questionnaire. Results were stratified by sex, sex of sexual partners, age, and sex work status.

Results: Of the 243 clients who attended Xpress, 145 (60%) returned questionnaires. The 2 most common reasons for choosing Xpress clinic were reduced waiting time (n = 42/138 [30%]; 95% confidence interval [CI], 23%–38%) and reduced length of consultation (n = 16/138 [12%]; 95% CI, 7%–17%).

When asked if they would have come to SSHC anyway if Xpress was not an option, men who have sex with men (MSM) were more likely than non-MSM to say that they would come for screening anyway (77% MSM vs. 59% non-MSM, P = 0.034). Youth younger than 25 were less likely than those 25 years and older to have come for screening anyway (53% vs. 79%, P = 0.012).

Most (n = 101/138 [73%]; 95% CI, 65%–80%) considered that they would test for sexually transmissible infections more frequently in the future using the Xpress model. Client satisfaction levels were high, with most respondents reporting that they would return to Xpress (n = 119/142 [83%]; 95% CI, 77%–89%) and would recommend it to friends (n = 122/142 [86%]; 95% CI, 79%–90%).

Conclusions: Most clients were highly satisfied with all aspects of Xpress and reported intentions to retest using this model of care.

© Copyright 2013 American Sexually Transmitted Diseases Association


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