177222 Understanding young men's preferences for sexually transmitted infection care services in a low-income community clinic setting in New York City

Tuesday, October 28, 2008: 3:10 PM

Ian W. Holloway, MSW, MPH , School of Social Work, University of Southern California, Los Angeles, CA
Heidi E. Jones, MPH , Department of Obstetrics & Gynecology, Columbia University, New York, NY
David L. Bell, MD, MPH , Department of Pediatrics, Heilbrunn Department of Population and Family Health, Columbia University, New York, NY
Carolyn L. Westhoff, MD , Department of Obstetrics & Gynecology, Heilbrunn Department of Population and Family Health, Columbia University, New York, NY
Engaging men in sexual and reproductive health services remains challenging. We evaluated men's preferences on testing, notification and treatment for sexually transmitted infections (STIs) in a community clinic in Upper Manhattan. Men in the waiting room were asked to complete a self-administered, anonymous survey over one month in the summer of 2007. 67% of eligible men (n=199) agreed to participate. Respondents were primarily Latino (84%), completed high school or higher (67%) and were young (median 25 years, range 18-53). The median number of sex partners in the past year was one (range 0-20); 13% reported sexual relations with other men. When asked about specimen collection for STI testing, 51% preferred to collect their specimen at the clinic, 12% at home, 8% to have a doctor take the sample, and 29% had no preference. For anal infections, 34% preferred self-collecting an anal swab, 30% having a doctor do so and 36% no preference. Their first choice for notification of a positive test result was by cell phone (54%), contacting the clinic themselves (17%), or home phone (11%). 21% reported having ever had gonorrhea or chlamydia. Of these, 39% (16) were given medication to bring their partner and almost all (n=14) reported their partner took the medicine. 83% of all men reported they would be (very) likely to take STI medication brought to them by their partner. Analyses of preferences by socio-demographic characteristics and implications for tailoring services including the use of patient-delivered partner therapy are discussed.

Learning Objectives:
1. Recognize the importance of male involvement in STI prevention in community settings. 2. Describe menís preferences with regard to STI testing, notification and treatment based on Study results. 3. Discuss implications of study findings on service planning and delivery for men in community clinic settings.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I was integrally involved in the questionnaire development, and fielding of the survey, and am taking the lead on the analysis and presentation of the results. I hold an MSW and MPH and am currently enrolled in a doctoral program in social work. One of my main areas of interest has been reproductive health among Latino men.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.