Feasibility of testing for Chlamydia trachomatis in a general population sexual behaviour survey in Slovenia

Klavs, Irena; Rodrigues, LC; Wellings, Kaye; Keše, Darja; Švab, Igor

doi:10.1258/095646202762226074

Cited by 7 publications

(4 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The linkage of testing results with the information reported by respondents is described elsewhere. 9 Weights were computed to adjust for differences between the sample and Slovenian population estimates according to sex, age, region, and size and type of community. Statistical methods for complex survey data (Stata statistical software, Release 7.0) were used to account for stratification, two stage sampling, and weighting.…”

Section: Methodsmentioning

confidence: 99%

Prevalence of genital Chlamydia trachomatis infection in the general population of Slovenia: serious gaps in control

Klavs¹

2004

Sexually Transmitted Infections

Self Cite

View full text Add to dashboard Cite

Objectives: One of the objectives of the first national survey of sexual lifestyles, attitudes, and health in Slovenia was to estimate the prevalence of and risk factors for genital Chlamydia trachomatis infection in Slovenian adults aged 18-49 years. Methods: Data were collected over 1999-2001 from a probability sample of the general population by face to face interviews and anonymous self administered questionnaires. Respondents were invited to provide a first void urine (FVU) specimen for polymerase chain reaction testing for C trachomatis infection. We compared the results to the equivalent British survey. Results: 1447 individuals contributed FVU specimens (82.6% of survey respondents, 55.3% of those eligible). C trachomatis infection was diagnosed in 3.0% of men and 1.6% of women. Prevalence was highest in men and women aged 18-24 years (4.1% for both). Individuals reporting first heterosexual intercourse before the age of 16, unprotected sexual intercourse with at least one heterosexual partner during the preceding year, concurrent heterosexual relationships during the preceding year, and five or more lifetime heterosexual partners had a higher prevalence. The association was statistically significant only for five or more lifetime partners (adjusted OR 3.0; 95% CI 1.3 to 6.9; p = 0.01). Conclusions: A relatively high prevalence of genital C trachomatis infection among 18-24 year old Slovenians, in the presence of relatively low risk sexual behaviour and low reported incidence rates of chlamydia infection, suggest serious gaps in the diagnosis and treatment of the condition. The results provide support for the introduction of chlamydia screening in Slovenia. G enital Chlamydia trachomatis infection is presumed to be the most common curable sexually transmitted infection in Slovenia. Studies of convenience samples in Slovenian healthcare settings reported prevalences from 6% to 16.5% among asymptomatic women and from 2.7% to 3.2% among asymptomatic men. [1][2][3][4] Although these estimates are subject to selection bias, they suggest that the low reported incidence rate (12 per 100 000 population in 2002) based on mandatory notification of diagnosed cases substantially underestimates the true burden. The low reported incidence may also result from the low estimated rate of testing for C trachomatis (217 tests in public health laboratories per 100 000 population in 2002). One of the objectives of the first National Survey of Sexual Lifestyles, Attitudes and Health in Slovenia was to estimate the prevalence of genital C trachomatis infection and identify demographic and behavioural determinants. METHODSWe used stratified two stage probability sampling of the general population 18-49 years old. Data were collected between November 1999 and February 2001 at respondents' homes by a combination of face to face interviews and anonymous self administered pencil and paper questionnaires adapted from the British National Survey of Sexual Attitudes and Lifestyles conducted in 1990. 5 Respondents were invited to provi...

show abstract

Section: Methodsmentioning

confidence: 99%

Prevalence of genital Chlamydia trachomatis infection in the general population of Slovenia: serious gaps in control

Klavs¹

2004

Sexually Transmitted Infections

Self Cite

View full text Add to dashboard Cite

show abstract

“…In brief, data were collected over the period between November 1999 and February 2001 from a national probability sample of the general population aged 18-49 years by a combination of face-toface interviews conducted at respondents' homes and anonymous self-administered pencil and paper questionnaires. The data collection methods were an adaptation from the British National Survey of Sexual Attitudes and Lifestyles conducted in 1990 and have been thoroughly piloted in Slovenia [10,11]. They were very similar to the methods used in the second British survey conducted in 2000 [6,12].…”

Section: Methodsmentioning

confidence: 99%

The burden of genital warts in Slovenia: results from a national probability sample survey

Klavs¹,

Grgič-Vitek²

2008

Eurosurveillance

Self Cite

View full text Add to dashboard Cite

show abstract

“…The flow of included and excluded studies in population based and non-population based settings is shown in Appendix 1 ( Figure 20). Most population-based studies were done in the Netherlands (3 studies, 17 publications [25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40] [77,78]) and Spain (2 publications [79,80] ). Half of the studies in non-populationbased settings were from Italy (13), Hungary (11), Poland (9) and Belgium (9).…”

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

View full text Add to dashboard Cite

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.

show abstract

Feasibility of testing for Chlamydia trachomatis in a general population sexual behaviour survey in Slovenia

Cited by 7 publications

References 7 publications

Prevalence of genital Chlamydia trachomatis infection in the general population of Slovenia: serious gaps in control

Prevalence of genital Chlamydia trachomatis infection in the general population of Slovenia: serious gaps in control

The burden of genital warts in Slovenia: results from a national probability sample survey

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

Contact Info

Product

Resources

About