Abstract
IntroductionPublic Health England recommends that local authorities should work towards making STI testing more accessible. Since August 2015, sexual health services in Birmingham and Solihull area (Umbrella) have provided online home-based testing.MethodsWe conducted a retrospective analysis of the clinic and online database to identify patients who undertook home-based and clinic-based testing in the Birmingham and Solihull clinics between January and June 2016.ResultsAbstract O15 Table 1Home based v clinic based testingHome-based testing (n=9258)Clinic-based testing (n=19193)P valueAge16–24 >256033 (65%)3225 (35%)9654 (50%)9539 (50%)<0.001Gender Female Male Transgender5986 (65%)3258 (35%)14 (0%)10861 (57%)8306 (43%)26 (0%)<0.001Ethnicity White Black/British Black Asian/British Asian Other: Not specified:6648 (72%)892 (10%)558 (6%)920 (10%)240 (3%)7996(42%)4026 (21%)2167(11%)2160 (11%)2844 (15%)<0.001Asymptomatic7408/9258 (80%)9729/19193 (51%)<0.001Return rate4476 (48%)–Prevalence rates382/4476 (9%)2141/19193 (11%)<0.001Treatment rate174/382 (46%)1663/2141 (78%)<0.001DiscussionHome-based testing appears to be popular among asymptomatic, younger (16–24 years), white and female patients, with poor overall return rates. There may be a need for promotion of this method of testing among ethnic minorities. The current method of recall needs to be reviewed to improve treatment rates in the home-based testing group.
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