A chlamydia prevalence survey of young women living in Melbourne, Victoria

Hocking, Jane S; Willis, Jessika; Tabrizi, Sepehr N.; Fairley, Christopher K.; Garland, Suzanne M.; Hellard, Margaret

doi:10.1071/sh06033

Cited by 59 publications

(65 citation statements)

References 17 publications

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“…Targeting 15-19-year-olds is slightly more effective at reducing prevalence than targeting 25-29-year-olds. The relative importance and impact of targeting these age groups is directly reflected by the current age-specific prevalence profile of chlamydia infection in Australia [2,29,34]. Because prevalence is greatest in 20 -24-year-olds (figure 2), the overall prevalence can be reduced most effectively by screening and treating this age group (figure 3A and 3B).…”

Section: Resultsmentioning

confidence: 98%

“…The model was parameterized to reflect the demography of Australia and the known sexual mixing patterns and was calibrated to obtain agespecific prevalence estimates consistent with published data (figure 2) [2,29]. Uncertainty analysis was performed by defining a probability distribution for each input parameter (table 1), on the basis of published clinical and epidemiological studies.…”

Section: Model Formulationmentioning

confidence: 99%

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Coverage Is the Key for Effective Screening ofChlamydia trachomatisin Australia

2008

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Section: Resultsmentioning

confidence: 98%

Section: Model Formulationmentioning

confidence: 99%

Coverage Is the Key for Effective Screening ofChlamydia trachomatisin Australia

2008

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“…Chlamydia is a highly prevalent infection in young heterosexuals [1][2][3][4] and men who have sex with men (MSM) in Australia. 5 Chlamydia re-infections increase the risk of chlamydia-related sequelae such as pelvic inflammatory disease and infertility.…”

Section: Introductionmentioning

confidence: 99%

Re-testing for chlamydia at sexual health services in Australia, 2004 - 08

et al. 2011

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Abstract. Objective:To describe the frequency of the 3-month test for re-infection among sexual health service patients in Australia. Methods: We assessed the re-testing rates at 30-120 days after chlamydia infection in men who have sex with men (MSM), heterosexual males and females attending sexual health services across Australia between 2004 and 2008. A c 2 -test was used to determine significant differences in re-testing rates according to demographic characteristics and trends over time. Results: In the 5-year period, 10 207 MSM, 28 530 heterosexual males and 31 190 heterosexual females were tested for chlamydia. Of those tested, 9057 (13.0%) were positive. The proportion of patients with chlamydia infection who were re-tested in 30-120 days was 8.6% in MSM, 11.9% in heterosexual males and 17.8% in heterosexual females. Among MSM, chlamydia re-testing rates were lower in men aged <30 years (8.4%) than 30 years (12.5%) (P = 0.04) and lower in travellers and migrants (2.9%) than non-travellers (9.9%) (P = 0.002). In heterosexual males, chlamydia re-testing rates were lower in men in regional and rural areas (10.5%) than metropolitan areas (13.5%) (P = 0.017). There was no increasing trend in re-testing rates between 2004 and 2008 (P = 0.787). Of the patients re-tested, 44.1% of MSM were positive, 21.0% of heterosexual males and 16.1% of females. Discussion: The high chlamydia positivity at 30-120 days support recommendations that call for a 3-month test for re-infection following a positive test. The low re-testing rates highlight the need for innovative strategies to increase re-testing.

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“…There were four population-based studies that included a nationally representative sample of the general adult or adolescent population in Croatia (1 study, 1 publication [81]) and the USA (3 studies, 15 publications [83][84][85][86][87][88][89][90][91][92][93][94][95][96][97]). The remaining studies enrolled participants from the general population in one or more regions of a country (four studies in Australia, 6 publications [98][99][100][101][102][103], two studies in Canada, two publications [104,105], two studies in the USA, three publications [106][107][108]), or from a specific group within the general population (e.g. low income women in the USA [109,110], school students in New Zealand [111,112] or men presenting for military service in Switzerland [82]).…”

Section: Description Of Included Studiesmentioning

confidence: 99%

Opportunistic testing for urogenital infection with Chlamydia trachomatis in south-western Switzerland, 2012: a feasibility study

et al. 2015

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The feasibility of opportunistic screening of urogenital infections with Chlamydia trachomatis was assessed in a cross-sectional study in 2012, in two cantons of south-western Switzerland: Vaud and Valais. Sexually active persons younger than?30 years, not tested for C. trachomatis in the last three months, were invited for free C. trachomatis testing by PCR in urine or self-applied vaginal swabs. Of 2,461 consenting participants, 1,899 (77%) were women and all but six (0.3%) submitted a sample. Forty-seven per cent of female and 25% of male participants were?younger than?20 years. Overall, 134 (5.5%) of 2,455 tested participants had a positive result and were followed up. Seven per cent of all candidates for screening were not invited, 10% of invited candidates were not eligible, 15% of the eligible candidates declined participation, 5% of tested participants testing positive were not treated, 29% of those treated were not retested after six months and 9% of those retested were positive for C. trachomatis. Opportunistic C. trachomatis testing proved technically feasible and acceptable, at least if free of charge. Men and peripheral rural regions were more difficult to reach. Efforts to increase testing and decrease dropout at all stages of the screening procedure are necessary.

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A chlamydia prevalence survey of young women living in Melbourne, Victoria

Cited by 59 publications

References 17 publications

Coverage Is the Key for Effective Screening ofChlamydia trachomatisin Australia

Coverage Is the Key for Effective Screening ofChlamydia trachomatisin Australia

Re-testing for chlamydia at sexual health services in Australia, 2004 - 08

Opportunistic testing for urogenital infection with Chlamydia trachomatis in south-western Switzerland, 2012: a feasibility study

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