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. 2021 Nov 1;48(11):e155-e159.
doi: 10.1097/OLQ.0000000000001475.

Direct-to-Consumer Sexually Transmitted Infection Testing Services: A Position Statement from the American Sexually Transmitted Diseases Association

Cara Exten  1 , Casey N Pinto  2 , Anne M Gaynor  3 , Beth Meyerson  4 , Stacey B Griner  5 , Barbara Van Der Pol; Board of Directors of the American Sexually Transmitted Diseases Association
Affiliations

Direct-to-Consumer Sexually Transmitted Infection Testing Services: A Position Statement from the American Sexually Transmitted Diseases Association

Cara Exten et al. Sex Transm Dis. .

Abstract

Direct-to-consumer test services have gained popularity for sexually transmitted infections in recent years, with substantially increased use as a result of the SARS-CoV-2 (CoVID-19) global pandemic. This method of access has been variously known as "self-testing," "home testing," and "direct access testing." Although these online services may be offered through different mechanisms, here we focus on those that are consumer-driven and require self-collected samples, and sample shipment to a centralized laboratory without involvement of health care providers and/or local health departments. We provide the American Sexually Transmitted Diseases Association's position on utilization of these services and recommendations for both consumers and health care providers.

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Conflict of interest statement

Conflict of Interest: C.E., B.M., and S.B.G. have nothing to disclose. C.N.P. reports receiving honorarium/consulting fees paid directly to her by Becton Dickinson. A.M.G. reports receiving funding to her institution from Abbott, BD, Cepheid, DiaSorin, IDEXX, Illumina, Hologic, Luminex, National Jewish Health, Roche, SpeeDx, ThermoFisher Scientific, and Qiagen. B.V.D.P. reports receiving funding to her institution from Abbott, Becton Dickinson, binx health, Cepheid, Hologic, Rheonix, Roche, and SpeeDx, and honorarium/consulting fees paid directly to her from Abbott, BD, and Roche.

Figures

Figure 1
Figure 1
The pathway to change summarizes the recommendations for DTC STI testing.
See this image and copyright information in PMC

Comment in

References

    1. Ford CA, Best D, Miller WC. The pediatric forum: Confidentiality and adolescents' willingness to consent to sexually transmitted disease testing. Arch Pediatr Adolesc Med 2001; 155:1072–1073. - PubMed
    1. Cuffe KM Newton-Levinson A Gift TL, et al. . Sexually transmitted infection testing among adolescents and young adults in the United States. J Adolesc Health 2016; 58:512–519. - PubMed
    1. Fleming C Drennan VM Kerry-Barnard S, et al. . Understanding the acceptability, barriers and facilitators for chlamydia and gonorrhoea screening in technical colleges: Qualitative process evaluation of the “Test n Treat” trial. BMC Public Health 2020; 20:1212. - PMC - PubMed
    1. Gilbert M Thomson K Salway T, et al. . Differences in experiences of barriers to STI testing between clients of the Internet-based diagnostic testing service GetCheckedOnline.com and an STI clinic in Vancouver, Canada. Sex Transm Infect 2019; 95:151–156. - PMC - PubMed
    1. Tilson EC Sanchez V Ford CL, et al. . Barriers to asymptomatic screening and other STD services for adolescents and young adults: focus group discussions. BMC Public Health 2004; 4:21. - PMC - PubMed