Aboriginal health worker screening for sexually transmissible infections and blood-borne viruses in a rural Australian juvenile correctional facility

Templeton, David J; Tyson, Beverley A; Meharg, Joel P; Habgood, Katalin E; Bullen, Patricia; Malek, Sharafat; McLean, Rick

doi:10.1071/sh09035

Cited by 20 publications

(19 citation statements)

References 18 publications

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“…Prevalence estimates for Indigenous Australians were reported in 16 reviewed studies (17 papers; 1 abstract) [18,23,44,59,63,64,68-78] ( Additional file 3). Sample sizes varied from 20 [23] to 2817 [72] and while participation rates were reported in only seven of the studies, four cited rates of over 80%.…”

Section: Resultsmentioning

confidence: 99%

“…Sample sizes varied from 20 [23] to 2817 [72] and while participation rates were reported in only seven of the studies, four cited rates of over 80%. The majority of studies were conducted in rural or remote areas (5) [59,69,71-73,79] or regional centres (6) [23,63,68,74,76-78]. Only three studies were conducted in large capital cities [18,23,44], and one sentinel surveillance study reported data from both urban and rural locations [77].…”

Section: Resultsmentioning

confidence: 99%

“…Twelve papers were identified that estimated chlamydia prevalence in potentially high-risk populations [18,38,44,60,78,89,92-97] ( Additional file 5). Five measured chlamydia prevalence in sex workers (legal and illegal) [38,44,92-94], four in individuals in prison or juvenile detention [18,78,95,96], two in drug users [60,97], and one in STI contacts [89].…”

Section: Resultsmentioning

confidence: 99%

“…Five measured chlamydia prevalence in sex workers (legal and illegal) [38,44,92-94], four in individuals in prison or juvenile detention [18,78,95,96], two in drug users [60,97], and one in STI contacts [89]. Participation rates, where reported, were high (49–87%), and sample sizes varied from 86 [78] to 1766 [93]. …”

Section: Resultsmentioning

confidence: 99%

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The prevalence of Chlamydia trachomatis infection in Australia: a systematic review and meta-analysis

et al. 2012

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BackgroundChlamydia trachomatis is a common sexually transmitted infection in Australia. This report aims to measure the burden of chlamydia infection by systematically reviewing reports on prevalence in Australian populations.MethodsElectronic databases and conference websites were searched from 1997–2011 using the terms ‘Chlamydia trachomatis’ OR ‘chlamydia’ AND ‘prevalence’ OR ‘epidemiology’ AND ‘Australia’. Reference lists were checked and researchers contacted for additional literature. Studies were categorised by setting and participants, and meta-analysis conducted to determine pooled prevalence estimates for each category.ResultsSeventy-six studies met the inclusion criteria for the review. There was a high level of heterogeneity between studies; however, there was a trend towards higher chlamydia prevalence in younger populations, Indigenous Australians, and those attending sexual health centres. In community or general practice settings, pooled prevalence for women <25 years in studies conducted post-2005 was 5.0% (95% CI: 3.1, 6.9; five studies), and for men <30 years over the entire review period was 3.9% (95% CI: 2.7, 5.1; six studies). For young Australians aged <25 years attending sexual health, family planning or youth clinics, estimated prevalence was 6.2% (95% CI: 5.1, 7.4; 10 studies) for women and 10.2% (95% CI: 9.5, 10.9; five studies) for men. Other key findings include pooled prevalence estimates of 22.1% (95% CI: 19.0, 25.3; three studies) for Indigenous women <25 years, 14.6% (95% CI: 11.5, 17.8; three studies) for Indigenous men <25 years, and 5.6% (95% CI: 4.8, 6.3; 11 studies) for rectal infection in men who have sex with men. Several studies failed to report basic demographic details such as sex and age, and were therefore excluded from the analysis.ConclusionsChlamydia trachomatis infections are a significant health burden in Australia; however, accurate estimation of chlamydia prevalence in Australian sub-populations is limited by heterogeneity within surveyed populations, and variations in sampling methodologies and data reporting. There is a need for more large, population-based studies and prospective cohort studies to compliment mandatory notification data.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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The prevalence of Chlamydia trachomatis infection in Australia: a systematic review and meta-analysis

et al. 2012

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“…Among the 36 studies, four were conducted in urban areas, 28,37,40,43 10 in regional, 30,34,38,41,[44][45][46][47]49,55 seven in remote, 27,33,35,42,[52][53][54] 12 were conducted in multiple geographical locations or were national analyses with no breakdown by location 29,36,39,50,51,[56][57][58][59][60][61][62] and two did not provide enough information to determine a geographical location. 32,43 There were two studies conducted in SA, 27,37 four in WA, 29,30,33,48 five in Qld, 39,41,42,44,52 nine in NSW, 28,32,34,…”

Section: Included Studiesmentioning

confidence: 99%

Chronic hepatitis B prevalence in Australian Aboriginal and Torres Strait Islander people before and after implementing a universal vaccination program: a systematic review and meta-analysis

et al. 2019

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Background: A higher prevalence of chronic hepatitis B (CHB) has been reported in Aboriginal and Torres Strait Islander (Aboriginal) compared with non-Aboriginal Australians. An Australian infant and adolescent hepatitis B virus (HBV) vaccination program was implemented in 2000. Meta-analysis methods will be used to examine if the pooled prevalence of CHB decreased after 2000 among Aboriginal Australians. Methods: Embase, Medline and Web of Science were searched from 1 January 1981 to 29 March 2018 and all issues of the Northern Territory and New South Wales Public Health Bulletins. Studies needed to report the number of individuals who were tested and tested positive for hepatitis B surface antigen (HBsAg). Results: There were 36 studies; 16 before and 20 after 2000; reporting 84 prevalence estimates. Population groups included: adults (14 studies), pregnant women (13 studies), prisoners (five studies) children or teenagers (10 studies) and infants (two studies). The pooled prevalence of HBsAg decreased overall (from 10.8% before 2000 vs 3.5% after 2000), in women (4.2% vs 2.2%), in males (17.5% vs 3.5%), in regional (7.8% vs 3.9%) and remote (14.4% vs 5.7%) areas, in New South Wales (12.3% vs 3.0%), in the Northern Territory (6.1% vs 5.1%), in adults (15.3% vs 4.3%) and in pregnant women (3.6% vs 2.6%). Conclusion: The prevalence of HBsAg decreased among Aboriginal people after 2000.

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Populations at Special Health Risk: Incarcerated

Coyle¹,

Shelupanov²,

Walcher³

2017

International Encyclopedia of Public Health

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Aboriginal health worker screening for sexually transmissible infections and blood-borne viruses in a rural Australian juvenile correctional facility

Cited by 20 publications

References 18 publications

The prevalence of Chlamydia trachomatis infection in Australia: a systematic review and meta-analysis

The prevalence of Chlamydia trachomatis infection in Australia: a systematic review and meta-analysis

Chronic hepatitis B prevalence in Australian Aboriginal and Torres Strait Islander people before and after implementing a universal vaccination program: a systematic review and meta-analysis

Populations at Special Health Risk: Incarcerated

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