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

Keywords

jail
opt-in
opt-out
sexually transmitted infections
testing

ASJC Scopus subject areas

Community and Home Care
Public Health, Environmental and Occupational Health

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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.",

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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

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KW - opt-out

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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

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