The first point prevalence study of genital <i>Chlamydia trachomatis</i> infection in young male inmates in the UK

Menon-Johansson, Anatole; Winston, Alan; Matthews, Gail V.; Portsmouth, Simon; Daniels, David

doi:10.1258/095646205774988145

Cited by 17 publications

(14 citation statements)

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“…Our findings show that CT prevalence is very low in this population. Prevalence was higher in men than in women, unlike CT prevalence studies in the general population and similarly to other results from prison studies, although not significantly so [15][16][17][18] . In Catalonia, because of this low prevalence in correctional facilities, systematic screening of CT in inmates older than 25 years is not justified.…”

Section: Discussionsupporting

confidence: 81%

Prevalence and predictive factors of Chlamydia trachomatis genital infection in inmates 25 to 65 years old in four Catalan prisons

Carnicer-Pont

González

López-Corbeto

et al. 2019

Rev. esp. sanid. penit.

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Badalona (Barcelona). Centre of epidemiological studies on sexually transmitted infections and AIDS of Catalonia (CEEISCAT). Department of Health. Generalitat of Catalonia. Badalona (Barcelona). Research Institute Germans Trias i Pujol (IGTP). Badalona (Barcelona). CIBER Epidemiology and Public Health (CIBERESP). 3 Centre of epidemiological studies on sexually transmitted infections and AIDS of Catalonia (CEEISCAT).

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Section: Discussionsupporting

confidence: 81%

Prevalence and predictive factors of Chlamydia trachomatis genital infection in inmates 25 to 65 years old in four Catalan prisons

Carnicer-Pont

González

López-Corbeto

et al. 2019

Rev. esp. sanid. penit.

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“…Around half of the inmates spend less than six months in prison and only 43% of the inmates were screened in the first month of incarceration. Most individuals with chlamydia are unaware of their infection 40 . As a urine specimen from men is suitable for testing for STIs, screening levels could easily be improved on admission to prison.…”

Section: Discussionmentioning

confidence: 99%

Prison health and public health responses at a regional prison in Western Australia

Gilles

Swingler

Craven

et al. 2008

Australian and New Zealand Journal of Public Health

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Objective: To describe the health of inmates in a Western Australian regional prison and evaluate the coverage of public health interventions. Design: Cross‐sectional audit of all paper‐based and electronic medical notes of inmates at one regional prison in Western Australia. Setting: A mixed medium‐security prison in regional Western Australia. Participants: 185 prisoners, 170 men and 15 women Main Results: The prisoners were mainly young (70% < 35 years of age) and Indigenous (84%). Fifty two percent of prisoners had at least one chronic health condition. There was a significantly higher prevalence of diabetes to that found in the general Indigenous population (15% vs 6% p=0.001), and a significantly lower prevalence hepatitis C (4.5%) compared with both national (29–61%) and State (20%) data. Screening for sexually transmitted infections and blood borne viruses within the first month of incarceration was achieved for 43% of inmates. Vaccination coverage for influenza (36%) and pneumococcal disease (12%) was low. Conclusion: This study makes visible the burden of disease and reach of public health interventions within a largely Indigenous regional prisoner population. Our study demonstrates that the additional risks associated with being Indigenous remain in a regional Australian prison but also shows that interventions can be delivered equitably to Indigenous and non‐Indigenous inmates. Implications: Ongoing monitoring of prisoner health is critical to take advantage of opportunities to improve public health interventions with timely STI and BBV screening and increased vaccinations rates.

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“…Based on the nine criteria of methodological quality, a total of 5 studies (7%) received a score of 3/9 and U n d e r r e v i e w 7 thus were rated as 'unacceptable'. [25][26][27][28][29] These studies were omitted from the second stage of review.…”

Section: Assessment Of Included Studiesmentioning

confidence: 99%

Predictors identifying those at increased risk for STDs: a theory-guided review of empirical literature and clinical guidelines

et al. 2014

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SummarySexually transmitted diseases (STDs) are leading causes of substantial morbidity worldwide. Identification of risk factors for estimating STD risk provides opportunities for optimising service delivery in clinical settings, including improving case finding accuracy and increasing cost-efficiency by limiting the testing of low-risk individuals. The current study was undertaken to synthesise the evidence supporting commonly cited chlamydia and gonorrhoea risk factors. The level of empirical support for the following predictors was strong/moderate: age, race/ethnicity, multiple lifetime sexual partners, sex with symptomatic partners and concurrent STD diagnosis. The following predictors had weak evidence: socio-economic status, transactional sex, drug/alcohol use, condom use and history of STD diagnosis. The most frequently listed predictors among nine clinical guidelines were younger age and multiple sexual partners; the least consistently listed predictor was inconsistent condom use. We found reasonably good concordance between risk factors consistently listed in the recommendations and predictors found to have strong empirical support in the literature. There is a need to continue building the evidence base to explicate the mechanisms and pathways of STD acquisition. We recommend periodic reviews of the level of support of predictors included in clinical guidelines to ensure that they are in accordance with empirical evidence.

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The first point prevalence study of genital Chlamydia trachomatis infection in young male inmates in the UK

Cited by 17 publications

References 0 publications

Prevalence and predictive factors of Chlamydia trachomatis genital infection in inmates 25 to 65 years old in four Catalan prisons

Prevalence and predictive factors of Chlamydia trachomatis genital infection in inmates 25 to 65 years old in four Catalan prisons

Prison health and public health responses at a regional prison in Western Australia

Predictors identifying those at increased risk for STDs: a theory-guided review of empirical literature and clinical guidelines

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