Comparison of Opt-In Versus Opt-Out Testing for Sexually Transmitted Infections Among Inmates in a County Jail

Raees A. Shaikh; Kari A. Simonsen; Anne O’Keefe; Mary Earley; Mark Foxall; K. M. Islam; Austin Person; Cole Boyle; Uriel Sandkovsky; Ruth Margalit

doi:10.1177/1078345815600447

Comparison of Opt-In Versus Opt-Out Testing for Sexually Transmitted Infections Among Inmates in a County Jail

Raees A. Shaikh, Kari A. Simonsen, Anne O’Keefe, Mary Earley, Mark Foxall, K. M. Islam, Austin Person, Cole Boyle, Uriel Sandkovsky, Ruth Margalit

Research output: Contribution to journal › Article › peer-review

12 Scopus citations

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.

Original language	English (US)
Pages (from-to)	408-416
Number of pages	9
Journal	Journal of Correctional Health Care
Volume	21
Issue number	4
DOIs	https://doi.org/10.1177/1078345815600447
State	Published - Oct 22 2015
Externally published	Yes

Keywords

jail
opt-in
opt-out
sexually transmitted infections
testing

ASJC Scopus subject areas

Community and Home Care
Public Health, Environmental and Occupational Health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1177/1078345815600447

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title = "Comparison of Opt-In Versus Opt-Out Testing for Sexually Transmitted Infections Among Inmates in a County Jail",

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.",

keywords = "jail, opt-in, opt-out, sexually transmitted infections, testing",

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doi = "10.1177/1078345815600447",

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T1 - Comparison of Opt-In Versus Opt-Out Testing for Sexually Transmitted Infections Among Inmates in a County Jail

AU - Shaikh, Raees A.

AU - Simonsen, Kari A.

AU - O’Keefe, Anne

AU - Earley, Mary

AU - Foxall, Mark

AU - Islam, K. M.

AU - Person, Austin

AU - Boyle, Cole

AU - Sandkovsky, Uriel

AU - Margalit, Ruth

PY - 2015/10/22

Y1 - 2015/10/22

N2 - 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.

AB - 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.

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KW - opt-out

KW - sexually transmitted infections

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Comparison of Opt-In Versus Opt-Out Testing for Sexually Transmitted Infections Among Inmates in a County Jail

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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