Decreased Prevalence of Chlamydia trachomatis Infection Associated With a Selective Screening Program in Family Planning Clinics in Wisconsin

Addiss, David G.; Vaughn, Michael; Ludka, Deborah; Pfister, John; Davis, Jeffrey P.

doi:10.1097/00007435-199301000-00006

Cited by 97 publications

(45 citation statements)

References 0 publications

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“…Use of a barrier method was shown to be associated with reduced risk of infection compared with the use of other methods of contraception in two of five studies in females (33,54,70,71,87). Compared with no contraceptives, use of a barrier method was protective against chlamydia for females in three of five studies (32,69,81,88,89). Only one of 10 studies found female barrier users to be significantly less likely to be infected than female nonusers (37,55,79,(90)(91)(92)(93)(94)(95)(96).…”

Section: Risk Factors For Genital Chlamydial Infectionmentioning

confidence: 97%

“…Users of OCP may also be less likely to use barrier contraceptives. OCP users tend to have higher prevalences of infection compared with nonusers, but this association is not significant after adjusting for other variables in the majority of studies reviewed (24,32,33,51,55,56,72,81,87,(90)(91)(92)94,95,103,104). Only two studies found that oral contraceptive users were significantly more likely to have chlamydia than nonusers after controlling for other risk factors (69,79), while Mosure et al (89) found that OCP users had a 20% decreased risk of being infected with chlamydia compared with females who did not use any method of contraception.…”

Section: Risk Factors For Genital Chlamydial Infectionmentioning

confidence: 98%

“…In their study, cervical ectopy was correlated significantly with use of OCP, while chlamydial infection was related strongly to ectopy, regardless of contraceptive practice. However, while eight of 10 studies examining this risk factor found that women with cervical ectopy were more likely to be infected with C trachomatis (32,55,70,72,81,94,96,103), only two of those studies showed this relationship to be significant after adjusting for other variables (55,94).…”

Section: Risk Factors For Genital Chlamydial Infectionmentioning

confidence: 98%

“…This pattern has been demonstrated in areas where chlamydia control programs have been in place for a year or more. In all five studies set in populations with well-established screening programs, reporting recent multiple partnerships was significantly associated with a 1.2 to 2.2-fold increase in risk in multivariate analysis (24,68,69,81,82). In three of those studies, reporting having a new partner was significant before adjusting for other variables (68,81,82), and in Mosure et al's (69) study, published in 1996, this variable was significant in multivariate analysis (OR 1.7, 95% CI 1.5 to 1.9).…”

Section: Number and Type Of Partnersmentioning

confidence: 99%

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Risk factors for genital chlamydial infection

Navarro

Jolly²,

Nair³

et al. 2003

J Sex Reprod Med

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OBJECTIVE:To discuss the occurrence of genital chlamydia in developed countries and review the literature assessing the potential risk factors for this sexually transmitted disease. DATA SOURCES: A MEDLINE search was performed for all English citations from 1985 to 2000 that contain the keywords "Chlamydia trachomatis", "chlamydial infections", "risk factors" and "sex behaviour". All relevant references cited in articles that were obtained from the search were also included. DATA EXTRACTION: All articles obtained from the above sources were examined, and were included in the review if they met the following criteria: primary study examining sociodemographic or behavioural risk factors associated with genital chlamydial infection using multivariate analysis; study subjects 12 years of age and older; and study setting in a developed country. DATA SYNTHESIS AND CONCLUSIONS:Genital chlamydial infection has become the most commonly reported bacterial infection in North America over the past decade. Thirty-eight cross-sectional studies and six cohort studies were included in the present review. Most studies demonstrated that young men and women are at higher risk of being infected with chlamydia than older subjects. Chlamydia seems to be found in a diverse group of people, and unlike gonorrhea, is not concentrated in low income, minority core groups with high rates of partner change. However, a number of studies have shown that communities with well-established control programs are beginning to demonstrate this pattern. There is no clear evidence that chlamydia is associated with type of partners, contraceptive use, or age at first intercourse. Future research should follow this sexually transmitted disease as it evolves through the epidemiological stages to ensure that preventive and treatment services are reaching those people who are most likely to be infected.

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Section: Risk Factors For Genital Chlamydial Infectionmentioning

confidence: 97%

Section: Risk Factors For Genital Chlamydial Infectionmentioning

confidence: 98%

Section: Risk Factors For Genital Chlamydial Infectionmentioning

confidence: 98%

Section: Number and Type Of Partnersmentioning

confidence: 99%

See 2 more Smart Citations

Risk factors for genital chlamydial infection

Navarro

Jolly²,

Nair³

et al. 2003

J Sex Reprod Med

View full text Add to dashboard Cite

show abstract

“…22,53 Experience in Sweden and the USA, and pilot studies in the UK 60 and The Netherlands, 68 show that this approach is feasible. Ecological associations between falling rates of chlamydia and its complications in Sweden 56,57,69,70 and the USA 71,72 during the 1990s have been widely cited as evidence of the effectiveness of opportunistic screening. [73][74][75] This interpretation ignores evidence that the fall in pelvic inflammatory disease in Sweden began before any chlamydia control activities were introduced.…”

Section: Criteria For Establishing a Screening Programmementioning

confidence: 99%

Epidemiological, social, diagnostic and economic evaluation of population screening for genital chlamydial infection

Low

McCarthy²,

Macleod³

et al. 2007

Health Technol Assess

134

179

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