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Malindi district had a notably higher testing rate than the other two regarding HIV tests through VCT.
The higher testing rate (over 50%) in the Department of Health Boots study may have been because more women actively requested screening kits [ 11].
Some of the explanation for the higher testing rate among women could be their more frequent interaction with health services, including antenatal care and PMTCT programmes [ 41, 42].
In the QIP period, a higher testing rate was achieved in females; increasing from 13%to25%25 % (OR: 1.32, 95 % CI: 1.10-1.59).
Consistently, previous studies indicated that marital status may be a confounding factor of age [ 26, 27], and the HIV higher testing rate among married MSM may be due to their more conservative perception of risk of HIV infection [ 28].
In addition, younger GPs also had a higher testing rate irrespective of the gender of the GP; GPs aged less than 30 years tested 6.5%9595% CI: 4.2%, 8.9%) while GPs aged 60 and over tested 2.3% (95% CI: 0.6%, 4.0%) of 16-29 year olds. 16-29 year olds
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Additionally, GPs with increased knowledge about who should be tested for chlamydia had higher testing rates.
Past initiatives linking chlamydia testing to pap smears have resulted in higher testing rates in older, lower risk age groups [ 37], and lower rates in younger women not eligible for cervical screening [ 38].
A cross-sectional study of 16 29 year olds attending non-Aboriginal primary health care centres in Australia found that 8%% were tested for chlamydia, with higher testing rates in females than males (12%% vs 4%%, p < 0.01) [ 16].
The increasing use of NAAT equipment by laboratories in Australia to test for chlamydia and gonorrhoea at the same time will assist in achieving higher testing rates of gonorrhoea [ 15].
It seems unlikely however that CMV testing rates among pregnant women are much higher than those we report as we did not find substantially higher testing rates even among pregnant women for whom claims for other routine laboratory tests recommended during pregnancy were captured in the MarketScan Commercial database.
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