Incarcerated populations experience higher rates of sexually transmitted infections (STIs) than the general population, alongside inconsistent testing strategies. In response, universal opt-out STIs (chlamydia, gonorrhea, syphilis, and HIV) screening was implemented at admission in a short-term correctional facility in Alberta, Canada, for individuals ≤35 years. A cross-sectional, retrospective evaluation of testing outcomes between March 2018 and February 2020 was completed. Descriptive statistics were used to stratify STIs by gender, age group, and date for univariate analysis. Despite low uptake (31.2%), opt-out screening resulted in high positivity rates (14.9%, 10.8%, 29.5%, and 0.3%, respectively) and treatment completion (93.7%) while capturing a high proportion (52.6%) of asymptomatic cases. Opt-out screening at admission is feasible and can improve STI testing in high-risk individuals experiencing incarceration in Canada.

中文翻译：

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加拿大艾伯塔省短期惩教机构入院时选择退出性传播感染筛查的横断面回顾性评估

与普通人群相比，被监禁人群的性传播感染 (STI) 发生率更高，而且检测策略也不一致。作为回应，在加拿大阿尔伯塔省的一家短期惩教机构中，对 35 岁以下的个人实施了普遍选择退出 STI（衣原体、淋病、梅毒和 HIV）筛查。完成了对 2018 年 3 月至 2020 年 2 月期间测试结果的横断面回顾性评估。描述性统计用于按性别、年龄组和日期对 STI 进行分层以进行单变量分析。尽管采用率较低 (31.2%)，但选择退出筛查导致了较高的阳性率（分别为 14.9%、10.8%、29.5% 和 0.3%）和治疗完成率 (93.7%)，同时捕获了较高比例 (52.6%) 的患者无症状病例。