{
  "abstract": "Objectives We evaluated the uptake of an at-home syphilis testing option through TakeMeHome, a free HIV/STI self-testing programme, and assessed the correlates of selecting the new testing option in this cross-sectional evaluation.Methods Data consisted of self-test orders placed between January and July 2025 in jurisdictions that introduced an at-home syphilis self-testing option through TakeMeHome and previously did not offer STI testing through the programme. Poisson regression models with robust standard errors were used to estimate the associations between participant race/ethnicity, gender identity, last HIV/STI test date, status as a previous TakeMeHome tester, and age and the outcome of ordering an add-on at-home syphilis test.Results In jurisdictions that did not previously offer an STI testing option, 1234 at-home tests were ordered over the follow-up period, with 907 (74%) orders for an at-home HIV test with an at-home syphilis test. Cisgender women were more likely to be interested in and eligible for the syphilis test compared with cisgender men, after adjustment for race/ethnicity, last HIV/STI test date, being a previous TakeMeHome tester, jurisdiction and age (adjusted PR: 1.22, 95% CI 1.13 to 1.33, p<0.0005).Conclusions There was high interest in and uptake of the new at-home syphilis testing option in jurisdictions that previously did not offer at-home STI testing through TakeMeHome.",
  "authors": [
    {
      "affiliations": [
        "Springboard HealthLab, Richmond, California, USA",
        "BHOC, Richmond, California, USA"
      ],
      "name": "Shalika Gupta"
    },
    {
      "affiliations": [
        "Los Angeles County Department of Public Health Division of HIV and STD Programs, Los Angeles, California, USA"
      ],
      "name": "Melissa Papp-Green"
    },
    {
      "affiliations": [
        "North Carolina Department of Health and Human Services, Raleigh, North Carolina, USA"
      ],
      "name": "Marti Eisenberg"
    },
    {
      "affiliations": [
        "NASTAD, Washington, District of Columbia, USA"
      ],
      "name": "Jenny Mahn"
    },
    {
      "affiliations": [
        "Springboard HealthLab, Richmond, California, USA",
        "BHOC, Richmond, California, USA"
      ],
      "name": "Jennifer Hecht"
    }
  ],
  "title": "Increasing access to STI testing through addition of at-home syphilis testing to the TakeMeHome self-testing programme in Los Angeles County and North Carolina",
  "uid": "b03c8e9a-13b0-53e5-b11f-f83d5cbe26aa"
}