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 journalArticle

5 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)408-416
Number of pages9
JournalJournal of Correctional Health Care
Volume21
Issue number4
DOIs
StatePublished - Oct 22 2015
Externally publishedYes

Fingerprint

Sexually Transmitted Diseases
Voluntary Programs
Chlamydia
Gonorrhea
Insurance Benefits
Public Health
Students

Keywords

  • jail
  • opt-in
  • opt-out
  • sexually transmitted infections
  • testing

ASJC Scopus subject areas

  • Community and Home Care
  • Public Health, Environmental and Occupational Health

Cite this

Comparison of Opt-In Versus Opt-Out Testing for Sexually Transmitted Infections Among Inmates in a County Jail. / Shaikh, Raees A.; Simonsen, Kari A.; O’Keefe, Anne; Earley, Mary; Foxall, Mark; Islam, K. M.; Person, Austin; Boyle, Cole; Sandkovsky, Uriel; Margalit, Ruth.

In: Journal of Correctional Health Care, Vol. 21, No. 4, 22.10.2015, p. 408-416.

Research output: Contribution to journalArticle

Shaikh, RA, Simonsen, KA, O’Keefe, A, Earley, M, Foxall, M, Islam, KM, Person, A, Boyle, C, Sandkovsky, U & Margalit, R 2015, 'Comparison of Opt-In Versus Opt-Out Testing for Sexually Transmitted Infections Among Inmates in a County Jail', Journal of Correctional Health Care, vol. 21, no. 4, pp. 408-416. https://doi.org/10.1177/1078345815600447
Shaikh, Raees A. ; Simonsen, Kari A. ; O’Keefe, Anne ; Earley, Mary ; Foxall, Mark ; Islam, K. M. ; Person, Austin ; Boyle, Cole ; Sandkovsky, Uriel ; Margalit, Ruth. / Comparison of Opt-In Versus Opt-Out Testing for Sexually Transmitted Infections Among Inmates in a County Jail. In: Journal of Correctional Health Care. 2015 ; Vol. 21, No. 4. pp. 408-416.
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