BMJ  2005;330 (23 April), doi:10.1136/bmj.330.7497.0-d

Screening for chlamydia by post is feasible but incomplete

Postal screening for genital Chlamydia trachomatis in the United Kingdom is feasible, but coverage was incomplete and uptake modest, and the screening ultimately seems to lead to wider inequalities in sexual health. Macleod and colleagues (p 940) invited 19 773 men and women aged 16-39 to participate in postal screening by providing a specimen collected at home. With coverage of about 70% and uptake of about 30%, the screening found an overall prevalence of just below 3% for men and almost 4% for women. However, prevalence was higher in younger people, especially younger women who were harder to engage in screening.

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Coverage and uptake of systematic postal screening for genital Chlamydia trachomatis and prevalence of infection in the United Kingdom general population: cross sectional study

John Macleod, Chris Salisbury, Nicola Low, Anne McCarthy, Jonathan A C Sterne, Aisha Holloway, Rita Patel, Emma Sanford, Andrea Morcom, Paddy Horner, George Davey Smith, Susan Skidmore, Alan Herring, Owen Caul, F D Richard Hobbs, and Matthias Egger
BMJ 2005 330: 940. [Abstract] [Full Text] [PDF]

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