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- Title
Comparison of Opt-In Versus Opt-Out Testing for Sexually Transmitted Infections Among Inmates in a County Jail.
- Authors
Shaikh, Raees A.; Simonsen, Kari A.; O’Keefe, Anne; Earley, Mary; Foxall, Mark; Islam, K. M.; Person, Austin; Boyle, Cole; Sandkovsky, Uriel; Margalit, Ruth
- Abstract
A majority of jails in the United States rely on an opt-in (voluntary) rather than opt-out (universal) approach to testing for sexually transmitted infections (STIs). This study compares an opt-out approach at intake to opt-in testing during incarceration and estimates the prevalence of common STIs among jail inmates. Data derive from a universal intake pilot testing program (n = 298) and an established, student-led voluntary testing program (n = 1,963), respectively. The adjusted prevalence as well as the odds of testing positive for chlamydia were significantly higher in the opt-out program (p = .025 and .008, respectively) than the opt-in program but not for gonorrhea (p = .402 and .300, respectively). These results demonstrate the potential public health benefit of implementation of universal STI testing of jail inmates.
- Subjects
UNITED States; PREVENTION of sexually transmitted diseases; CHLAMYDIA infections; CORRECTIONAL institutions; GONORRHEA; PRISON psychology; SECONDARY analysis
- Publication
Journal of Correctional Health Care, 2015, Vol 21, Issue 4, p408
- ISSN
1078-3458
- Publication type
Article
- DOI
10.1177/1078345815600447